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Christensen & Kockrow: Adult Health Nursing, 5th Edition Test Bank
TABLE OF CONTENT
1. Introduction to anatomy and physiology
2. Care of the surgical patient
3. Care of the patient with an integumentary disorder
4. Care of the patient with a Musculoskeletal disorder
5.Care of the patient with a gastrointestinal disorder
6. Care of the patient with a gallbladder, liver, biliary tract or exocrine pancreatic disorder
8. Care of the patient with a cardiovascular or peripheral vascular disorder
9. Care of the patient with a respiratory disorder
10. Care of the patient with a urinary disorder
11. Care of the patient with an endocrine disorder
12. Care of the patient with a reproductive disorder
13. Care of the patient with a visual or auditory disorder
14. Care of the patient with a neurological disorder
15. Care of the patient with an Immune disorder
16. Care of the patient with HIV/AIDS
17. Care of the patient with Cancer
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Chapter 1: Introduction to Anatomy and Physiology
MULTIPLE CHOICE
1. The anatomic term ____ means toward the midline.
a. anterior
b. posterior
c. medial
d. cranial
ANS: C
The term medial indicates an anatomic direction toward the midline.
DIF: Cognitive Level: Knowledge REF: Page 1 OBJ: 2
TOP: Anatomic terminology KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
2. What are the smallest living components in our body?
a. Cells
b. Organs
c. Electrons
d. Osmosis
ANS: A
Cells are considered to be the smallest living units of structure and function in our body.
DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 6
TOP: Structural levels of organization KEY: Nursing Process Step: N/A
MSC: NCLEX: Physiological Integrity
3. What is the largest organelle, responsible for cell reproduction and control of other organelles?
a. Nucleus
b. Ribosome
c. Mitochondrion
d. Golgi apparatus
ANS: A
The nucleus is the largest organelle within the cell.
DIF: Cognitive Level: Knowledge REF: Page 5 OBJ: 8
TOP: Parts of the cell KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
4. When the patient complains of pain in the bladder, the patient will indicate discomfort in
which body cavity?
a.Pelvic
b.Mediastinum
c.Dorsal
d.Abdominal
ANS: A
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A subdivision called the pelvic cavity contains the lower portion of the large intestine (lower
sigmoid colon, rectum), urinary bladder, and internal structures of the reproductive system.
DIF: Cognitive Level: Comprehension REF: Page 3, Figure 1-4
OBJ: 5 TOP: Body cavity KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
5. The four phases of cell division all occur in:
a. diffusion.
b. mitosis.
c. osmosis.
d. filtration.
ANS: B
During mitosis, the cell goes through four phases: prophase, metaphase, anaphase, and
telophase.
DIF: Cognitive Level: Knowledge REF: Page 7 OBJ: 9
TOP: Cell division KEY: Nursing Process Step: N/A
MSC: NCLEX: Physiological Integrity
6. Telophase is which phase of cell reproduction during mitosis?
a. First phase
b. Latent phase
c. Final phase
d. Spindle phase
ANS: C
During mitosis, the cell goes through four phases: prophase, metaphase, anaphase, and
telophase.
DIF: Cognitive Level: Knowledge REF: Page 7 OBJ: 9
TOP: Cell division KEY: Nursing Process Step: N/A
MSC: NCLEX: Physiological Integrity
7. The nurse is aware that which muscle group is both striated and involuntary?
a. Skeletal
b. Glial
c. Cardiac
d. Visceral
ANS: C
The cardiac muscle is both striated and involuntary.
DIF: Cognitive Level: Knowledge REF: Page 9-10, Figure 1-12
OBJ: 11 TOP: Tissues KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity
8. What is a group of several different kinds of tissues arranged so that together they can perform
a more complex function than any tissue alone?
a. Organ
b. System
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c. Cell
d. Endoplasmic reticulum
ANS: A
When several kinds of tissues are united to perform a more complex function than any tissue
alone, they are called organs.
DIF: Cognitive Level: Knowledge REF: Page 11 OBJ: 7
TOP: Organs KEY: Nursing Process Step: N/A
MSC: NCLEX: Physiological Integrity
9. What traits describe visceral muscles?
a. Smooth and voluntary
b. Smooth and involuntary
c. Striated and voluntary
d. Striated and involuntary
ANS: B
Visceral (smooth) muscles will not function at will; thus, they act involuntarily.
