Nursing Elites

1. What are the actions involved in the process of digestion?

• A. thermal and chemical.
• B. chemical and segmental.
• C. muscular and chemical.
• D. mechanical and thermal.

Correct answer: C

Rationale: The correct answer is C: 'muscular and chemical.' In the process of digestion, muscular movements help in mixing and propelling food along the digestive tract, while chemical breakdowns involving enzymes and acids break down food into smaller molecules for absorption. Choices A, B, and D are incorrect as thermal, segmental, and mechanical actions are not the primary actions involved in the digestion process.

2. The mineral that helps control enzyme actions in cell mitochondria that produce and store high-energy compounds is:

• A. iron.
• B. cobalt.
• C. hemoglobin.
• D. vitamin B12.

Correct answer: A

Rationale: The correct answer is iron. Iron is essential for enzyme function and energy production within the mitochondria. While cobalt is important for certain enzymes, it is not the primary mineral involved in this specific function. Hemoglobin is a protein in red blood cells that carries oxygen, not a mineral involved in enzyme actions. Vitamin B12 is crucial for nerve function and DNA synthesis but is not directly related to controlling enzyme actions in mitochondria.

3. Which of the following provides the best source of nutrients?

• A. specific food combinations.
• B. a variety of foods.
• C. individual foods.
• D. a variety of food supplements.

Correct answer: B

Rationale: A variety of foods is the best source of nutrients because it ensures a balanced intake of all essential nutrients required by the body. Option A, specific food combinations, may not provide all necessary nutrients as relying on only a few types of food may lead to deficiencies. Option C, individual foods, also may not provide a complete range of nutrients necessary for overall health. Option D, a variety of food supplements, is not the best source of nutrients as whole foods are generally more beneficial due to their natural nutrient composition and bioavailability.

4. How is the enzyme trypsin activated?

• A. By zymogen.
• B. By bile.
• C. By gastrin.
• D. By enterokinase.

Correct answer: D

Rationale: The correct answer is D: By enterokinase. Trypsin is activated by enterokinase, an enzyme secreted by the small intestine. Enterokinase plays a crucial role in converting trypsinogen into its active form, trypsin. Choices A, B, and C are incorrect because trypsin is specifically activated by enterokinase, not by zymogen, bile, or gastrin.

5. The type of protein-energy malnutrition that results in edema, hypoalbuminemia, skin lesions, and fatty liver is:

• A. cachexia.
• B. marasmus.
• C. kwashiorkor.
• D. sarcopenia.

Correct answer: C

Rationale: The correct answer is C, kwashiorkor. Kwashiorkor is a type of protein-energy malnutrition characterized by edema, hypoalbuminemia, skin lesions, and fatty liver. Edema is a key feature of kwashiorkor due to hypoalbuminemia, which leads to decreased oncotic pressure. Marasmus (choice B) is a form of severe malnutrition characterized by energy deficiency without significant protein deficiency, resulting in severe wasting. Cachexia (choice A) is a syndrome characterized by weight loss, muscle atrophy, fatigue, weakness, and loss of appetite in someone who is not actively trying to lose weight. Sarcopenia (choice D) is the age-related loss of muscle mass and function.

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