Pathophysiology A Practical Approach 4th Edition Test Bank Updated Latest 2026–2027 Comprehensive Exam Preparation Resource for Nursing Students and Healthcare Learners Focused on Practical Disease Understanding and Clinical Application Across Core System

,Pathophysiology: A Practical Approach: A Practical Approach 4thEdition
Story Test Bank


Chapter 1 Cellular Function
1. An increase in cardiac size and function due to increased workload is termed
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A) Atrophy.
B) Functional.
C) Hypertrophy.
D) Inflammation.


2. While assessing a patient diagnosed with Marfan's Syndrome, the nurse should
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include which of the following that is consistent with the syndrome?
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A) Cardiac assessment for coarctation of the aorta.
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B) Genital assessment for small testicles.
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C) Mental assessment for impairment.
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D) Oral assessment for cleft palate.
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3. Children with PKU must avoid phenylalanine in the diet. Phenylalanine is most
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likely to be a component of
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A) Fat.
B) Sugar.
C) Protein.
D) Carbohydrate.


4. A 17-year-old college-bound student receives a vaccine against an organism that
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causes meningitis. This is an example of
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A) primary prevention. T



B) secondary prevention. T



C) tertiary prevention.
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D) disease treatment. T




5. Metaplasia is T



A) The disorganization of cells into various sizes, shapes, and arrangements.
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B) The replacement of one differentiated cell type with another.
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C) The transformation of a cell type to malignancy.
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D) An irreversible cellular adaptation.
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, 6. During a routine ultrasound of a 38 year old women 26 weeks gestation reveals a
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fetus with a small square head, upward slant of the eyes, and low set ears. The
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nurse recognizes that these findings are consistent with which of the following?
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A) Fragile X Syndrome.
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B) Monosomy X (Turner's Syndrome). T T T



C) Trisomy 21 (Down's Syndrome).
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D) Trisomy X (Klinefelter's Syndrome).
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7. While discussing treatment options with a parent of a newly diagnosed Monosomy
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X (Turner's Syndrome) child, the nurse should include which of the following?
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A) There is no treatment or cure.
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B) Symptoms of the condition are treated with estrogen.
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C) Symptoms of the condition are treated with testosterone.
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D) Institutionalization is the preferred method of managing care. T T T T T T T




8. Which of the following assessment findings indicates an alteration in homeostatic
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control mechanisms? T



A) Fever
B) Throat pain T



C) Joint stiffness
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D) Positive throat culture
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9. What information should parents be given about the consequences of
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phenylketonuria (PKU)? T




A) Mental retardation is inevitable.
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B) PKU is commonly associated with other congenital anomalies.
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C) High dietary tyramine may help induce enzyme production.
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D) Failure to treat properly results in progressive mental retardation.
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10. Injury that occurs when blood flow is diminished to tissue is called
T T T T T T T T T T T injury.
A) hypoxic
B) ischemic
C) hyperemic
D) neoplastic


11. Tay sachs is caused by which of the following?
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A) A deficiency or absence of hexosaminidase A
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B) A defect on chromosome 17 or 22
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C) A mutation on chromosome 15
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, D) An error in converting phenylalanine to tyrosine
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12. An obese but otherwise healthy teen goes to a health fair and has her blood
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pressure checked. This is an example of T T T T T T



A) primary prevention. T



B) secondary prevention. T



C) tertiary prevention. T



D) disease treatment. T




13. Characteristics of X-linked recessive disorders include which of the following? T T T T T T T T T



A) The son of a carrier mother has a 25% chance of being affected.
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B) Affected fathers transmit the gene to all of their sons.
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C) All daughters of affected fathers are carriers.
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D) Boys and girls are equally affected.
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14. A factor associated with risk of Down syndrome is
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A) Maternal age. T



B) Maternal alcohol intake. T T



C) Family history of heritable diseases.
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D) Exposure to TORCH syndrome organisms. T T T T




15. Which type of gangrene is usually a result of arterial occlusion?
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A) Necrosis.
B) Dry.
C) Wet.
D) Gas.


16. The cancer growth continuum is divided into the following stages.
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A) Stage 1, Stage 2, Stage 3
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B) Initiation, Progression, Promotion T T



C) Preliminary, Evolutionary, Metastasis T T



D) Initiation, Promotion, Progression T T




17. A disease in which the principal manifestation is an abnormal growth of cells
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leading to formation of tumors is called a T disease. T T T T T T




A) congenital
B) degenerative
C) metabolic