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Full Download PDF of Test Bank For Understanding Pathophysiology 6th Edition by Huether All Chapter
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REF: p. 10
REF: p. 11
8. Pancreatic beta cells secrete insulin, which inhibits secretion of glucagon from neighboring alpha cells. This action is an example of
which of the following signaling types?
a. Paracrine
b. Autocrine
c. Neurohormonal
d. Hormonal
ANS: A
Paracrine signaling involves the release of local chemical mediators that are quickly taken up, destroyed, or immobilized, as in the
case of insulin and the inhibition of the secretion of glucagon. None of the other options involve signaling that is associated with a
local chemical mediator like insulin.
REF: p. 12
REF: p. 16
10. An athlete runs a marathon, after which his muscles feel fatigued and unable to contract. The athlete asks the nurse why this
happened. The nurse’s response is based on the knowledge that the problem is result of a deficiency of:
a. GTP
b. AMP
c. ATP
d. GMP
ANS: C
When ATP is deficient, impaired muscle contraction results. None of the other options are involved in muscle contraction.
REF: p. 16
REF: p. 16
12. A nurse is teaching the staff about the phases of cellular catabolism. Which phases should the nurse include?
a. Digestion, glycolysis, oxidation, and the citric acid cycle
b. Diffusion, osmosis, and mediated transport
c. S phase, G phase, and M phase
d. Metabolic absorption, respiration, and excretion
ANS: A
Only digestion, glycolysis, oxidation, and the citric acid cycle are the phases of cellular catabolism.
REF: p. 16
REF: p. 16
14. A faculty member asks a student to identify the appropriate term for the movement of a solute from an area of greater to lesser
concentration. Which answer indicates the nursing student understood the teaching?
a. Osmosis
b. Diffusion
c. Hydrostatic pressure
d. Active transport
ANS: B
Diffusion is the movement of a solute molecule from an area of greater solute concentration to an area of lesser solute
concentration through a permeable membrane. Osmosis is the movement of water across a semipermeable membrane from a region
of higher water concentration to one of lower concentration. Hydrostatic pressure is the force of fluid against a cell membrane. In
active transport, molecules move up a concentration gradient.
REF: p. 19
REF: p. 18
16. A nurse is reading a chart and sees the term oncotic pressure. The nurse recalls that oncotic pressure (colloid osmotic pressure) is
determined by:
a. the concentration of sodium.
b. plasma proteins.
c. hydrostatic pressure.
d. the availability of membrane transporter proteins.
ANS: B
Oncotic pressure is determined by the effect of colloids or plasma proteins. The concentration of sodium plays a role in tonicity.
Hydrostatic pressure is the force within a vessel. Membrane transporter proteins are involved in active transport within a
concentration gradient.
REF: p. 20
17. A patient has a body fluid of 300 mOsm/kg. This lab result is measuring:
a. osmolality.
b. osmolarity.
c. osmotic pressure.
d. oncotic pressure.
ANS: A
Osmolality measures the number of milliosmoles per kilogram of water, or the concentration of molecules per weight of water,
while osmolarity measures the number of milliosmoles per liter of solution, or the concentration of molecules per volume of
solution. Osmotic pressure is the amount of hydrostatic pressure required to oppose the osmotic movement of water. Oncotic
pressure is from plasma proteins, not body fluids.
REF: p. 19
REF: p. 19
19. How are potassium and sodium transported across plasma membranes?
a. By passive electrolyte channels
b. By coupled channels
c. By adenosine triphosphate enzyme (ATPase)
d. By diffusion
ANS: C
The transporter protein ATPase is directly related to sodium and potassium transport via active transport. Electrolyte movements
require energy and do not move passively, nor are they transported by diffusion. Enzymes, not electrolytes, are passed via coupled
channels.
REF: p. 21
20. The ion transporter that moves Na+ and Ca2+ simultaneously in the same direction is an example of which of the following types of
transport?
a. Biport
b. Uniport
c. Antiport
d. Symport
ANS: D
When ions are transported in one direction, it is termed symport. There is no such term as biport. Uniport refers to the movement of
a single molecule. Antiport refers to the movement of molecules in the opposite direction.
