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Bachelor of Science in Nursing Exam Practice Tests - 1199 Verified Questions

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Bachelor of Science in Nursing Exam Practice Tests

Course Introduction

The Bachelor of Science in Nursing (BSN) program equips students with the theoretical knowledge, practical skills, and clinical experience necessary to excel in the nursing profession. The curriculum covers fundamental and advanced topics such as anatomy and physiology, pharmacology, patient care, health assessment, evidence-based practice, and leadership in nursing. Through classroom instruction, laboratory training, and supervised clinical placements in diverse healthcare settings, students develop competencies in caring for individuals, families, and communities across the lifespan. Emphasis is placed on critical thinking, ethical decision-making, and effective communication, preparing graduates to sit for the licensure examination and pursue careers as registered nurses in various medical environments.

Recommended Textbook

Pathophysiology 6th Edition by Jacquelyn L. Banasik

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54 Chapters

1199 Verified Questions

1199 Flashcards

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Chapter 1: Introduction to Pathophysiology

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Sample Questions

Q1) A disease that is native to a particular region is called A) epidemic.

B) endemic.

C) pandemic.

D) ethnographic.

Answer: B

Q2) After suffering a heart attack,a middle-aged man is counseled to take a cholesterol-lowering medication.This is an example of

A) primary prevention.

B) secondary prevention.

C) tertiary prevention.

D) disease treatment.

Answer: C

Q3) In general,with aging,organ size and function

A) increase.

B) decrease.

C) remain the same.

D) are unknown.

Answer: B

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Page 3

Chapter 2: Homeostasis, Allostasis, and Adaptive

Responses to Stressors

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Sample Questions

Q1) The effects of excessive cortisol production include

A) immune suppression.

B) hypoglycemia.

C) anorexia.

D) inflammatory reactions.

Answer: A

Q2) Allostasis is best defined as

A) steady-state.

B) a state of equilibrium, of balance within the organism.

C) the process by which the body heals following disease.

D) the overall process of adaptive change necessary to maintain survival and well-being.

Answer: D

Q3) Which is not normally secreted in response to stress?

A) Norepinephrine

B) Cortisol

C) Epinephrine

D) Insulin

Answer: D

Page 4

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Chapter 3: Cell Structure and Function

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Sample Questions

Q1) The cardiac drug digitalis enhances myocardial contraction,because it

A) increases intracellular calcium level in cardiac cells.

B) inhibits sodium from entering cardiac cells.

C) enhances the sodium-potassium pump.

D) increases the sodium gradient across the cell membrane.

Answer: A

Q2) Glycolysis is the metabolic process of breaking down a glucose molecule to form

A) CO and H O.

B) 2 ATP and 2 pyruvate.

C) 30 ATP.

D) oxygen.

Answer: B

Q3) Ion channels open and close in response to all the following except A) mechanical pressure.

B) ligand binding.

C) voltage changes.

D) temperature changes.

Answer: D

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Chapter 4: Cell Injury, Aging, and Death

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Sample Questions

Q1) Infectious injury often results from (Select all that apply.)

A) exotoxins.

B) endotoxins.

C) self-destruction of cells.

D) anti-inflammatory reactions.

E) enzymes from white blood cells.

Q2) An increase in organ size and function caused by increased workload is termed A) atrophy.

B) hypertrophy.

C) metaplasia

D) inflammation.

Q3) The primary effect of aging on all body systems is

A) decreased functional reserve.

B) diseased function.

C) programmed senescence.

D) senility.

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Chapter 5: Genome Structure, Regulation, and Tissue

Differentiation

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Sample Questions

Q1) In DNA replication DNA polymerase functions to (Select all that apply.)

A) pry DNA apart.

B) unwind and separate the DNA strands.

C) prevent tangling of DNA strands as they unwind.

D) match appropriate bases to the template base.

E) proofread the newly developed DNA for errors in base pairing.

Q2) The differences in structure and function of cells in different body tissues are resulting from

A) gene differences in tissue cells.

B) expression of tissue-specific genes.

C) transcriptional controls.

D) translation of amino acids to proteins.

Q3) An important difference between skeletal and cardiac muscle is that A) cardiac muscle is not striated.

B) only skeletal muscle is dependent upon actin-myosin cross-bridging.

C) calcium does not leave the sarcoplasmic reticulum in cardiac cells.

D) cardiac muscle has calcium channels on the cell surface for calcium entry.

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Chapter 6: Genetic and Developmental Disorders

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Sample Questions

Q1) Characteristics of X-linked (sex-linked)recessive disorders include

A) all daughters of affected fathers' being carriers.

B) boys' and girls' being equally affected.

C) the son of a carrier female's having a 25% chance of being affected.

D) affected fathers' transmitting the gene to all their sons.

Q2) A point mutation

A) results from the addition or loss of one or more bases.

B) is because of the translocation of a chromosomal segment.

C) always produces significant dysfunction.

D) involves the substitution of a single base pair.

Q3) Huntington disease primarily affects the _____ system.

