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. How is resistant starch digested in the colon?

• A. bacterial fermentation.
• B. pancreatic amylase.
• C. hydrochloric acid.
• D. villi and microvilli.

Correct answer: A

Rationale: In the colon, resistant starch is digested by bacterial fermentation. The correct answer is A. During this process, short-chain fatty acids are produced. Pancreatic amylase, as mentioned in choice B, is responsible for breaking down starch in the small intestine, not in the colon. Choice C, hydrochloric acid, functions in the stomach to aid in the digestion of proteins, not starch. Villi and microvilli, as stated in choice D, are structures in the small intestine that absorb nutrients; they do not participate in the digestion of resistant starch in the colon.

3. Exchange Lists for Meal Planning was devised by the American Dietetic Association in collaboration with which organization?

• A. the American Cancer Society
• B. the American Diabetes Association
• C. the American Heart Association
• D. the Culinary Institute of America

Correct answer: B

Rationale: The correct answer is B: the American Diabetes Association. The American Dietetic Association collaborated with the American Diabetes Association to devise the Exchange Lists for Meal Planning. This collaboration aimed to assist individuals, especially those with diabetes, in planning balanced meals. Choices A, C, and D are incorrect as they were not involved in the development of the Exchange Lists.

4. Which component of protein contains nitrogen?

• A. Amino group
• B. Carboxyl group
• C. Peptide bond
• D. Side chain

Correct answer: A

Rationale: The correct answer is the amino group. Amino groups are functional groups found in amino acids, which are the building blocks of proteins. These groups contain nitrogen and are essential for the structure and function of proteins. The carboxyl group (choice B) contains carbon, oxygen, and hydrogen, while the peptide bond (choice C) is a covalent bond formed between amino acids in a protein chain. The side chain (choice D) refers to the unique chemical structure attached to the central carbon of an amino acid and varies among different amino acids, but it does not specifically contain nitrogen.

5. What are the actions involved in the process of digestion?

• A. thermal and chemical.
• B. chemical and segmental.
• C. muscular and chemical.
• D. mechanical and thermal.

Correct answer: C

Rationale: The correct answer is C: 'muscular and chemical.' In the process of digestion, muscular movements help in mixing and propelling food along the digestive tract, while chemical breakdowns involving enzymes and acids break down food into smaller molecules for absorption. Choices A, B, and D are incorrect as thermal, segmental, and mechanical actions are not the primary actions involved in the digestion process.

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