,Porth’s Pathophysiology 10th Edition Norris Test Bank
ji ji ji ji ji ji
1. At an international nursing conference, many discussions and breakout sessions focused o
ji ji ji ji ji ji ji ji ji ji ji
n the World Health Organization (WHO) views on health. Of the following comments ma
ji ji ji ji ji ji ji ji ji ji ji ji ji
de by nurses during a discussion session, which statements would be considered a good re
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
presentation of the WHO definition? Select all that apply. ji ji ji ji ji ji ji ji
A) Interests in keeping the elderly population engaged in such activities as book re ji ji ji ji ji ji ji ji ji ji ji ji
views and word games during social time ji ji ji ji ji ji
B) Increase in the number of chair aerobics classes provided in the skilled care fa ji ji ji ji ji ji ji ji ji ji ji ji ji
cilities
C) Interventions geared toward keeping the elderly population diagnosed with diabete ji ji ji ji ji ji ji ji ji
s mellitus under tight blood glucose control by providing in-home cooking classes
ji ji ji ji ji ji ji ji ji ji ji
D) Providing transportation for renal dialysis patients to and from their hemodialysis se ji ji ji ji ji ji ji ji ji ji ji
ssions
E) Providing handwashing teaching sessions to a group of youngchildren A ji ji ji ji ji ji ji ji ji ji
ns: A, B, C, E ji ji ji ji
Feedback:
The WHO definition of health is defined as ―a state of complete physical, mental, and soci
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
al well- ji
being and not merely the absence of disease and infirmity.‖ Engaging in book reviews fac
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
ilitates mental and social well-being; chair aerobics helps facilitate physical well-
ji ji ji ji ji ji ji ji ji ji
being; and assisting with tight control of diabetes helps with facilitating physical well-
ji ji ji ji ji ji ji ji ji ji ji ji
being even though the person has a chronic disease. Handwashing is vital in the prevention
ji ji ji ji ji ji ji ji ji ji ji ji ji ji j
of disease and spread of germs.
i ji ji ji ji ji
2. A community health nurse is teaching a group of recent graduates about the large vari
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
ety of factors that influence an individual's health or lack thereof. The nurse is referrin
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
g to the Healthy People 2020 report from the U.S. Department of Health and Human Se
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
rvices as a teaching example. Of the following aspects discussed, which would be con
ji ji ji ji ji ji ji ji ji ji ji ji ji
sidered a determinant of health that is outside the focus of this report?
ji ji ji ji ji ji ji ji ji ji ji ji
A) The client has a diverse background by being of Asian and Native American des
ji ji ji ji ji ji ji ji ji ji ji ji ji
cent and practices various alternative therapies to minimize effects ofstress.
ji ji ji ji ji ji ji ji ji ji
B) The client has a family history of cardiovascular disease related to hyperchol
ji ji ji ji ji ji ji ji ji ji ji
esterolemia and remains noncompliant with the treatment regime. ji ji ji ji ji ji ji
C) The client has a good career with exceptional preventative health care benefits.
ji ji ji ji ji ji ji ji ji ji ji
D) The client lives in an affluent, clean, suburban community with access to many he
ji ji ji ji ji ji ji ji ji ji ji ji ji
alth care facilities. ji ji
Ans: B ji
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using alternati
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
ve therapies to minimize effects of stress); achieving health equity and promoting health f
ji ji ji ji ji ji ji ji ji ji ji ji ji
or all (which includes having good health care benefits); and promoting good health (whic
ji ji ji ji ji ji ji ji ji ji ji ji ji
h includes living in a clean community with good access to health care). A client's noncom
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
pliance with treatments to control high cholesterol levels within the presence of a family h
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
istory of CV disease does not meet the ―attaining lives free of preventable disease and pre
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
mature death‖ determinant. ji ji
,3. A physician is providing care for a number of patients on a medical unit of a large, univers
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
ity hospital. The physician is discussing with a colleague the differentiation between disea
ji ji ji ji ji ji ji ji ji ji ji ji
ses that are caused by abnormal molecules and diseases that cause disease. Which of the fol
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
lowing patients most clearly demonstrates the consequences of molecules that cause disea
ji ji ji ji ji ji ji ji ji ji ji
se?
A) A 31-year- ji
old woman with sickle cell anemia who is receiving a transfusion of packed red bl
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
ood cells ji
B) A 91-year- ji
old woman who has experienced an ischemic stroke resultingfrom familial hyp
ji ji ji ji ji ji ji ji ji ji ji
ercholesterolemia
C) A 19-year- ji
old man with exacerbation of his cystic fibrosis requiring oxygen therapy and
ji ji ji ji ji ji ji ji ji ji ji ji
chest physiotherapy ji
D) A 30-year- ji
old homeless man who has Pneumocystis carinii pneumonia (PCP) and is HIV positi
ji ji ji ji ji ji ji ji ji ji ji ji
ve.
