, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
kx kx kx kx kx kx kx kx
Porth’s Pathophysiology 10thEdition Norris Test Bank
kx kx kx kx kx kx
1. At an international nursing conference, many discussions and breakout sessions focused
kx kx kx kx kx kx kx kx kx kx kx
on the World Health Organization (WHO) views on health. Of the following comments
kx kx kx kx kx kx kx kx kx kx kx kx kx
made by nurses during a discussion session, which statements would be considered a g
kx kx kx kx kx kx kx kx kx kx kx kx kx kx
ood representation of the WHO definition? Select all that apply.
kx kx kx kx kx kx kx kx kx
A) Interests in keeping the elderly population engaged in such activities as book kx kx kx kx kx kx kx kx kx kx kx bnk x
reviews and word games during social time kx kx kx kx kx kx
B) Increase in the number of chair aerobics classes provided in the skilled care f kx kx kx kx kx kx kx kx kx kx kx bn kx
acilities
C) Interventions geared toward keeping the elderly population diagnosed with diabet kx bn kx kx kx kx kx kx kx kx
es mellitus under tight blood glucose control by providing in-
kx kx kx bn kx kx kx kx kx
home cooking classes kx kx
D) Providing transportation for renal dialysis patients to and from their hemodialysis s kx kx kx kx kx kx kx kx kx kx kx
essions
E) Providing handwashing teaching sessions to a group of young children kx kx kx kx kx kx kx kx kx kx
Ans: A, B, C, E kx kx kx kx
Feedback:
The WHO definition of health is defined as “a state of complete physical, mental, and s
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
ocial well- kx
being and not merely the absence of disease and infirmity.” Engaging in book reviews f
kx kx bn kx kx kx kx kx kx kx kx kx kx kx kx
acilitates mental and social well-being; chair aerobics helps facilitate physical well-
kx kx kx kx kx kx kx kx kx kx
being; and assisting with tight control of diabetes helps with facilitating physical well-
kx kx bn kx kx kx kx kx kx kx kx kx kx
being even though the person has a chronic disease. Handwashing is vital in the preventi
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
on of disease and spread of germs.
kx kx kx kx kx kx
2. A community health nurse is teaching a group of recent graduates about the large v
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
ariety of factors that influence an individual's health or lack thereof. The nurse is ref
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
erring to the Healthy People 2020 report from the U.S. Department of Health and Hu
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
man Services as a teaching example. Of the following aspects discussed, which wo
kx kx kx kx kx kx kx kx kx kx kx kx kx
uld be considered a determinant of health that is outside the focus of this report?
kx kx kx kx kx kx kx kx kx kx kx kx kx kx
A) The client has a diverse background by being of Asian and Native American d
kx kx kx kx kx kx kx kx kx kx kx kx kx kx
escent and practices various alternative therapies to minimize effects of stress.
kx kx kx kx kx kx bn kx kx kx
B) The client has a family history of cardiovascular disease related to hyperch
kx kx kx kx kx kx kx kx kx kx kx kx
olesterolemia and remains noncompliant with the treatment regime. kx bn kx kx kx kx kx
C) The client has a good career with exceptional preventative health care benefits.
kx kx kx kx kx kx kx kx kx kx kx
D) The client lives in an affluent, clean, suburban community with access to many
kx kx bn bn kx kx kx kx kx kx kx kx kx
health care facilities. kx kx
Ans: B kx
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using alterna
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
tive therapies to minimize effects of stress); achieving health equity and promoting healt
kx kx kx kx kx kx kx kx kx kx kx kx kx
h for all (which includes having good health care benefits); and promoting good health (
kx kx kx bn kx kx kx kx kx kx kx kx kx kx kx
which includes living in a clean community with good access to health care). A client's n
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
oncompliance with treatments to control high cholesterol levels within the presence of akx kx kx kx kx kx kx kx kx kx kx kx b
family history of CV disease does not meet the “attaining lives free of preventable dise
k x kx kx kx kx kx kx kx kx kx kx kx kx kx kx
a se and premature death” determinant.
