Nursing Elites

1. The release of gastric secretions is stimulated by nerve and hormonal stimuli and the:

• A. ingestion of water.
• B. swallowing reflex.
• C. presence of food in the stomach.
• D. closing of the pyloric sphincter.

Correct answer: C

Rationale: The correct answer is C: 'presence of food in the stomach.' Gastric secretions are stimulated when food enters the stomach, triggering nerve and hormonal responses. This process prepares the stomach for digestion. Choices A, B, and D are incorrect because ingesting water, swallowing reflex, and the closing of the pyloric sphincter do not directly stimulate the release of gastric secretions.

2. In which individual does negative nitrogen balance occur?

• A. Adult who engages in a weight-training program.
• B. Woman who is pregnant or lactating.
• C. Child who is growing.
• D. Older adult with anorexia.

Correct answer: D

Rationale: Negative nitrogen balance occurs when the body loses more nitrogen than it gains. This imbalance is often seen in conditions like anorexia in older adults, where insufficient protein intake leads to muscle breakdown and negative nitrogen balance. Choices A, B, and C do not typically lead to negative nitrogen balance as seen in anorexia in older adults.

3. Which of the following saturated fats does not contain cholesterol?

• A. Butter
• B. Coconut oil
• C. Eggs
• D. Fish

Correct answer: B

Rationale: The correct answer is B, Coconut oil. Coconut oil is a saturated fat derived from plants and does not contain cholesterol, unlike the other options. Butter (choice A) is an animal-derived saturated fat that contains cholesterol. Eggs (choice C) and fish (choice D) also contain cholesterol, making them incorrect choices. Therefore, coconut oil is the only option that is a saturated fat and does not contain cholesterol.

4. How many different amino acids make up human proteins?

• A. 9
• B. 13
• C. 15
• D. 20

Correct answer: D

Rationale: The correct answer is D: 20. There are 20 different amino acids that combine to form proteins in the human body. Each amino acid has a unique side chain that determines its properties. Choices A, B, and C are incorrect as they do not represent the total number of different amino acids found in human proteins.

5. What is the muscle layer on the outside of the intestinal wall called?

• A. serosa
• B. mucosa
• C. submucosa
• D. muscularis mucosae

Correct answer: A

Rationale: The correct answer is A: serosa. The serosa is the outermost layer of the intestinal wall, providing a protective covering. Choice B, mucosa, is the innermost layer responsible for absorption. Choice C, submucosa, lies beneath the mucosa and contains blood vessels and nerves. Choice D, muscularis mucosae, is a smooth muscle layer located within the mucosa, helping to create folds in the intestinal lining to increase surface area for absorption.

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