TEST BANK APPLIED PATHOPHYSIOLOGY
FOR THE ADVANCED PRACTICE NURSE
1ST EDITION BY LUCIE DLUGASCH,
STORY: ISBN-10; 1284150453 / ISBN-13; 978- Table of Contents:
1284150452 Chapter 1: Cellular Function
Chapter 2: Immunity
Chapter 3: Hematopoietic Function
Chapter 4: Cardiovascular Function
Chapter 5: Respiratory Function
Chapter 6: Fluid, Electrolyte, and Acid-Base Homeostasis
Chapter 7: Urinary Function
Chapter 8: Reproductive Function
Chapter 9: Gastrointestinal Function
Chapter 10: Endocrine Function
Chapter 11: Neural Function
Chapter 12: Musculoskeletal Function
Chapter 13: Integumentary Function
Chapter 14: Sensory Function
, Applied Pathophysiology for the Advanced Practice Nurse B) accumulate within cell gap junctions.
C) bind to contractile microfilaments.
1st Edition Dlugasch | Story Test Bank
D) release secretions into extracellular fluid.
Chapter 1 Cellular Function
5. Aerobic metabolism, also known as oxidative metabolism, provides energy
by:
1. The nucleus , which is essential for function and survival of the A) removing the phosphate bonds from ATP.
cell.
B) combining hydrogen and oxygen to form water.
A) is the site of protein synthesis
C) activating pyruvate stored in the cytoplasm.
B) contains the genetic code
D) breaking down glucose to form lactic acid.
C) transforms cellular energy
D) initiates aerobic metabolism 6. Exocytosis, the reverse of endocytosis, is important in into the
extracellular fluid.
2. Although energy is not made in mitochondria, they are known as the power A) Engulfing and ingesting fluid and proteins for transport
plants of the cell because they:
B) Killing, degrading, and dissolving harmful microorganisms
A) contain RNA for protein synthesis.
C) Removing cellular debris and releasing synthesized substances
B) utilize glycolysis for oxidative energy.
D) Destruction of particles by lysosomal enzymes for secretion
C) extract energy from organic compounds.
D) store calcium bonds for muscle contractions. 7. The process responsible for generating and conducting membrane potentials
is:
3. Although the basic structure of the cell plasma membrane is formed by a A) diffusion of current-carrying ions.
lipid bilayer, most of the specific membrane functions are carried out by:
B) millivoltage of electrical potential.
A) bound and transmembrane proteins.
C) polarization of charged particles.
B) complex, long carbohydrate chains.
D) ion channel neurotransmission.
C) surface antigens and hormone receptors.
D) a gating system of selective ion channels. 8. 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?
4. To effectively relay signals, cell-to-cell communication utilizes chemical
messenger systems that: A) Simple epithelium: cells in contact with intercellular matrix; some do not
extend to surface
A) displace surface receptor proteins.
,B) Stratified epithelium: single layer of cells; all cells rest on basement B) Golgi apparatus
membrane
C) Ribosomes
C) Glandular epithelium: arise from surface epithelia and underlying
D) Endoplasmic reticulum (ER)
connective tissue
D) Pseudostratified epithelium: multiple layers of cells; deepest layer rests on
basement membrane 13 Impairment in the function of peroxisomes would result in:
.
A) inadequate sites for protein synthesis.
9. Connective tissue contains fibroblasts that are responsible for:
B) an inability to transport cellular products across the cell membrane.
A) providing a fibrous framework for capillaries.
C) insufficient energy production within a cell.
B) synthesis of collagen, elastin, and reticular fibers.
D) accumulation of free radicals in the cytoplasm.
C) forming tendons and the fascia that covers muscles.
D) filling spaces between tissues to keep organs in place.
14 After several months of trying to conceive, a couple is undergoing fertility
. testing. Semen analysis indicates that the mans sperm have decreased
10 Although all muscle tissue cells have some similarities, smooth muscle (also motility, a finding that is thought to underlie the couples inability to become
. known as involuntary muscle) differs by: pregnant. Which of the following cellular components may be defective
within the mans sperm?
A) having dense bodies attached to actin filaments.
A) Ribosomes
B) containing sarcomeres between Z lines and M bands.
B) Microtubules
C) having rapid contractions and abundant cross-striations.
C) Mitochondria
D) contracting in response to increased intracellular calcium.
D) Microfilaments
11 Which of the following aspects of the function of the nucleus is performed
. by ribosomal RNA (rRNA)? 15 Which of the following statements is true of glycolysis?
