Nursing Elites

1. 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.

2. 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.

3. Which lipoprotein carries fat from a meal just consumed to the liver?

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

Correct answer: C

Rationale: Chylomicrons are the lipoproteins responsible for transporting dietary fat from the intestines to various tissues, including the liver. VLDL carries lipids synthesized in the liver, LDL transports cholesterol to tissues, and HDL helps transport cholesterol away from tissues to the liver for excretion. Therefore, in the context of carrying fat from a meal just consumed to the liver, chylomicrons are the correct choice.

4. 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.

5. The mineral that helps control enzyme actions in cell mitochondria that produce and store high-energy compounds is:

• A. iron.
• B. cobalt.
• C. hemoglobin.
• D. vitamin B12.

Correct answer: A

Rationale: The correct answer is iron. Iron is essential for enzyme function and energy production within the mitochondria. While cobalt is important for certain enzymes, it is not the primary mineral involved in this specific function. Hemoglobin is a protein in red blood cells that carries oxygen, not a mineral involved in enzyme actions. Vitamin B12 is crucial for nerve function and DNA synthesis but is not directly related to controlling enzyme actions in mitochondria.

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