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. In an analysis of the amino acid composition of foods, the amino acid occurring in the smallest amount is called:

• A. indispensable.
• B. dispensable.
• C. complementary.
• D. limiting.

Correct answer: D

Rationale: The correct answer is D, 'limiting.' In the analysis of the amino acid composition of foods, the amino acid that occurs in the smallest amount is referred to as the limiting amino acid. This term is used because when one essential amino acid is deficient, it limits the synthesis of proteins, making it crucial in determining protein quality. Choices A, B, and C are incorrect. 'Indispensable' and 'dispensable' refer to the essentiality of amino acids, and 'complementary' does not describe the concept of the amino acid occurring in the smallest amount.

3. What can excessive intakes of dietary protein do?

• A. cause vitamin deficiencies.
• B. impair kidney function.
• C. increase weight loss.
• D. decrease production of indispensable amino acids.

Correct answer: B

Rationale: Excessive intake of dietary protein can lead to impaired kidney function over time. Excessive protein consumption can put a strain on the kidneys as they work to eliminate the byproducts of protein metabolism. This can potentially lead to kidney damage. Choices A, C, and D are incorrect. Excessive protein intake is not directly linked to causing vitamin deficiencies, increasing weight loss, or decreasing the production of indispensable amino acids.

4. Which lipoprotein increases the risk of cardiovascular disease?

• A. Low-density lipoprotein (LDL)
• B. High-density lipoprotein (HDL)
• C. Very low-density lipoprotein (VLDL)
• D. Chylomicrons

Correct answer: A

Rationale: The correct answer is A: Low-density lipoprotein (LDL). LDL is often referred to as 'bad cholesterol' because it can lead to plaque buildup in arteries, increasing the risk of cardiovascular disease. High-density lipoprotein (HDL) is considered 'good cholesterol' as it helps remove LDL from the arteries, reducing the risk of cardiovascular issues. Very low-density lipoprotein (VLDL) and chylomicrons are also lipoproteins that transport fats in the bloodstream, but they are not as strongly associated with an increased risk of cardiovascular disease as LDL.

5. How many kilocalories (kcal) are provided by 35 g of fat?

• A. 140
• B. 245
• C. 315
• D. 360

Correct answer: C

Rationale: Fat provides 9 kcal per gram, so 35 grams of fat provides 315 kcal. Therefore, the correct answer is C. Choice A (140) is incorrect because it doesn't consider the energy content of fat. Choice B (245) is incorrect as it miscalculates the kilocalories provided by 35g of fat. Choice D (360) is incorrect because it overestimates the kilocalories provided by 35g of fat.

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