DIF: Cognitive Level: Knowledge REF: Page 9, Figure 1-12
OBJ: 7 TOP: Tissues KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
10. How are the thoracic and abdominal cavities separated?
a. By the pleura
b. By the diaphragm
c. By the sagittal plane
d. By the peritoneum
ANS: B
The diaphragm (a muscle directly beneath the lungs) separates the ventral cavity into the
thoracic (chest) and abdominal cavities.
DIF: Cognitive Level: Knowledge REF: Page 10, Figure 1-3
OBJ: 3 TOP: Ventral cavity
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
11. What is the broad section of biology dealing with the description of human structure?
a. Hematology
b. Anatomy
c. Kinesiology
d. Physiology
ANS: B
Anatomy is the study, classification, and description of the structure and organs of the body.
DIF: Cognitive Level: Knowledge REF: Page 1 OBJ: 1
TOP: Terminology KEY: Nursing Process Step: N/A
MSC: NCLEX: Physiological Integrity
12. ____ explains the processes and functions of many structures of the body and how they
interact with one another.
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a. Anatomy
b. Mitosis
c. Filtration
d. Physiology
ANS: D
Physiology explains the processes and functions of the various structures and how they
interrelate with one another.
DIF: Cognitive Level: Knowledge REF: Page 1 OBJ: 1
TOP: Terminology KEY: Nursing Process Step: N/A
MSC: NCLEX: Physiological Integrity
13. The anatomic structure that is not in the thoracic cavity is/are the _____.
a. Heart
b. Lungs
c. Blood vessels
d. Transverse colon
ANS: D
The transverse colon is located in the abdominal cavity.
DIF: Cognitive Level: Comprehension REF: Page 2, Figure 1-3
OBJ: 5 TOP: Thoracic cavity
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
14. When several organs and parts are grouped together for certain functions, they form:
a. tissues.
b. systems.
c. cells.
d. membranes.
ANS: B
A system is an organization of varying numbers and kinds of organs arranged so that together
they can perform complex functions for the body.
DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 7
TOP: Systems KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
15. What are the distinct surface proteins of the plasma membrane essential in determining?
a. Tissue typing
b. Blood count
c. Effectiveness of a drug
d. Sexual maturity
ANS: A
The plasma membrane has distinct surface proteins as coming from one individual. This is
the basis for the procedure of tissue typing to determine compatibility before an organ
transplant.
DIF: Cognitive Level: Comprehension REF: Page 5 OBJ: 12
TOP: Cells KEY: Nursing Process Step: Assessment
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MSC: NCLEX: Physiological Integrity
16. In anatomic terminology, posterior means toward the:
a. tail.
b. head.
c. back.
d. trunk.
ANS: C
The posterior is toward the back.
DIF: Cognitive Level: Knowledge REF: Page 1 OBJ: 2
TOP: Anatomic terminology KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
17. What does the transverse body plane divide?
a. The front and back (coronal) of the body
b. The body lengthwise (two equal halves)
c. The superior and inferior portions of the body
d. The body into axial and appendicular
ANS: C
The transverse plane cuts the body horizontally into the sagittal and the frontal planes,
dividing the body into caudal and cranial portions.
DIF: Cognitive Level: Knowledge REF: Page 2, Figure 1-2
OBJ: 3 TOP: Body planes KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
18. Caudal is defined as toward the ____.
a. head
b. feet
c. tail
d. chest
ANS: C
Caudal is a directional word that indicates toward the “tail,” the distal portion of the spine.
DIF: Cognitive Level: Knowledge REF: Page 1 OBJ: 3
TOP: Anatomic terminology KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
19. What is the term for movement of water from an area of lower solute concentration to an area
of higher solute concentration?
a. Absorption
b. Filtration
c. Diffusion
d. Osmosis
ANS: D
Osmosis is the passage of water from less concentrated solution to more concentrated
solution.
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DIF: Cognitive Level: Knowledge REF: Page 8, Table 1-4
OBJ: 10 TOP: Transport processes
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
20. What is the type of tissue composed of cells that contract in response to a message from the
brain or spinal cord?
a. Epithelial
b. Connective
c. Membrane
d. Muscle
ANS: D
Muscle tissue is composed of cells that contract in response to a message from the brain or
spinal cord.
