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. The professional primarily responsible for the application of nutrition science in clinical practice settings is the:

• A. nurse.
• B. physician.
• C. public health nutritionist.
• D. registered dietitian.

Correct answer: D

Rationale: The correct answer is D: registered dietitian. A registered dietitian is a healthcare professional with specialized training in nutrition and dietetics, making them primarily responsible for applying nutrition science in clinical practice settings. Nurses (choice A) and physicians (choice B) may have some knowledge of nutrition, but a registered dietitian has specific expertise in this area. Public health nutritionists (choice C) typically focus on community nutrition and public health programs, rather than clinical practice settings.

3. Which chain length of fatty acids is most water-soluble and easily absorbed into the bloodstream?

• A. Very long.
• B. Long.
• C. Medium.
• D. Short.

Correct answer: D

Rationale: Short-chain fatty acids are the most water-soluble and are more easily absorbed into the bloodstream. Very long, long, and medium-chain fatty acids are less water-soluble and are absorbed at a slower rate compared to short-chain fatty acids. Therefore, the correct answer is D.

4. Which nutrient has a protein-sparing effect?

• A. Glycerol
• B. Carbohydrate
• C. Nitrogen
• D. Fatty acids

Correct answer: B

Rationale: Carbohydrates have a protein-sparing effect, meaning that adequate carbohydrate intake can prevent the use of protein for energy. Glycerol, nitrogen, and fatty acids do not have a protein-sparing effect. Glycerol is a component of fats and oils, nitrogen is a component of proteins, and fatty acids are used primarily as an energy source.

5. A person with lactose intolerance should be most careful to limit their intake of:

• A. milk
• B. yogurt
• C. cheese
• D. corn syrup

Correct answer: A

Rationale: Individuals with lactose intolerance lack the enzyme lactase needed to break down lactose, the sugar in dairy products. Milk contains a high amount of lactose, making it crucial for those with lactose intolerance to limit their intake. Yogurt and cheese, on the other hand, have lower lactose content due to the fermentation process which reduces lactose levels, making them better tolerated by many with lactose intolerance. Corn syrup, although high in sugar, does not contain lactose and is unrelated to lactose intolerance. Therefore, the correct answer is 'milk' as it is a significant source of lactose, which can trigger symptoms in individuals with lactose intolerance.

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