Nursing Elites

1. During lactation, where is lactose synthesized in the body?

• A. Liver
• B. Breast
• C. Kidney
• D. Pancreas

Correct answer: B

Rationale: The correct answer is B: Breast. Lactose is synthesized in the breast during lactation to produce breastmilk. The liver is responsible for various metabolic functions but does not synthesize lactose. The kidney's primary role is in filtering blood and regulating electrolytes, not lactose synthesis. The pancreas is involved in producing digestive enzymes and insulin, not lactose synthesis.

2. Why are diets that contain less than 10% of kcalories as fat not recommended?

• A. Intake of carbohydrates would not necessarily be too high.
• B. This would not necessarily require excessive use of fat replacers.
• C. The diet would not provide adequate essential fatty acids.
• D. Intake of essential fatty acids would be too low.

Correct answer: D

Rationale: Diets that contain less than 10% of kcalories as fat are not recommended because they would lead to inadequate intake of essential fatty acids, which are crucial for various bodily functions like hormone production, brain function, and cell membrane structure. Option A is incorrect because reducing fat intake does not necessarily mean increasing carbohydrate intake excessively. Option B is incorrect as it introduces a new concept of using fat replacers, which is not directly related to the issue of essential fatty acid intake. Option C is incorrect as the primary concern with low-fat diets is the insufficiency of essential fatty acids, not the adequacy of them.

3. Which of the following monosaccharides is considered one of the most important in human nutrition along with glucose and fructose?

• A. Lactose.
• B. Galactose.
• C. Maltose.
• D. Sucrose.

Correct answer: B

Rationale: The most important monosaccharides in human nutrition are glucose, fructose, and galactose. Galactose is crucial as it is one of the main components of lactose, a disaccharide sugar found in milk. Therefore, choices A, C, and D are incorrect as lactose, maltose, and sucrose are disaccharides composed of two monosaccharide units.

4. In addition to calcium, the major minerals needed to build and maintain bone tissue include:

• A. potassium
• B. iron
• C. phosphorus
• D. fluoride

Correct answer: C

Rationale: The correct answer is C: phosphorus. Phosphorus, along with calcium, is essential for bone health and maintenance. Potassium (choice A) is important for muscle function, iron (choice B) is crucial for red blood cell production, and fluoride (choice D) helps prevent tooth decay but is not a major mineral needed for bone tissue.

5. Which lipoprotein carries fat from a meal just consumed to the liver?

• A. Very low-density lipoprotein (VLDL).
• B. Low-density lipoprotein (LDL).
• C. Chylomicrons.
• D. High-density lipoprotein (HDL).

Correct answer: C

Rationale: Chylomicrons are the lipoproteins responsible for transporting dietary fat from the intestines to various tissues, including the liver. VLDL carries lipids synthesized in the liver, LDL transports cholesterol to tissues, and HDL helps transport cholesterol away from tissues to the liver for excretion. Therefore, in the context of carrying fat from a meal just consumed to the liver, chylomicrons are the correct choice.

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