Nursing Elites

1. The function of Dietary Reference Intakes (DRIs) is to designate nutrient recommendations for:

• A. different ethnic groups.
• B. all individuals.
• C. most people.
• D. most healthy people.

Correct answer: D

Rationale: The correct answer is D. Dietary Reference Intakes (DRIs) are established to provide nutrient recommendations for most healthy people. They are not specific to different ethnic groups (choice A), all individuals (choice B), or most people (choice C). DRIs aim to prevent nutrient deficiencies and chronic diseases in healthy individuals by setting intake levels for various nutrients.

2. The type of protein-energy malnutrition (PEM) that develops when the diet lacks protein is called:

• A. kwashiorkor.
• B. marasmus.
• C. anemia.
• D. beriberi.

Correct answer: A

Rationale: The correct answer is A: kwashiorkor. Kwashiorkor is a form of protein-energy malnutrition that arises due to a protein-deficient diet. This condition leads to symptoms such as edema, skin lesions, and fatty liver. Choice B, marasmus, is a form of PEM caused by overall malnutrition (protein and calorie deficiency), resulting in severe wasting and muscle loss. Choice C, anemia, is a condition characterized by a deficiency of red blood cells or hemoglobin, not specifically related to protein deficiency. Choice D, beriberi, is a disease caused by thiamine (Vitamin B1) deficiency, not a form of PEM related to protein deficiency.

3. Pepsinogen secreted by the gastric cells is converted into pepsin by:

• A. enterokinase
• B. hydrochloric acid
• C. gastric lipase
• D. pancreatic lipase

Correct answer: B

Rationale: Pepsinogen is converted into its active form, pepsin, by hydrochloric acid in the stomach. Hydrochloric acid helps in unfolding the pepsinogen molecule to transform it into pepsin, which is crucial for protein digestion. Therefore, the correct answer is hydrochloric acid (choice B). Enterokinase (choice A) is an enzyme produced in the small intestine that activates trypsinogen into trypsin, not pepsinogen. Gastric lipase (choice C) is an enzyme that digests fats, not involved in converting pepsinogen to pepsin. Pancreatic lipase (choice D) is an enzyme produced by the pancreas that aids in breaking down fats in the small intestine, not part of the process of pepsin activation.

4. What types of muscular movement occur in the intestine?

• A. Longitudinal and circular.
• B. Expulsion and traction.
• C. Tonus and clonus.
• D. Intermittent and continuous.

Correct answer: A

Rationale: The correct answer is A: Longitudinal and circular. Longitudinal and circular muscles are responsible for the movements that help propel food through the intestine. Choice B, expulsion and traction, is incorrect as these terms do not specifically relate to the types of muscular movement in the intestine. Choice C, tonus and clonus, refers to different types of muscle contractions and are not the primary movements in the intestine. Choice D, intermittent and continuous, does not accurately describe the specific types of muscular movement that occur in the intestine.

5. What group makes each amino acid unique?

• A. Radical group
• B. Amino group
• C. Carboxyl group
• D. Peptide bond

Correct answer: A

Rationale: The correct answer is the radical group (R-group) because it is the unique side chain that differentiates each amino acid. The amino group (choice B) and carboxyl group (choice C) are functional groups common to all amino acids but do not make them unique. The peptide bond (choice D) is the bond formed between amino acids in a protein chain, not the group that makes each amino acid unique.

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