A) neurologic

B) muscular

C) gastrointestinal

D) endocrine

Q4) Cystic fibrosis is a single-gene disorder that primarily affects

A) brain and heart.

B) kidney and adrenals.

C) lungs and pancreas.

D) liver and intestine.

Page 8

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Chapter 7: Neoplasia

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Sample Questions

Q1) Retroviruses are associated with human cancers,including A) Burkitt lymphoma.

B) Hodgkin's lymphoma.

C) pancreatic cancer.

D) hepatic cancer.

Q2) Your patient is scheduled for a staging procedure.She wants to know what that means.The correct response is which of the following?

A) It is a procedure for determining the extent of tumor spread.

B) It is a histologic examination of tissues to determine the degree of tumor differentiation.

C) It is based on exploratory surgery.

D) It is biochemical testing of tumor cells to determine the genetic basis of the tumor.

Q3) Tumor markers (Select all that apply.)

A) are found only in the blood.

B) are produced by normal cells.

C) help determine cancer origin.

D) help identify progression of cancer.

E) include prostatic-specific antigen.

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Chapter 8: Infectious Processes

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Sample Questions

Q1) Immune function is likely to be most effective in a A) newborn.

B) 7-month-old infant.

C) 30-year-old.

D) 70-year-old.

Q2) An infectious disease that is common in a community is termed A) endemic.

B) epidemic.

C) pandemic.

D) partdemic.

Q3) Dietary zinc is an important defense against infection,because it maintains (Select all that apply.)

A) natural killer cell function.

B) lymphocyte activity.

C) antioxidant activity.

D) neutrophil activity.

E) complement activity.

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Chapter 9: Inflammation and Immunity

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Sample Questions

Q1) The primary function of eosinophils is to

A) kill parasitic helminths (worms).

B) kill bacteria.

C) stop viral replication.

D) phagocytize fungi.

Q2) Functions of T cells include (Select all that apply.)

A) synthesizing antibodies.

B) secreting cytokines.

C) killing antigen-presenting cells.

D) stimulating of B cells.

E) killing virally infected cells.

Q3) Active immunity involves (Select all that apply.)

A) injection of preformed human antibodies.

B) injection of human immune globulin.

C) injection with preformed animal antibodies.

D) vaccines with dead or altered organisms.

E) active infections.

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Chapter 10: Alterations in Immune Function

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Sample Questions

Q1) The most common primary immune deficiency that affects only B cells is A) DiGeorge.

B) Bruton agammaglobulinemia.

C) Wiskott-Aldrich.

D) selective IgA.

Q2) The principle Ig mediator of type I hypersensitivity reactions is

A) IgA.

B) IgG.

C) IgM.

D) IgE.

Q3) Patients with immunodeficiency disorders are usually first identified because they A) run high fevers.

B) have unusually high WBC counts.

C) develop brain infections.

D) develop recurrent infections.

Q4) Seasonal allergic rhinitis is most involved in type II hypersensitivity reactions.

A)True

B)False

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Chapter 11: Malignant Disorders of White Blood Cells

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Sample Questions

Q1) A patient is diagnosed with CML (chronic myeloid leukemia).The patient may experience which of these symptoms? (Select all that apply.)

A) Fatigue

B) Weight loss

C) Abdominal discomfort

D) Joint pain

E) Sweats

Q2) A patient is diagnosed with stage IIA Hodgkin disease.This patient's clinical stage was most likely determined by (Select all that apply.)

A) patient history.

B) lymph node biopsy.

C) laparotomy results.

D) CT scan.

E) physical examination.

Q3) Which type of leukemia primarily affects children?

A) ALL (acute lymphoid leukemia)

B) CLL (chronic lymphoid leukemia)

C) AML (acute myeloid leukemia)

D) CML (chronic myeloid leukemia)

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Page 13

Chapter 12: HIV Disease and Aids

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Sample Questions

Q1) Which modes of transmission occur with HIV infection? (Select all that apply.)

A) Sexual transmission

B) Parenteral transmission

C) Fomite transmission to intact skin

D) Perinatal transmission to fetus

E) Inhalant transmission

Q2) HIV infection causes immunodeficiency because it

A) directly inhibits antibody production by B cells.

B) causes the destruction of T-helper cells.

C) causes excessive production of cytotoxic T cells.

D) blocks the ability of macrophages to present antigens.

Q3) Which HIV-positive patient should be given a diagnosis of AIDS?

A) One who has a CD4 count of 300/µL

B) One who has neuropathy

C) One who has Mycobacterium tuberculosis

D) One who has genital herpes

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Chapter 13: Alterations in Oxygen Transport

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Sample Questions

Q1) Regarding iron-deficiency anemia,what laboratory features are typically decreased? (Select all that apply.)

A) MCV

B) MCH

C) MCHC

D) WBC

E) Thrombocytes

Q2) A patient is diagnosed with aplastic anemia.The nurse expects to find what patient symptoms upon assessment? (Select all that apply.)