REF: p. 22
22. Some cancer drugs work during the cell cycle phase where nuclear and cytoplasmic divisions occur. What is this cell cycle phase
called?
a. G1
b. S
c. M
d. G2
ANS: C
The M phase includes both nuclear and cytoplasmic divisions. The G1 phase includes the period between the M phase and the start
of DNA synthesis. The S phase includes synthesis of DNA in the cell nucleus. The G2 phase includes RNA and protein synthesis.
24. A cell is isolated, and electrophysiology studies reveal that the resting membrane potential is −70 mV. The predominant
intracellular ion is Na+, and the predominant extracellular ion is K+. With voltage change, which of the following would result in an
action potential?
a. K+ rushing into the cell
b. Na+ rushing into the cell
c. Na+ rushing out of the cell
d. K+ rushing out of the cell
ANS: A
With voltage change, potassium rushes into, not out of, the cell. Sodium movement is not related to this process.
25. A nurse teaching the staff about platelet-derived growth factor includes information that platelet-derived growth factor (PDGF)
stimulates the production of:
a. platelets.
b. epidermal cells.
c. connective tissue cells.
d. fibroblast cells.
ANS: C
Different types of cells require different growth factors; for example, PDGF stimulates the production of connective tissue cells, but
not platelets, epidermal cells, or fibroblast cells.
REF: p. 27
26. The phase of the cell cycle during which the centromeres split and the sister chromatids are pulled apart is referred to as:
a. anaphase.
b. telophase.
c. prophase.
d. metaphase.
ANS: A
Anaphase begins when the centromeres split and the sister chromatids are pulled apart. During telophase, a new nuclear membrane
is formed around each group of 46 chromosomes, the spindle fibers disappear, and the chromosomes begin to uncoil. During
prophase, the first appearance of chromosomes occurs. Metaphase occurs when two centrioles located at opposite poles of the cell
pull the chromosomes to opposite sides of the cell.
REF: p. 26
REF: p. 26
29. A student is reviewing functions of the cell. The student would be correct in identifying a chief function of the nerve cell as:
a. sensory interpretation.
b. conductivity.
c. maintenance of homeostasis.
d. communication.
ANS: B
Conductivity, not sensory interpretation, homeostasis, or communication, is one of the eight chief functions of nerve cells.
REF: p. 2
MULTIPLE RESPONSE
1. A nurse recalls that the basic types of tissues are: (select all that apply)
a. nerve.
b. epithelial.
c. mucosal.
d. connective.
e. skeletal.
f. muscle.
ANS: A, B, D, F
The basic tissue types include nerve, epithelial, connective, and muscle. Mucosal is a type of epithelial cell, while skeletal is a type
of connective tissue.
REF: p. 27
2. Characteristics of prokaryotes include which of the following? (select all that apply)
a. They contain no organelles.
b. Their nuclear material is not encased by a nuclear membrane.
c. They contain a distinct nucleus.
d. They contain histones.
e. They contain a cellular membrane.
ANS: A, B
The prokaryotes lack a cellular membrane that encases nuclear material, thus they have no distinct nucleus; organelles and histones
are also missing.
REF: p. 1
The second of these great things O ka lua o na mea nui; oia ka imi
is the searching for the various ana i na pono a pau o ka hale,
parts of the house, i.e., the side oia hoi na pou, na o-a, kaupoku,
posts, the rafters, the ridge-pole, pouhana, na lohelau, aho a me
the main posts, the plates, the ke kaula, a me ka lauhala a pili
battens, the sennit, and the paha. Ina elima wa o ka hale,
lauhala or pili grass. If the house alaila eono pou kua, eono pou
should have five spaces, there alo; o ka laau kupono e hana
are six posts in the back and six mau ia ai, oia ka ohia. A o na
in the front. The best wood to aho, oia ka opiko, ohe, olomea,
use for these posts is the ohia; kawau, neneleau, akala [643]a
for the battens, use the opiko, 196 me ka hau-koii. Elua nae ano o
bambu, olomea, 197 kawau, na aho e hana ai, oia ka aho nui
neneleau, 198 [642]akala, 199 and a me ka aho liilii; o na aho nui,
the haukoii. 200 Prepare two kinds oia na aho moe o ka hale, a o na
of battens, however; the large as aho liilii, oia na aho ku, a ua
well as the small battens. The kapa ia he ahu-i.
large battens are laid horizontally
in the house, and the smaller
battens are laid vertically and are
called ahu-i.
The thatching of the house made O ke ako ana hoi o ka hale pili,
of pili is done in this same ua like no me keia; aka, o ka nui
manner; but the size of each nae o ka pupu pili e ako aku ai,
bundle of pili to be placed on the ua like me akahi piha lima i kela
batten is equal to what one hand apo ana keia apo ana, i ole e
can grasp, so that the thatching puuhaku ka hale a helelei koke i
would be even, and the house ka makani. A o ka hale lau-i
would withstand the wind. The maloo hoi, aole no i like me ko
thatching of the dry ti-leaf house keia mau hale; aka, he ano e
is not like these houses; it is loa. Ua oi aku nae ka nani
totally different. But it excels in mamua o laua.
appearance these two.
When the house is trimmed erect A paa ka hale i loha ia, e kukulu
the halakea, the upright in the aku i ka halakea, oia ka laau koo
middle supporting the ridge. mawaena o kaupoku. A paa ka
When the halakea is in place halakea, alaila e hana i ka puka,
construct the door. The proper o na laau kupono e hana mau ia
woods generally used for a door ai i kikihi puka, oia ka ulu a me
frame are the ulu (breadfruit) and ka ohia. A pau keia mau mea i
ohia. When this is completed the ka hana ia, alaila e ulana ka
woman braids a mat for covering wahine i paahu moena pani no
for the door, because that was ka puka no ka mea o ke pani no
the door of the houses of Hawaii ia o ko Hawaii nei hale i ka wa
nei in the olden time. kahiko.
Sometimes, however, a door is
constructed like a net, and the I kekahi manawa nae, ua hana
place to which this door is ia i pani puka e like me ka
attached is over the passage upena, a o kahi e hoopaa ia ai o
way: when closing, lower it, and keia pani puka, aia no ma ka
when opening, roll it up. When aoao maluna o ka puka; i na e
the door frames are placed in pani e kuu iho ilalo, a ina e wehe
position that is the time to cut the e owili ae iluna. I ka wa i hana ia
piko 209 of the house; that is, trim ai o na kikihi puka, oia ka wa e
those ragged lauhala leaves okiia ai o ka piko o ka hale, aia
which hang over the doorway. kela mau lauhala e weuweu iho
During cutting, however, it is well ana ma ka puka komo. I ke oki
to bring an aholehole (fish) and ana nae, e pono e lawe mai i
some young sugar-cane and aholehole a me ke ahuahu ko, a
also cut them; at the same time oki pu iho me ka olelo iho penei:
say: “Here I am a house-builder; “Eia wau o mea he kanaka
I am cutting the piko of the kukulu hale, ke oki nei au i ka
house; therefore, ward off the piko o ka hale; nolaila e lawe
evil influences from the house. aku i na mea pilikia a pau mai ka
Amen.” [648] hale aku. Amama.” [649]
This house is built for use in the Ua hana ia keia hale no ka pii
mountains when [a person] goes ana i uka o ke kuahiwi i ke
up to snare birds with lime, or to kapilimanu a mahiai paha. I ka
cultivate. When the person wa e makemake ai ke kanaka e
desires to sleep in the mountain, moe i uka, o ka hale ia e hana
[652]then is the house thatched. It ai, he hikiwawe [653]ma ka hana
is quickly thatched; is shady and ana a he malu a he paa nohoi. O
also tight. The timber used is na laau e hana ia ai, he noni, ua
noni; 212 it is called “noni-a;” other kapaia kona inoa he noni-a, a
woods are also proper; but this me na laau kupono e ae no hoi,
house has no posts; only arched aka, aohe pou o keia hale, he
timbers [are used] from the laau hoopio wale no kona mai
bottom to the top and from side lalo a i luna, ma kela aoao keia
to side. aoao.