Advanced Practice Nurse, 2nd Edition –
EXAM STUDY GUIDE 2026/2027
ACCURATE QUESTIONS WITH CORRECT
DETAILED SOLUTIONS || 100%
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Description: This comprehensive revision resource contains 200 multiple-choice
questions designed to test and reinforce key concepts from Applied Pathophysiology for
the Advanced Practice Nurse, 2nd Edition by Lucie Dlugasch and Lachel Story. The
questions cover all 14 chapters and emphasize clinical application, critical thinking, and
the pathophysiological mechanisms essential for advanced practice nursing.
Keywords: Pathophysiology, Advanced Practice Nurse, Dlugasch, Story, Test Bank, MCQ,
Cellular Function, Immunity, Hematopoietic, Cardiovascular, Respiratory, Fluid &
Electrolytes, Urinary, Reproductive, Gastrointestinal, Endocrine, Neural, Musculoskeletal,
Integumentary, Sensory.
Chapter 1: Cellular Function (Questions 1–20)
Q1. The nucleus is essential for cell function and survival because it:
A) Synthesizes ATP through oxidative phosphorylation
B) Contains the genetic code and directs protein synthesis
,C) Regulates the selective transport of ions across the membrane
D) Produces lysosomal enzymes for intracellular digestion
Correct Answer: B ✅
Q2. Although energy is not made in mitochondria, they are known as the "power
plants" of the cell because they:
A) Store genetic information for future cell divisions
B) Extract energy from organic compounds to generate ATP
C) Synthesize all cellular proteins on attached ribosomes
D) Package proteins for secretion outside the cell
Correct Answer: B ✅
Q3. Although the basic structure of the cell plasma membrane is formed by a lipid
bilayer, most of the specific membrane functions are carried out by:
A) Bound and transmembrane proteins
B) Complex, long carbohydrate chains
C) Surface antigens and hormone receptors
D) A gating system of selective ion channels
Correct Answer: A ✅
Q4. To effectively relay signals, cell-to-cell communication utilizes chemical
messenger systems that:
A) Displace surface receptor proteins
B) Release secretions into extracellular fluid
C) Bind to contractile microfilaments
D) Accumulate within cell gap junctions
Correct Answer: B ✅
Q5. Aerobic metabolism, also known as oxidative metabolism, provides energy by:
A) Removing the phosphate bonds from ATP
,B) Combining hydrogen and oxygen to form water
C) Activating pyruvate stored in the cytoplasm
D) Breaking down glucose to form lactic acid
Correct Answer: B ✅
Q6. Exocytosis, the reverse of endocytosis, is important in removing cellular debris
and releasing synthesized substances into the extracellular fluid.
Correct Answer: True ✅
Q7. The process responsible for generating and conducting membrane potentials
is:
A) Diffusion of current-carrying ions
B) Millivoltage of electrical potential
C) Polarization of charged particles
D) Ion channel neurotransmission
Correct Answer: A ✅
Q8. Epithelial tissues are classified according to the shape of the cells and the
number of layers. Which of the following is a correctly matched description and
type of epithelial tissue?
A) Simple epithelium: cells in contact with intercellular matrix
B) Stratified epithelium: single layer of cells
C) Glandular epithelium: arise from surface epithelia and underlying connective tissue
D) Pseudostratified epithelium: multiple layers of cells
Correct Answer: C ✅
Q9. Connective tissue contains fibroblasts that are responsible for:
A) Providing a fibrous framework for capillaries
B) Synthesis of collagen, elastin, and reticular fibers
, C) Forming tendons and the fascia that covers muscles
D) Filling spaces between tissues to keep organs in place
Correct Answer: B ✅
Q10. A patient with chronic hypertension develops left ventricular hypertrophy.
This is an example of which type of cellular adaptation?
A) Hyperplasia
B) Metaplasia
C) Dysplasia
D) Hypertrophy
Correct Answer: D ✅
Q11. Low serum albumin levels (hypoalbuminemia) can cause edema because:
A) Oncotic pressure increases
B) Oncotic pressure decreases
C) Hydrostatic pressure increases
D) Hydrostatic pressure decreases
Correct Answer: B ✅
Q12. A biopsy of the bronchial epithelium from a long-term smoker reveals
ciliated columnar epithelial cells being replaced by stratified squamous epithelium.
This cellular change is best described as:
A) Dysplasia
B) Anaplasia
C) Hyperplasia
D) Metaplasia
Correct Answer: D ✅
Q13. In cellular injury, which of the following organelles is most susceptible to
ischemic damage?