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Test Bank for Pathophysiology: The Biologic Basis for Disease in Adults and Children 8th Edition | McCance & Huether | 2025–2026 Updated MCQs | All Chapters Completed | 100% Verified

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Download the Test Bank for Pathophysiology: The Biologic Basis for Disease in Adults and Children, 8th Edition by Kathryn L. McCance and Sue E. Huether. This 2025–2026 updated, 100% verified test bank includes all completed chapters with high-quality multiple choice questions and accurate answers. Perfect for nursing, medical, and healthcare students preparing for exams, quizzes, and clinical assessments. Covers core pathophysiology concepts, disease mechanisms, pediatric and adult disorders, cellular injury, inflammation, immunity, genetics, organ system diseases, and more. Ideal for A+ grade exam prep, quick study, and mastering disease processes with confidence.

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PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK `n `n `n `n `n




Chapter 1: Cellular Biology
`n `n `n




MULTIPLE CHOICE `n




1. Which statement best describes the cellular function of metabolic absorption?
`n `n `n `n `n `n `n `n `n



a. Cells can produce proteins. c. Cells can take in and use nutrients.
`n `n `n `n `n `n `n `n `n



b. Cells can secrete digestive enzymes. d. Cells can synthesize fats.
`n `n `n `n ` n `n `n `n




ANS: C `n



In metabolic absorption, all cells take in and use nutrients and other substances from
`n `n `n `n `n `n `n `n `n `n `n `n `n



theirsurroundings. The remaining options are not inclusive in their descriptions of
`n ǹ `n `n `n `n `n `n `n `n `n `n



cellular metabolic absorption.
`n `n `n




PTS: `n `n ` n 1 REF: ` n Page 2 `n




2. Most of a cell’s genetic information, including RNA and DNA, is contained in the:
`n `n `n `n `n `n `n `n `n `n `n `n `n



a. Mitochondria c. Nucleolus
b. Ribosome d. Lysosome `n `n ` n




ANS: C `n



The nucleus contains the nucleolus, a small dense structure composed largely of RNA,
`n `n `n `n `n `n `n `n `n `n `n `n



most of the cellular DNA, and the DNA-binding proteins, such as the histones, which
`n `n `n `n `n `n `n `n `n `n `n `n `n `n



regulate its activity. The other options do not contain most of a cell’s genetic
`n `n `n `n `n `n `n `n `n `n `n `n `n `n



information.
`n




PTS: `n `n ` n 1 REF: ` n Page 2 `n




3. Which component of the cell prodNuU
ceRsSIhNyGdTroBg.CenOM
`n peroxide (H2O2) by using oxygen `n `n `n `n `n `n `n `n



`n to remove hydrogen atoms from specific substrates in an oxidative reaction?
`n `n `n `n `n `n `n `n `n `n



a. Lysosomes c. Ribosomes
b. Peroxisomes d. Oxyhydrosomes ` n




ANS: B `n



Peroxisomes are so named because they usually contain enzymes that use oxygen to
`n `n `n `n `n `n `n `n `n `n `n `n



remove hydrogen atoms from specific substrates in an oxidative reaction that produces
`n `n `n `n `n `n `n `n `n `n `n `n



H2O2, which is a powerful oxidant and potentially destructive if it accumulates or escapes
`n `n `n `n `n `n `n `n `n `n `n `n `n `n



from peroxisomes. Ribosomes are RNA-protein complexes (nucleoproteins) that are
`n `n `n `n `n `n `n `n `n



synthesized in the nucleolus and secreted into the cytoplasm through pores in the nuclear
`n `n `n `n `n `n `n `n `n `n `n `n `n `n



envelope called nuclear pore complexes. Lysosomes are saclike structures that originate
`n `n `n `n `n `n `n `n `n `n `n



from the Golgi complex and contain more than 40 digestive enzymes called hydrolases,
`n `n `n `n `n `n `n `n `n `n `n `n `n



which catalyze bonds in proteins, lipids, nucleic acids, and carbohydrates.
`n `n `n `n `n `n `n `n `n `n



