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BS Nursing

5385 questions found

Practice Questions

114. A patient with an acute ischemic stroke receives tissue plasminogen activator (tPA). From a medicinal perspective, what is the technical pathophysiological mechanism of tPA?

A. Decreases blood pressure.
B. Breaks down fibrin clots, restoring blood flow to ischemic brain tissue.
C. Prevents platelet aggregation.
D. Increases cerebral blood flow by vasodilation.
nmdcat.online BS Nursing
Jun 6, 2026

115. A patient with diabetic nephropathy develops progressive proteinuria. What is the technical primary pathophysiological mechanism causing the proteinuria?

A. Increased tubular reabsorption.
B. Glomerular basement membrane thickening and increased permeability.
C. Renal artery stenosis.
D. Urinary tract infection.
nmdcat.online BS Nursing
Jun 6, 2026

116. A patient with acute pancreatitis develops systemic complications like acute respiratory distress syndrome (ARDS) and renal failure. What is the critical underlying pathophysiological mechanism?

A. Localized inflammation.
B. Systemic inflammatory response to pancreatic enzymes, leading to widespread organ damage.
C. Hypovolemia.
D. Infection.
nmdcat.online BS Nursing
Jun 6, 2026

117. A patient with hypovolemic shock (e.g., from severe hemorrhage) presents with hypotension, tachycardia, and cool, clammy skin. What is the technical primary pathophysiological mechanism causing these signs?

A. Vasodilation.
B. Decreased intravascular volume, leading to reduced preload, cardiac output, and tissue perfusion.
C. Increased cardiac contractility.
D. Increased systemic vascular resistance.
nmdcat.online BS Nursing
Jun 6, 2026

118. A patient with uncompensated metabolic alkalosis has high blood pH and high bicarbonate. What is the technical primary pathophysiological cause of the alkalosis?

A. Hyperventilation.
B. Increased bicarbonate levels (e.g., due to vomiting or diuretic use) or excessive acid loss.
C. Decreased production of lactic acid.
D. Excessive loss of CO2?.
nmdcat.online BS Nursing
Jun 6, 2026

119. A patient with acute kidney injury is diagnosed with post-renal AKI. What is the technical primary pathophysiological cause?

A. Reduced renal perfusion.
B. Direct damage to kidney tubules.
C. Obstruction of urinary outflow from the kidneys.
D. Glomerular inflammation.
nmdcat.online BS Nursing
Jun 6, 2026

120. A patient with severe pneumonia develops septic shock. What is the urgent clinical medicinal intervention required for septic shock?

A. Oral antibiotics and observation.
B. Immediate administration of broad-spectrum antibiotics, intravenous fluids, and vasopressors to restore tissue perfusion.
C. Oral steroids.
D. Oxygen therapy only.
nmdcat.online BS Nursing
Jun 6, 2026

121. A patient with a history of Gout experiences acute joint pain, swelling, and redness in the big toe. What is the technical primary pathophysiological mechanism of gout?

A. Autoimmune inflammation.
B. Deposition of uric acid crystals in the joint, leading to an inflammatory response.
C. Bacterial infection.
D. Degeneration of articular cartilage.
nmdcat.online BS Nursing
Jun 6, 2026

122. A patient with chronic heart failure experiences cardiac remodeling (ventricular hypertrophy and dilation). What is the technical pathophysiological consequence of this remodeling on cardiac function?

A. Improved cardiac output.
B. Increased myocardial oxygen demand and impaired contractility, leading to progressive worsening of heart failure.
C. Decreased preload.
D. Enhanced relaxation.
nmdcat.online BS Nursing
Jun 6, 2026

123. A patient with an acute stroke presents within the thrombolytic window. What is the critical clinical urgency for medicinal intervention if no contraindications exist?

A. To delay treatment until full recovery.
B. Immediate assessment for eligibility for thrombolytic therapy (tPA) to restore blood flow and minimize brain damage.
C. To administer antiplatelet agents only.
D. To observe and monitor.
nmdcat.online BS Nursing
Jun 6, 2026

108. A patient with a history of atrial fibrillation on warfarin presents with severe gastrointestinal bleeding. What is the urgent clinical medicinal action required?

A. To administer more warfarin.
B. Immediate reversal of anticoagulation with Vitamin K and/or fresh frozen plasma (FFP).
C. To administer aspirin.
D. To observe the bleeding.
nmdcat.online BS Nursing
Jun 6, 2026

109. A patient with chronic kidney disease develops pruritus (itching). What is the technical primary pathophysiological reason for this?

A. Allergic reaction.
B. Accumulation of uremic toxins.
C. Fungal infection.
D. Dry skin.
nmdcat.online BS Nursing
Jun 6, 2026

110. A patient with acute glomerulonephritis presents with hematuria, proteinuria, and edema. What is the technical primary pathophysiological event in acute glomerulonephritis?

A. Tubular damage.
B. Inflammation of the glomeruli, leading to increased permeability and impaired filtration.
C. Obstruction of the urinary tract.
D. Renal artery stenosis.
nmdcat.online BS Nursing
Jun 6, 2026

96. A patient with Systemic Inflammatory Response Syndrome (SIRS) progresses to multiple organ dysfunction syndrome (MODS). What is the technical underlying pathophysiological mechanism of MODS?

A. Localized inflammation.
B. Uncontrolled systemic inflammation leading to widespread endothelial injury, organ dysfunction, and failure.
C. Hypovolemia.
D. Nutritional deficiency.
nmdcat.online BS Nursing
Jun 6, 2026

97. A patient with diabetes develops proliferative retinopathy. What is the technical primary pathophysiological mechanism?

A. Inflammation of the retina.
B. Neovascularization (new blood vessel growth) due to chronic ischemia and hypoxia.
C. Detachment of the retina.
D. Increased intraocular pressure.
nmdcat.online BS Nursing
Jun 6, 2026

98. A patient with hyperkalemia from acute kidney injury is administered insulin with glucose. From a medicinal perspective, what is the technical pathophysiological mechanism of this intervention?

A. Increases potassium excretion.
B. Drives potassium intracellularly.
C. Blocks potassium channels.
D. Promotes potassium reabsorption.
nmdcat.online BS Nursing
Jun 6, 2026

99. A patient with acute onset of severe, crushing chest pain, diaphoresis, and shortness of breath is in the emergency room. ECG shows ST-segment elevation. What is the critical urgency for medicinal intervention?

A. Administering oral antibiotics.
B. Immediate reperfusion therapy (fibrinolysis or PCI) for acute myocardial infarction.
C. Administering pain medication only.
D. Encouraging rest.
nmdcat.online BS Nursing
Jun 6, 2026

100. A patient with asthma is exposed to an allergen and develops an acute exacerbation. What is the technical primary pathophysiological response that leads to bronchoconstriction?

A. Increased production of surfactant.
B. IgE-mediated mast cell degranulation and release of bronchoconstrictive mediators (e.g., histamine, leukotrienes).
C. Activation of macrophages.
D. Inhibition of smooth muscle contraction.
nmdcat.online BS Nursing
Jun 6, 2026

101. A patient with a history of liver cirrhosis develops spontaneous bacterial peritonitis (SBP). What is the technical primary pathophysiological mechanism?

A. Fungal infection of the peritoneum.
B. Translocation of gut bacteria into the ascitic fluid.
C. Viral infection.
D. Autoimmune inflammation.
nmdcat.online BS Nursing
Jun 6, 2026
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