Practice Questions

9. A patient with a history of atrial fibrillation suddenly develops acute onset of right-sided weakness, facial droop, and speech difficulties. What is the urgent clinical concern in this scenario?

A. Transient ischemic attack (TIA).
B. Ischemic stroke due to cardioembolic event.
C. Hemorrhagic stroke.
D. Bell's palsy.
nmdcat.online BS Nursing
Jun 6, 2026

7. A patient with chronic kidney disease (CKD) experiences progressive anemia. From a technical pathophysiological perspective, what is the primary reason for this anemia in CKD?

A. Iron deficiency.
B. Vitamin B12 deficiency.
C. Decreased production of erythropoietin by the kidneys.
D. Increased red blood cell destruction.
nmdcat.online BS Nursing
Jun 6, 2026

6. A 40-year-old woman develops a sudden, severe headache, nuchal rigidity, fever, and altered mental status. Lumbar puncture reveals purulent CSF with high protein, low glucose, and elevated WBC count (neutrophils). What is the critical medicinal implication of these findings?

A. Viral meningitis, requiring symptomatic treatment.
B. Bacterial meningitis, requiring urgent broad-spectrum antibiotics.
C. Subarachnoid hemorrhage, requiring surgical consultation.
D. Migraine headache, requiring analgesics.
nmdcat.online BS Nursing
Jun 6, 2026

5. A 72-year-old male with a long history of smoking presents with chronic productive cough, dyspnea on exertion, and recurrent respiratory infections. His PFTs show decreased FEV1?/FVC ratio. What is the technical primary pathophysiological change characteristic of emphysema?

A. Reversible bronchoconstriction.
B. Alveolar wall destruction and enlargement of airspaces.
C. Excessive mucus production and chronic airway inflammation.
D. Pulmonary fibrosis.
nmdcat.online BS Nursing
Jun 6, 2026

3. A 55-year-old female presents with progressive shortness of breath, orthopnea, paroxysmal nocturnal dyspnea, and peripheral edema. Physical exam reveals crackles in the lung bases and an S3 gallop. From a clinical perspective, what is the urgency in recognizing these signs?

A. To differentiate between asthma and COPD.
B. To identify acute kidney injury.
C. To initiate immediate management for acute decompensated heart failure.
D. To assess for deep vein thrombosis.
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

1. A 68-year-old male presents to the ED with acute onset of crushing substernal chest pain radiating to his left arm, diaphoresis, and shortness of breath. His ECG shows ST-segment elevation in leads II, III, and aVF. What is the critical underlying pathophysiological event?

A. Unstable angina due to partial coronary artery occlusion.
B. Prinzmetal's angina due to coronary artery spasm.
C. Myocardial infarction due to prolonged ischemia and myocardial cell necrosis.
D. Pericarditis due to inflammation of the pericardium.
nmdcat.online BS Nursing
Jun 6, 2026

200. A 16-year-old adolescent is admitted after a motor vehicle accident with a suspected spinal cord injury. What is the urgent critical nursing priority?

A. Moving the adolescent to a comfortable position.
B. Maintaining spinal immobilization and assessing neurological function to prevent further injury.
C. Giving oral pain medication.
D. Allowing the adolescent to sit up.
nmdcat.online BS Nursing
Jun 6, 2026

199. A 7-year-old child with acute glomerulonephritis has significant edema. What medicinal intervention might be prescribed to reduce the edema?

A. IV fluids.
B. Diuretics (e.g., Furosemide).
C. Antihypertensives.
D. Analgesics.
nmdcat.online BS Nursing
Jun 6, 2026
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