kx kx kx kx kx
, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
kx kx kx kx kx kx kx kx
3. A physician is providing care for a number of patients on a medical unit of a large, univ
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
ersity hospital. The physician is discussing with a colleague the differentiation between
kx kx kx kx kx kx kx kx kx kx kx kx
diseases that are caused by abnormal molecules and diseases that cause disease. Which o f
kx kx kx bn kx kx kx kx kx kx kx kx kx kx k
the following patients most clearly demonstrates the consequences of molecules that c
x kx bn kx kx kx kx kx kx kx kx kx kx
ause disease? kx
A) A 31-year- kx
old woman with sickle cell anemia who is receiving a transfusion of packed red
kx kx kx kx kx kx bn kx kx kx kx kx kx kx
blood cells kx
B) A 91-year- kx
old woman who has experienced an ischemic stroke resulting from familial hy
kx bn bn kx kx kx kx kx kx kx kx kx
percholesterolemia
C) A 19-year- kx
old man with exacerbation of his cystic fibrosis requiring oxygen therapy an
kx kx kx kx kx kx kx kx kx kx kx kx
d chest physiotherapy kx kx
D) A 30-year- kx
old homeless man who has Pneumocystis carinii pneumonia (PCP) and is HIV pos i
kx kx kx kx kx kx kx kx kx bn kx kx kx
tive.
Ans: D kx
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sickle
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
cell anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of the ef
kx kx kx kx kx kx kx kx kx kx kx kx kx
fects of abnormal molecules.
kx kx kx
4. A member of the health care team is researching the etiology and pathogenesis of a n
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
umber of clients who are under his care in a hospital context. Which of the following a s
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
pects of clients' situations bN
bn esUtR
kx chSaI
raN
ctGerTizBe.
s pCaOthMogen esis rather than etiology?
kx kx bn kx kx kx kx k x kx kx
A) A client who has been exposed to the Mycobacterium tuberculosis bacterium
kx kx kx kx kx kx kx kx kx kx
B) A client who has increasing serum ammonia levels due to liver cirrhosis
kx kx kx kx kx kx kx kx kx kx kx
C) A client who was admitted with the effects of methyl alcohol poisoning
kx kx kx kx bn kx kx kx kx kx kx
D) A client with multiple skeletal injuries secondary to a motor vehicle accident
kx kx kx kx kx kx kx kx kx kx kx kx
Ans: B kx
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the inc r
kx kx kx kx kx kx kx kx kx kx kx kx kx kx
easing ammonia levels that accompany liver disease. Bacteria, poisons, and traumatic i
kx kx kx kx kx kx kx kx kx kx kx kx
njuries are examples of etiologic factors.
kx kx kx kx kx
, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
kx kx kx kx kx kx kx kx
5. A new myocardial infarction patient requiring angioplasty and stent placement has arriv
kx kx kx kx kx kx kx kx kx kx kx kx
ed to his first cardiac rehabilitation appointment. In this first session, a review of the pat
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
hogenesis of coronary artery disease is addressed. Which statement by the patient verifie
kx kx kx kx kx kx kx kx kx kx kx kx kx
s to the nurse that he has understood the nurse's teachings about coronary artery disease
kx kx kx kx kx kx kx kx kx kx kx kx kx kx
?
A) “All I have to do is stop smoking, and then I won't have any more heart attacks.”
kx kx kx kx kx kx kx kx kx kx kx bn kx kx kx kx
B) “My artery was clogged by fat, so I will need to stop eating fatty foods like
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
French fries every day.” kx kx kx
C) “Sounds like this began because of inflammation inside my artery that made it e
kx kx kx kx kx kx kx kx kx kx bn kx kx
asy to form fatty streaks, which lead to my clogged artery.”
kx kx kx kx kx kx kx kx kx kx
D) “If I do not exercise regularly to get my heart rate up, blood pools in the veins ca
kx bn kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
using a clot that stops blood flow to the muscle, and I will have a heart attack.”
kx kx kx bn kx kx kx kx kx kx kx bn kx kx kx kx
Ans: C kx
Feedback:
The true etiology/cause of coronary artery disease (CAD) is unknown; however, the pat
kx kx kx kx kx kx kx kx kx kx kx kx kx
hogenesis of the disorder relates to the progression of the inflammatory process from a f
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
atty streak to the occlusive vessel lesion seen in people with coronary artery disease. Ri
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
sk factors for CAD revolve around cigarette smoking, diet high in fat, and lack of exerc
kx kx kx kx kx kx kx kx kx kx kx kx bn kx kx kx
ise.