A) Lethargy

B) Heart palpitations

C) Transient murmurs

D) Bradycardia

E) Orthopnea

Q3) Red blood cells obtain nearly all their energy from metabolism of A) glucose.

B) fats.

C) proteins.

D) acetyl coenzyme A.

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Page 15

Chapter 14: Alterations in Homeostasis and Blood Coagulation

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Sample Questions

Q1) The liver is responsible for the synthesis of coagulation factors,with the exception of part of VIII.

A)True

B)False

Q2) Widespread activation of the clotting cascade secondary to massive trauma is called

A) hemophilia B.

B) disseminated intravascular coagulation (DIC).

C) Hageman disease.

D) idiopathic thrombocytopenia purpura.

Q3) Disseminated intravascular coagulation may be treated with heparin therapy to A) enhance fibrinolysis.

B) inhibit clotting factor consumption.

C) activate platelets.

D) enhance liver synthesis of clotting factors.

Q4) The megakaryocyte is a precursor to A) factor IX.

B) white blood cells.

C) red blood cells.

D) platelets.

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Chapter 15: Alterations in Blood Flow

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Sample Questions

Q1) Blood flow throughout the periphery is regulated by A) cardiac output.

B) the autonomic nervous system.

C) velocity.

D) hemodynamics.

Q2) The primary functions of the circulatory system are (Select all that apply.)

A) transport oxygen.

B) transport nutrients.

C) remove metabolic waste.

D) reabsorb leaking fluid.

E) return leukocytes to the circulation.

Q3) Clinical manifestations of chronic arterial obstruction include A) edema.

B) intermittent claudication.

C) decreased pressure proximal to the obstruction.

D) distal hyperemia.

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17

Chapter 16: Alterations in Blood Pressure

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Sample Questions

Q1) Atherosclerosis puts a patient at risk for (Select all that apply.)

A) ischemic stroke.

B) hemorrhagic stroke.

C) retinal injury.

D) renal impairment.

E) liver disease.

Q2) Hypertension is closely linked to

A) obstructive sleep apnea.

B) urinary tract infection.

C) de Quervain syndrome.

D) spinal stenosis.

Q3) It can be explained to a patient that high blood pressure increases the risk of (Select all that apply.)

A) stroke.

B) renal disease.

C) diabetes.

D) ischemic heart disease.

E) liver disease.

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Chapter 17: Cardiac Function

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Sample Questions

Q1) The major factors that influence stroke volume are (Select all that apply.)

A) pre-ejection.

B) preload.

C) resistance.

D) contractility.

E) afterload.

Q2) Blood is transported from the right ventricle to the lungs by the A) pulmonary veins.

B) aorta.

C) pulmonary artery.

D) bronchial arteries.

Q3) The major wave complexes of an ECG include the (Select all that apply.)

A) P wave.

B) B wave.

C) TUV complex.

D) QRS complex.

E) T wave.

Q4) A standard ECG has 13 leads.

A)True

B)False

Page 19

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Chapter 18: Alterations in Cardiac Function

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Sample Questions

Q1) The majority of cardiac cells that die after myocardial infarction do so because of A) cell rupture.

B) insufficient glucose.

C) thrombus.

D) apoptosis.

Q2) Hypotension,distended neck veins,and muffled heart sounds are classic manifestations of

A) myocardial infarction.

B) cardiac tamponade.

C) congestive heart failure (CHF).

D) cardiomyopathy.

Q3) Inflammatory disorders that may alter endothelial cell function include (Select all that apply.)

A) multiple sclerosis.

B) lupus erythematosus.

C) Kawasaki syndrome.

D) rheumatoid arthritis.

E) polyarteritis nodosa.

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Chapter 19: Heart Failure and Dysrhythmias: Common Sequelae of Cardiac Diseases

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Sample Questions

Q1) An abnormally wide (more than 0.10 second)QRS complex is characteristic of A) paroxysmal atrial tachycardia.

B) supraventricular tachycardia.

C) junctional escape rhythm.

D) premature ventricular complexes.

Q2) Cor pulmonale refers to A) biventricular failure.

B) left ventricular hypertrophy secondary to lung disease.

C) right ventricular hypertrophy secondary to pulmonary hypertension.

D) right ventricular failure secondary to right ventricular infarction.

Q3) Second-degree heart block type I (Wenckebach)is characterized by A) absent P waves.

B) lengthening PR intervals and dropped P wave.

C) constant PR interval and dropped QRS complexes.

D) no correlation between P waves and QRS complexes.

Q4) Hypertrophy of the right ventricle is a compensatory response to A) aortic stenosis.

B) aortic regurgitation.

C) tricuspid stenosis.

D) pulmonary stenosis.

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Chapter 20: Shock

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Sample Questions

Q1) Sepsis has been recently redefined as

A) a systemic infection with viable organisms in the bloodstream.

B) a systemic inflammatory response to ischemia.

C) a systemic inflammatory response to infection.

D) severe hypotension in an infected patient.

