Nursing Elites

1. Which hormone is responsible for stimulating the gallbladder to contract and release bile?

• A. gastric lipase
• B. cholecystokinin
• C. vitamin D
• D. enterokinin

Correct answer: B

Rationale: Cholecystokinin (CCK) is the correct answer. It is the hormone responsible for stimulating the gallbladder to contract and release bile to aid in fat digestion. Gastric lipase (Choice A) is an enzyme that breaks down fats in the stomach, not a hormone involved in gallbladder function. Vitamin D (Choice C) is important for calcium absorption and bone health, but it is not directly related to gallbladder function. Enterokinin (Choice D) is a peptide hormone that affects smooth muscle contractions in the gastrointestinal tract, but it is not specifically responsible for stimulating the gallbladder to release bile.

2. Individual nutrients are characterized by their ability to:

• A. work independently.
• B. fulfill specific metabolic roles.
• C. influence weight loss.
• D. improve mental status.

Correct answer: B

Rationale: The correct answer is B: 'fulfill specific metabolic roles.' Nutrients play essential roles in specific metabolic processes in the body such as energy production, tissue repair, and growth. Choice A, 'work independently,' is incorrect as nutrients often work synergistically rather than alone. Choice C, 'influence weight loss,' is incorrect as while some nutrients may support weight loss indirectly through metabolic processes, it is not their primary characteristic. Choice D, 'improve mental status,' is also incorrect as while some nutrients are important for brain health, their primary role is not specifically to improve mental status.

3. How many amino acids are considered indispensable or essential?

• A. 9
• B. 10
• C. 12
• D. 14

Correct answer: A

Rationale: The correct answer is A: 9. Nine amino acids are considered essential or indispensable because they cannot be synthesized by the body and must be obtained through the diet. These amino acids include histidine, isoleucine, leucine, lysine, methionine, phenylalanine, threonine, tryptophan, and valine. Choices B, C, and D are incorrect as the number of essential amino acids is specifically 9, as they are crucial for various bodily functions.

4. A high blood cholesterol level appears to be associated with the development of:

• A. chronic kidney disease.
• B. coronary heart disease.
• C. Alzheimer’s disease.
• D. Addison’s disease.

Correct answer: B

Rationale: A high blood cholesterol level is associated with an increased risk of developing coronary heart disease. Elevated cholesterol levels can lead to the buildup of plaque in the arteries, increasing the risk of heart disease. Choices A, C, and D are incorrect as high blood cholesterol is not primarily linked to chronic kidney disease, Alzheimer’s disease, or Addison’s disease.

5. The Acceptable Macronutrient Distribution Range for fat recommends that the percentage of total kcalories from fat should fall between:

• A. 10% and 20%.
• B. 20% and 25%.
• C. 20% and 35%.
• D. 30% and 45%.

Correct answer: C

Rationale: The Acceptable Macronutrient Distribution Range (AMDR) for fat suggests that 20% to 35% of total kcalories should come from fat. This range is recommended to maintain good health. Choices A, B, and D are incorrect because they do not fall within the specified range. A lower percentage (10-20%) may not provide enough essential fatty acids, while a higher percentage (30-45%) may increase the risk of health issues associated with excessive fat consumption.

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