6. A 77-year-
kx
old man is a hospital inpatient admitted for exacerbation of his chronic obstructive pul
kx kx kx kx kx kx kx kx kx kx kx kx kx kx
monary disease (COPD), and a respiratory therapist (RT) is assessing the client for the fi r
kx kx kx kx bn kx bn kx kx kx kx kx kx kx kx
st time. WhichNU
kx ofRthSeIfN
olG
loTwBin.gCaO
spMects of the patient's current state of health would be b
kx kx kx kx kx kx kx kx kx kx kx
est characterized as a symptom rather than a sign?
kx kx kx kx kx kx kx kx
A) The patient's oxygen saturation is 83% by pulse oxymetry.
kx kx kx kx bn kx kx kx
B) The patient notes that he has increased work of breathing when lying supine.
kx kx kx kx kx kx kx kx kx kx kx kx
C) The RT hears diminished breath sounds to the patient's lower lung fields
kx kx kx bn kx kx kx kx kx kx kx kx
bilaterally.
D) The patient's respiratory rate is 31 breaths/minute.
kx kx kx kx kx kx kx
Ans: B kx
Feedback:
Symptoms are subjective complaints by the person experiencing the health problem,
kx kx kx kx kx kx kx kx kx kx kx
such as complaints of breathing difficulty. Oxygen levels, listening to breath sounds,
kx kx kx kx kx kx kx kx kx kx kx kx
and respiratory rate are all objective, observable signs of disease.
kx kx kx kx kx kx kx kx kx
kx kx kx kx kx kx kx kx
Porth’s Pathophysiology 10thEdition Norris Test Bank
kx kx kx kx kx kx
1. At an international nursing conference, many discussions and breakout sessions focused
kx kx kx kx kx kx kx kx kx kx kx
on the World Health Organization (WHO) views on health. Of the following comments
kx kx kx kx kx kx kx kx kx kx kx kx kx
made by nurses during a discussion session, which statements would be considered a g
kx kx kx kx kx kx kx kx kx kx kx kx kx kx
ood representation of the WHO definition? Select all that apply.
kx kx kx kx kx kx kx kx kx
A) Interests in keeping the elderly population engaged in such activities as book kx kx kx kx kx kx kx kx kx kx kx bnk x
reviews and word games during social time kx kx kx kx kx kx
B) Increase in the number of chair aerobics classes provided in the skilled care f kx kx kx kx kx kx kx kx kx kx kx bn kx
acilities
C) Interventions geared toward keeping the elderly population diagnosed with diabet kx bn kx kx kx kx kx kx kx kx
es mellitus under tight blood glucose control by providing in-
kx kx kx bn kx kx kx kx kx
home cooking classes kx kx
D) Providing transportation for renal dialysis patients to and from their hemodialysis s kx kx kx kx kx kx kx kx kx kx kx
essions
E) Providing handwashing teaching sessions to a group of young children kx kx kx kx kx kx kx kx kx kx
Ans: A, B, C, E kx kx kx kx
Feedback:
The WHO definition of health is defined as “a state of complete physical, mental, and s
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
ocial well- kx
being and not merely the absence of disease and infirmity.” Engaging in book reviews f
kx kx bn kx kx kx kx kx kx kx kx kx kx kx kx
acilitates mental and social well-being; chair aerobics helps facilitate physical well-
kx kx kx kx kx kx kx kx kx kx
being; and assisting with tight control of diabetes helps with facilitating physical well-
kx kx bn kx kx kx kx kx kx kx kx kx kx
being even though the person has a chronic disease. Handwashing is vital in the preventi
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
on of disease and spread of germs.