Oxyhydrosomesare involved in enzyme production.
`n ǹ `n `n `n `n




PTS: `n `n ` n 1 REF: ` n Page 8 `n




4. Which cell component is capable of cellular autodigestion when it is released during
`n `n `n `n `n `n `n `n `n `n `n `n



cellinjury?
`n ǹ



a. Ribosome c. Smooth endoplasmic reticulum `n `n



b. Golgi complex `n d. Lysosomes
` n




ANS: D `n




NURSINGTB.COM

, PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK `n `n `n `n `n




The lysosomal membrane acts as a protective shield between the powerful digestive
`n `n `n `n `n `n `n `n `n `n `n



enzymes within the lysosome and the cytoplasm, preventing their leakage into the
`n `n `n `n `n `n `n `n `n `n `n `n



cytoplasmic matrix. Disruption of the membrane by various treatments or cellular injury
`n `n `n `n `n `n `n `n `n `n `n `n



leads to a release of the lysosomal enzymes, which can then react with their specific
`n `n `n `n `n `n `n `n `n `n `n `n `n `n `n



substrates, causing cellular self-digestion. The other options do not correctly describe
`n `n `n `n `n `n `n `n `n `n `n



thisprocess.
`n ǹ




PTS: `n `n ` n 1 REF: ` n Pages 7-8 `n




5. What is the sequence of steps in the development of a digestive enzyme by the
`n `n `n `n `n `n `n `n `n `n `n `n `n `n



`n pancreascells from the initial transcription to the release from the cell?
ǹ `n `n `n `n `n `n `n `n `n `n



a. The enzyme is transcribed from DNA by RNA in the nucleus, proceeds to
`n `n `n `n `n `n `n `n `n `n `n `n



theribosome for synthesis, and is transported in a secretory vesicle to the
`n ǹ `n `n `n `n `n `n `n `n `n `n `n



cell membrane.
`n `n



b. The enzyme is transcribed from RNA by DNA in the nucleus, proceeds to the
`n `n `n `n `n `n `n `n `n `n `n `n `n



lysosome for synthesis, and is transported in an encapsulated membrane to the
`n `n `n `n `n `n `n `n `n `n `n `n



cellmembrane.
`n ǹ



c. The enzyme is transcribed by the mitochondria in the nucleus, proceeds to the
`n `n `n `n `n `n `n `n `n `n `n `n



ribosome for synthesis, and is transported in a cytoskeleton to the cell
`n `n `n `n `n `n `n `n `n `n `n `n



membrane.`n



d. The enzyme is transcribed from DNA by RNA in the nucleus, proceeds to the
`n `n `n `n `n `n `n `n `n `n `n `n `n



Golgi complex for synthesis, and is transported in a cytosol to the cell
`n `n `n `n `n `n `n `n `n `n `n `n `n



membrane.`n




ANS: A `n



The enzyme is transcribed from DNA by RNA in the nucleus, proceeds to the
`n `n `n `n `n `n `n `n `n `n `n `n `n



ribosomefor synthesis, and is transported in a secretory vesicle to the cell membrane.
`n ǹ `n `n `n `n `n `n `n `n `n `n `n `n



The other options do not correctly describe this process.
`n `n `n `n `n `n `n `n `n




NURSINGTB.COM
PTS: `n `n ` n 1 REF: ` n Page 7 | Figure 1-5 `n `n `n `n




6. During which phase of the cell cycle is DNA synthesized?
`n `n `n `n `n `n `n `n `n



a. G1 c. G2
b. S d. M ` n




ANS: B `n



The four designated phases of the cell cycle are: (1) the G1 phase (G = gap), which is the
`n `n `n `n `n `n `n `n `n `n `n `n `n `n `n `n `n `n



period between the M phase (M = mitosis) and the start of DNA synthesis; (2) the S
`n `n `n `n `n `n `n `n `n `n `n `n `n `n `n `n `n



phase(S = synthesis), during which DNA is synthesized in the cell nucleus; (3) the G2
`n ǹ `n `n `n `n `n `n `n `n `n `n `n `n `n `n



phase, during which RNA and protein synthesis occurs, the period between the
`n `n `n `n `n `n `n `n `n `n `n `n



completion of DNA synthesis and the next phase (M); and (4) the M phase, which
`n `n `n `n `n `n `n `n `n `n `n `n `n `n `n