.
A) Copying and carrying DNA instructions for protein synthesis
A) Glycolysis requires oxygen.
B) Carrying amino acids to the site of protein synthesis
B) Glycolysis occurs in cells without mitochondria.
C) Providing the site where protein synthesis occurs
C) Glycolysis provides the majority of the bodys energy needs.
D) Regulating and controlling protein synthesis
D) Glycolysis produces energy, water, and carbon dioxide.
12 Breakdown and removal of foreign substances and worn-out cell parts are
. performed by which of the following organelles? 16 Which of the following membrane transport mechanisms requires the
. greatest amount of energy?
A) Lysosomes
A) Facilitated diffusion
, B) Passive transport A) impaired contraction of skeletal and smooth muscle.
C) Vesicular transport B) weakness of the collagen and elastin fibers in the extracellular space.
D) Simple diffusion C) impaired communication between neurons and effector organs.
D) separation at the junctions between epithelial cells.
17 A male patient with a diagnosis of type 1 diabetes mellitus is experiencing
Answer Key
. hyperglycemia because he lacks sufficient insulin to increase the availability
of glucose transporters in his cell membranes. Consequently, his cells lack
intracellular glucose and it accumulates in his blood. Which of the following
1. B
processes would best allow glucose to cross his cell membranes?
2. C
A) Facilitated diffusion
3. A
B) Simple diffusion
4. D
C) Secondary active transport
5. B
D) Endocytosis
6. C
18 Which of the following statements is true of skeletal muscle cells? 7. A
.
8. C
A) Skeletal muscle cells each have an apical, lateral, and basal surface.
9. B
B) They are closely apposed and are joined by cell-to-cell adhesion
10 A
molecules.
.
C) Their basal surface is attached to a basement membrane.
11 C
D) Skeletal muscle is multinucleated, lacking true cell boundaries. .
12 A
19 Which of the following body tissues exhibits the highest rate of turnover and .
. renewal? 13 D
A) The squamous epithelial cells of the skin .
B) The connective tissue supporting blood vessels 14 B
.
C) The skeletal muscle that facilitates movement
15 B
D) The nervous tissue that constitutes the central nervous system .
16 C
20 A patient with a pathophysiologic condition that affects the desmosomes is .
. most likely to exhibit:
FOR THE ADVANCED PRACTICE NURSE
1ST EDITION BY LUCIE DLUGASCH,
STORY: ISBN-10; 1284150453 / ISBN-13; 978- Table of Contents:
1284150452 Chapter 1: Cellular Function
Chapter 2: Immunity
Chapter 3: Hematopoietic Function
Chapter 4: Cardiovascular Function
Chapter 5: Respiratory Function
Chapter 6: Fluid, Electrolyte, and Acid-Base Homeostasis
Chapter 7: Urinary Function
Chapter 8: Reproductive Function
Chapter 9: Gastrointestinal Function
Chapter 10: Endocrine Function
Chapter 11: Neural Function
Chapter 12: Musculoskeletal Function
Chapter 13: Integumentary Function
Chapter 14: Sensory Function
, Applied Pathophysiology for the Advanced Practice Nurse B) accumulate within cell gap junctions.
C) bind to contractile microfilaments.
1st Edition Dlugasch | Story Test Bank
D) release secretions into extracellular fluid.
Chapter 1 Cellular Function
5. Aerobic metabolism, also known as oxidative metabolism, provides energy
by:
1. The nucleus , which is essential for function and survival of the A) removing the phosphate bonds from ATP.
cell.
B) combining hydrogen and oxygen to form water.
A) is the site of protein synthesis
C) activating pyruvate stored in the cytoplasm.
B) contains the genetic code
D) breaking down glucose to form lactic acid.
C) transforms cellular energy
D) initiates aerobic metabolism 6. Exocytosis, the reverse of endocytosis, is important in into the
extracellular fluid.
2. Although energy is not made in mitochondria, they are known as the power A) Engulfing and ingesting fluid and proteins for transport
plants of the cell because they:
B) Killing, degrading, and dissolving harmful microorganisms
A) contain RNA for protein synthesis.
C) Removing cellular debris and releasing synthesized substances
B) utilize glycolysis for oxidative energy.
D) Destruction of particles by lysosomal enzymes for secretion
C) extract energy from organic compounds.
D) store calcium bonds for muscle contractions. 7. The process responsible for generating and conducting membrane potentials
is:
3. Although the basic structure of the cell plasma membrane is formed by a A) diffusion of current-carrying ions.
lipid bilayer, most of the specific membrane functions are carried out by:
B) millivoltage of electrical potential.
