Nursing Elites

1. What stimulates bile secretion from the liver to the small intestine?

• A. Pepsin
• B. Salivary Amylase
• C. CCK
• D. Secretin

Correct answer: C

Rationale: Cholecystokinin (CCK) is the hormone that stimulates the release of bile from the gallbladder into the small intestine, aiding in fat digestion. Pepsin is an enzyme in the stomach that breaks down proteins into smaller peptides, not involved in bile secretion. Salivary Amylase is an enzyme in saliva that initiates starch digestion in the mouth, not related to bile secretion. Secretin is a hormone that regulates the release of gastric juice in the stomach and triggers the pancreas to neutralize stomach acid in the small intestine, but it does not stimulate bile secretion.

2. To follow a healthy diet, a person should be sure that:

• A. 20-35% of the total carbs eaten should be made up of fiber
• B. 45-65% of the total carbs eaten should be made up of fiber
• C. 45-65% of the total fiber eaten should be made up of soluble fiber
• D. 45-65% of the total calories eaten should be made up of carbs

Correct answer: D

Rationale: The Acceptable Macronutrient Distribution Range (AMDR) suggests that 45-65% of total daily calories should come from carbohydrates.

3. When is Prevident indicated?

• A. High caries risk
• B. Crown and bridge work
• C. Orthodontic decalcification
• D. All of the above

Correct answer: D

Rationale: Prevident is indicated for all the situations listed in the choices. It is recommended for patients with a high risk of caries to reduce the risk of tooth decay. It is also used in dental procedures like crown and bridge work to strengthen enamel and prevent cavities. Furthermore, it is utilized for orthodontic decalcification to aid in remineralizing the tooth structure and prevent further damage. Therefore, the correct answer is 'All of the above.' While choices A, B, and C are individually correct, selecting 'All of the above' is the most appropriate as it encompasses all the possible indications for Prevident.

4. What term is used to refer to the beliefs, ideals, and values that direct an organization and give it a sense of purpose?

• A. Philosophy
• B. Mission
• C. Vision
• D. Goals and Objectives

Correct answer: C

Rationale: The correct term for the beliefs, ideals, and values that direct an organization and provide it with a sense of purpose is 'Vision'. A Vision statement outlines the organization's aspirations and goals for the future. Choices A, B, and D are incorrect in this context. 'Philosophy' refers to a system of beliefs or principles, 'Mission' relates to the organization's purpose and primary objectives, and 'Goals and Objectives' are the specific targets set to accomplish the Vision.

5. In a patient with liver cirrhosis, weight gain due to fluid retention can mask the symptoms of what condition?

• A. Liver failure
• B. Gallbladder disease
• C. Heart failure
• D. Protein-Energy Malnutrition (PEM)

Correct answer: D

Rationale: In a patient with liver cirrhosis, weight gain due to fluid retention can mask Protein-Energy Malnutrition (PEM) symptoms. This can lead to an increase in weight, making it challenging to identify weight loss or muscle wasting associated with PEM. Therefore, option D is correct. Options A, B, and C are incorrect because fluid retention and weight gain related to liver cirrhosis do not necessarily hide the symptoms of liver failure, gallbladder disease, or heart failure.

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