Q2) Tumor necrosis factor a and interleukin-1 contribute to shock states because they induce production of

A) catecholamines.

B) clotting factors.

C) nitric oxide.

D) vasopressin.

Q3) A patient experiences anaphylactic shock.The nurse expects to observe which signs and symptoms in the patient? (Select all that apply.)

A) Stupor

B) Hypotension

C) Urticaria

D) Angioedema

E) Wheezing

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Chapter 21: Respiratory Function and Alterations in Gas Exchange

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Sample Questions

Q1) Which person is at greatest risk for developing a pulmonary embolism?

A) A 25-year-old man with asthma

B) A 28-year-old woman in the first trimester of a normal pregnancy

C) A 42-year-old woman with a broken ankle

D) A 67-year-old man with a deep vein thrombosis in the femoral vein

Q2) Which is true about lung compliance? (Select all that apply.)

A) Represents lung expandability

B) Decreases in the elderly

C) Can be decreased by obesity, abdominal distention, pregnancy

D) Is decreased in emphysema

E) Is affected by body position

Q3) Chronic pulmonary hypertension can eventually cause which complication?

A) Pulmonary emboli

B) Respiratory acidosis

C) Chronic obstructive pulmonary disease

D) Right heart failure

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23

Chapter 22: Obstructive Pulmonary Disorders

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Sample Questions

Q1) When a client diagnosed with COPD type A asks,"Why is my chest so big and round?",the nurse responds that

A) "Loss of elastic tissue in your lungs allows your airways to close and trap air, which makes your chest round."

B) "Swelling and mucus in your airways causes air to be trapped in your lungs, which makes your chest round."

C) "Coughing caused by your condition has changed the structure of your airways, which makes your chest round."

D) "Scar tissue in your lungs makes them stiff and more full of air than usual, which makes your chest round."

Q2) When preparing for the admission of a client diagnosed with bronchiectasis,the nurse will

A) put a sputum cup and a box of tissues on the bedside table.

B) remove the telephone to reduce myocardial oxygen demand.

C) add a box of surgical masks to the nursing supplies near the door.

D) remove the water pitcher to comply with anticipated fluid restrictions.

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Chapter 23: Restrictive Pulmonary Disorders

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Sample Questions

Q1) Air that enters the pleural space during inspiration but is unable to exit during expiration creates a condition called

A) tension pneumothorax.

B) open pneumothorax.

C) pleural effusion.

D) empyema.

Q2) Chronic occupational lung disease is characterized by (Select all that apply.)

A) causation from long-term inhalation of inorganic material.

B) a latent period before symptoms occur.

C) hyperactive respiratory macrophages.

D) a progressive cough and dyspnea with exercise.

E) possible negative chest x-ray when symptom-free.

Q3) Restrictive respiratory disorders include (Select all that apply.)

A) pneumothorax.

B) emphysema.

C) chronic asthma.

D) type B COPD.

E) ARDS.

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25

Chapter 24: Fluid and Electrolyte Homeostasis and Imbalances

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Sample Questions

Q1) Which alterations can lead to edema?

A) Decreased capillary hydrostatic pressure

B) Increased capillary colloid osmotic pressure

C) Decreased lymphatic flow

D) Decreased capillary membrane permeability

Q2) What age group has a larger volume of extracellular fluid than intracellular fluid?

A) Infants

B) Adolescents

C) Young adults

D) Older adults

Q3) What is the most likely explanation for a diagnosis of hypernatremia in an elderly patient receiving tube feeding?

A) Too much sodium in the feedings

B) Excess of feedings

C) Inadequate water intake

D) Kidney failure

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26

Chapter 25: Acid-Base Homeostasis and Imbalances

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Sample Questions

Q1) Causes of metabolic acidosis include A) hyperventilation.

B) massive blood transfusion.

C) tissue anoxia.

D) hypoventilation.

Q2) The major buffer in the extracellular fluid is A) hemoglobin.

B) albumin.

C) bicarbonate.

D) phosphate.

Q3) Diarrhea and other lower intestinal fluid losses will contribute to A) metabolic alkalosis.

B) metabolic acidosis.

C) respiratory acidosis.

D) mixed acid-base disorders.

Q4) The body compensates for metabolic alkalosis by A) hypoventilation.

B) decreasing arterial carbon dioxide.

C) increasing bicarbonate ion excretion.

D) hyperventilation.

27

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Chapter 26: Renal Function

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Sample Questions

Q1) Hormones that increase sodium reabsorption from the tubular fluid include (Select all that apply.)

A) aldosterone.

B) atrial natriuretic peptide.

C) antidiuretic hormone.

D) urodilatin.

E) angiotensin II.

Q2) Serious renal impairment generally does not occur until ____ of the total nephrons have been damaged.

A) 20%

B) 40%

C) 60%

D) 80%

Q3) An important sign of glomerular basement membrane dysfunction is A) proteinuria.

B) hematuria.

C) glycosuria.

D) urinary casts.

