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BS Nursing

5385 questions found

Practice Questions

182. A patient with Type 2 Diabetes Mellitus is prescribed an SGLT2 inhibitor (e.g., empagliflozin). From a medicinal perspective, what is the technical pathophysiological mechanism of SGLT2 inhibitors?

A. Increases insulin secretion.
B. Inhibits sodium-glucose co-transporter 2 in the renal tubules, leading to increased glucose excretion in the urine.
C. Decreases hepatic glucose production.
D. Increases insulin sensitivity.
nmdcat.online BS Nursing
Jun 6, 2026

183. A patient with chronic kidney disease (CKD) develops metabolic bone disease. What is the technical primary pathophysiological mechanism?

A. Increased bone formation.
B. Impaired calcium and phosphate homeostasis, leading to bone remodeling abnormalities.
C. Decreased parathyroid hormone.
D. Increased Vitamin D activation.
nmdcat.online BS Nursing
Jun 6, 2026

184. A patient with an acute ST-elevation myocardial infarction (STEMI) presents to the ED. What is the urgent clinical medicinal goal of management?

A. To alleviate pain.
B. To urgently achieve reperfusion of the ischemic myocardium to limit infarct size and preserve cardiac function.
C. To prevent infection.
D. To reduce fluid overload.
nmdcat.online BS Nursing
Jun 6, 2026

185. A patient with adrenal insufficiency (Addison’s disease) develops profound hypotension and shock during a stressor (e.g., infection). What is the technical primary pathophysiological cause of the shock?

A. Excess catecholamines.
B. Deficiency of cortisol and aldosterone, leading to volume depletion and vascular collapse.
C. Increased blood pressure.
D. Excess insulin.
nmdcat.online BS Nursing
Jun 6, 2026

186. A patient with chronic liver disease develops hepatorenal syndrome. What is the technical primary pathophysiological mechanism?

A. Direct kidney damage.
B. Severe renal vasoconstriction in the setting of advanced liver disease, without primary kidney pathology.
C. Kidney stones.
D. Glomerular inflammation.
nmdcat.online BS Nursing
Jun 6, 2026

171. A patient with adrenal insufficiency (Addison’s disease) develops hyperkalemia. What is the technical primary pathophysiological reason for this?

A. Excess cortisol.
B. Aldosterone deficiency, leading to impaired renal potassium excretion.
C. Increased potassium intake.
D. Decreased renin.
nmdcat.online BS Nursing
Jun 6, 2026

187. A patient with uncompensated respiratory alkalosis experiences lightheadedness and tingling around the mouth. What is the technical pathophysiological reason for these symptoms?

A. Increased cerebral blood flow.
B. Cerebral vasoconstriction due to decreased PCO2? and decreased ionized calcium.
C. Decreased oxygen levels.
D. Increased heart rate.
nmdcat.online BS Nursing
Jun 6, 2026

156. A patient with severe pancreatitis develops pancreatic necrosis and infection. What is the critical clinical urgency in managing this complication?

A. Oral antibiotics.
B. Surgical debridement of necrotic tissue and broad-spectrum antibiotics to prevent sepsis.
C. Pain management only.
D. Observation.
nmdcat.online BS Nursing
Jun 6, 2026

157. A patient with a stroke is experiencing cerebral edema. What is the technical primary pathophysiological consequence of cerebral edema?

A. Decreased intracranial pressure.
B. Increased intracranial pressure (ICP), leading to brain herniation and neurological deterioration.
C. Improved cerebral blood flow.
D. Enhanced neurotransmission.
nmdcat.online BS Nursing
Jun 6, 2026

158. A patient with HIV/AIDS develops Pneumocystis pneumonia. What is the technical primary pathophysiological reason for this opportunistic infection?

A. Normal immune function.
B. Severe immunosuppression due to CD4+ T cell depletion.
C. Hyperactive immune response.
D. Autoimmune disease.
nmdcat.online BS Nursing
Jun 6, 2026

159. A patient with Type 2 Diabetes Mellitus develops diabetic retinopathy. What is the technical primary pathophysiological mechanism?

A. Acute inflammation of the retina.
B. Microvascular damage and abnormal blood vessel growth in the retina due to chronic hyperglycemia.
C. Optic nerve damage.
D. Increased intraocular pressure.
nmdcat.online BS Nursing
Jun 6, 2026

160. A patient with acute kidney injury develops severe acidosis. What is the urgent clinical medicinal intervention required?

A. Oral antacids.
B. Administration of bicarbonate (if severe) and addressing the underlying cause of AKI.
C. Hyperventilation.
D. Loop diuretics.
nmdcat.online BS Nursing
Jun 6, 2026

161. A patient with heart failure experiences activation of the Renin-Angiotensin-Aldosterone System (RAAS). What is the technical pathophysiological consequence of RAAS activation in heart failure?

A. Vasodilation and decreased fluid retention.
B. Vasoconstriction, sodium and water retention, and cardiac remodeling, leading to worsening heart failure.
C. Improved cardiac contractility.
D. Decreased afterload.
nmdcat.online BS Nursing
Jun 6, 2026

162. A patient with an esophageal stricture (narrowing) due to chronic GERD develops dysphagia. What is the technical primary pathophysiological cause of dysphagia?

A. Impaired gastric emptying.
B. Fibrosis and scarring of the esophageal wall.
C. Acute inflammation.
D. Muscle spasm.
nmdcat.online BS Nursing
Jun 6, 2026

163. A patient with a history of hypertension experiences sudden, severe chest pain radiating to the back, accompanied by unequal pulses. What is the critical clinical urgency in identifying this condition?

A. Myocardial infarction.
B. Pneumothorax.
C. Aortic dissection, requiring urgent surgical consultation and blood pressure control.
D. Pulmonary embolism.
nmdcat.online BS Nursing
Jun 6, 2026

164. A patient with osteoporosis experiences a pathological fracture. What is the technical primary pathophysiological defect in osteoporosis?

A. Increased bone density.
B. Reduced bone density and structural integrity, leading to increased fracture risk.
C. Increased bone formation.
D. Normal bone remodeling.
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

166. A patient with uncompensated metabolic acidosis develops Kussmaul respirations (deep, rapid breathing). What is the technical pathophysiological rationale for this compensatory mechanism?

A. To retain CO2?.
B. To increase CO2? excretion to compensate for the metabolic acidosis.
C. To increase oxygen intake.
D. To decrease respiratory rate.
nmdcat.online BS Nursing
Jun 6, 2026

167. A patient with septic shock is given intravenous fluids and vasopressors. From a medicinal perspective, what is the technical pathophysiological rationale for vasopressors in septic shock?

A. To reduce heart rate.
B. To increase systemic vascular resistance and blood pressure to improve tissue perfusion.
C. To decrease cardiac output.
D. To increase urine output.
nmdcat.online BS Nursing
Jun 6, 2026
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