includes nuclear and cytoplasmic division.
`n `n `n `n `n




PTS: `n `n ` n 1 REF: ` n Page 37 `n




7. What organic compound facilitates transportation across cell membranes by acting
`n `n `n `n `n `n `n `n `n



asreceptors, transport channels for electrolytes, and enzymes to drive active pumps?
`n ǹ `n `n `n `n `n `n `n `n `n `n



a. Lipids c. Proteins
b. Proteases d. Carbohydrates ` n




ANS: C `n




NURSINGTB.COM

, PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK `n `n `n `n `n




Proteins act as (1) recognition and binding units (receptors) for substances moving in
`n `n `n `n `n `n `n `n `n `n `n `n



andout of the cell; (2) pores or transport channels for various electrically charged
`n ǹ `n `n `n `n `n `n `n `n `n `n `n `n



particles called ions or electrolytes and specific carriers for amino acids and
`n `n `n `n `n `n `n `n `n `n `n `n



monosaccharides; and
`n `n



(3) specific enzymes that drive active pumps that promote the concentration of
`n `n `n `n `n `n `n `n `n `n `n



certainions, particularly potassium (K+), within the cell while keeping concentrations of
`n ǹ `n `n `n `n `n `n `n `n `n `n



otherions, for example, sodium (Na+), below the concentrations found in the
`n ǹ `n `n `n `n `n `n `n `n `n `n



extracellular environment. The other options do not correctly describe this process.
`n `n `n `n `n `n `n `n `n `n `n




PTS: `n `n ` n 1 REF: ` n Page 13 | Page 15 `n `n `n `n




8. Understanding the various steps of proteolytic cascades, such as caspase-mediated `n `n `n `n `n `n `n `n `n



apoptosis and complement cascades, may be useful in designing drug therapy for
`n `n `n `n `n `n `n `n `n `n `n `n



whichhuman diseases?
`n ǹ `n



a. Cardiac and vascular disorders `n `n `n



b. Autoimmune and malignant disorders `n `n `n



c. Gastrointestinal and renal disorders `n `n `n



d. Endocrine and gastrointestinal disorders `n `n `n




ANS: B `n



Understanding the various steps involved in this process is crucial for designing drug `n `n `n `n `n `n `n `n `n `n `n `n



interventions. Dysregulation of proteases features prominently in many human
`n `n `n `n `n `n `n `n `n



diseases,including cancer, autoimmunity, and neurodegenerative disorders. The other
`n ǹ `n `n `n `n `n `n `n



options donot correctly describe this process.
`n `n ǹ `n `n `n `n




PTS: `n `n ` n 1 REF: Page 15 `n `n `n `n




9. Which structure prevents water-soluble molecules from entering cells across the plasma
`n `n `n `n `n `n `n `n `n `n


NURSINGTB.COM
membrane?
a. Carbohydrate chains `n c. Membrane channel proteins `n `n



b. Glycoprotein channels `n d. Lipid bilayer
` n `n




ANS: D `n



The bilayer’s structure accounts for one of the essential functions of the plasma
`n `n `n `n `n `n `n `n `n `n `n `n



membrane. It is impermeable to most water-soluble molecules (molecules that dissolve
`n `n `n `n `n `n `n `n `n `n `n



inwater) because the water-soluble molecules are insoluble in the oily core region. The
`n ǹ `n `n `n `n `n `n `n `n `n `n `n `n



bilayer serves as a barrier to the diffusion of water and hydrophilic substances while
`n `n `n `n `n `n `n `n `n `n `n `n `n `n



allowing lipid-soluble molecules, such as oxygen (O2) and carbon dioxide (CO2), to
`n `n `n `n `n `n `n `n `n `n `n `n



diffuse through it readily. The other options do not correctly describe this process.
`n `n `n `n `n `n `n `n `n `n `n `n `n




PTS: `n `n ` n 1 REF: ` n Pages 12-13 `n




10. The fluid mosaic model explains:
`n `n `n `n



a. How a cell membrane functions `n `n `n `n



b. Why our bodies appear to be solid `n `n `n `n `n `n



c. How tissue is differentiated `n `n `n



d. How fluid moves between the intracellular and extracellular compartments
`n `n `n `n `n `n `n `n




