Nursing Elites

1. What is the preferred fuel for the cells lining the colon?

• A. Short-chain fatty acids.
• B. Long-chain fatty acids.
• C. Amino acids.
• D. Glucose.

Correct answer: A

Rationale: Short-chain fatty acids are the preferred fuel for the cells lining the colon. They provide energy and support gut health by serving as a fuel source for these cells. Long-chain fatty acids are not the preferred fuel for colon cells as they are harder to digest and absorb in this part of the digestive system. Amino acids are the building blocks of proteins and not the primary energy source for colon cells. Glucose is the main energy source for most cells in the body, but colon cells prefer short-chain fatty acids.

2. Individuals with optimal nutritional status differ from those with marginal nutritional status in their:

• A. nutrient reserves.
• B. clinical signs.
• C. body weight.
• D. risk of mental illness.

Correct answer: A

Rationale: Individuals with optimal nutritional status differ from those with marginal nutritional status in their nutrient reserves. Optimal nutritional status implies having adequate nutrient reserves, which is lacking in marginal status. Clinical signs (choice B) may or may not be present in both groups and are not the differentiating factor between optimal and marginal statuses. Body weight (choice C) can vary for reasons other than nutritional status. The risk of mental illness (choice D) is not directly related to the comparison between optimal and marginal nutritional status.

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 of the following sandwiches is high in saturated fatty acids?

• A. Tuna salad
• B. Grilled cheese
• C. Turkey and sprouts
• D. Peanut butter and jelly

Correct answer: B

Rationale: The correct answer is Grilled cheese because it is high in saturated fatty acids due to the dairy fat content in cheese. Tuna salad, turkey and sprouts, and peanut butter and jelly do not contain as high levels of saturated fatty acids as grilled cheese. Tuna salad typically contains mayonnaise which may contribute to some saturated fat content, but it is generally lower compared to the cheese in grilled cheese. Turkey and sprouts are leaner options, while peanut butter and jelly are higher in unsaturated fats rather than saturated fats.

5. In addition to active transport, which process is involved in absorbing food in the small intestine?

• A. pinocytosis
• B. excretion
• C. phagocytosis
• D. electrochemical diffusion

Correct answer: A

Rationale: The correct answer is pinocytosis. Pinocytosis is a process where cells in the small intestine absorb nutrients by engulfing them. This process is different from phagocytosis, which involves engulfing large particles, and excretion, which is the removal of waste products. Electrochemical diffusion is not directly involved in the absorption of food in the small intestine.

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