Nursing Elites

1. What substance activates pepsinogen to pepsin?

• A. Bile
• B. Gastrin
• C. Secretin
• D. Hydrochloric acid

Correct answer: D

Rationale: The correct answer is D: Hydrochloric acid. Hydrochloric acid in the stomach plays a crucial role in converting pepsinogen into its active form, pepsin, which is necessary for digesting proteins. Bile (Choice A) is involved in the emulsification of fats, not in the activation of pepsinogen. Gastrin (Choice B) is a hormone that stimulates the secretion of gastric acid but does not directly activate pepsinogen. Secretin (Choice C) is a hormone that regulates the pH of the duodenum but is not responsible for the activation of pepsinogen.

2. Which age group is particularly vulnerable to malnutrition?

• A. Infants
• B. Teenagers
• C. Young adults
• D. Middle-aged adults

Correct answer: A

Rationale: Infants are particularly vulnerable to malnutrition due to their high growth rate and specific nutrient requirements. During the first year of life, infants experience rapid growth and development, requiring essential nutrients for proper physical and cognitive development. Teenagers, young adults, and middle-aged adults have more stable nutritional needs compared to infants, making them less vulnerable to malnutrition. Therefore, infants are the most susceptible age group when it comes to malnutrition.

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. A food choice equivalent to one serving from the Grains group of MyPlate is:

• A. one slice of bread
• B. 2 cups of rice
• C. 3 cups of spaghetti
• D. 4 oz of ready-to-eat cereal

Correct answer: A

Rationale: One slice of bread is a standard serving from the Grains group in MyPlate. This choice aligns with the recommended portion size for grains. Choices B, C, and D are excessive portions that do not represent a single serving according to MyPlate guidelines. 2 cups of rice, 3 cups of spaghetti, and 4 oz of ready-to-eat cereal exceed the standard serving size for grains and would provide more than one serving from this food group.

5. Which of the following enzymes is found in pancreatic secretions?

• A. Rennin
• B. Pepsin
• C. Chymotrypsin
• D. Casein

Correct answer: C

Rationale: Chymotrypsin is an enzyme found in pancreatic secretions that plays a role in protein digestion. Rennin is primarily found in the stomach and is involved in milk digestion. Pepsin is also a stomach enzyme that aids in protein breakdown. Casein is a protein found in milk, not an enzyme involved in pancreatic secretions. Therefore, the correct answer is Chymotrypsin.

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