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BS Nursing

5385 questions found

Practice Questions

73. A patient with a suspected subarachnoid hemorrhage presents with sudden “thunderclap” headache, nuchal rigidity, and photophobia. What is the urgent clinical action required based on the likely pathophysiology?

A. Oral analgesics.
B. Immediate neuroimaging to confirm hemorrhage and neurosurgical consultation.
C. Physical therapy.
D. Antihistamines.
nmdcat.online BS Nursing
Jun 6, 2026

59. A patient with a history of HIV develops opportunistic infections and Kaposi’s sarcoma. What is the technical primary pathophysiological defect in HIV/AIDS?

A. Autoimmune reaction.
B. Progressive destruction of CD4+ T lymphocytes.
C. Hyperactivity of B lymphocytes.
D. Increased production of antibodies.
nmdcat.online BS Nursing
Jun 6, 2026

60. A patient with acute onset of severe shortness of breath, bilateral crackles, and frothy pink sputum is diagnosed with acute pulmonary edema due to left-sided heart failure. What is the urgent clinical medicinal intervention required?

A. Oral diuretics and observation.
B. Immediate administration of IV diuretics and vasodilators to reduce preload and afterload.
C. Anticoagulants.
D. Oral antibiotics.
nmdcat.online BS Nursing
Jun 6, 2026

56. A patient with cirrhosis develops esophageal varices. What is the technical primary pathophysiological mechanism leading to variceal formation?

A. Decreased synthetic function of the liver.
B. Portal hypertension, causing collateral circulation and dilation of esophageal veins.
C. Inflammation of the esophagus.
D. Gastric acid reflux.
nmdcat.online BS Nursing
Jun 6, 2026

57. A patient with severe sepsis develops acute kidney injury. What is the critical underlying pathophysiological mechanism of AKI in sepsis?

A. Prerenal azotemia due to hypovolemia.
B. Postrenal obstruction.
C. Acute tubular necrosis (ATN) due to renal hypoperfusion and inflammatory mediators.
D. Glomerulonephritis.
nmdcat.online BS Nursing
Jun 6, 2026

46. A patient with chronic bronchitis is characterized by a “blue bloater” appearance (cyanosis, edema). What is the technical primary pathophysiological cause of these features?

A. Alveolar destruction and air trapping.
B. Chronic inflammation of the bronchi, leading to mucus hypersecretion, airway obstruction, and hypoxemia/hypercapnia.
C. Reversible bronchospasm.
D. Pulmonary fibrosis.
nmdcat.online BS Nursing
Jun 6, 2026

47. A patient with untreated hypertension develops left ventricular hypertrophy. What is the technical pathophysiological consequence of long-standing hypertension on the heart?

A. Dilation of the left ventricle.
B. Increased afterload, leading to compensatory hypertrophy of the left ventricle.
C. Valvular stenosis.
D. Increased cardiac output.
nmdcat.online BS Nursing
Jun 6, 2026

49. A patient with newly diagnosed Type 2 Diabetes Mellitus has elevated fasting blood glucose and insulin resistance. What is the technical pathophysiological defect primarily responsible for insulin resistance?

A. Autoimmune destruction of pancreatic beta cells.
B. Decreased insulin production.
C. Impaired cellular response to insulin, leading to inadequate glucose uptake by peripheral tissues.
D. Excess glucagon secretion.
nmdcat.online BS Nursing
Jun 6, 2026

50. A patient with a history of atherosclerosis develops angina pectoris. What is the technical primary pathophysiological mechanism causing the chest pain?

A. Myocardial cell necrosis.
B. Imbalance between myocardial oxygen supply and demand.
C. Pericardial inflammation.
D. Esophageal spasm.
nmdcat.online BS Nursing
Jun 6, 2026

51. A patient with a history of alcohol abuse develops acute pancreatitis. What is the technical primary pathophysiological event leading to the inflammation?

A. Autoimmune attack on the pancreas.
B. Obstruction of the pancreatic duct by a gallstone.
C. Premature activation of digestive enzymes within the pancreas.
D. Bacterial infection.
nmdcat.online BS Nursing
Jun 6, 2026

52. A patient with acute kidney injury (AKI) presents with oliguria, elevated creatinine, and electrolyte imbalances. From a clinical perspective, what is the urgency in determining the cause of AKI?

A. To identify the underlying cause (pre-renal, intra-renal, post-renal) to guide urgent specific management.
B. To immediately start dialysis.
C. To administer large volumes of fluids.
D. To prescribe antibiotics.
nmdcat.online BS Nursing
Jun 6, 2026

53. A patient with Cushing’s syndrome presents with central obesity, moon facies, buffalo hump, and striae. What is the technical primary pathophysiological cause of these clinical manifestations?

A. Adrenal insufficiency.
B. Excess glucocorticoid (cortisol) production.
C. Excess aldosterone production.
D. Thyroid hormone deficiency.
nmdcat.online BS Nursing
Jun 6, 2026

54. A patient with uncompensated respiratory acidosis (e.g., due to severe COPD exacerbation) has low blood pH and high PCO2?. What is the technical primary pathophysiological cause of the acidosis?

A. Excessive production of lactic acid.
B. Impaired alveolar ventilation and CO2? retention.
C. Loss of bicarbonate from the kidneys.
D. Overproduction of ketone bodies.
nmdcat.online BS Nursing
Jun 6, 2026

55. A medicinal approach to managing hypertension involves a calcium channel blocker. What is the technical primary pathophysiological mechanism of action of this drug class?

A. Blocks beta-adrenergic receptors.
B. Inhibits angiotensin-converting enzyme.
C. Blocks calcium influx into vascular smooth muscle and cardiac cells, leading to vasodilation and reduced cardiac contractility.
D. Increases sodium excretion.
nmdcat.online BS Nursing
Jun 6, 2026

26. A 25-year-old male with a history of recurrent infections, particularly pneumonia, presents with chronic productive cough, bronchiectasis on CT scan, and steatorrhea. What is the technical primary pathophysiological defect in cystic fibrosis?

A. Abnormal chloride channel function, leading to thick, viscous secretions.
B. Impaired ciliary movement.
C. Alveolar destruction.
D. Bronchial hypersensitivity.
nmdcat.online BS Nursing
Jun 6, 2026

42. A patient with osteoarthiritis experiences joint pain and stiffness, especially with movement, worsening over the day. From a technical pathophysiological perspective, osteoarthritis is characterized by:

A. Autoimmune inflammation of the synovial membrane.
B. Degeneration of articular cartilage.
C. Deposition of uric acid crystals.
D. Bacterial infection of the joint.
nmdcat.online BS Nursing
Jun 6, 2026

27. A patient presents with acute onset of severe low back pain, unilateral flank pain, and hematuria. Imaging reveals a kidney stone obstructing the ureter. What is the technical pathophysiological mechanism causing the pain?

A. Direct inflammation of the renal parenchyma.
B. Distension of the renal capsule and ureteral spasm.
C. Ischemia of the kidney.
D. Nerve compression in the spinal cord.
nmdcat.online BS Nursing
Jun 6, 2026
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