Nursing Elites

1. Which gastric enzyme present in infants coagulates milk?

• A. Casein.
• B. Pepsinogen.
• C. Trypsin.
• D. Rennin.

Correct answer: D

Rationale: The correct answer is D, rennin. Rennin is the enzyme in infants responsible for coagulating milk, which aids in the digestion process. Choice A, casein, is a milk protein and not an enzyme. Choices B and C, pepsinogen and trypsin, are digestive enzymes but are not specifically involved in coagulating milk in infants.

2. 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.

3. People with phenylketonuria should avoid foods made with which nonnutritive sweetener?

• A. acesulfame-K
• B. aspartame
• C. saccharin
• D. sucralose

Correct answer: B

Rationale: People with phenylketonuria should avoid aspartame because it contains phenylalanine, which they cannot metabolize. Acesulfame-K, saccharin, and sucralose do not contain phenylalanine and are safe for individuals with phenylketonuria. Therefore, the correct answer is B. Acesulfame-K, saccharin, and sucralose are incorrect choices because they do not pose a risk for individuals with phenylketonuria due to the absence of phenylalanine in their composition.

4. The interrelated network of nerves within the gastrointestinal wall that regulates its muscular action is known as the:

• A. gastric nerve plexus.
• B. biliary nerve plexus.
• C. intramural nerve plexus.
• D. intestinal nerve plexus.

Correct answer: C

Rationale: The correct answer is C - intramural nerve plexus. This network of nerves regulates the muscular movements within the gastrointestinal wall. The gastric nerve plexus (choice A) specifically relates to the stomach, not the entire gastrointestinal tract. The biliary nerve plexus (choice B) is associated with the bile ducts and gallbladder, not the regulation of muscular action. The intestinal nerve plexus (choice D) is a general term that doesn't specifically refer to the network of nerves within the gastrointestinal wall.

5. During the process of deamination, the nitrogen portion of amino acids is converted to:

• A. ammonia.
• B. protein.
• C. purines.
• D. glycogen.

Correct answer: A

Rationale: During the process of deamination, the nitrogen portion of amino acids is converted to ammonia. This occurs in the liver as part of the process to remove excess nitrogen from the body. Choice B, 'protein,' is incorrect as deamination breaks down amino acids rather than synthesizing proteins. Choice C, 'purines,' is incorrect as purines are a type of nitrogenous base found in DNA and RNA, not a product of deamination. Choice D, 'glycogen,' is incorrect as glycogen is a storage form of glucose and not a product of amino acid deamination.

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