Pathophysiology: 2026 The Biologic
Basis for Disease in Adults and Children
Test Bank (9th Edition) | Exam Prep |
Graded A+
A 35-year-old female is diagnosed with vitamin B12 deficiency anemia (pernicious
anemia). How should the nurse respond when the patient asks what causes
pernicious anemia? A decrease in ______ is the most likely cause.
A. Ferritin
B. Gastric enzymes
C. Intrinsic factor
D. Erythropoietin
C
How should the nurse prepare a patient who is to receive a Schilling test for
pernicious anemia?
A. Administer radioactive cobalamin and measure its excretion time
B. Measure antigen-antibody immune complexes
1|Page
,C. Measure serum ferritin and total iron-binding capacity
D.Administer folate and evaluate folate content in a blood serum sample
A
A 21-year-old female was recently diagnosed with iron deficiency anemia. In
addition to fatigue and weakness, which of the following clinical signs and
symptoms would she most likely exhibit?
A. Hyperactivity
B. Spoon-shaped nails
C. Gait problems
D. Petechiae
B
A 50-year-old female was diagnosed with sideroblastic anemia. Which of the
following assessment findings would most likely occur?
A. Bronze colored skin
B. Decreased iron
C. Normochromic erythrocytes
D. Aplastic bone marrow
A
A 57-year-old male presents to his primary care provider for red face, hands, feet,
ears, and headache and drowsiness. A blood smear reveals an increased number
of erythrocytes, indicating:
2|Page
,A. Leukemia
B. Sideroblastic anemia
C. Hemosiderosis
D. Polycythemia vera
D
A staff member asks what leukocytosis means. How should the nurse respond?
Leukocytosis can be defined as:
A. A normal leukocyte count
B. A high leukocyte count
C. A low leukocyte count
D. Another term for leukopenia
B
A 35-year-old male has enlarged lymph nodes in the neck and a mediastinal
mass. He was diagnosed with Hodgkin lymphoma. Which of the following
abnormal cells would the nurse expect to find with this disease?
A. Merkel cell
B. Schwann cell
C. Reed-Sternberg cell
D. Kupffer cell
C
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, The first circulating immunoglobulin to appear in response to a new antigen is:
A. IgA
B. IgG
C. IgE
D. IgM
D
IgM dominates primary immune response
A child's thymus gland is fully formed and proportionately larger than an adult's.
Which of the following processes that contribute to immunity takes place in the
thymus gland?
A. Differentiation of B cells
B. Production of natural killer (NK) cells
C. Proliferation of T cells
4|Page
Basis for Disease in Adults and Children
Test Bank (9th Edition) | Exam Prep |
Graded A+
A 35-year-old female is diagnosed with vitamin B12 deficiency anemia (pernicious
anemia). How should the nurse respond when the patient asks what causes
pernicious anemia? A decrease in ______ is the most likely cause.
A. Ferritin
B. Gastric enzymes
C. Intrinsic factor
D. Erythropoietin
C
How should the nurse prepare a patient who is to receive a Schilling test for
pernicious anemia?
A. Administer radioactive cobalamin and measure its excretion time
B. Measure antigen-antibody immune complexes
1|Page
,C. Measure serum ferritin and total iron-binding capacity
D.Administer folate and evaluate folate content in a blood serum sample
A
A 21-year-old female was recently diagnosed with iron deficiency anemia. In
addition to fatigue and weakness, which of the following clinical signs and
symptoms would she most likely exhibit?
A. Hyperactivity
B. Spoon-shaped nails
C. Gait problems
D. Petechiae
B
A 50-year-old female was diagnosed with sideroblastic anemia. Which of the
following assessment findings would most likely occur?
A. Bronze colored skin
B. Decreased iron
C. Normochromic erythrocytes
D. Aplastic bone marrow
A
A 57-year-old male presents to his primary care provider for red face, hands, feet,
ears, and headache and drowsiness. A blood smear reveals an increased number
of erythrocytes, indicating:
2|Page
,A. Leukemia
B. Sideroblastic anemia
C. Hemosiderosis
D. Polycythemia vera
D
A staff member asks what leukocytosis means. How should the nurse respond?
Leukocytosis can be defined as:
A. A normal leukocyte count
B. A high leukocyte count
C. A low leukocyte count
D. Another term for leukopenia
B
A 35-year-old male has enlarged lymph nodes in the neck and a mediastinal
mass. He was diagnosed with Hodgkin lymphoma. Which of the following
abnormal cells would the nurse expect to find with this disease?
A. Merkel cell
B. Schwann cell
C. Reed-Sternberg cell
D. Kupffer cell
C
3|Page
, The first circulating immunoglobulin to appear in response to a new antigen is:
A. IgA
B. IgG
C. IgE
D. IgM
D
IgM dominates primary immune response
A child's thymus gland is fully formed and proportionately larger than an adult's.
Which of the following processes that contribute to immunity takes place in the
thymus gland?
A. Differentiation of B cells
B. Production of natural killer (NK) cells
C. Proliferation of T cells
4|Page