Ans: D ji
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sickle cel
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
l anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of the effects
ji ji ji ji ji ji ji ji ji ji ji ji ji
of abnormal molecules.
ji ji
4. A member of the health care team is researching the etiology and pathogenesis of a num
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
ber of clients who are under his care in a hospital context. Which of the following aspects
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
of clients' situations bN
ji esUtR
chSaI
raN
ctGerTizBe.
s pCaOt hMo g e n e s i s rather than etiology?
ji ji ji ji ji ji ji
A) A client who has been exposed to the Mycobacterium tuberculosis bacterium
ji ji ji ji ji ji ji ji ji ji
B) A client who has increasing serum ammonia levels due to liver cirrhosis
ji ji ji ji ji ji ji ji ji ji ji
C) A client who was admitted with the effects of methyl alcohol poisoning
ji ji ji ji ji ji ji ji ji ji ji
D) A client with multiple skeletal injuries secondary to a motor vehicle accident A
ji ji ji ji ji ji ji ji ji ji ji ji
ns: B ji
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the incre
ji ji ji ji ji ji ji ji ji ji ji ji ji
asing ammonia levels that accompany liver disease. Bacteria, poisons, and traumatic injur
ji ji ji ji ji ji ji ji ji ji ji
ies are examples of etiologic factors.
ji ji ji ji ji
, 5. A new myocardial infarction patient requiring angioplasty and stent placement has arrive
ji ji ji ji ji ji ji ji ji ji ji
d to his first cardiac rehabilitation appointment. In this first session, a review of the pathog
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
enesis of coronary artery disease is addressed. Which statement by the patient verifies to th
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
e nurse that he has understood the nurse's teachings about coronary artery disease?
ji ji ji ji ji ji ji ji ji ji ji ji
A) ―All I have to do is stop smoking, and then I won't have any more heartattacks.‖
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
B) ―My artery was clogged by fat, so I will need to stop eating fatty foods like Fr
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
ench fries every day.‖ ji ji ji
C) ―Sounds like this began because of inflammation inside my artery that made it ea ji ji ji ji ji ji ji ji ji ji ji ji ji
sy to form fatty streaks, which lead to my clogged artery.‖
ji ji ji ji ji ji ji ji ji ji
D) ―If I do not exercise regularly to get my heart rate up, blood pools in the veins causi
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
ng a clot that stops blood flow to the muscle, and I will have a heart attack.‖
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
Ans: C ji
Feedback:
The true etiology/cause of coronary artery disease (CAD) is unknown; however, the path
ji ji ji ji ji ji ji ji ji ji ji ji
ogenesis of the disorder relates to the progression of the inflammatory process from a fatty
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
streak to the occlusive vessel lesion seen in people with coronary artery disease. Risk fact
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
ors for CAD revolve around cigarette smoking, diet high in fat, and lack of exercise.
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
6. A 77-year-
ji
old man is a hospital inpatient admitted for exacerbation of his chronic obstructive pulmo
ji ji ji ji ji ji ji ji ji ji ji ji ji
nary disease (COPD), and a respiratory therapist (RT) is assessing the client for the first ti
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
me. WhichNU ofRthSeIfN
ji olG
loTwBin.gCaO
spMects of the patient's current state of health would be best c ji ji ji ji ji ji ji ji ji ji ji
haracterized as a symptom rather than a sign? ji ji ji ji ji ji ji
A) The patient's oxygen saturation is 83% by pulse oxymetry.
ji ji ji ji ji ji ji ji
B) The patient notes that he has increased work of breathing when lying supine.
ji ji ji ji ji ji ji ji ji ji ji ji
C) The RT hears diminished breath sounds to the patient's lower lung fields bi
ji ji ji ji ji ji ji ji ji ji ji ji
laterally.
