, TEST4BANK4FOR4PORTH'S4PATHOPHYSIOLOGY410TH4EDITION4BY4NORRIS
Porth’s Pathophysiology 10th Edition Norris Test Bank
4 4 4 4 4 4
1. At4an4international4nursing4conference,4many4discussions4and4breakout4sessions4focusedo
4n4the4World4Health4Organization4(WHO)4views4on4health.4Of4the4following4commentsm
a4de4by4nurses4during4a4discussionssession,4which4statements4would4be4considered4a4good
4r4epresentation4of4the4WHO4definition? 4Select4all4that4apply.
A) Interests4in4keeping4theselderly4population4engaged4in4such4activities4as4bookr
4eviews4and4word4games4during4social4time
B) Increase4in4the4number4of4chairsaerobics4classes4providedsin4the4skilledscaref
4acilities
C) Interventions4geared4toward4keeping4the4elderly4population4diagnosed4with4diabete
4s4mellitus4under4tight4blood4glucosescontrol4by4providing4in-
home4cookingsclasses
D) Providingstransportation4for4renal4dialysis4patients4to4and4from4their4hemodialysiss
4essions
E) Providingshandwashing4teaching4sessions4to4a4group4of4young4children
4Ans:4A,4B,4C,4E
Feedback:
The4WHO4definition4of4health4is4defined4as4“a4state4of4complete4physical,4mental,4and4soc
4ial4well-
being4and4not4merely4the4absence4of4disease4and4infirmity.”4Engaging4in4book4reviews4fa4
cilitates4mental4and4social4well-being;4chair4aerobics4helps4facilitate4physical4well-
4being;4and4assistingswith4tight4control4of4diabetes4helps4with4facilitatingsphysical4well-
4being4even4though4the4person4has4a4chronic4disease.4Handwashing4is4vitalin4thespreventio
4n4of4disease4and4spreadsof4germs.
2. A4community4health4nurse4is4teaching4a4group4of4recent4graduates4about4the4large4vari
4ety4of4factors4that4influence4an4individual's4healthsor4lack4thereof.4Thesnurse4is4referr
i4ng4to4the4Healthy4People42020sreport4from4the4U.S.4Department4of4Health4andHuma
n4Services4as4a4teaching4example.4Of4the4following4aspects4discussed,4which4would4b
e4c4onsidered4a4determinant4of4health4that4is4outside4the4focus4of4this4report?
A) The4client4has4a4diverse4background4by4being4of4Asian4and4Native4American4des
4cent4and4practices4various4alternative4therapies4to4minimize4effects4of4stress.
B) The4client4has4a4family4history4of4cardiovascular4disease4related4to4hyperchol
4esterolemia4and4remains4noncompliantswith4the4treatment4regime.
C) The4client4has4asgood4careerswith4exceptional4preventative4health4care4benefits.
D) The4client4lives4in4an4affluent,4clean,4suburban4community4with4access4tosmanyh
4ealthscare4facilities.
Ans:4B
Feedback:
In4Healthy4People42020,4the4focus4is4to4promote4goodshealth4to4all4(such4as4using4alternati
4ve4therapies4to4minimize4effects4of4stress);4achieving4health4equity4and4promoting4health4
f4or4all4(which4includes4having4good4health4caresbenefits);4and4promoting4good4health4(w
hi4ch4includes4living4insa4clean4community4with4good4access4tohealthscare).4A4client's4non
co4mpliance4with4treatments4to4control4high4cholesterol4levelswithin4the4presence4of4a4fam
ily4history4of4CV4disease4does4not4meet4the4“attaining4lives4free4of4preventable4disease4an
dspr4emature4death”4determinant.
, TEST4BANK4FOR4PORTH'S4PATHOPHYSIOLOGY410TH4EDITION4BY4NORRIS
3. A4physician4is4providing4care4for4a4number4of4patients4on4a4medical4unit4of4a4large,4univers
4ity4hospital.4The4physician4is4discussing4with4a4colleague4the4differentiation4between4dise
a4ses4that4are4caused4by4abnormal4molecules4and4diseases4that4cause4disease.Which4of4the4
fo4llowing4patients4most4clearly4demonstrates4the4consequences4of4molecules4that4cause4d
ise4ase?
A) A431-year-
old4woman4with4sickle4cell4anemia4who4is4receiving4a4transfusion4ofpacked4red4b
4lood4cells
B) A491-year-
old4woman4who4has4experienced4an4ischemic4stroke4resulting4fromfamilial4hyp
4ercholesterolemia
C) A419-year-
old4man4with4exacerbation4of4his4cystic4fibrosis4requiring4oxygentherapy4and
4chest4physiotherapy
D) A430-year-
old4homeless4manswho4has4Pneumocystis4carinii4pneumonia4(PCP)4andis4HIV4posit
4ive.
