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BS Nursing

5385 questions found

Practice Questions

195. A patient with acute coronary syndrome has significant plaque rupture. What is the technical primary pathophysiological event following plaque rupture?

A. Vasodilation.
B. Thrombosis formation on the ruptured plaque, leading to partial or complete coronary artery occlusion.
C. Spasm of coronary artery.
D. Increased myocardial oxygen supply.
nmdcat.online BS Nursing
Jun 6, 2026

196. A patient with liver cirrhosis develops coagulopathy. What is the technical primary pathophysiological reason for this?

A. Increased platelet count.
B. Impaired synthesis of clotting factors by the damaged liver.
C. Increased fibrinolysis.
D. Decreased red blood cell production.
nmdcat.online BS Nursing
Jun 6, 2026

197. A patient with a history of long-standing diabetes develops end-stage renal disease. What is the critical clinical urgency in managing this condition?

A. Oral medications for blood sugar.
B. Initiation of renal replacement therapy (dialysis or kidney transplant) to sustain life and manage complications.
C. Only dietary modifications.
D. No urgent intervention needed.
nmdcat.online BS Nursing
Jun 6, 2026

198. A patient with acute pancreatitis is in severe pain. What is the technical primary pathophysiological cause of the pain?

A. Bowel obstruction.
B. Inflammation and autodigestion of the pancreas by activated enzymes.
C. Gastric acid reflux.
D. Appendicitis.
nmdcat.online BS Nursing
Jun 6, 2026

199. A patient with hyperthyroidism undergoes thyroidectomy. What is the critical clinical urgency of monitoring for hypocalcemia post-operatively?

A. Risk of hypernatremia.
B. Risk of accidental parathyroid gland removal, leading to hypoparathyroidism and life-threatening hypocalcemia.
C. Risk of hyperkalemia.
D. Risk of hypoglycemia.
nmdcat.online BS Nursing
Jun 6, 2026

200. A patient with Type 2 Diabetes Mellitus is prescribed a GLP-1 receptor agonist (e.g., liraglutide). From a medicinal perspective, what is the technical pathophysiological mechanism of GLP-1 agonists?

A. Increases glucagon secretion.
B. Mimics incretin hormones, stimulating glucose-dependent insulin release, suppressing glucagon, and slowing gastric emptying.
C. Increases glucose absorption.
D. Decreases insulin sensitivity.
nmdcat.online BS Nursing
Jun 6, 2026

172. A patient with severe pneumonia and hypoxemia is placed on mechanical ventilation. What is the technical primary pathophysiological goal of mechanical ventilation in this context?

A. To increase spontaneous breathing.
B. To improve alveolar ventilation and oxygenation, and reduce the work of breathing.
C. To cause bronchoconstriction.
D. To prevent fluid accumulation.
nmdcat.online BS Nursing
Jun 6, 2026

188. A patient with a history of intravenous drug use develops infective endocarditis. What is the critical clinical concern in identifying the technical primary pathophysiological mechanism?

A. Peripheral neuropathy.
B. Bacterial colonization and vegetation on heart valves, potentially leading to septic emboli and systemic infection.
C. Autoimmune response.
D. Valvular calcification.
nmdcat.online BS Nursing
Jun 6, 2026

173. A patient with a history of recurrent urinary tract infections (UTIs) presents with fever, chills, and flank pain. What is the critical clinical concern in recognizing these symptoms?

A. Lower UTI.
B. Pyelonephritis (upper UTI), requiring urgent antibiotic treatment to prevent kidney damage and sepsis.
C. Viral infection.
D. Kidney stone.
nmdcat.online BS Nursing
Jun 6, 2026

189. A patient with an ischemic stroke is experiencing increasing neurological deficits due to cerebral edema. What is the urgent clinical medicinal intervention required?

A. Oral fluids.
B. Administration of hyperosmolar agents (e.g., mannitol) or hypertonic saline to reduce cerebral edema.
C. Oral antibiotics.
D. Only observation.
nmdcat.online BS Nursing
Jun 6, 2026

174. A patient with an acute allergic reaction (anaphylaxis) is administered epinephrine. From a medicinal perspective, what is the technical primary pathophysiological mechanism of epinephrine in anaphylaxis?

A. Antihistamine effect.
B. Vasoconstriction, bronchodilation, and decreased mediator release from mast cells.
C. Corticosteroid effect.
D. Direct mast cell stabilization.
nmdcat.online BS Nursing
Jun 6, 2026

190. A patient with chronic heart failure has an S4 gallop. What is the technical primary pathophysiological meaning of this heart sound?

A. Rapid ventricular filling in a dilated ventricle.
B. Atrial contraction against a stiff, non-compliant ventricle.
C. Valvular regurgitation.
D. Pericardial friction rub.
nmdcat.online BS Nursing
Jun 6, 2026

175. A patient with chronic obstructive pulmonary disease (COPD) develops peripheral edema and jugular venous distension. What is the technical primary pathophysiological cause of these signs in COPD?

A. Left-sided heart failure.
B. Cor pulmonale (right-sided heart failure due to pulmonary hypertension).
C. Renal failure.
D. Liver cirrhosis.
nmdcat.online BS Nursing
Jun 6, 2026

176. A patient with a peptic ulcer is prescribed a proton pump inhibitor (PPI). From a medicinal perspective, what is the technical pathophysiological mechanism of PPIs?

A. Neutralizes gastric acid.
B. Irreversibly blocks the H+/K+-ATPase pump in gastric parietal cells, reducing acid secretion.
C. Forms a protective barrier over the ulcer.
D. Increases mucus production.
nmdcat.online BS Nursing
Jun 6, 2026

177. A patient with acute kidney injury is diagnosed with pre-renal AKI. What is the critical clinical urgency in managing this condition?

A. To immediately start dialysis.
B. To identify and urgently correct the underlying cause of hypoperfusion (e.g., fluid resuscitation, improving cardiac output).
C. To administer loop diuretics.
D. To prescribe antibiotics.
nmdcat.online BS Nursing
Jun 6, 2026

178. A patient with a history of valvular heart disease develops acute onset of shortness of breath and an S3 gallop. What is the critical clinical urgency in identifying the cause of this acute decompensation?

A. To rule out pneumonia.
B. To identify acute exacerbation of heart failure, often due to valvular dysfunction, requiring urgent medical management.
C. To assess for DVT.
D. To evaluate for allergic reaction.
nmdcat.online BS Nursing
Jun 6, 2026

179. A patient with chronic liver disease develops portal hypertension. What is the technical primary pathophysiological cause of portal hypertension in cirrhosis?

A. Increased blood flow to the liver.
B. Increased resistance to blood flow through the cirrhotic liver.
C. Decreased cardiac output.
D. Increased systemic blood pressure.
nmdcat.online BS Nursing
Jun 6, 2026

180. A patient with severe sepsis develops disseminated intravascular coagulation (DIC). What is the technical primary pathophysiological feature of DIC?

A. Localized clot formation.
B. Widespread activation of coagulation and fibrinolysis, leading to simultaneous thrombosis and bleeding.
C. Platelet destruction only.
D. Hemolysis.
nmdcat.online BS Nursing
Jun 6, 2026

181. A patient with chronic heart failure has a history of prolonged immobility and develops sudden onset of unilateral leg swelling and pain. What is the critical clinical urgency in identifying this condition?

A. Cellulitis.
B. Deep vein thrombosis (DVT), requiring urgent anticoagulation to prevent pulmonary embolism.
C. Muscle strain.
D. Varicose veins.
nmdcat.online BS Nursing
Jun 6, 2026
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