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28

Chapter 27: Intrarenal Disorders

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Sample Questions

Q1) A person who is diagnosed with nephrotic syndrome is also experiencing hypoalbuminemia.This happens because

A) hepatocyte failure decreases albumin synthesis.

B) albumin is excreted in the urine.

C) albumin leaks into the interstitial spaces.

D) malnutrition is part of nephrotic syndrome.

Q2) A common component of renal calculi is

A) calcium.

B) cholesterol.

C) creatinine.

D) urobilirubin.

Q3) It is true that polycystic kidney disease is

A) always rapidly fatal.

B) caused by a streptococcal infection.

C) associated with supernumerary kidney.

D) genetically transmitted.

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Chapter 28: Acute Kidney Injury and Chronic Kidney Disease

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Sample Questions

Q1) What problem is a patient likely to experience in end-stage renal disease?

A) Hypokalemia

B) Polyuria and nocturia

C) Uremia

D) Hematuria

Q2) Renal insufficiency occurs when _____ of the nephrons are not functional.

A) 25%

B) 50%

C) 75% to 90%

D) more than 90%

Q3) The most likely cause of anemia in a patient with end-stage renal disease is A) insufficient erythropoietin.

B) blood loss secondary to hematuria.

C) vitamin B deficiency secondary to deficient intrinsic factor.

D) iron deficiency.

Q4) Anemia in people who have end-stage chronic renal disease is caused by

A) chronic loss of blood in the urine.

B) poor appetite, with lack of iron intake.

C) decreased secretion of erythropoietin.

D) increased secretion of aldosterone.

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Chapter 29: Disorders of the Lower Urinary Tract

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Sample Questions

Q1) Infection can lead to bladder stone formation.

A)True

B)False

Q2) The direct cause of stress incontinence is

A) the effect of aging.

B) pelvic muscle weakness.

C) neurologic conditions.

D) detrusor muscle overactivity.

Q3) The most commonly ordered diagnostic test for evaluation of the urinary system is A) KUB.

B) cystogram.

C) ultrasonography.

D) cystography.

Q4) The microorganism that causes the vast majority of urinary tract infections is A) Klebsiella.

B) Escherichia coli.

C) herpes simplex virus.

D) Candida albicans.

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Chapter 30: Male Genital and Reproductive Function

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Sample Questions

Q1) An important function of the scrotum is to

A) regulate the temperature of the testes.

B) provide support to the prostate gland.

C) regulate blood supply to the penis.

D) supply antibacterial secretions.

Q2) The thick covering of the ovum is called the zona pellucid.

A)True

B)False

Q3) Production of LH occurs in response to serum levels of A) estrogen.

B) prostate-specific antigen.

C) cortisol.

D) testosterone.

Q4) The primary function of the epididymis is to A) house developing sperm.

B) produce seminal fluid.

C) produce sperm.

D) secrete male hormones.

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Chapter 31: Alterations in Male Genital and Reproductive Function

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Sample Questions

Q1) The majority of penile cancer cases are classified as basal cell carcinoma.

A)True

B)False

Q2) The pathology report for a patient with penile cancer has this statement: The tumor involves the shaft of the penis.The cancer is at what stage?

A) Stage I

B) Stage II

C) Stage III

D) Stage IV

Q3) Sexual impotence is rarely because of A) drug side effects.

B) psychological factors.

C) primary causes.

D) vascular diseases.

Q4) Phimosis is a disorder of the penis characterized by A) sustained, painful erection.

B) inability to retract the foreskin.

C) inability to achieve erection.

D) malpositioning of the urinary meatus.

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Chapter 32: Female Genital and Reproductive Function

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Sample Questions

Q1) The hormone released from the posterior pituitary gland during the milk ejection reflex is

A) gonadotropin.

B) prolactin.

C) vasopressin.

D) oxytocin.

Q2) During the first 2 weeks of the menstrual cycle,the endometrium proliferates under the influence of A) estrogen.

B) testosterone.

C) progesterone.

D) hCG.

Q3) The purpose of the placenta during pregnancy is to A) protect the developing fetus. B) provide nutrients to the mother.

C) provide nutrients to the fetus and remove wastes. D) remove excess estrogen during pregnancy.

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34

Chapter 33: Alterations in Female Genital and Reproductive Function

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Sample Questions

Q1) Cervical cancer can be detected in the early,curable stage by the ________ test.

A) Papanicolaou

B) human papillomavirus

C) gonorrhoeae

D) vaginal pH

Q2) Which pharmacologic treatments may be seen in a patient with breast cancer?

(Select all that apply.)

A) Estrogen receptor modulators

B) Estrogen antagonists

C) Anti-inflammatory agents

D) Estrogen/progesterone combination therapies

E) Antineoplastic agents

Q3) A potential risk factor for breast cancer includes

A) a history of fibrocystic breast disease.

B) more than three pregnancies prior to age 35.

C) malnourishment.

D) early menarche and late first pregnancy.

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Page 35

Chapter 34: Sexually Transmitted Infections

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Sample Questions

Q1) The initial incubation period of syphilis lasts for A) 2 to 3 days.