D) The patient's respiratory rate is 31 breaths/minute.
ji ji ji ji ji ji ji
Ans: B ji
Feedback:
Symptoms are subjective complaints by the person experiencing the health problem, s
ji ji ji ji ji ji ji ji ji ji ji
uch as complaints of breathing difficulty. Oxygen levels, listening to breath sounds, an
ji ji ji ji ji ji ji ji ji ji ji ji
d respiratory rate are all objective, observable signs of disease.
ji ji ji ji ji ji ji ji ji
ji ji ji ji ji ji
1. At an international nursing conference, many discussions and breakout sessions focused o
ji ji ji ji ji ji ji ji ji ji ji
n the World Health Organization (WHO) views on health. Of the following comments ma
ji ji ji ji ji ji ji ji ji ji ji ji ji
de by nurses during a discussion session, which statements would be considered a good re
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
presentation of the WHO definition? Select all that apply. ji ji ji ji ji ji ji ji
A) Interests in keeping the elderly population engaged in such activities as book re ji ji ji ji ji ji ji ji ji ji ji ji
views and word games during social time ji ji ji ji ji ji
B) Increase in the number of chair aerobics classes provided in the skilled care fa ji ji ji ji ji ji ji ji ji ji ji ji ji
cilities
C) Interventions geared toward keeping the elderly population diagnosed with diabete ji ji ji ji ji ji ji ji ji
s mellitus under tight blood glucose control by providing in-home cooking classes
ji ji ji ji ji ji ji ji ji ji ji
D) Providing transportation for renal dialysis patients to and from their hemodialysis se ji ji ji ji ji ji ji ji ji ji ji
ssions
E) Providing handwashing teaching sessions to a group of youngchildren A ji ji ji ji ji ji ji ji ji ji
ns: A, B, C, E ji ji ji ji
Feedback:
The WHO definition of health is defined as ―a state of complete physical, mental, and soci
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
al well- ji
being and not merely the absence of disease and infirmity.‖ Engaging in book reviews fac
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
ilitates mental and social well-being; chair aerobics helps facilitate physical well-
ji ji ji ji ji ji ji ji ji ji
being; and assisting with tight control of diabetes helps with facilitating physical well-
ji ji ji ji ji ji ji ji ji ji ji ji
being even though the person has a chronic disease. Handwashing is vital in the prevention
ji ji ji ji ji ji ji ji ji ji ji ji ji ji j
of disease and spread of germs.
i ji ji ji ji ji
2. A community health nurse is teaching a group of recent graduates about the large vari
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
ety of factors that influence an individual's health or lack thereof. The nurse is referrin
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
g to the Healthy People 2020 report from the U.S. Department of Health and Human Se
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
rvices as a teaching example. Of the following aspects discussed, which would be con
ji ji ji ji ji ji ji ji ji ji ji ji ji
sidered a determinant of health that is outside the focus of this report?
ji ji ji ji ji ji ji ji ji ji ji ji
A) The client has a diverse background by being of Asian and Native American des
ji ji ji ji ji ji ji ji ji ji ji ji ji
cent and practices various alternative therapies to minimize effects ofstress.
ji ji ji ji ji ji ji ji ji ji
B) The client has a family history of cardiovascular disease related to hyperchol
ji ji ji ji ji ji ji ji ji ji ji
esterolemia and remains noncompliant with the treatment regime. ji ji ji ji ji ji ji
C) The client has a good career with exceptional preventative health care benefits.
ji ji ji ji ji ji ji ji ji ji ji
D) The client lives in an affluent, clean, suburban community with access to many he
ji ji ji ji ji ji ji ji ji ji ji ji ji
alth care facilities. ji ji
Ans: B ji
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using alternati
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
ve therapies to minimize effects of stress); achieving health equity and promoting health f
ji ji ji ji ji ji ji ji ji ji ji ji ji
or all (which includes having good health care benefits); and promoting good health (whic
ji ji ji ji ji ji ji ji ji ji ji ji ji
h includes living in a clean community with good access to health care). A client's noncom
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
pliance with treatments to control high cholesterol levels within the presence of a family h
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
istory of CV disease does not meet the ―attaining lives free of preventable disease and pre
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
mature death‖ determinant. ji ji
,3. A physician is providing care for a number of patients on a medical unit of a large, univers
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
ity hospital. The physician is discussing with a colleague the differentiation between disea
ji ji ji ji ji ji ji ji ji ji ji ji
ses that are caused by abnormal molecules and diseases that cause disease. Which of the fol
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
lowing patients most clearly demonstrates the consequences of molecules that cause disea
ji ji ji ji ji ji ji ji ji ji ji
se?
A) A 31-year- ji
old woman with sickle cell anemia who is receiving a transfusion of packed red bl
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
ood cells ji
B) A 91-year- ji
old woman who has experienced an ischemic stroke resultingfrom familial hyp
ji ji ji ji ji ji ji ji ji ji ji
ercholesterolemia
C) A 19-year- ji
old man with exacerbation of his cystic fibrosis requiring oxygen therapy and
ji ji ji ji ji ji ji ji ji ji ji ji
chest physiotherapy ji
D) A 30-year- ji
old homeless man who has Pneumocystis carinii pneumonia (PCP) and is HIV positi
ji ji ji ji ji ji ji ji ji ji ji ji
ve.
