Nursing Elites

1. Where are the parotid, submandibular, and sublingual glands found?

• A. mouth
• B. stomach
• C. pancreas
• D. duodenum

Correct answer: A

Rationale: The parotid, submandibular, and sublingual glands are the main salivary glands located in the mouth. They play a crucial role in producing saliva, which aids in digestion. The stomach (choice B) is where gastric juices are produced, the pancreas (choice C) secretes digestive enzymes into the small intestine, and the duodenum (choice D) is the first part of the small intestine where most chemical digestion occurs. Therefore, the correct answer is the mouth (choice A) as it is where these salivary glands are situated.

2. Infections are common in people who have inadequate protein intake because of an insufficient quantity of:

• A. insulin.
• B. lipoprotein.
• C. antibodies.
• D. albumin.

Correct answer: C

Rationale: Inadequate protein intake can lead to a decrease in antibody production, making individuals more susceptible to infections. Insulin (Choice A) is a hormone involved in regulating blood sugar levels, not related to protein intake. Lipoprotein (Choice B) is a type of lipid-protein complex involved in lipid transport, not directly related to antibody production. Albumin (Choice D) is a protein that helps maintain oncotic pressure and carries various substances in the blood, but it is not primarily responsible for fighting infections like antibodies.

3. 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.

4. Which condition may benefit from branched chain amino acids (leucine, isoleucine, and valine)?

• A. cancer-related malnutrition
• B. marasmus
• C. cardiovascular disease
• D. severe depression

Correct answer: A

Rationale: Branched chain amino acids, such as leucine, isoleucine, and valine, are essential in preventing muscle breakdown. Therefore, they may be particularly important for a patient with cancer-related malnutrition, where maintaining muscle mass is crucial. Marasmus is a severe form of malnutrition characterized by energy deficiency, not specifically related to cancer. Cardiovascular disease and severe depression do not have a direct correlation with the need for branched chain amino acids to prevent muscle breakdown.

5. What is the primary nutritional function of the large intestine?

• A. Absorption of fats.
• B. Excretion of waste products.
• C. Excretion of bacteria.
• D. Absorption of water.

Correct answer: D

Rationale: The correct answer is D: Absorption of water. The primary nutritional function of the large intestine is to absorb water from the indigestible food residue that enters it from the small intestine. This absorption of water helps to form solid waste, which is then eliminated from the body. Choices A, B, and C are incorrect because the large intestine is not primarily responsible for the absorption of fats, excretion of waste products, or excretion of bacteria. While the large intestine does play a role in waste elimination and contains bacteria beneficial for digestion, its main function in terms of nutrition is the absorption of water.

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