Physiology, 12th Edition (Hoehn, Haynes, Abbott) – Verified
NCLEX/HESI-Style Questions with Rationales
Chapter/Section: Chapter 1, Section 1.1
An Overview of Anatomy & Physiology
Subtopic: Complementarity of structure & function
Cognitive Level: Recall
Difficulty: Easy
Stem: Which statement best describes the principle of
complementarity of structure and function?
A. Physiology explains structure because structure always
follows physiological needs.
B. Structure and function are independent and studied
separately.
C. The specific form of a structure determines its function.
D. Function causes structures to develop new anatomical
features.
Correct Answer: C
Rationale (correct): Marieb emphasizes that the function of a
body part is explained by its structure — e.g., incisors are sharp
for cutting and molars have flat surfaces for grinding (Ch.1, pp.
32–33; Fig. 1.1). This complementarity principle is foundational
across the book: anatomy (form) provides the basis for
physiological function. Understanding this link helps predict
how structural changes impair function.
,Incorrect options (misconceptions):
A. Incorrect — physiology does not create anatomical
structures; rather, the existing structure constrains and enables
function. This reverses the textbook principle.
B. Incorrect — while anatomy and physiology can be studied
separately, Marieb stresses they are inseparable because
function reflects structure (Ch.1, pp.32–33).
D. Incorrect — function may influence development over
evolutionary time, but in an individual the structure enables
function; the statement overstates a causal process.
Teaching Point: Anatomy and physiology are inseparable:
structure enables and limits function. (≤10 words)
A&P002
Chapter/Section: Chapter 1 — 1.2 The body’s organization
ranges from atoms to the entire organism — pp. 34–35, Fig. 1.2
Subtopic: Levels of structural organization
Cognitive Level: Recall
Difficulty: Easy
Stem: Arrange these levels of organization from smallest to
largest: organ, tissue, cell, organ system.
A. Cell → Tissue → Organ → Organ system
B. Tissue → Cell → Organ → Organ system
C. Organ system → Organ → Tissue → Cell
D. Cell → Organ → Tissue → Organ system
Correct Answer: A
,Rationale (correct): Marieb presents the hierarchy: chemical →
cellular → tissue → organ → organ system → organism, so the
correct ascending order is Cell → Tissue → Organ → Organ
system (Ch.1, pp.34–35; Fig. 1.2). Recognizing this hierarchy
helps students link cellular processes to whole-body functions.
Incorrect options (misconceptions):
B. Incorrect — this reverses cell and tissue order; tissues are
composed of cells, not the other way round.
C. Incorrect — this lists largest to smallest; the question
requests smallest to largest.
D. Incorrect — organ cannot come before tissue; organs are
made of multiple tissue types.
Teaching Point: Levels progress: cell → tissue → organ → organ
system → organism.
A&P003
Chapter/Section: Chapter 1 — 1.2 Levels of structural
organization — pp. 34–35, Fig. 1.2
Subtopic: Organ systems (integration)
Cognitive Level: Application
Difficulty: Medium
Stem: A patient with poor nutrient absorption has low blood
protein levels. Which level of organization best explains this
systemic effect?
A. Cellular level
, B. Tissue level
C. Organ level (digestive tract)
D. Chemical level
Correct Answer: C
Rationale (correct): Marieb explains organ level dysfunction
(e.g., digestive organs) can alter organismal homeostasis
because organs integrate tissues to perform specialized
functions (Ch.1, pp.34–35; Fig.1.2). Malabsorption originates at
the organ level (intestine) and causes systemic effects such as
low plasma proteins.
Incorrect options (misconceptions):
A. Incorrect — while cells are involved, the presenting problem
reflects organ dysfunction (intestine) rather than an isolated
cellular defect.
B. Incorrect — tissues contribute, but the clinical picture
implicates whole-organ process (digestion/absorption).
D. Incorrect — chemical-level changes occur, but the initiating
failure is at organ level causing downstream chemical
disturbances.
Teaching Point: Organ dysfunction can produce whole-body
disturbances by disrupting integrated tasks.
A&P004
Chapter/Section: Chapter 1 — 1.3 What are the requirements
for life? — pp. 36–38, Fig. 1.3–1.4