B) 10 to 90 days.

C) 3 to 6 weeks.

D) 40 years.

Q2) A painless ulceration called a chancre is a lesion associated with infection by A) human papillomavirus.

B) N. gonorrhoeae.

C) C. trachomatis.

D) T. pallidum.

Q3) Central nervous system degeneration,blindness,and paresis are associated with untreated

A) HSV.

B) LGV.

C) syphilis.

D) gonorrhea.

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Chapter 35: Gastrointestinal Function

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Sample Questions

Q1) Carbohydrates are absorbed in the form of

A) polysaccharides.

B) disaccharides.

C) monosaccharides.

D) monoglycerides.

Q2) The action of bile is to

A) emulsify fats.

B) digest cellulose.

C) convert sucrose.

D) release free amino acids.

Q3) Which is associated with contraction of the gallbladder?

A) Cholecystokinin

B) Morphine

C) Norepinephrine

D) Gastrin

Q4) How much fluid is secreted from the intestinal glands daily?

A) 1/2 L

B) 1 L

C) 2 L

D) 4 L

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Chapter 36: Gastrointestinal Disorders

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Sample Questions

Q1) An urgent surgical consult is indicated for the patient with acute abdominal pain and A) vomiting.

B) CVA tenderness.

C) absent bowel sounds.

D) borborygmi.

Q2) A patient who should be routinely evaluated for peptic ulcer disease is one who is A) taking six to eight tablets of acetaminophen per day.

B) being treated with high-dose oral glucocorticoids.

C) experiencing chronic diarrhea.

D) routinely drinking alcoholic beverages.

Q3) A disorder of the esophageal smooth muscle function where dysphagia is a symptom is (Select all that apply.)

A) esophageal stricture.

B) achalasia.

C) esophageal tumors.

D) Mallory-Weiss syndrome.

E) hiatal hernia.

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Chapter 37: Alterations in Function of the Gallbladder and Exocrine Pancreas

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Sample Questions

Q1) It is true that gallstones are

A) a minimal risk for Native Americans.

B) more common in women.

C) more common in men.

D) at highest risk among Asians.

Q2) Narcotic administration should be administered carefully in patients with acute pancreatitis related to potential for

A) respiratory depression.

B) narcotic dependency.

C) sphincter of Oddi dysfunction.

D) allergic reaction.

Q3) Patients who may be at risk for development of cholesterol gallstones include (Select all that apply.)

A) high spinal cord injuries.

B) patients receiving total parenteral nutrition.

C) patients receiving chemotherapy.

D) patients with rapid weight loss.

E) pregnant women.

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Chapter 38: Liver Diseases

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Sample Questions

Q1) A patient admitted with bleeding related to esophageal varices could be expected to receive a continuous intravenous infusion of A) glucose.

B) octreotide acetate.

C) anticoagulants.

D) proton pump inhibitors.

Q2) Jaundice is a common manifestation of A) malabsorption syndromes. B) anemia.

C) liver disease.

D) cholecystitis.

Q3) Brain injury secondary to high serum bilirubin is called A) hepatic encephalopathy.

B) hepatic meningitis.

C) kernicterus.

D) encephalitis.

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Page 40

Chapter 39: Endocrine Physiology and Mechanisms of

Hypothalamic-Pituitary Regulation

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Sample Questions

Q1) In primary thyroid hormone deficiency,the TSH levels are A) high.

B) low.

C) undetectable.

D) constantly fluctuating.

Q2) What suppresses the normal secretion of growth hormone?

A) Hypoglycemia

B) Somatostatin

C) Somatomedin

D) Amino acids

Q3) _________ is the hormone which causes uterine and milk duct contractions.

A) Vasopressin

B) Prolactin

C) Oxytocin

D) Antidiuretic

Q4) Oversecretion of ACTH occurs in A) Cushing disease.

B) hyperthyroidism.

C) diabetes insipidus.

D) hypoglycemia.

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Chapter 40: Disorders of Endocrine Function

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Sample Questions

Q1) A tumor which results in excessive production and release of catecholamines is A) goiter.

B) pheochromocytoma.

C) Conn syndrome.

D) Cushing disease.

Q2) Clinical manifestations of Graves disease may include A) tremor.

B) cold intolerance.

C) lethargy.

D) weight gain.

Q3) A laboratory finding that would help confirm the diagnosis of hyperaldosteronism is A) hypernatremia.

B) hyperkalemia.

C) hypokalemia.

D) hyperglycemia.

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42

Chapter 41: Diabetes Mellitus

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Sample Questions

Q1) Which are complications of diabetes mellitus that are microvascular? (Select all that apply.)

A) Cardiovascular disease

B) Retinopathy

C) Nephropathy

D) Neuropathy

E) Stroke

Q2) In type I diabetes,respiratory compensation may occur through a process of

A) respiratory alkalosis.

B) respiratory acidosis.

C) metabolic acidosis.

D) metabolic alkalosis.

