Nursing Elites

1. What substance acts as an emulsifier and helps absorb digested fat?

• A. bile
• B. trypsin
• C. lipase
• D. cholecystokinin (CCK)

Correct answer: A

Rationale: The correct answer is A: bile. Bile acts as an emulsifier, breaking down fats into smaller droplets to aid in digestion and absorption. Trypsin is a digestive enzyme that acts on proteins, not fats. Lipase is an enzyme that breaks down fats, but it doesn't act as an emulsifier. Cholecystokinin (CCK) is a hormone that stimulates the release of digestive enzymes, including lipase, but it is not directly involved in emulsification.

2. In addition to poor eating habits, a factor that often contributes to marginal nutritional status is:

• A. dependence on caffeine.
• B. acute illness.
• C. low income.
• D. size of the family unit.

Correct answer: C

Rationale: Low income is a significant factor contributing to marginal nutritional status due to limited access to nutritious food. While dependence on caffeine or acute illness can impact health, they are not as directly linked to marginal nutrition as low income. The size of the family unit may affect food distribution within the household but is not as directly related to marginal nutritional status as low income.

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. At what pH does the digestion of protein by pepsin in the stomach require?

• A. 1.8 and 3.5.
• B. 4.8 and 7.0.
• C. 6.8 and 8.5.
• D. 7.8 and 10.0.

Correct answer: A

Rationale: The correct answer is A: 1.8 and 3.5. Pepsin, an enzyme involved in protein digestion, functions optimally in an acidic environment, specifically between pH 1.8 and 3.5. This low pH is necessary for pepsin to break down proteins effectively. Choices B, C, and D are incorrect because pepsin requires a highly acidic environment, ruling out the pH ranges listed in those options.

5. The lining of the stomach and intestine is protected from self-digestion by:

• A. pepsinogen.
• B. bile.
• C. mucus.
• D. fat.

Correct answer: C

Rationale: The correct answer is C: mucus. Mucus forms a protective barrier that prevents the stomach and intestine from digesting themselves. Pepsinogen (choice A) is an inactive form of pepsin, a digestive enzyme, and does not protect the stomach lining. Bile (choice B) aids in the digestion and absorption of fats but does not protect the stomach lining. Fat (choice D) is a nutrient and energy source; it does not play a role in protecting the stomach and intestine from self-digestion.

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