Test Bank For
Pathophysiology A Practical Approach 5e Lachel Story
Chapter 1-14
Chapter: Chapter 01 Cellular Function
Multiple Choice
1. In contrast to malignant tumors, benign tumors:
A) are well differentiated but have lost their ability to control cell replication.
B) are more likely to undergo degenerative changes than malignant tumors.
C) do not cause pressure damage to surrounding tissues, as do malignant tumors.
D) are unable to effect alterations in body function through the elaboration of hormones or other
chemicals.
Ans: A
Complexity: Moderate
Ahead: Neoplasm
Subject: Neoplasm, Chapter 1
Title: Cellular Function
Taxonomy: Analysis
2. The staging TNM system for classifying cancers is used to describe:
A) the etiologic factors associated with the disease.
B) the microscopic nature of the cancer.
C) the clinical spread of the disease.
D) the location of the cancer.
Ans: C
Complexity: Moderate
Ahead: Neoplasm
Subject: Neoplasm, Chapter 1
Title: Cellular Function
Taxonomy: Application
3. A mother of a 6-month-old infant presents to the clinic for a wellness visit. The mother had an
uncomplicated pregnancy and delivery. No fetal issues were identified at birth. The nurse practitioner
notes the following while conducting the child's history and physical examination: infant not meeting
milestones, muscular rigidity, and some questionable seizure activity. Which of the following would be
most beneficial for the nurse practitioner to include in the assessment to assist in diagnosing this child’s
possible condition?
A) Maternal age
B) Maternal tobacco use
C) Maternal drug abuse during pregnancy
D) Maternal ethnic heritage
Ans: D
Complexity: Moderate
Ahead: Genetic and Congenital Alterations
Subject: Genetic and Congenital Alterations, Chapter 1
,Title: Cellular Function
Taxonomy: Analysis
4. What involves an example of cellular adaptation?
A) Formation of pancreatic cancer
B) Muscular hypertrophy with regular weight lifting
C) Mutation of nuclear DNA
D) Immune destruction of precancerous cells
Ans: B
Complexity: Moderate
Ahead: Cellular Adaptation and Damage
Subject: Cellular Adaptation and Damage, Chapter 1
Title: Cellular Function
Taxonomy: Application
5. What is a major factor leading to increased occurrence of cancer in the elderly?
A) Cumulative exposure to carcinogens
B) Widespread vascular degeneration
C) Increased immune surveillance
D) Hereditary factors
Ans: A
Complexity: Moderate
Ahead: Cellular Adaptation and Damage
Subject: Cellular Adaptation and Damage, Chapter 1
Title: Cellular Function
Taxonomy: Application
6. A child is noted to have a very short stature, webbed neck, droopy eyelids, and recurrent infections.
The nurse will expect which of the following diagnoses?
A) Turner syndrome
B) Down syndrome
C) Marfan syndrome
D) Klinefelter syndrome
Ans: A
Complexity: Moderate
Ahead: Genetic and Congenital Alterations
Subject: Genetic and Congenital Alterations, Chapter 1
Title: Cellular Function
Taxonomy: Analysis
7. Which of the following is true of congenital disorders?
A) Always diagnosed by clinical signs at birth
B) Also called a developmental defect
C) The same as a genetic disorder
D) Present at birth but not always apparent
Ans: D
Complexity: Moderate
Ahead: Genetic and Congenital Alterations
,Subject: Genetic and Congenital Alterations, Chapter 1
Title: Cellular Function
Taxonomy: Recall
8. Following shift report on an oncology unit, which patient would the nurse assess first?
A) 47-year-old male diagnosed with prostatic cancer admitted for chemotherapy
B) 89-year-old female diagnosed with metastatic breast cancer complaining of pain of 7 on a scale of 1 to
10
C) 68-year-old male diagnosed with late-stage lung cancer complaining of difficulty breathing
D) 57-year-old female diagnosed with cervical cancer admitted for radiation
Ans: C
Complexity: Moderate
Ahead: Cellular Adaptation and Damage
Subject: Cellular Adaptation and Damage, Chapter 1
Title: Cellular Function
Taxonomy: Analysis
9. Which of the following assessment findings is most concerning to the nurse and would require
immediate action?
