Nursing Elites

1. 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.

2. Consuming 30 g of which nutrient would provide the highest number of kcalories?

• A. Carbohydrates
• B. Fat
• C. Protein
• D. Micronutrients

Correct answer: B

Rationale: The correct answer is B, 'Fat.' Fat provides 9 kcalories per gram, which is more than carbohydrates and proteins that provide 4 kcalories per gram each. Therefore, consuming 30 g of fat would yield a higher number of kcalories compared to the same amount of carbohydrates or proteins. Micronutrients do not significantly contribute to kcalories, making them an incorrect choice in this scenario.

3. Where does the major portion of the chemical digestion of lipids occur?

• A. Mouth.
• B. Stomach.
• C. Small intestine.
• D. Large intestine.

Correct answer: C

Rationale: The correct answer is C: Small intestine. The majority of lipid digestion occurs in the small intestine, where bile and pancreatic lipase are active. Lipids are broken down into fatty acids and glycerol in the small intestine. Choices A, B, and D are incorrect because the mouth and stomach play minor roles in lipid digestion, and the large intestine is mainly responsible for absorbing water and electrolytes from the indigestible food residues.

4. Which hormone stimulates the gallbladder to contract?

• A. Secretin.
• B. Cholecystokinin (CCK).
• C. Gastrin.
• D. Gastric inhibitory polypeptide (GIP).

Correct answer: B

Rationale: Cholecystokinin (CCK) is the hormone responsible for stimulating the gallbladder to contract and release bile into the small intestine. Secretin primarily acts on the pancreas to stimulate the secretion of bicarbonate-rich fluid. Gastrin functions in the stimulation of gastric acid secretion, while Gastric inhibitory polypeptide (GIP) plays a role in inhibiting gastric acid secretion and stimulating insulin release.

5. The hormone secretin stimulates production of a buffering solution for the duodenum by the:

• A. stomach.
• B. liver.
• C. pancreas.
• D. oxyntic cells.

Correct answer: C

Rationale: The correct answer is C: pancreas. Secretin stimulates the pancreas to release bicarbonate, which acts as a buffering solution to neutralize the acid entering the duodenum from the stomach. This process helps in maintaining the pH balance in the small intestine. Choice A, stomach, is incorrect as the stomach does not produce the buffering solution needed for the duodenum. Choice B, liver, is incorrect because secretin does not directly stimulate the liver to produce a buffering solution. Choice D, oxyntic cells, is also incorrect as these cells in the stomach are responsible for producing gastric acid, not the buffering solution needed in the duodenum.

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