ANS: A `n



The fluid mosaic model accounts for the flexibility of cellular membranes, their
`n `n `n `n `n `n `n `n `n `n `n



self-sealing properties, and their impermeability to many substances. The
`n `n `n `n `n `n `n `n



remainingoptions do not explain the mosaic model.
`n ǹ `n `n `n `n `n `n




NURSINGTB.COM

, PATHOPHYSIOLOGY 8TH EDITION MCCANCE TEST BANK `n `n `n `n `n




PTS: `n `n ` n 1 REF: ` n Page 12 | What's New box `n `n `n `n `n




11. Which form of cell communication is used to communicate within the cell itself and
`n `n `n `n `n `n `n `n `n `n `n `n `n



withother cells in direct physical contact?
`n ǹ `n `n `n `n `n



a. Protein channel (gap junction) `n `n `n



b. Plasma membrane–bound signaling molecules (involving receptors)
`n `n `n `n `n



c. Hormone secretion such as neurotransmitters `n `n `n `n



d. Extracellular chemical messengers such as ligands `n `n `n `n `n




ANS: A `n



Cells communicate by using hundreds of kinds of signal molecules, for example,
`n `n `n `n `n `n `n `n `n `n `n



insulin.Cells communicate in three main ways; they display plasma membrane–bound
`n ǹ `n `n `n `n `n `n `n `n `n



signalingmolecules (receptors) that affect the cell itself and other cells in direct
`n ǹ `n `n `n `n `n `n `n `n `n `n `n



physical contact. The other options do not correctly describe this process.
`n `n `n `n `n `n `n `n `n `n `n




PTS: `n `n ` n 1 REF: ` n Page 20 `n




12. Which mode of chemical signaling uses blood to transport communication to cells
`n `n `n `n `n `n `n `n `n `n `n



somedistance away?
`n ǹ `n



a. Paracrine c. Neurotransmitter
b. Autocrine d. Hormonal ` n




ANS: D `n



Chemical signaling can be classified into three categories: (1) local-chemical mediator,
`n `n `n `n `n `n `n `n `n `n



(2)hormone, and (3) neurotransmitter. In the local-chemical mediator model, the secreted
`n ǹ `n `n `n `n `n `n `n `n `n `n



chemical acts on the cells in the immediate environment. Hormones are used for
`n `n `n `n `n `n `n `n `n `n `n `n `n



communication with distant targetNcUeRllSsI.NFGoTrBe.xCaOmMple, cells can secrete a chemical and
`n `n `n `n `n `n `n `n `n `n



rely on the blood system to deliver the signal to a distant cell. Finally, neurotransmitters
`n `n `n `n `n `n `n `n `n `n `n `n `n `n `n



are secreted by neurons to stimulate an adjoining cell. For example, a neuron might
`n `n `n `n `n `n `n `n `n `n `n `n `n `n



secrete acetylcholine to stimulate the movement of a muscle cell.
`n `n `n `n `n `n `n `n `n `n




PTS: `n `n ` n 1 REF: ` n Page 20 `n




13. Which mode of chemical signaling uses local chemical mediators that are quickly
`n `n `n `n `n `n `n `n `n `n `n



takenup, destroyed, or immobilized?
`n ǹ `n `n `n



a. Paracrine c. Neurotransmitter
b. Autocrine d. Hormone ` n




ANS: A `n



In paracrine signaling, cells secrete local chemical mediators that are quickly taken
`n `n `n `n `n `n `n `n `n `n `n



up,destroyed, or immobilized. The other options do not correctly describe this process.
`n ǹ `n `n `n `n `n `n `n `n `n `n `n




PTS: `n `n ` n 1 REF: ` n Page 20 `n




14. Neurotransmitters affect the postsynaptic membrane by binding `n `n `n `n `n `n



to: `n



a. Lipids c. Amphipathic lipids `n



b. Ribosomes d. Receptors ` n




ANS: D `n



In each type of chemical signaling, the target cell receives the signal by first attaching
`n `n `n `n `n `n `n `n `n `n `n `n `n `n



toits receptors. The other options do not correctly describe this process.
`n ǹ `n `n `n `n `n `n `n `n `n `n




NURSINGTB.COM

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