Nursing Elites

1. 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.

2. A person with lactose intolerance should be most careful to limit their intake of:

• A. milk
• B. yogurt
• C. cheese
• D. corn syrup

Correct answer: A

Rationale: Individuals with lactose intolerance lack the enzyme lactase needed to break down lactose, the sugar in dairy products. Milk contains a high amount of lactose, making it crucial for those with lactose intolerance to limit their intake. Yogurt and cheese, on the other hand, have lower lactose content due to the fermentation process which reduces lactose levels, making them better tolerated by many with lactose intolerance. Corn syrup, although high in sugar, does not contain lactose and is unrelated to lactose intolerance. Therefore, the correct answer is 'milk' as it is a significant source of lactose, which can trigger symptoms in individuals with lactose intolerance.

3. Which types of acids form the basic building blocks of protein?

• A. fatty
• B. amino
• C. nucleic
• D. omega fatty

Correct answer: B

Rationale: The correct answer is 'B: amino.' Amino acids are the fundamental units that make up proteins. They are essential for various bodily functions, including building and repairing tissues. Choice A, 'fatty acids,' are not the basic building blocks of proteins but rather a type of lipid. Choice C, 'nucleic acids,' are the building blocks of nucleic acids like DNA and RNA, not proteins. Choice D, 'omega fatty acids,' are a specific type of fatty acid known for their health benefits but are not directly related to the building blocks of proteins.

4. In the most recent edition of Choose Your Foods: Exchange List for Diabetes, the three groups into which foods are arranged are:

• A. fruits and vegetables, breads, and meats.
• B. fats, starches and sugars, and meat and milk.
• C. fruits and vegetables, meat and milk, and starches.
• D. carbohydrates, meat and meat substitutes, and fats.

Correct answer: D

Rationale: The correct answer is D: carbohydrates, meat and meat substitutes, and fats. The most recent edition of Choose Your Foods: Exchange List for Diabetes categorizes foods into these three groups for easier meal planning. Choice A is incorrect because it does not include carbohydrates and groups bread with fruits and vegetables. Choice B is incorrect because it separates carbohydrates into starches and sugars, which are usually counted together in diabetes meal planning. Choice C is incorrect as it does not specifically categorize foods into carbohydrates, meat, and fats as per the latest edition.

5. What are the rhythmic contractions that propel food through the intestinal tract called?

• A. Segmentation
• B. Peristalsis
• C. Cardiospasm
• D. Pendular movements

Correct answer: B

Rationale: Peristalsis is the correct answer because it refers to the rhythmic contractions that propel food through the intestinal tract by pushing it along the digestive system. Segmentation, on the other hand, refers to the mixing movements in the intestines rather than the forward movement of food. Cardiospasm is a condition characterized by difficulty swallowing due to the inability of the esophagus to relax, and pendular movements are a type of motility found in the small intestine but do not specifically refer to the propulsion of food.

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