kx kx kx kx kx kx
2. A community health nurse is teaching a group of recent graduates about the large v
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
ariety of factors that influence an individual's health or lack thereof. The nurse is ref
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
erring to the Healthy People 2020 report from the U.S. Department of Health and Hu
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
man Services as a teaching example. Of the following aspects discussed, which wo
kx kx kx kx kx kx kx kx kx kx kx kx kx
uld be considered a determinant of health that is outside the focus of this report?
kx kx kx kx kx kx kx kx kx kx kx kx kx kx
A) The client has a diverse background by being of Asian and Native American d
kx kx kx kx kx kx kx kx kx kx kx kx kx kx
escent and practices various alternative therapies to minimize effects of stress.
kx kx kx kx kx kx bn kx kx kx
B) The client has a family history of cardiovascular disease related to hyperch
kx kx kx kx kx kx kx kx kx kx kx kx
olesterolemia and remains noncompliant with the treatment regime. kx bn kx kx kx kx kx
C) The client has a good career with exceptional preventative health care benefits.
kx kx kx kx kx kx kx kx kx kx kx
D) The client lives in an affluent, clean, suburban community with access to many
kx kx bn bn kx kx kx kx kx kx kx kx kx
health care facilities. kx kx
Ans: B kx
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using alterna
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
tive therapies to minimize effects of stress); achieving health equity and promoting healt
kx kx kx kx kx kx kx kx kx kx kx kx kx
h for all (which includes having good health care benefits); and promoting good health (
kx kx kx bn kx kx kx kx kx kx kx kx kx kx kx
which includes living in a clean community with good access to health care). A client's n
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
oncompliance with treatments to control high cholesterol levels within the presence of akx kx kx kx kx kx kx kx kx kx kx kx b
family history of CV disease does not meet the “attaining lives free of preventable dise
k x kx kx kx kx kx kx kx kx kx kx kx kx kx kx
a se and premature death” determinant.
kx kx kx kx kx
, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
kx kx kx kx kx kx kx kx
3. A physician is providing care for a number of patients on a medical unit of a large, univ
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
ersity hospital. The physician is discussing with a colleague the differentiation between
kx kx kx kx kx kx kx kx kx kx kx kx
diseases that are caused by abnormal molecules and diseases that cause disease. Which o f
kx kx kx bn kx kx kx kx kx kx kx kx kx kx k
the following patients most clearly demonstrates the consequences of molecules that c
x kx bn kx kx kx kx kx kx kx kx kx kx
ause disease? kx
A) A 31-year- kx
old woman with sickle cell anemia who is receiving a transfusion of packed red
kx kx kx kx kx kx bn kx kx kx kx kx kx kx
blood cells kx
B) A 91-year- kx
old woman who has experienced an ischemic stroke resulting from familial hy
kx bn bn kx kx kx kx kx kx kx kx kx
percholesterolemia
C) A 19-year- kx
old man with exacerbation of his cystic fibrosis requiring oxygen therapy an
kx kx kx kx kx kx kx kx kx kx kx kx
d chest physiotherapy kx kx
D) A 30-year- kx
old homeless man who has Pneumocystis carinii pneumonia (PCP) and is HIV pos i
kx kx kx kx kx kx kx kx kx bn kx kx kx
tive.
Ans: D kx
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sickle
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
cell anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of the ef
kx kx kx kx kx kx kx kx kx kx kx kx kx
fects of abnormal molecules.
kx kx kx
4. A member of the health care team is researching the etiology and pathogenesis of a n
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
umber of clients who are under his care in a hospital context. Which of the following a s
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
pects of clients' situations bN
bn esUtR
kx chSaI
raN
ctGerTizBe.
s pCaOthMogen esis rather than etiology?
