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. What triggers the release of cholecystokinin (CCK)?

• A. Presence of food in the stomach.
• B. Presence of fat in the duodenum.
• C. Entry of acid chyme into the ileum.
• D. Entry of bile into the gallbladder.

Correct answer: B

Rationale: The correct answer is B: Presence of fat in the duodenum. Cholecystokinin (CCK) is released in response to the presence of fat in the duodenum to aid in digestion by stimulating the release of bile from the gallbladder and enzymes from the pancreas. Options A, C, and D are incorrect because CCK is specifically released in response to the presence of fat in the duodenum, not food in the stomach, acid chyme in the ileum, or bile in the gallbladder.

3. Which enzyme is produced by the parotid gland?

• A. Salivary amylase
• B. Sucrase
• C. Maltase
• D. Lactase

Correct answer: A

Rationale: The correct answer is A, Salivary amylase. Salivary amylase is an enzyme produced by the parotid gland that initiates starch digestion in the mouth. It helps break down starch into maltose, a simpler sugar. Choices B, C, and D are incorrect because sucrase, maltase, and lactase are enzymes involved in the digestion of disaccharides like sucrose, maltose, and lactose, respectively, in the small intestine, not in the saliva.

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. A chemical feature that distinguishes a saturated fatty acid from an unsaturated fatty acid is the:

• A. arrangement of carbon atoms.
• B. number of oxygen molecules.
• C. number of double bonds.
• D. food source.

Correct answer: C

Rationale: The correct answer is C. Saturated fatty acids have no double bonds between carbon atoms, while unsaturated fatty acids have one or more double bonds. Therefore, the number of double bonds is the chemical feature that distinguishes a saturated fatty acid from an unsaturated fatty acid. Choices A, B, and D are incorrect because the distinguishing factor between saturated and unsaturated fatty acids lies in the presence or absence of double bonds, not in the arrangement of carbon atoms, number of oxygen molecules, or food source.

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