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BS Nursing

5385 questions found

Practice Questions

102. A patient with a history of long-standing hypertension develops hypertensive urgency/emergency. What is the critical clinical urgency in managing this condition?

A. To lower blood pressure slowly over days.
B. To reduce blood pressure promptly but carefully to prevent end-organ damage.
C. To administer oral diuretics only.
D. To observe without intervention.
nmdcat.online BS Nursing
Jun 6, 2026

103. A patient with Cushing’s syndrome develops osteoporosis. What is the technical primary pathophysiological cause of this complication?

A. Decreased calcium absorption.
B. Excess cortisol leading to increased bone resorption and decreased bone formation.
C. Vitamin D deficiency.
D. Increased estrogen levels.
nmdcat.online BS Nursing
Jun 6, 2026

105. A patient with chronic heart failure has an ejection fraction of 30%. What is the technical primary pathophysiological implication of this reduced ejection fraction?

A. Diastolic dysfunction.
B. Impaired systolic function and reduced cardiac output.
C. Increased preload.
D. Normal cardiac function.
nmdcat.online BS Nursing
Jun 6, 2026

106. A patient with peptic ulcer disease experiences sudden, severe abdominal pain that is relieved by antacids. What is the technical primary pathophysiological cause of peptic ulcer pain?

A. Inflammation of the pancreas.
B. Erosion of the gastric or duodenal mucosa by acid and pepsin.
C. Bowel obstruction.
D. Appendicitis.
nmdcat.online BS Nursing
Jun 6, 2026

107. A patient with severe anemia due to chronic blood loss presents with compensatory tachycardia and increased cardiac output. What is the technical primary pathophysiological rationale for these cardiovascular adaptations?

A. To increase blood viscosity.
B. To maintain tissue oxygen delivery despite reduced oxygen-carrying capacity.
C. To decrease cardiac workload.
D. To increase red blood cell production.
nmdcat.online BS Nursing
Jun 6, 2026

91. A patient with left-sided heart failure develops peripheral edema. What is the technical primary pathophysiological mechanism causing the peripheral edema?

A. Increased plasma oncotic pressure.
B. Increased systemic venous pressure due to right ventricular failure, or fluid retention secondary to left-sided failure.
C. Decreased capillary permeability.
D. Decreased hydrostatic pressure.
nmdcat.online BS Nursing
Jun 6, 2026

92. A patient with a history of chronic kidney disease on dialysis develops bone pain and fractures. What is the technical primary pathophysiological mechanism causing renal osteodystrophy?

A. Increased Vitamin D production.
B. Impaired phosphate excretion, leading to hyperphosphatemia, hypocalcemia, and secondary hyperparathyroidism.
C. Increased calcium absorption.
D. Decreased parathyroid hormone.
nmdcat.online BS Nursing
Jun 6, 2026

76. A patient with severe sepsis develops acute respiratory distress syndrome (ARDS). What is the technical primary pathophysiological change in ARDS?

A. Bronchoconstriction.
B. Non-cardiogenic pulmonary edema due to increased alveolar-capillary membrane permeability.
C. Alveolar destruction.
D. Pulmonary fibrosis.
nmdcat.online BS Nursing
Jun 6, 2026

93. A patient with a sudden onset of vision loss, severe headache, and pain on chewing, along with an elevated ESR, is suspected of having giant cell arteritis. What is the critical urgency for medicinal intervention?

A. To prescribe oral antibiotics.
B. Immediate high-dose corticosteroids to prevent permanent vision loss.
C. To observe and monitor symptoms.
D. To perform immediate surgery.
nmdcat.online BS Nursing
Jun 6, 2026

77. A patient with a history of long-standing hypertension develops a hemorrhagic stroke. What is the technical primary pathophysiological cause of hemorrhagic stroke in this context?

A. Thromboembolic event.
B. Rupture of a cerebral blood vessel (often due to weakened walls from chronic hypertension).
C. Vasospasm.
D. Global cerebral ischemia.
nmdcat.online BS Nursing
Jun 6, 2026

78. A patient with acute appendicitis presents with right lower quadrant pain, rebound tenderness, and fever. What is the critical clinical urgency in managing this condition?

A. Oral antibiotics and observation.
B. Surgical appendectomy to prevent perforation and peritonitis.
C. Laxatives.
D. Pain medication only.
nmdcat.online BS Nursing
Jun 6, 2026

95. A patient with a history of heavy smoking develops recurrent pneumonia in the same lung segment. What is the critical clinical concern in this scenario?

A. Fungal infection.
B. Underlying lung cancer obstructing the airway.
C. Autoimmune disease.
D. Chronic bronchitis.
nmdcat.online BS Nursing
Jun 6, 2026

79. A patient with chronic heart failure is prescribed spironolactone. From a medicinal perspective, what is the technical pathophysiological mechanism of spironolactone?

A. Loop diuretic.
B. Aldosterone antagonist, reducing sodium and water retention and potassium loss.
C. Beta-blocker.
D. ACE inhibitor.
nmdcat.online BS Nursing
Jun 6, 2026

80. A patient with a history of valvular heart disease develops infective endocarditis. What is the technical primary pathophysiological process?

A. Autoimmune inflammation of the heart valves.
B. Bacterial colonization and vegetation formation on damaged heart valves.
C. Degeneration of heart valve tissue.
D. Increased pressure in the heart chambers.
nmdcat.online BS Nursing
Jun 6, 2026

81. A patient with uncompensated metabolic acidosis has low blood pH and low bicarbonate. What is the technical primary pathophysiological cause of the acidosis?

A. Hyperventilation.
B. Increased production or decreased excretion of metabolic acids.
C. Overproduction of CO2?.
D. Excessive loss of chloride.
nmdcat.online BS Nursing
Jun 6, 2026

82. A patient with acute cholecystitis presents with severe right upper quadrant pain, fever, and nausea. What is the technical primary pathophysiological event?

A. Pancreatic inflammation.
B. Gallstone obstruction of the cystic duct, leading to inflammation of the gallbladder.
C. Gastric ulceration.
D. Appendicitis.
nmdcat.online BS Nursing
Jun 6, 2026

83. A patient with a history of stroke develops post-stroke spasticity. From a technical pathophysiological perspective, spasticity is caused by:

A. Loss of muscle strength.
B. Damage to upper motor neurons, leading to increased muscle tone and hyperreflexia.
C. Peripheral nerve damage.
D. Muscle atrophy.
nmdcat.online BS Nursing
Jun 6, 2026

84. A patient with a large pleural effusion presents with dyspnea and diminished breath sounds over the affected lung. What is the technical primary pathophysiological reason for the dyspnea?

A. Bronchospasm.
B. Compression of the lung by fluid in the pleural space, limiting lung expansion.
C. Alveolar inflammation.
D. Pulmonary embolism.
nmdcat.online BS Nursing
Jun 6, 2026
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