DIF: Cognitive Level: Knowledge REF: Page 9 OBJ: 7
TOP: Tissues KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
21. What is the type of tissue associated with the storage of fat?
a. Areolar tissue
b. Adipose tissue
c. Osseous tissue
d. Muscle tissue
ANS: B
Adipose tissue is associated with the important function of storing fat.
DIF: Cognitive Level: Knowledge REF: Page 9-10, Table 1-5
OBJ: 11 TOP: Tissues KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
22. What are the thin sheets of tissue that lubricate and line the body surfaces that open to the
outside environment?
a. Mucous membranes
b. Serous membranes
c. Cytoplasm
d. Involuntary visceral muscles
ANS: A
Mucous membranes secrete mucus. They line the body surfaces that open to the outside
environment.
DIF: Cognitive Level: Knowledge REF: Page 11 OBJ: 7
TOP: Tissues KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
23. What is the process by which a cell digests a foreign material by surrounding it?
a. Pinocytosis
b. Phagocytosis
c. Absorption
d. Diffusion
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ANS: B
Phagocytosis is the process that permits a cell to engulf or surround any foreign material and
digest it.
DIF: Cognitive Level: Knowledge REF: Pages 7-8, Table 1-3
OBJ: 10 TOP: Active transport processes
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
24. Active transport in the movement of ions and other water-soluble particles across cell
membranes requires that the body uses its::
a.rapid filtration.
b.charged diffusion.
c.a chemical pump.
d.osmosis.
ANS: C
Active transport of ions and other water-soluble particles of the cell membrane require a
chemical pump, such as insulin, to move glucose into the cell.
DIF: Cognitive Level: Comprehension REF: Page 8, Table 1-4
OBJ: 10 TOP: Active transport processes
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
25. What is the term for the passage of water containing dissolved materials through a membrane
as the result of a greater mechanical force on one side?
a. Metabolism
b. Mitosis
c. Filtration
d. Osmosis
ANS: C
Filtration is the movement of water and particles through a membrane by a force from either
pressure or gravity.
DIF: Cognitive Level: Knowledge REF: Page 8, Table 1-4
OBJ: 10 TOP: Passive transport processes
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
26. The nurse is aware that when a patient complains of pain in the epigastric region, the source of
the pain is most likely to be a disorder involving the:
a. gallbladder.
b. transverse colon.
c. stomach.
d. appendix.
ANS: C
The epigastric region of the abdomen is comprised of parts of the right and left lobes of the
liver and a large portion of the stomach.
DIF: Cognitive Level: Comprehension REF: Page 3, Figure 1-4
OBJ: 5 TOP: Epigastric region
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
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27. What are tissues that cover the outside of the body and some internal structures?
a. Connective
b. Epithelial
c. Nerve
d. Muscle
ANS: B
Epithelial tissue covers the outside of the body and some of the internal structures.
DIF: Cognitive Level: Knowledge REF: Page 9 OBJ: 7
TOP: Tissues KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
28. When the nurse assesses an arm in proximal to distal order, the assessment is performed from:
a. the shoulder to the fingers.
b. front to back.
c. fingers to the center of the body.
d. center of the body to the fingers.
ANS: A
Proximal is nearest the origin of the structure. Distal is farthest from the origin of the
structure.
DIF: Cognitive Level: Comprehension REF: Page 2 OBJ: 3
TOP: Anatomic terminology KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
29. What is the function of epithelial membranes?
a. Secretes mucus, lines ends of bones, and lines bursae
b. Lines ends of bones, secretes synovial fluid, and lines internal surfaces of organs
c. Covers the wall of lower digestive tract, secretes mucus, and lines lungs,
peritoneum, and pericardium
d. Lines lungs, peritoneum, and pericardium, and secretes synovial fluid
ANS: C
The epithelial membrane secretes mucus, lines the lungs, peritoneum, and pericardium, and
covers the wall of the lower digestive tract. The synovial membrane secretes synovial fluid to
prevent friction between joints and the ends of bones, and lines the bursae found between
moving body parts.
DIF: Cognitive Level: Knowledge REF: Page 11 OBJ: 7
TOP: Tissues KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
30. The nurse explains that pinocytosis is a process by which cells:
a. divide.
b. take in extracellular fluid.
c. use a chemical pump.
d. convert mitochondria.
ANS: B
