Nursing Elites

1. 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.

2. The hormone secretin stimulates production of a buffering solution for the duodenum by the:

• A. stomach.
• B. liver.
• C. pancreas.
• D. oxyntic cells.

Correct answer: C

Rationale: The correct answer is C: pancreas. Secretin stimulates the pancreas to release bicarbonate, which acts as a buffering solution to neutralize the acid entering the duodenum from the stomach. This process helps in maintaining the pH balance in the small intestine. Choice A, stomach, is incorrect as the stomach does not produce the buffering solution needed for the duodenum. Choice B, liver, is incorrect because secretin does not directly stimulate the liver to produce a buffering solution. Choice D, oxyntic cells, is also incorrect as these cells in the stomach are responsible for producing gastric acid, not the buffering solution needed in the duodenum.

3. Carbohydrates are composed of a combination of carbon, hydrogen, and which other element?

• A. oxygen.
• B. nitrogen.
• C. water.
• D. glucose.

Correct answer: A

Rationale: Carbohydrates are composed of carbon, hydrogen, and oxygen. These three elements combine to form the basic structure of carbohydrates. Oxygen is an essential element in carbohydrates, contributing to their chemical composition. Choice B (nitrogen) is incorrect as nitrogen is not a typical component of carbohydrates. Choice C (water) is incorrect as water is not an element but a compound composed of hydrogen and oxygen. Choice D (glucose) is incorrect as glucose is a specific type of sugar, not an element found in the composition of carbohydrates.

4. Consuming 30 g of which nutrient would provide the highest number of kcalories?

• A. Carbohydrates
• B. Fat
• C. Protein
• D. Micronutrients

Correct answer: B

Rationale: The correct answer is B, 'Fat.' Fat provides 9 kcalories per gram, which is more than carbohydrates and proteins that provide 4 kcalories per gram each. Therefore, consuming 30 g of fat would yield a higher number of kcalories compared to the same amount of carbohydrates or proteins. Micronutrients do not significantly contribute to kcalories, making them an incorrect choice in this scenario.

5. What is the preferred fuel for the cells lining the colon?

• A. Short-chain fatty acids.
• B. Long-chain fatty acids.
• C. Amino acids.
• D. Glucose.

Correct answer: A

Rationale: Short-chain fatty acids are the preferred fuel for the cells lining the colon. They provide energy and support gut health by serving as a fuel source for these cells. Long-chain fatty acids are not the preferred fuel for colon cells as they are harder to digest and absorb in this part of the digestive system. Amino acids are the building blocks of proteins and not the primary energy source for colon cells. Glucose is the main energy source for most cells in the body, but colon cells prefer short-chain fatty acids.

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