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Porth’s Pathophysiology 10th Edition Norris Test Bank
Porth’s Pathophysiology 10th Edition Norris Test Bank
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TEST BANK,Porth’s Pathophysiology 10th Edition Norris Test Bank
MULTIPLE CHOICE
1. At an international nursing conference, many discussions and breakout sessions focused
on the World Health Organization (WHO) views on health. Of the following comments
made by nurses during a discussion session, which statements would be considered a
good representation of the WHO definition? Select all that apply.
A) Interests in keeping the elderly population engaged in such activities as book
reviews and word games during social time
B) Increase in the number of chair aerobics classes provided in the skilled care
facilities
C) Interventions geared toward keeping the elderly population diagnosed with
diabetes mellitus under tight blood glucose control by providing in-home cooking
classes
D) Providing transportation for renal dialysis patients to and from their hemodialysis
sessions
E) Providing handwashing teaching sessions to a group of young children
Ans: A, B, C, E
Feedback:
The WHO definition of health is defined as “a state of complete physical, mental, and
social well-being and not merely the absence of disease and infirmity.” Engaging in
book reviews facilitates mental and social well-being; chair aerobics helps facilitate
physical well-being; and assisting with tight control of diabetes helps with facilitating
physical well-being even though the person has a chronic disease. Handwashing is vital
in the prevention of disease and spread of germs.
2. A community health nurse is teaching a group of recent graduates about the large
variety of factors that influence an individual's health or lack thereof. The nurse is
referring to the Healthy People 2020 report from the U.S. Department of Health and
Human Services as a teaching example. Of the following aspects discussed, which
would be considered a determinant of health that is outside the focus of this report?
A) The client has a diverse background by being of Asian and Native American
descent and practices various alternative therapies to minimize effects of stress.
B) The client has a family history of cardiovascular disease related to
hypercholesterolemia and remains noncompliant with the treatment regime.
C) The client has a good career with exceptional preventative health care benefits.
D) The client lives in an affluent, clean, suburban community with access to many
health care facilities.
Ans: B
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using
alternative therapies to minimize effects of stress); achieving health equity and
promoting health for all (which includes having good health care benefits); and
promoting good health (which includes living in a clean community with good access to
health care). A client's noncompliance with treatments to control high cholesterol levels
, within the presence of a family history of CV disease does not meet the “attaining lives
free of preventable disease and premature death” determinant.
3. A physician is providing care for a number of patients on a medical unit of a large,
university hospital. The physician is discussing with a colleague the differentiation
between diseases that are caused by abnormal molecules and diseases that cause disease.
Which of the following patients most clearly demonstrates the consequences of
molecules that cause disease?
A) A 31-year-old woman with sickle cell anemia who is receiving a transfusion of
packed red blood cells
B) A 91-year-old woman who has experienced an ischemic stroke resulting from
familial hypercholesterolemia
C) A 19-year-old man with exacerbation of his cystic fibrosis requiring oxygen
therapy and chest physiotherapy
D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia (PCP) and
is HIV positive.
Ans: D
Feedback:
PCP iis ian iexample iof ithe ieffect iof ia imolecule ithat idirectly icontributes ito idisease.
iSickle icell ianemia, ifamilial ihypercholesterolemia, iand icystic ifibrosis iare iall
iexamples iof ithe ieffects iof iabnormal imolecules.
4. A imember iof ithe ihealth icare iteam iis iresearching ithe ietiology iand ipathogenesis iof
ia inumber iof iclients iwho iare iunder ihis icare iin ia ihospital icontext. iWhich iof ithe
ifollowing iaspects iof iclients' isituations ibN
esUtiR
chSaI
raN
ctGerTizBe.
s ipCaOtihMoigen ies iis irather ithan
ietiology?
A) A iclient iwho ihas ibeen iexposed ito ithe iMycobacterium ituberculosis ibacterium
B) A iclient iwho ihas iincreasing iserum iammonia ilevels idue ito iliver icirrhosis
C) A iclient iwho iwas iadmitted iwith ithe ieffects iof imethyl i alcohol ipoisoning
D) A iclient iwith imultiple iskeletal iinjuries isecondary ito ia imotor ivehicle
iaccident iAns: iB
Feedback:
Pathogenesis irefers ito ithe iprogressive iand ievolutionary icourse iof idisease, isuch ias ithe
iincreasing iammonia ilevels ithat iaccompany iliver idisease. iBacteria, ipoisons, iand
itraumatic iinjuries iare iexamples iof ietiologic ifactors.
5. A i new imyocardial iinfarction ipatient irequiring iangioplasty iand istent iplacement ihas
iarrived ito ihis ifirst icardiac irehabilitation iappointment. iIn ithis ifirst isession, ia ireview
iof ithe ipathogenesis iof icoronary iartery idisease iis iaddressed. iWhich istatement iby ithe
ipatient iverifies ito ithe inurse ithat ihe ihas iunderstood ithe inurse's iteachings iabout
icoronary iartery idisease?
