Nokea
Which enzyme is responsible for digesting carbohydrates?
- A. pepsin
- B. amylase
- C. lipase
- D. trypsin
Correct Answer: B
Rationale: The correct answer is B: amylase. Amylase is responsible for digesting carbohydrates by breaking down starches into simple sugars. Pepsin (A) digests proteins, lipase (C) digests fats, and trypsin (D) digests proteins as well. Amylase specifically targets carbohydrates, making it the correct enzyme for this function.
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Which is not a feature of digestive motility?
- A. Peristalsis only involves forward movements
- B. Segmentation involves mechanical digestion of food
- C. Peristalsis is present in the oesophagus, stomach and small/large intestines
- D. Segmentation is present in the stomach, small and large intestines
Correct Answer: A
Rationale: The correct answer is A. Peristalsis involves coordinated waves of muscle contractions that propel food forward. However, peristalsis can also involve backward movements to help with mixing and digestion. Therefore, the statement that peristalsis only involves forward movements is incorrect. Segmentation involves mixing and breaking down food through contractions that occur in non-unidirectional patterns. Peristalsis can be found in the esophagus, stomach, and intestines, while segmentation is mainly present in the small intestine. Therefore, choices B, C, and D are incorrect based on the explanations provided.
A client is assessed for surgery for herniation. Why is it important that the nurse ask if the client smokes?
- A. Smoking increases the risk for development of malnutrition and diabetes
- B. Smoking interferes with lymphatic and venous blood flow
- C. The required medications are contraindicated in the presence of nicotine
- D. Sneezing and coughing due to smoking may increase intra-abdominal pressure
Correct Answer: D
Rationale: The correct answer is D because smoking can lead to chronic coughing and sneezing, which may increase intra-abdominal pressure. This can be detrimental post-surgery, especially in herniation cases where increased pressure can strain the surgical site, leading to complications like wound dehiscence or hernia recurrence. Choices A and B are incorrect as they do not directly relate to the impact of smoking on intra-abdominal pressure. Choice C is also incorrect as it focuses on medication contraindications rather than the physiological effects of smoking on surgical outcomes.
Most of the absorption of nutrients occurs in the _____.
- A. colon
- B. duodenum
- C. jejunum
- D. ileum
Correct Answer: C
Rationale: The correct answer is C: jejunum. The jejunum is the middle part of the small intestine where the majority of nutrient absorption takes place. Its large surface area, due to the presence of villi and microvilli, facilitates efficient absorption of nutrients. The duodenum (B) primarily aids in digestion, not absorption. The ileum (D) absorbs bile salts and vitamin B12, but most nutrient absorption occurs in the jejunum. The colon (A) primarily absorbs water and electrolytes, not nutrients. Therefore, the jejunum is the correct answer for the site of most nutrient absorption in the digestive system.
If you place a pin through the greater omentum, through how many layers of simple squamous epithelium would the pin pass?
- B. 1
- C. 2
- D. 3
Correct Answer: C
Rationale: The correct answer is C (2 layers). The greater omentum consists of a double layer of peritoneum, which is a serous membrane composed of simple squamous epithelium. Therefore, when a pin is placed through the greater omentum, it would pass through two layers of simple squamous epithelium. Choice A (0) is incorrect because there are indeed layers of epithelium in the greater omentum. Choice B (1) is incorrect because there are two layers of epithelium. Choice D (3) is incorrect as there are only two layers to pass through.
What is the most common cause of secondary protein-calorie malnutrition in the United States?
- A. The unavailability of foods high in protein
- B. A lack of knowledge about nutritional needs
- C. A lack of money to purchase high-protein foods
- D. An alteration in ingestion absorption or metabolism
Correct Answer: D
Rationale: The correct answer is D because an alteration in ingestion, absorption, or metabolism can lead to secondary protein-calorie malnutrition. This can occur due to various medical conditions affecting the digestive system, such as malabsorption syndromes or metabolic disorders. The other choices are incorrect because the primary cause of secondary protein-calorie malnutrition in the US is not the unavailability of high-protein foods, lack of knowledge about nutritional needs, or lack of money to purchase such foods. These factors may contribute to malnutrition but are not the most common cause in this context.