Q3) Insulin binding to its receptor on target cells results in A) increased active transport of glucose into the cell.

B) glycogen breakdown within target cells.

C) increased facilitated cellular diffusion of glucose.

D) gluconeogenesis.

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Chapter 42: Alterations in Metabolism and Nutrition

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Sample Questions

Q1) Which condition is associated with an increase in basal metabolic rate?

A) Aging

B) Fever

C) Obesity

D) Starvation

Q2) A body mass index of 25.5 is considered to be A) morbidly obese.

B) normal.

C) overweight.

D) obese.

Q3) The nutritional effects of cancer can be severe and result in A) malnutrition.

B) anorexia.

C) cachexia.

D) catabolism.

Q4) The main source of energy for the body comes from A) proteins.

B) fats.

C) carbohydrates.

D) water.

Page 44

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Chapter 43: Structure and Function of the Nervous System

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Sample Questions

Q1) Acetylcholine is released into the synapse by

A) passive reuptake of acetylcholine into the presynaptic neuron.

B) active reuptake of acetylcholine into the presynaptic neuron.

C) passive diffusion into the postsynaptic membrane.

D) degradation by acetylcholinesterase.

Q2) It is true that an N-methyl-D-aspartate (NMDA)receptor (Select all that apply.)

A) is activated by glutamate.

B) is a ligand-gated calcium ion channels.

C) opens only when the membrane has been previously depolarized.

D) blockade is associated with enhanced short-term memory.

E) is blocked by a sodium ion.

Q3) A common inhibitory central nervous system (CNS)neurotransmitter is

A) acetylcholine.

B) norepinephrine.

C) g-aminobutyric acid (GABA).

D) glutamate.

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Chapter 44: Acute Disorders of Brain Function

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Sample Questions

Q1) The most important preventive measure for hemorrhagic stroke is A) anticoagulation.

B) blood pressure control.

C) thrombolytics.

D) management of dysrhythmias.

Q2) Acceleration-deceleration movements of the head often result in polar injuries in which

A) injury is localized to the site of initial impact.

B) widespread neuronal damage is incurred.

C) bleeding from venules fills the subdural space.

D) focal injuries occur in two places at opposite poles.

Q3) Subarachnoid hemorrhage is usually managed with volume expansion and blood pressure support to enhance cerebral perfusion.This is necessary because subarachnoid hemorrhage predisposes to A) cerebral vasospasm.

B) hypotension.

C) excessive volume loss.

D) increased intracranial pressure.

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Chapter 45: Chronic Disorders of Neurologic Function

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Sample Questions

Q1) _________ is a form of spina bifida in which a saclike cyst filled with CSF protrudes through the spinal defect but does not involve the spinal cord.

A) Spina bifida occulta

B) Meningocele

C) Myelomeningocele

D) Meningomyelocele

Q2) Upper extremity weakness in association with degeneration of CNS neurons is characteristic of

A) multiple sclerosis.

B) Guillain-Barré syndrome.

C) myasthenia gravis.

D) amyotrophic lateral sclerosis.

Q3) Which neurologic disorder is commonly referred to as Lou Gehrig disease?

A) Multiple sclerosis

B) Parkinson disease

C) Alzheimer disease

D) Amyotrophic lateral sclerosis

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Chapter 46: Alterations in Special Sensory Function

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Sample Questions

Q1) Hearing loss associated with aminoglycosides is known as

A) sensorineural.

B) conductive.

C) presbycusis.

D) otosclerosis.

Q2) It is true that a conductive hearing loss

A) cannot be corrected.

B) is as a result of damage to hair cells in the inner ear.

C) usually results from chronic exposure to loud noise.

D) is because of dysfunction of outer and middle ear structures.

Q3) Which structures make up the middle ear? (Select all that apply.)

A) Cerumen

B) Malleus

C) Incus

D) Scala media

E) Stapes

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Chapter 47: Pain

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Sample Questions

Q1) Pain that waxes and wanes and is exacerbated by physical exertion is likely related to A) neuralgia.

B) intermittent claudication.

C) fibromyalgia syndrome.

D) neuropathy.

Q2) Slow pain sensation is transmitted primarily by A) group Ia afferents.

B) a motor neurons.

C) unmyelinated C fibers.

D) Ad fibers.

Q3) One of the most common causes of acute pain is A) headache.

B) fibromyalgia.

C) malignancy.

D) trigeminal neuralgia.

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Chapter 48: Neurobiology of Psychotic Illnesses

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Sample Questions

Q1) The action of most antidepressants currently available is to

A) improve brain norepinephrine and serotonin activity.

B) inhibit norepinephrine and serotonin activity.

C) convert into catecholamines in the brain.

D) block D receptors in the brain.

Q2) Lithium is used to manage mania because it

A) inhibits norepinephrine and serotonin activity in the brain.

B) is a CNS sedative.

C) is converted to catecholamines within the brain.

D) blocks D receptors in the brain.

