Nursing Elites

1. 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.

2. The professional primarily responsible for the application of nutrition science in clinical practice settings is the:

• A. nurse.
• B. physician.
• C. public health nutritionist.
• D. registered dietitian.

Correct answer: D

Rationale: The correct answer is D: registered dietitian. A registered dietitian is a healthcare professional with specialized training in nutrition and dietetics, making them primarily responsible for applying nutrition science in clinical practice settings. Nurses (choice A) and physicians (choice B) may have some knowledge of nutrition, but a registered dietitian has specific expertise in this area. Public health nutritionists (choice C) typically focus on community nutrition and public health programs, rather than clinical practice settings.

3. How many kilocalories are provided by 15 grams of protein?

• A. 15
• B. 45
• C. 60
• D. 135

Correct answer: C

Rationale: Protein provides 4 kcal per gram. Therefore, 15 grams of protein will provide 15 grams x 4 kcal/gram = 60 kcal. Choices A, B, and D are incorrect because they do not consider the caloric value of protein correctly.

4. Regurgitation or reflux of acidic stomach contents back into the esophagus is known as:

• A. hiatal hernia.
• B. diverticulitis.
• C. gastroenteritis.
• D. gastroesophageal reflux disease.

Correct answer: D

Rationale: The correct answer is D: gastroesophageal reflux disease (GERD). GERD occurs when stomach acid flows back into the esophagus, causing symptoms like heartburn and regurgitation. Choice A, hiatal hernia, is a condition where part of the stomach pushes up into the chest through an opening in the diaphragm. Choice B, diverticulitis, is inflammation or infection of small pouches that can form in the lining of the digestive system. Choice C, gastroenteritis, is inflammation of the stomach and intestines typically caused by a viral or bacterial infection. Therefore, only choice D accurately describes the regurgitation or reflux of acidic stomach contents back into the esophagus.

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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