Nursing Elites

1. The nutrients involved in metabolic regulation and control include minerals, vitamins, and:

• A. amino acids.
• B. carbohydrates.
• C. fats.
• D. water.

Correct answer: D

Rationale: The correct answer is D, water. Water plays a crucial role in metabolic regulation along with vitamins and minerals. While amino acids, carbohydrates, and fats are essential nutrients for various bodily functions, they are not primarily involved in metabolic regulation and control.

2. Feces are composed mainly of bacteria, mucosal cells, mucus, and what else?

• A. bile
• B. enzymes
• C. fiber
• D. chyme

Correct answer: C

Rationale: The correct answer is 'C: fiber.' Feces are primarily made up of indigestible material, such as fiber. Bile (choice A) is produced by the liver to aid in digestion but is not a major component of feces. Enzymes (choice B) are involved in digestion but are not a significant component of feces. Chyme (choice D) is the semi-fluid mass of partially digested food that moves from the stomach to the small intestine and is not a major component of feces.

3. Why are diets that contain less than 10% of kcalories as fat not recommended?

• A. Intake of carbohydrates would not necessarily be too high.
• B. This would not necessarily require excessive use of fat replacers.
• C. The diet would not provide adequate essential fatty acids.
• D. Intake of essential fatty acids would be too low.

Correct answer: D

Rationale: Diets that contain less than 10% of kcalories as fat are not recommended because they would lead to inadequate intake of essential fatty acids, which are crucial for various bodily functions like hormone production, brain function, and cell membrane structure. Option A is incorrect because reducing fat intake does not necessarily mean increasing carbohydrate intake excessively. Option B is incorrect as it introduces a new concept of using fat replacers, which is not directly related to the issue of essential fatty acid intake. Option C is incorrect as the primary concern with low-fat diets is the insufficiency of essential fatty acids, not the adequacy of them.

4. 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.

5. Which of the following foods is high in indispensable amino acids?

• A. Lentils
• B. Tofu
• C. Peanuts
• D. Eggs

Correct answer: D

Rationale: The correct answer is D, eggs. Eggs are considered a high-quality protein source as they are rich in indispensable amino acids. Lentils, tofu, and peanuts also contain protein but are not as high in indispensable amino acids as eggs, making them less complete protein sources.

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