Q3) The assessment of a client recently diagnosed with schizophrenia confirms good cognitive function and reveals affect that is animated.The client is open about describing the voices and the content of their comments,but demonstrates a disorganized thought process.These findings suggest that

A) "negative" psychotic symptoms predominate.

B) there is a high risk for suicidal behaviors.

C) drug therapy is likely to be ineffective.

D) "positive" psychotic symptoms predominate.

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Chapter 49: Neurobiology of Nonpsychotic Illnesses

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Sample Questions

Q1) An anxiety disorder that is precipitated by a traumatic event is known as

A) generalized anxiety disorder.

B) posttraumatic stress disorder.

C) panic disorder.

D) phobia.

Q2) In individuals dealing with obsessive-compulsive disorder,____ are most bothered by both obsessions and compulsions.

A) 20%

B) 28%

C) 50%

D) 90%

Q3) It is true that panic disorders

A) are diagnosed more often in women.

B) are diagnosed more often in men.

C) generally occur after age 45.

D) are common in the elderly.

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Chapter 50: Structure and Function of the Musculoskeletal System

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Sample Questions

Q1) Diarthroses are joints that

A) hold the skull bones together.

B) allow little or no joint movement.

C) contain synovial fluid.

D) connect bony segments by a fibrocartilaginous plate.

Q2) It is true that synovial fluid

A) is found in spinal disks.

B) provides protection.

C) is reduced in volume with injury.

D) becomes thinner with aging.

Q3) Articular cartilage is avascular and

A) completely incapable of regeneration.

B) nonliving.

C) nourished by synovial fluid.

D) rarely damaged.

Q4) The primary determinant of tendon strength is

A) collagen cross-linking.

B) actin-myosin cross-bridging.

C) elastin composition.

D) calcium balance.

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Chapter 51: Alterations in Musculoskeletal Function:

Trauma, Infection, and Disease

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Sample Questions

Q1) A unique characteristic feature of fibromyalgia is the presence of A) tender point pain.

B) head pain.

C) contractures.

D) muscle atrophy.

Q2) Characteristics of scoliosis include (Select all that apply.)

A) involvement of lateral curvature of the spine.

B) increase during periods of rapid growth.

C) more common in boys.

D) identifiable by uneven shoulders or scapular prominence.

E) possibility of leading to respiratory complications.

Q3) Compartment syndrome occurs secondary to A) bone infarction.

B) soft-tissue damage.

C) muscle necrosis.

D) breakdown of RBCs.

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Chapter 52: Alterations in Musculoskeletal Function:

Rheumatic Disorders

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Sample Questions

Q1) Manifestations of osteoarthritis include (Select all that apply.)

A) nodules on joints of the hands.

B) crepitus with joint movement.

C) pain that is worse upon arising in the morning.

D) stiffness that worsens with joint use.

E) narrowing of joint spaces.

Q2) Individuals diagnosed with systemic lupus erythematosus (SLE)are at risk for developing numerous complications of various organs because of

A) excessive production of connective tissue.

B) formation of osteophytes in tissues.

C) immune injury to basement membranes.

D) impaired tissue oxygen transport.

Q3) The final stage of gout,characterized by crystalline deposits in cartilage,synovial membranes,and soft tissue,is called

A) tophaceous gout.

B) gouty arthritis.

C) complicated gout.

D) asymptomatic hyperuricemia.

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Chapter 53: Alterations in the Integumentary System

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Sample Questions

Q1) Scleroderma is characterized by

A) large, weeping, open sores.

B) thickening and decreased elasticity of the skin.

C) butterfly rash on the face.

D) hair loss and ulcer formation on the extremities.

Q2) The difference between chickenpox and measles is that chickenpox

A) is caused by a virus, whereas measles is caused by a bacterium.

B) causes a widespread rash, whereas measles causes a macular rash.

C) is a childhood infection, but measles can evolve into shingles in adults.

D) causes vesicles that scab, whereas measles remains a macular rash.

Q3) A topical therapy that would tend to dry the skin because it is an astringent is A) lotion.

B) gel.

C) cream.

D) ointments.

Q4) Atopic dermatitis (eczema)is caused by A) parasitic infestation of the skin.

B) superficial staphylococcal infection.

C) superficial fungal infection.

D) contact with skin allergens.

Page 55

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Chapter 54: Burn Injuries

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Sample Questions

Q1) Burn shock is the direct result of A) hypovolemia.

B) cardiac depression.

C) infection.

D) increased capillary permeability.

Q2) The goal of nutritional support of the burned individual is to A) limit the glucose available to infectious organisms.

B) create a positive nitrogen balance.

C) protect the kidney from excessive protein intake.

D) avoid hyperlipidemia.

Q3) The primary aim of burn wound management is to prevent A) trauma to burned tissue.

B) microbial colonization of the wound.

C) the wound from drying out.

D) premature wound closure.

Q4) It is true that second-degree,superficial partial-thickness burns

A) are less painful than third-degree burns.

B) involve only the epidermis.

C) usually heal in 7 to 21 days.

D) are rarely associated with scar formation.

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