kx kx bn kx kx kx kx k x kx kx
A) A client who has been exposed to the Mycobacterium tuberculosis bacterium
kx kx kx kx kx kx kx kx kx kx
B) A client who has increasing serum ammonia levels due to liver cirrhosis
kx kx kx kx kx kx kx kx kx kx kx
C) A client who was admitted with the effects of methyl alcohol poisoning
kx kx kx kx bn kx kx kx kx kx kx
D) A client with multiple skeletal injuries secondary to a motor vehicle accident
kx kx kx kx kx kx kx kx kx kx kx kx
Ans: B kx
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the inc r
kx kx kx kx kx kx kx kx kx kx kx kx kx kx
easing ammonia levels that accompany liver disease. Bacteria, poisons, and traumatic i
kx kx kx kx kx kx kx kx kx kx kx kx
njuries are examples of etiologic factors.
kx kx kx kx kx
, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
kx kx kx kx kx kx kx kx
5. A new myocardial infarction patient requiring angioplasty and stent placement has arriv
kx kx kx kx kx kx kx kx kx kx kx kx
ed to his first cardiac rehabilitation appointment. In this first session, a review of the pat
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
hogenesis of coronary artery disease is addressed. Which statement by the patient verifie
kx kx kx kx kx kx kx kx kx kx kx kx kx
s to the nurse that he has understood the nurse's teachings about coronary artery disease
kx kx kx kx kx kx kx kx kx kx kx kx kx kx
?
A) “All I have to do is stop smoking, and then I won't have any more heart attacks.”
kx kx kx kx kx kx kx kx kx kx kx bn kx kx kx kx
B) “My artery was clogged by fat, so I will need to stop eating fatty foods like
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
French fries every day.” kx kx kx
C) “Sounds like this began because of inflammation inside my artery that made it e
kx kx kx kx kx kx kx kx kx kx bn kx kx
asy to form fatty streaks, which lead to my clogged artery.”
kx kx kx kx kx kx kx kx kx kx
D) “If I do not exercise regularly to get my heart rate up, blood pools in the veins ca
kx bn kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
using a clot that stops blood flow to the muscle, and I will have a heart attack.”
kx kx kx bn kx kx kx kx kx kx kx bn kx kx kx kx
Ans: C kx
Feedback:
The true etiology/cause of coronary artery disease (CAD) is unknown; however, the pat
kx kx kx kx kx kx kx kx kx kx kx kx kx
hogenesis of the disorder relates to the progression of the inflammatory process from a f
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
atty streak to the occlusive vessel lesion seen in people with coronary artery disease. Ri
kx kx kx kx kx kx kx kx kx kx kx kx kx kx kx
sk factors for CAD revolve around cigarette smoking, diet high in fat, and lack of exerc
kx kx kx kx kx kx kx kx kx kx kx kx bn kx kx kx
ise.
6. A 77-year-
kx
old man is a hospital inpatient admitted for exacerbation of his chronic obstructive pul
kx kx kx kx kx kx kx kx kx kx kx kx kx kx
monary disease (COPD), and a respiratory therapist (RT) is assessing the client for the fi r
kx kx kx kx bn kx bn kx kx kx kx kx kx kx kx
st time. WhichNU
kx ofRthSeIfN
olG
loTwBin.gCaO
spMects of the patient's current state of health would be b
kx kx kx kx kx kx kx kx kx kx kx
est characterized as a symptom rather than a sign?
kx kx kx kx kx kx kx kx
A) The patient's oxygen saturation is 83% by pulse oxymetry.
kx kx kx kx bn kx kx kx
B) The patient notes that he has increased work of breathing when lying supine.
kx kx kx kx kx kx kx kx kx kx kx kx
C) The RT hears diminished breath sounds to the patient's lower lung fields
kx kx kx bn kx kx kx kx kx kx kx kx
bilaterally.
D) The patient's respiratory rate is 31 breaths/minute.
kx kx kx kx kx kx kx
Ans: B kx
Feedback:
Symptoms are subjective complaints by the person experiencing the health problem,
kx kx kx kx kx kx kx kx kx kx kx
such as complaints of breathing difficulty. Oxygen levels, listening to breath sounds,
kx kx kx kx kx kx kx kx kx kx kx kx
and respiratory rate are all objective, observable signs of disease.
kx kx kx kx kx kx kx kx kx