Ans:4D
Feedback:
PCP4is4an4example4of4the4effect4of4a4molecule4that4directly4contributes4to4disease.4Sicklece
4ll4anemia,4familial4hypercholesterolemia,4and4cystic4fibrosis4are4all4examples4of4the4effec
t4s4of4abnormal4molecules.
4. A4membersof4the4health4care4team4is4researching4the4etiology4and4pathogenesis4of4a4num
4ber4of4clients4who4are4under4his4care4in4a4hospital4context.4Which4of4the4followingaspec
t4s4of4clients'4situations4bN
esUt R
chSaI
raN
ctGerTizBe.
ssC
paOthMogenesis4rathersthan4etiology?
A) A4clientswho4has4been4exposed4to4the4Mycobacterium4tuberculosis4bacterium
B) A4clientswho4has4increasing4serum4ammonia4levels4due4to4liver4cirrhosis
C) A4clientswho4was4admitted4with4the4effects4of4methyl4alcohol4poisoning
D) A4client4withsmultiple4skeletal4injuries4secondary4to4a4motor4vehicle4accident
4Ans:4B
Feedback:
Pathogenesis4refers4to4the4progressive4and4evolutionary4course4of4disease,4such4as4thei4
ncreasing4ammonia4levels4that4accompany4liver4disease.4Bacteria,4poisons,4and4trauma4t
ic4injuries4are4examples4of4etiologicsfactors.
, TEST4BANK4FOR4PORTH'S4PATHOPHYSIOLOGY410TH4EDITION4BY4NORRIS
5. A4new4myocardial4infarction4patient4requiring4angioplasty4and4stent4placement4has4arrive
4d4to4his4first4cardiac4rehabilitation4appointment.4In4this4first4session,4a4review4of4the4path
o4genesis4of4coronary4artery4disease4is4addressed.4Which4statement4by4the4patientverifies4
to4the4nurse4that4he4has4understood4the4nurse's4teachings4about4coronary4artery4disease?
A) “All4I4have4to4do4is4stop4smoking,4and4then4I4won't4have4any4more4heart4attacks.”
B) “My4artery4was4cloggedsby4fat,4sosI4will4need4to4stop4eatingsfatty4foods4likeFr
4ench4fries4every4day.”
C) “Sounds4like4this4began4because4of4inflammation4insidesmy4artery4that4made4ite
4asy4to4form4fatty4streaks,4which4lead4to4my4clogged4artery.”
D) “If4I4do4not4exercise4regularly4to4get4my4heart4rate4up,4blood4pools4in4the4veins4caus
4ingsa4clot4that4stops4blood4flow4to4the4muscle,4and4Iswill4have4a4heart4attack.”
Ans:4C
Feedback:
The4true4etiology/cause4of4coronary4artery4disease4(CAD)4is4unknown;4however,4the4path
4ogenesis4of4the4disorder4relates4to4the4progression4of4the4inflammatory4process4froma4fat
t4y4streak4to4the4occlusive4vessel4lesion4seen4in4people4with4coronary4artery4disease.4Risk4f
a4ctors4for4CAD4revolve4aroundscigarette4smoking,4diet4high4in4fat,4and4lack4of4exercise.
6. A477-year-
old4man4is4a4hospital4inpatient4admitted4for4exacerbation4of4his4chronic4obstructive4pulmo
4nary4disease4(COPD),4and4a4respiratory4therapist4(RT)4is4assessingstheclient4for4the4first4t
i4me.4WhichNU ofRthSeIfN
olG
loTwBin.gCaO
spMects4 of4the4patient's4current4state4of4health4wouldsbe4best4
c4haracterized4as4a4symptom4rather4than4a4sign?
A) The4patient's4oxygen4saturation4is483%4by4pulse4oxymetry.
B) The4patient4notes4that4he4has4increased4work4of4breathing4when4lying4supine.
C) The4RT4hears4diminished4breath4sounds4to4the4patient's4lower4lung4fieldsb
4ilaterally.
D) The4patient's4respiratory4rate4is4314breaths/minute.
4Ans:4B
Feedback:
Symptoms4are4subjective4complaints4by4the4person4experiencing4the4health4problem,s
4uch4as4complaints4of4breathing4difficulty.4Oxygen4levels,4listening4to4breath4sounds,a
n4d4respiratory4rate4are4all4objective,4observable4signs4of4disease.
