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. After absorption, the end products of carbohydrate and protein digestion enter the:

• A. enterohepatic circulation.
• B. gastrointestinal circulation.
• C. common bile duct.
• D. portal blood system.

Correct answer: D

Rationale: The correct answer is D: portal blood system. After absorption, carbohydrates and proteins are transported via the portal blood system to the liver for further processing and distribution to the rest of the body. Choices A, B, and C are incorrect. Enterohepatic circulation refers to the recycling of compounds between the liver and the intestines, not the direct route for absorbed nutrients. Gastrointestinal circulation is a vague and non-specific term, not specifically related to the transport of absorbed nutrients. The common bile duct is involved in transporting bile from the liver and gallbladder to the small intestine, not the end products of carbohydrate and protein digestion.

3. The function of Dietary Reference Intakes (DRIs) is to designate nutrient recommendations for:

• A. different ethnic groups.
• B. all individuals.
• C. most people.
• D. most healthy people.

Correct answer: D

Rationale: The correct answer is D. Dietary Reference Intakes (DRIs) are established to provide nutrient recommendations for most healthy people. They are not specific to different ethnic groups (choice A), all individuals (choice B), or most people (choice C). DRIs aim to prevent nutrient deficiencies and chronic diseases in healthy individuals by setting intake levels for various nutrients.

4. For a healthy person, what percentage of daily calories should be supplied by protein?

• A. 5% to 10%.
• B. 10% to 35%.
• C. more than 25%.
• D. more than 35%.

Correct answer: B

Rationale: The correct answer is B: 10% to 35%. For a healthy person, it is recommended that 10% to 35% of their daily caloric intake should come from protein. This range ensures an adequate intake of protein for various bodily functions without overdoing it. Choices A, C, and D are incorrect because they suggest percentages either below the recommended range (A, C) or exceeding it (D), which could lead to nutritional imbalances or health issues.

5. How many kilocalories (kcal) are provided by 35 g of fat?

• A. 140
• B. 245
• C. 315
• D. 360

Correct answer: C

Rationale: Fat provides 9 kcal per gram, so 35 grams of fat provides 315 kcal. Therefore, the correct answer is C. Choice A (140) is incorrect because it doesn't consider the energy content of fat. Choice B (245) is incorrect as it miscalculates the kilocalories provided by 35g of fat. Choice D (360) is incorrect because it overestimates the kilocalories provided by 35g of fat.

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