Ans: D ji
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sickle cel
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
l anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of the effects
ji ji ji ji ji ji ji ji ji ji ji ji ji
of abnormal molecules.
ji ji
4. A member of the health care team is researching the etiology and pathogenesis of a num
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
ber of clients who are under his care in a hospital context. Which of the following aspects
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
of clients' situations bN
ji esUtR
chSaI
raN
ctGerTizBe.
s pCaOt hMo g e n e s i s rather than etiology?
ji ji ji ji ji ji ji
A) A client who has been exposed to the Mycobacterium tuberculosis bacterium
ji ji ji ji ji ji ji ji ji ji
B) A client who has increasing serum ammonia levels due to liver cirrhosis
ji ji ji ji ji ji ji ji ji ji ji
C) A client who was admitted with the effects of methyl alcohol poisoning
ji ji ji ji ji ji ji ji ji ji ji
D) A client with multiple skeletal injuries secondary to a motor vehicle accident A
ji ji ji ji ji ji ji ji ji ji ji ji
ns: B ji
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the incre
ji ji ji ji ji ji ji ji ji ji ji ji ji
asing ammonia levels that accompany liver disease. Bacteria, poisons, and traumatic injur
ji ji ji ji ji ji ji ji ji ji ji
ies are examples of etiologic factors.
ji ji ji ji ji
, 5. A new myocardial infarction patient requiring angioplasty and stent placement has arrive
ji ji ji ji ji ji ji ji ji ji ji
d to his first cardiac rehabilitation appointment. In this first session, a review of the pathog
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
enesis of coronary artery disease is addressed. Which statement by the patient verifies to th
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
e nurse that he has understood the nurse's teachings about coronary artery disease?
ji ji ji ji ji ji ji ji ji ji ji ji
A) ―All I have to do is stop smoking, and then I won't have any more heartattacks.‖
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
B) ―My artery was clogged by fat, so I will need to stop eating fatty foods like Fr
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
ench fries every day.‖ ji ji ji
C) ―Sounds like this began because of inflammation inside my artery that made it ea ji ji ji ji ji ji ji ji ji ji ji ji ji
sy to form fatty streaks, which lead to my clogged artery.‖
ji ji ji ji ji ji ji ji ji ji
D) ―If I do not exercise regularly to get my heart rate up, blood pools in the veins causi
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
ng a clot that stops blood flow to the muscle, and I will have a heart attack.‖
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
Ans: C ji
Feedback:
The true etiology/cause of coronary artery disease (CAD) is unknown; however, the path
ji ji ji ji ji ji ji ji ji ji ji ji
ogenesis of the disorder relates to the progression of the inflammatory process from a fatty
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
streak to the occlusive vessel lesion seen in people with coronary artery disease. Risk fact
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
ors for CAD revolve around cigarette smoking, diet high in fat, and lack of exercise.
ji ji ji ji ji ji ji ji ji ji ji ji ji ji
6. A 77-year-
ji
old man is a hospital inpatient admitted for exacerbation of his chronic obstructive pulmo
ji ji ji ji ji ji ji ji ji ji ji ji ji
nary disease (COPD), and a respiratory therapist (RT) is assessing the client for the first ti
ji ji ji ji ji ji ji ji ji ji ji ji ji ji ji
me. WhichNU ofRthSeIfN
ji olG
loTwBin.gCaO
spMects of the patient's current state of health would be best c ji ji ji ji ji ji ji ji ji ji ji
haracterized as a symptom rather than a sign? ji ji ji ji ji ji ji
A) The patient's oxygen saturation is 83% by pulse oxymetry.
ji ji ji ji ji ji ji ji
B) The patient notes that he has increased work of breathing when lying supine.
ji ji ji ji ji ji ji ji ji ji ji ji
C) The RT hears diminished breath sounds to the patient's lower lung fields bi
ji ji ji ji ji ji ji ji ji ji ji ji
laterally.
D) The patient's respiratory rate is 31 breaths/minute.
ji ji ji ji ji ji ji
Ans: B ji
Feedback:
Symptoms are subjective complaints by the person experiencing the health problem, s
ji ji ji ji ji ji ji ji ji ji ji
uch as complaints of breathing difficulty. Oxygen levels, listening to breath sounds, an
ji ji ji ji ji ji ji ji ji ji ji ji
d respiratory rate are all objective, observable signs of disease.
ji ji ji ji ji ji ji ji ji