A) “All iI ihave ito ido iis istop ismoking, iand ithen iI iwon't ihave iany imore iheart iattacks.”
B) “My iartery iwas iclogged iby ifat, iso iI iwill ineed ito istop ieating ifatty ifoods
ilike iFrench ifries ievery iday.”
C) “Sounds ilike ithis ibegan ibecause iof iinflammation iinside imy iartery ithat imade
iit ieasy ito iform ifatty istreaks, iwhich ilead ito imy iclogged iartery.”
D) “If iI ido inot iexercise iregularly ito iget imy iheart irate iup, iblood ipools iin ithe
iveins icausing ia iclot ithat istops iblood iflow ito ithe imuscle, iand iI iwill ihave ia
iheart iattack.”
Ans: iC
, Feedback:
The itrue ietiology/cause iof icoronary iartery idisease i(CAD) iis iunknown; ihowever, ithe
ipathogenesis iof ithe idisorder irelates ito ithe iprogression iof ithe iinflammatory iprocess
ifrom ia ifatty istreak ito ithe iocclusive ivessel ilesion iseen iin ipeople iwith icoronary iartery
idisease. iRisk ifactors ifor iCAD irevolve iaround icigarette ismoking, idiet ihigh iin ifat,
iand ilack iof iexercise.
6. A i77-year-old iman iis ia ihospital iinpatient iadmitted ifor iexacerbation iof ihis ichronic
iobstructive ipulmonary idisease i(COPD), iand ia irespiratory itherapist i(RT) iis iassessing
NU
ithe iclient ifor ithe ifirst itime. iWhich ofRthSeIfN
olG
loTwBin.gCaO
spMects iof ithe ipatient's icurrent
istate iof ihealth iwould ibe ibest icharacterized ias ia isymptom irather ithan ia isign?
A) The ipatient's ioxygen isaturation iis i83% iby ipulse ioxymetry.
B) The ipatient inotes ithat ihe ihas iincreased iwork iof ibreathing iwhen ilying isupine.
C) The iRT ihears idiminished ibreath isounds ito ithe ipatient's ilower ilung
ifields ibilaterally.
D) The ipatient's irespiratory irate iis i31
ibreaths/minute. iAns: iB
Feedback:
Symptoms iare isubjective icomplaints iby ithe iperson iexperiencing ithe ihealth
iproblem, isuch ias icomplaints iof ibreathing idifficulty. iOxygen ilevels, ilistening ito
ibreath isounds, iand irespiratory irate iare iall iobjective, iobservable isigns iof idisease.
7. Which i of ithe ifollowing isituations iwould ibe iclassified ias ia icomplication iof ia
idisease ioroutcome ifrom ithe itreatment iregimen? iSelect iall ithat iapply.
A) Massive ipulmonary iemboli ifollowing idiagnosis iof inew-onset iatrial ifibrillation
B) Burning, iintense iincision ipain ifollowing isurgery ito iremove ia iportion iof icolon
idue ito iintestinal iaganglionosis
C) Development iof ipulmonary ifibrosis ifollowing itreatment iwith ibleomycin,
ian iantibiotic ichemotherapy iagent iused iin itreatment iof ilymphoma
D) Gradual ideterioration iin iability ito iwalk iunassisted ifor ia ipatient idiagnosed
iwith iParkinson idisease
E) Loss iof ishort-term imemory iin ia ipatient idiagnosed iwith iAlzheimer
idisease iAns: iA, iC
Feedback:
Development iof ipulmonary iemboli iand ipulmonary ifibrosis ifollowing ichemotherapy
iare iboth iexamples iof ia icomplication i(adverse iextensions iof ia idisease ior ioutcome
ifrom itreatment). iIt iis inormal ito iexpect iincisional ipain ifollowing isurgery. iAs
iParkinson idisease iprogresses, ithe iinability ito iwalk iindependently iis iexpected. iThis
iis ia inormal iprogression ifor ipeople idiagnosed iwith iParkinson's. iLoss iof ishort-term
imemory iin ia ipatient idiagnosed iwith iAlzheimer idisease iis ian iexpected ifinding.
8. Laboratory itesting iis iordered ifor ia imale ipatient iduring ia iclinic ivisit ifor ia iroutine
ifollow-up iassessment iof ihypertension. iWhen iinterpreting ilab ivalues, ithe inurse
iknows ithat
A) ainormal ivalueirepresenNtsUtRheStIesNt iGr ieTsiuBl .
t is Ct hOa Mt i fal iwithin ithe ibel icurve.
B) if ithe ilab iresult iis iabove ithe i50% idistribution, ithe iresult iis iconsidered ielevated.
C) all ilab ivalues iare iadjusted ifor igender iand iweight.
D) if ithe iresult iof ia ivery isensitive itest iis inegative, ithat idoes inot imean ithe iperson iis
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