A) bound and transmembrane proteins.
C) polarization of charged particles.
B) complex, long carbohydrate chains.
D) ion channel neurotransmission.
C) surface antigens and hormone receptors.
D) a gating system of selective ion channels. 8. 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?
4. To effectively relay signals, cell-to-cell communication utilizes chemical
messenger systems that: A) Simple epithelium: cells in contact with intercellular matrix; some do not
extend to surface
A) displace surface receptor proteins.
,B) Stratified epithelium: single layer of cells; all cells rest on basement B) Golgi apparatus
membrane
C) Ribosomes
C) Glandular epithelium: arise from surface epithelia and underlying
D) Endoplasmic reticulum (ER)
connective tissue
D) Pseudostratified epithelium: multiple layers of cells; deepest layer rests on
basement membrane 13 Impairment in the function of peroxisomes would result in:
.
A) inadequate sites for protein synthesis.
9. Connective tissue contains fibroblasts that are responsible for:
B) an inability to transport cellular products across the cell membrane.
A) providing a fibrous framework for capillaries.
C) insufficient energy production within a cell.
B) synthesis of collagen, elastin, and reticular fibers.
D) accumulation of free radicals in the cytoplasm.
C) forming tendons and the fascia that covers muscles.
D) filling spaces between tissues to keep organs in place.
14 After several months of trying to conceive, a couple is undergoing fertility
. testing. Semen analysis indicates that the mans sperm have decreased
10 Although all muscle tissue cells have some similarities, smooth muscle (also motility, a finding that is thought to underlie the couples inability to become
. known as involuntary muscle) differs by: pregnant. Which of the following cellular components may be defective
within the mans sperm?
A) having dense bodies attached to actin filaments.
A) Ribosomes
B) containing sarcomeres between Z lines and M bands.
B) Microtubules
C) having rapid contractions and abundant cross-striations.
C) Mitochondria
D) contracting in response to increased intracellular calcium.
D) Microfilaments
11 Which of the following aspects of the function of the nucleus is performed
. by ribosomal RNA (rRNA)? 15 Which of the following statements is true of glycolysis?
.
A) Copying and carrying DNA instructions for protein synthesis
A) Glycolysis requires oxygen.
B) Carrying amino acids to the site of protein synthesis
B) Glycolysis occurs in cells without mitochondria.
C) Providing the site where protein synthesis occurs
C) Glycolysis provides the majority of the bodys energy needs.
D) Regulating and controlling protein synthesis
D) Glycolysis produces energy, water, and carbon dioxide.
12 Breakdown and removal of foreign substances and worn-out cell parts are
. performed by which of the following organelles? 16 Which of the following membrane transport mechanisms requires the
. greatest amount of energy?
A) Lysosomes
A) Facilitated diffusion
, B) Passive transport A) impaired contraction of skeletal and smooth muscle.
C) Vesicular transport B) weakness of the collagen and elastin fibers in the extracellular space.
D) Simple diffusion C) impaired communication between neurons and effector organs.
D) separation at the junctions between epithelial cells.
17 A male patient with a diagnosis of type 1 diabetes mellitus is experiencing
Answer Key
. hyperglycemia because he lacks sufficient insulin to increase the availability
of glucose transporters in his cell membranes. Consequently, his cells lack
intracellular glucose and it accumulates in his blood. Which of the following
1. B
processes would best allow glucose to cross his cell membranes?
2. C
A) Facilitated diffusion
3. A
B) Simple diffusion
4. D
C) Secondary active transport
5. B
D) Endocytosis
6. C
18 Which of the following statements is true of skeletal muscle cells? 7. A
.
8. C
A) Skeletal muscle cells each have an apical, lateral, and basal surface.
9. B
B) They are closely apposed and are joined by cell-to-cell adhesion
10 A
molecules.
.
C) Their basal surface is attached to a basement membrane.
11 C
D) Skeletal muscle is multinucleated, lacking true cell boundaries. .
12 A
19 Which of the following body tissues exhibits the highest rate of turnover and .
. renewal? 13 D
A) The squamous epithelial cells of the skin .
B) The connective tissue supporting blood vessels 14 B
.
C) The skeletal muscle that facilitates movement
15 B
D) The nervous tissue that constitutes the central nervous system .
16 C
20 A patient with a pathophysiologic condition that affects the desmosomes is .
. most likely to exhibit:
