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NSG 3280 Pathophysiology Chapter 42 Alterations in Metabolism and Nutrition Exam Review – 20 NCLEX Questions and Answers on Metabolic Stress, Malnutrition, Cachexia, Basal Metabolic Rate & Metabolic Syndrome | Galen College of Nursing

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This comprehensive NSG 3280 Pathophysiology exam review document contains 20 NCLEX-style questions with verified answers focused on Chapter 42: Alterations in Metabolism and Nutrition. The material provides detailed coverage of metabolic stress responses, protein catabolism, starvation, malnutrition, cachexia, basal metabolic rate (BMR), gluconeogenesis, fever metabolism, fasting metabolism, obesity, metabolic syndrome, nitrogen balance, postoperative metabolic demands, burn-related hypermetabolism, trauma-induced catabolism, and nutritional deficiencies. The questions are designed to strengthen metabolic pathophysiology knowledge, nutritional assessment interpretation, physiologic reasoning, and evidence-based nutrition concepts commonly tested in nursing and healthcare programs. This study resource is especially valuable for nursing students preparing for Pathophysiology examinations, NCLEX-RN preparation, metabolism and nutrition competency testing, and clinical evaluations involving nutritional disorders and metabolic dysfunction. The content emphasizes essential concepts such as stress-induced protein breakdown, energy expenditure during illness, increased caloric requirements following surgery or burns, carbohydrate and fat metabolism, fasting adaptations, obesity classification through body mass index (BMI), cachexia in cancer patients, metabolic syndrome characteristics, nitrogen balance, and physiologic responses to fever and trauma. The structured question-and-answer format promotes active recall, exam readiness, and mastery of metabolic and nutritional pathophysiology principles necessary for safe patient care and clinical practice. The material aligns with evidence-based metabolic and pathophysiology concepts presented in Pathophysiology: The Biologic Basis for Disease in Adults and Children (McCance & Huether, Elsevier, 2023), Krause’s Food & the Nutrition Care Process (Mahan & Raymond, Elsevier, 2021), and nutritional science principles supported by the Academy of Nutrition and Dietetics, the American Society for Parenteral and Enteral Nutrition (ASPEN), and the Centers for Disease Control and Prevention (CDC) guidelines on obesity and metabolic health. The document reinforces clinically relevant concepts frequently encountered in nursing school examinations, NCLEX preparation, nutrition courses, metabolic care education, and patient management involving nutritional imbalances and metabolic stress disorders. This document is highly relevant for: Pathophysiology nursing students Adult Health and Medical-Surgical Nursing students BSN and ADN nursing students NCLEX-RN candidates Galen College of Nursing students Nursing students studying metabolism and nutrition disorders Students preparing for NSG 3280 examinations Healthcare students reviewing malnutrition and metabolic stress responses Nutrition and endocrine nursing students Students preparing for metabolism and nutrition competency testing Keywords NSG 3280, pathophysiology, metabolism and nutrition, metabolic stress, malnutrition, cachexia, basal metabolic rate, BMR, gluconeogenesis, protein catabolism, starvation, nutritional disorders, fever metabolism, metabolic syndrome, obesity, body mass index, BMI, fasting metabolism, nitrogen balance, postoperative nutrition, burn injury metabolism, trauma metabolism, hypermetabolism, protein deficiency, carbohydrate metabolism, fat metabolism, energy expenditure, nutritional assessment, metabolic adaptation, stress response metabolism, cachexia syndrome, nutrition pathophysiology, endocrine metabolism, NCLEX questions, nursing exam review, metabolism study guide, nutrition nursing, medical surgical nursing, Galen College of Nursing, evidence based nursing, nutritional imbalance, metabolic disorders, caloric requirements, catabolic state

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Institution
Patho
Course
Patho

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Patho Chapter 42 Alterations in
Metabolism and Nutrition 2026
EXAM QUESTIONS AND
ANSWERS | 100% PASS



The metabolic response to physiologic stress is characterized by:




a. loss of somatic protein.

b. preservation of visceral protein.

c. body weight less than 80% of ideal.

, d. stress-induced protein catabolism. - ANSWER ✔✔d. stress-

induced protein catabolism.

Starvation is associated with:




a. loss of visceral protein.

b. low serum albumin levels.

c. loss of somatic fat and protein.


d. generalized edema. - ANSWER ✔✔c. loss of somatic fat and

protein.

What patient is most at risk for severe protein malnutrition?




a. A postsurgical patient who has been NPO for 3 days

b. A postburn patient who has a deep partial-thickness burn

c. A febrile patient who has had a temperature of 102.6°F for 3 days

d. An immobile patient who has been in skeletal traction for 1 week -

ANSWER ✔✔b. A postburn patient who has a deep partial-thickness

burn

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

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