Question 1
A client receives a phone call from her gynecologist's office nurse and is informed that her
Pap test results identified mild dysplasia. The best explanation for the nurse to provide
would be:
A. "Minor degrees of dysplasia are associated with chronic irritation or inflammation.
However, we will need to do additional diagnostic studies to confirm the diagnosis."
B. "You definitely have cancer."
C. "Do not be concerned; this is not abnormal."
D. "You need emergency treatment; please come in to the office today."
CORRECT ANSWER
A
Question 2
The nurse is educating about the importance of improving the metabolic process in a
client who has morbid obesity and is beginning a weight loss program with exercise. What
should the nurse inform the client about the importance of improving the metabolic rate?
A. Increasing metabolism improves the process by which cells engulf materials from their
surroundings to improve electrolyte function.
B. Increasing metabolism will allow the client to be able to eat whatever foods he wants as
long as he is exercising.
1
@THE STUDY VAULT
,C. Increasing metabolism improves the secretion of intracellular substances into the
extracellular spaces.
D. Increasing metabolism will improve the breakdown of carbohydrates, fats, and proteins to
provide energy for cell function.
CORRECT ANSWER
D
Question 3
A client has been exercising his arms repeatedly. Which statement by the nurse explains
the increase in the size of the arms?
A. "Your cells have atrophied in response to increased oxygen."
B. "Your cells have hypertrophied in response to increased workload."
C. "You have increased your number of cells due to increased oxygenation."
D. "You have caused the cells to clump together in response to exercise."
CORRECT ANSWER
B
Question 4
What can the nurse tell family members to best explain muscle atrophy of a family
member who has been in a persistent coma?
A. "Cell size has increased in response to immobility."
B. "Cells hypertrophy in response to disuse."
C. "Cell size decreases as workload declines."
D. "Cells need more oxygen the longer they are immobile."
CORRECT ANSWER
2
@THE STUDY VAULT
, C
Question 5
Which statement would a nurse tell a client to best describe apoptosis?
A. "Apoptosis describes increase in number of cells."
B. "Apoptosis occurs in irreversibly damaged cells."
C. "Apoptosis is an increase in the size of cells."
D. "Apoptosis is the natural removal of injured or worn out cells."
CORRECT ANSWER
D
Question 6
The student nurse is removing sutures on client after abdominal surgery, and the wound
begins to pull apart. The student asks the instructor, "Did I do something wrong?" The
instructor reviews wound healing and replies:
A. "Maybe the wound edges were not close enough together to allow epithelialization of the
wound to occur."
B. "Maybe the client was 'picking' at the wound and caused the edges to not be well-
approximated."
C. "Maybe you were a little rough when you pulled out the sutures."
D. "Maybe the sutures were left in too long and impeded healing."
CORRECT ANSWER
A
3
@THE STUDY VAULT
, Question 7
Following hip replacement surgery, the client has had many weeks of physical therapy.
Upon assessing the wound, it is still red and draining thick, green, odoriferous secretions.
The client has limited range-of-motion and is constantly reporting pain. The physician
explains that the hip device needs to be removed. Why is removal required?
A. A fragment of bone may be rubbing at the insertion site of the joint and keeping it
inflamed.
B. The body considers the hip replacement device a foreign body and an infection has
developed around the joint.
C. The device is impeding the supply of nutrients and oxygen to reach the inflamed area.
D. No amount of antibiotic therapy will be able to reach the area around the new joint and
kill the infection.
CORRECT ANSWER
B
Question 8
A nurse is assessing a client for the classic signs of acute inflammation. The nurse would
assess the client for:
A. Cyanosis, heat, and swelling
B. Paresthesias, redness, and coolness
C. Pain, pulselessness, and edema
D. Rubor, swelling, and pain
CORRECT ANSWER
D
Question 9
4
@THE STUDY VAULT
A client receives a phone call from her gynecologist's office nurse and is informed that her
Pap test results identified mild dysplasia. The best explanation for the nurse to provide
would be:
A. "Minor degrees of dysplasia are associated with chronic irritation or inflammation.
However, we will need to do additional diagnostic studies to confirm the diagnosis."
B. "You definitely have cancer."
C. "Do not be concerned; this is not abnormal."
D. "You need emergency treatment; please come in to the office today."
CORRECT ANSWER
A
Question 2
The nurse is educating about the importance of improving the metabolic process in a
client who has morbid obesity and is beginning a weight loss program with exercise. What
should the nurse inform the client about the importance of improving the metabolic rate?
A. Increasing metabolism improves the process by which cells engulf materials from their
surroundings to improve electrolyte function.
B. Increasing metabolism will allow the client to be able to eat whatever foods he wants as
long as he is exercising.
1
@THE STUDY VAULT
,C. Increasing metabolism improves the secretion of intracellular substances into the
extracellular spaces.
D. Increasing metabolism will improve the breakdown of carbohydrates, fats, and proteins to
provide energy for cell function.
CORRECT ANSWER
D
Question 3
A client has been exercising his arms repeatedly. Which statement by the nurse explains
the increase in the size of the arms?
A. "Your cells have atrophied in response to increased oxygen."
B. "Your cells have hypertrophied in response to increased workload."
C. "You have increased your number of cells due to increased oxygenation."
D. "You have caused the cells to clump together in response to exercise."
CORRECT ANSWER
B
Question 4
What can the nurse tell family members to best explain muscle atrophy of a family
member who has been in a persistent coma?
A. "Cell size has increased in response to immobility."
B. "Cells hypertrophy in response to disuse."
C. "Cell size decreases as workload declines."
D. "Cells need more oxygen the longer they are immobile."
CORRECT ANSWER
2
@THE STUDY VAULT
, C
Question 5
Which statement would a nurse tell a client to best describe apoptosis?
A. "Apoptosis describes increase in number of cells."
B. "Apoptosis occurs in irreversibly damaged cells."
C. "Apoptosis is an increase in the size of cells."
D. "Apoptosis is the natural removal of injured or worn out cells."
CORRECT ANSWER
D
Question 6
The student nurse is removing sutures on client after abdominal surgery, and the wound
begins to pull apart. The student asks the instructor, "Did I do something wrong?" The
instructor reviews wound healing and replies:
A. "Maybe the wound edges were not close enough together to allow epithelialization of the
wound to occur."
B. "Maybe the client was 'picking' at the wound and caused the edges to not be well-
approximated."
C. "Maybe you were a little rough when you pulled out the sutures."
D. "Maybe the sutures were left in too long and impeded healing."
CORRECT ANSWER
A
3
@THE STUDY VAULT
, Question 7
Following hip replacement surgery, the client has had many weeks of physical therapy.
Upon assessing the wound, it is still red and draining thick, green, odoriferous secretions.
The client has limited range-of-motion and is constantly reporting pain. The physician
explains that the hip device needs to be removed. Why is removal required?
A. A fragment of bone may be rubbing at the insertion site of the joint and keeping it
inflamed.
B. The body considers the hip replacement device a foreign body and an infection has
developed around the joint.
C. The device is impeding the supply of nutrients and oxygen to reach the inflamed area.
D. No amount of antibiotic therapy will be able to reach the area around the new joint and
kill the infection.
CORRECT ANSWER
B
Question 8
A nurse is assessing a client for the classic signs of acute inflammation. The nurse would
assess the client for:
A. Cyanosis, heat, and swelling
B. Paresthesias, redness, and coolness
C. Pain, pulselessness, and edema
D. Rubor, swelling, and pain
CORRECT ANSWER
D
Question 9
4
@THE STUDY VAULT
