Nursing Elites

1. From where are trypsin and chymotrypsin secreted?

• A. Small intestine.
• B. Liver.
• C. Stomach.
• D. Pancreas.

Correct answer: D

Rationale: Trypsin and chymotrypsin are enzymes involved in protein digestion. These enzymes are secreted by the pancreas, not the small intestine, liver, or stomach. The pancreas plays a crucial role in producing digestive enzymes that aid in breaking down proteins in the small intestine. The small intestine is the site where these enzymes act, not where they are secreted. The liver is responsible for producing bile, not digestive enzymes. The stomach secretes gastric juices but not trypsin and chymotrypsin. Therefore, the correct answer is the pancreas.

2. It has been generally accepted that the percentage of total daily calories supplied by fats should be no more than:

• A. 10% to 15%.
• B. 10% to 35%.
• C. 20% to 35%.
• D. 40% to 55%.

Correct answer: C

Rationale: The recommended fat intake is between 20% to 35% of total daily calories. This range is considered optimal for maintaining a healthy diet. Choice A (10% to 15%) is too low and might not provide enough essential fats for the body. Choice B (10% to 35%) includes an upper limit that exceeds the generally accepted range. Choice D (40% to 55%) suggests a fat intake that is higher than what is recommended, which could lead to health issues if consumed regularly.

3. Which observation provides evidence that a person has good nutritional status?

• A. Small muscle mass.
• B. Normal weight-to-height ratio.
• C. Smooth tongue.
• D. Fragile skin.

Correct answer: B

Rationale: A normal weight-to-height ratio is a reliable indicator of good nutritional status as it suggests that the person is well-nourished and not underweight or overweight. Small muscle mass (choice A) can indicate malnutrition, a smooth tongue (choice C) can be a sign of vitamin deficiencies, and fragile skin (choice D) can be a sign of poor nutrition or other health issues, but they are not as direct indicators of good nutritional status as a normal weight-to-height ratio.

4. The sum of all chemical processes inside living cells of the body that sustain life and health is known as:

• A. physiology
• B. digestion
• C. metabolism
• D. nutrition

Correct answer: C

Rationale: Metabolism is the correct answer as it refers to the sum of all chemical processes that occur within living cells to maintain life and health. Physiology (Choice A) is the study of how living organisms function but does not specifically refer to cellular chemical processes. Digestion (Choice B) is the process of breaking down food in the body, not the overall cellular processes. Nutrition (Choice D) is the process of obtaining and consuming food necessary for health and growth, but it does not encompass all cellular processes related to sustaining life and health.

5. During the process of deamination, the nitrogen portion of amino acids is converted to:

• A. ammonia.
• B. protein.
• C. purines.
• D. glycogen.

Correct answer: A

Rationale: During the process of deamination, the nitrogen portion of amino acids is converted to ammonia. This occurs in the liver as part of the process to remove excess nitrogen from the body. Choice B, 'protein,' is incorrect as deamination breaks down amino acids rather than synthesizing proteins. Choice C, 'purines,' is incorrect as purines are a type of nitrogenous base found in DNA and RNA, not a product of deamination. Choice D, 'glycogen,' is incorrect as glycogen is a storage form of glucose and not a product of amino acid deamination.

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