A) 5-mm bluish-black mole with asymmetrical edges
B) Multiple raised flesh-toned skin lesions on a patient diagnosed with neurofibromatosis
C) Patient complaining of fatigue after receiving chemotherapy
D) Simian crease in a patient diagnosed with Down syndrome
Ans: A
Complexity: Moderate
Ahead: Neoplasm
Subject: Neoplasm, Chapter 1
Title: Cellular Function
Taxonomy: Application
Multiple Response
1. Warning signs of possible cancer would include which of the following? (Select all that apply.)
A) Persistent, unusual bleeding
B) Sudden development of fever, nausea, and diarrhea
C) A change in shape, color, or surface of a skin lesion
D) Increased appetite
E) A change in bowel habits
Ans: A, C, E
Complexity: Moderate
Ahead: Cellular Adaptation and Damage
Subject: Cellular Adaptation and Damage, Chapter 1
Title: Cellular Function
Taxonomy: Application
Chapter: Chapter 02 - Immunity
, Multiple Choice
1. The nurse is teaching a patient who has recently given birth about immunity that has been passed to
the baby in utero. Which statement by the patient indicates that additional teaching is needed?
A) “My baby received some antibodies from me before birth, and I will give him more when I breastfeed.”
B) “I had chickenpox and am immune to it, so my baby will not need to have the chickenpox vaccine.”
C) “I had the measles, so my baby will be protected against it until he is old enough to receive the MMR
vaccine.”
D) “Only certain antibodies were able to cross the placenta to protect my baby.”
Ans: B
Complexity: Moderate
Ahead: Innate Versus Adaptive Immunity
Subject: Innate Versus Adaptive Immunity, Chapter 2
Title: Immunity
Taxonomy: Application
2. Which kind of innate immunity usually involves swelling of tissues?
A) Barriers
B) Inflammatory response
C) Pyrogens
D) Interferons
Ans: B
Complexity: Moderate
Ahead: Innate Versus Adaptive Immunity
Subject: Innate Versus Adaptive Immunity, Chapter 2
Title: Immunity
Taxonomy: Application
3. A 2-day post-op heart transplant patient begins to have fever and signs and symptoms of heart failure.
The patient is likely experiencing which of the following?
A) Type I, IgE-mediated hypersensitivity
B) Type III, immune complex-mediated hypersensitivity
C) Graft-versus-host rejection
D) Host-versus-graft rejection
Ans: D
Complexity: Moderate
Ahead: Transplant Reactions
Subject: Transplant Reactions, Chapter 2
Title: Immunity
Taxonomy: Analysis
4. Which of the following is a complication of chronic stress?
A) Renal disease
B) Diabetes mellitus
C) Pathological fractures
D) Increased susceptibility to illness
Ans: D
Pathophysiology A Practical Approach 5e Lachel Story
Chapter 1-14
Chapter: Chapter 01 Cellular Function
Multiple Choice
1. In contrast to malignant tumors, benign tumors:
A) are well differentiated but have lost their ability to control cell replication.
B) are more likely to undergo degenerative changes than malignant tumors.
C) do not cause pressure damage to surrounding tissues, as do malignant tumors.
D) are unable to effect alterations in body function through the elaboration of hormones or other
chemicals.
Ans: A
Complexity: Moderate
Ahead: Neoplasm
Subject: Neoplasm, Chapter 1
Title: Cellular Function
Taxonomy: Analysis
2. The staging TNM system for classifying cancers is used to describe:
A) the etiologic factors associated with the disease.
B) the microscopic nature of the cancer.
C) the clinical spread of the disease.
D) the location of the cancer.
Ans: C
Complexity: Moderate
Ahead: Neoplasm
Subject: Neoplasm, Chapter 1
Title: Cellular Function
Taxonomy: Application
3. A mother of a 6-month-old infant presents to the clinic for a wellness visit. The mother had an
uncomplicated pregnancy and delivery. No fetal issues were identified at birth. The nurse practitioner
notes the following while conducting the child's history and physical examination: infant not meeting
milestones, muscular rigidity, and some questionable seizure activity. Which of the following would be
most beneficial for the nurse practitioner to include in the assessment to assist in diagnosing this child’s
possible condition?
A) Maternal age
B) Maternal tobacco use
C) Maternal drug abuse during pregnancy
D) Maternal ethnic heritage
Ans: D
Complexity: Moderate
Ahead: Genetic and Congenital Alterations
Subject: Genetic and Congenital Alterations, Chapter 1
,Title: Cellular Function
Taxonomy: Analysis
4. What involves an example of cellular adaptation?
A) Formation of pancreatic cancer
B) Muscular hypertrophy with regular weight lifting
C) Mutation of nuclear DNA
D) Immune destruction of precancerous cells
Ans: B
Complexity: Moderate
Ahead: Cellular Adaptation and Damage
Subject: Cellular Adaptation and Damage, Chapter 1
Title: Cellular Function
Taxonomy: Application
5. What is a major factor leading to increased occurrence of cancer in the elderly?
A) Cumulative exposure to carcinogens
B) Widespread vascular degeneration
C) Increased immune surveillance
D) Hereditary factors
Ans: A
Complexity: Moderate
Ahead: Cellular Adaptation and Damage
Subject: Cellular Adaptation and Damage, Chapter 1
Title: Cellular Function
Taxonomy: Application
6. A child is noted to have a very short stature, webbed neck, droopy eyelids, and recurrent infections.
The nurse will expect which of the following diagnoses?
A) Turner syndrome
B) Down syndrome
C) Marfan syndrome
D) Klinefelter syndrome
Ans: A
Complexity: Moderate
Ahead: Genetic and Congenital Alterations
Subject: Genetic and Congenital Alterations, Chapter 1
Title: Cellular Function
Taxonomy: Analysis
7. Which of the following is true of congenital disorders?
A) Always diagnosed by clinical signs at birth
B) Also called a developmental defect
C) The same as a genetic disorder
D) Present at birth but not always apparent
Ans: D
Complexity: Moderate
Ahead: Genetic and Congenital Alterations
,Subject: Genetic and Congenital Alterations, Chapter 1
Title: Cellular Function
Taxonomy: Recall
8. Following shift report on an oncology unit, which patient would the nurse assess first?
A) 47-year-old male diagnosed with prostatic cancer admitted for chemotherapy
B) 89-year-old female diagnosed with metastatic breast cancer complaining of pain of 7 on a scale of 1 to
10
C) 68-year-old male diagnosed with late-stage lung cancer complaining of difficulty breathing
D) 57-year-old female diagnosed with cervical cancer admitted for radiation
Ans: C
Complexity: Moderate
Ahead: Cellular Adaptation and Damage
Subject: Cellular Adaptation and Damage, Chapter 1
Title: Cellular Function
Taxonomy: Analysis
9. Which of the following assessment findings is most concerning to the nurse and would require
immediate action?
A) 5-mm bluish-black mole with asymmetrical edges
B) Multiple raised flesh-toned skin lesions on a patient diagnosed with neurofibromatosis
C) Patient complaining of fatigue after receiving chemotherapy
D) Simian crease in a patient diagnosed with Down syndrome
Ans: A
Complexity: Moderate
Ahead: Neoplasm
Subject: Neoplasm, Chapter 1
Title: Cellular Function
Taxonomy: Application
Multiple Response
1. Warning signs of possible cancer would include which of the following? (Select all that apply.)
A) Persistent, unusual bleeding
B) Sudden development of fever, nausea, and diarrhea
C) A change in shape, color, or surface of a skin lesion
D) Increased appetite
E) A change in bowel habits
Ans: A, C, E
Complexity: Moderate
Ahead: Cellular Adaptation and Damage
Subject: Cellular Adaptation and Damage, Chapter 1
Title: Cellular Function
Taxonomy: Application
Chapter: Chapter 02 - Immunity
, Multiple Choice
1. The nurse is teaching a patient who has recently given birth about immunity that has been passed to
the baby in utero. Which statement by the patient indicates that additional teaching is needed?
A) “My baby received some antibodies from me before birth, and I will give him more when I breastfeed.”
B) “I had chickenpox and am immune to it, so my baby will not need to have the chickenpox vaccine.”
C) “I had the measles, so my baby will be protected against it until he is old enough to receive the MMR
vaccine.”
D) “Only certain antibodies were able to cross the placenta to protect my baby.”
Ans: B
Complexity: Moderate
Ahead: Innate Versus Adaptive Immunity
Subject: Innate Versus Adaptive Immunity, Chapter 2
Title: Immunity
Taxonomy: Application
2. Which kind of innate immunity usually involves swelling of tissues?
A) Barriers
B) Inflammatory response
C) Pyrogens
D) Interferons
Ans: B
Complexity: Moderate
Ahead: Innate Versus Adaptive Immunity
Subject: Innate Versus Adaptive Immunity, Chapter 2
Title: Immunity
Taxonomy: Application
3. A 2-day post-op heart transplant patient begins to have fever and signs and symptoms of heart failure.
The patient is likely experiencing which of the following?
A) Type I, IgE-mediated hypersensitivity
B) Type III, immune complex-mediated hypersensitivity
C) Graft-versus-host rejection
D) Host-versus-graft rejection
Ans: D
Complexity: Moderate
Ahead: Transplant Reactions
Subject: Transplant Reactions, Chapter 2
Title: Immunity
Taxonomy: Analysis
4. Which of the following is a complication of chronic stress?
A) Renal disease
B) Diabetes mellitus
C) Pathological fractures
D) Increased susceptibility to illness
Ans: D
