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NSG 120 - Pathophysiology Exam 1 Dr. Scott Kruger| Questions and Answers| 2026/27 Updated

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a comprehensive collection of NSG 120 HESI Exam 1 questions and verified answers covering pathophysiology, homeostasis, stress response, systemic inflammatory response syndrome (SIRS), multiple organ dysfunction syndrome (MODS), cellular adaptation, genetics, cancer, immunity, inflammation, nutrition, aging, wound care, trauma, and microbiology. It includes essential concepts such as disease etiology, prevention levels, hypertrophy, hyperplasia, metaplasia, dysplasia, cancer staging, immune responses, active and passive immunity, obesity, malnutrition, inflammatory processes, and infectious disease mechanisms. The material is organized in a detailed question-and-answer format designed to support HESI examination preparation, reinforce foundational nursing knowledge, and strengthen understanding of disease mechanisms, immune function, nutrition, aging-related changes, and patient care concepts commonly tested in nursing programs.

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NSG 120 - HESI Exam 1 Dr. Scott Kruger Questions
and Answers| Updated


Allostasis
process by which the body achieves stability through physiological change


Stress Response
The response to a demand or stressor. Has three phases: alarm, resistance, and
recovery.


Systemic Inflammatory Response (SIRS)
An exaggerated systemic inflammatory response that may be initiated by
infectious or noninfectious causes
- Affects: Respiratory System, Cardiovascular System, Gastrointestinal System, and
Metabolic System.


Multiple Organ Dysfunction Syndrome (MODS)
Progressive impairment of two or more organ systems resulting from an
uncontrolled inflammatory response to a severe illness or injury.
- Affects: Respiratory System, Cardiovascular System, Gastrointestinal System, and
Metabolic System.




Organ Dysfunction in Systemic Inflammatory Response (SIRS) / Organ
Dysfunction Multiple Organ Dysfunction Syndrome (MODS)

,- Respiratory: First system affected, can lead to ARDS
- Cardiovascular: Myocardial depression, alterations to blood flow
- Gastrointestinal: Increased risk of ulceration, bleeding, bacterial translocation
- Metabolic: Hypermetabolism, protein catabolism, hyperglycemia, insulin
resistance


Gut Hypothesis
gut bacteria are translocated to systemic circulation and sustain systemic
inflammatory response state
Explains development of MODS without identifiable infectious focus and
Inflammatory Mediators in MODS


Maldistribution of Blood Flow
- Causes impaired tissue perfusion and decreased oxygen supply
- Major factor in MODS pathophysiology


Supply Dependent Oxygen Consumption
- Results from imbalance between oxygen supply and demand
- Critical in MODS pathogenesis


Hypermetabolism
increased metabolic rate


What is pathology?

,The study of diseases, including their causes (etiology), progression, and effects.


What is homeostasis?
The body's ability to maintain stable internal conditions despite external changes.


What are the characteristics of diseases?
Acute vs. chronic, localized vs. systemic, primary vs. secondary.


What are the types of disease etiology?
Genetic, infectious, environmental, and lifestyle-related causes.


What does prognosis refer to in disease?
Favorable or poor, self-limiting or progressive, treatable or terminal.


What are modifiable factors in disease predisposition?
Lifestyle choices, environmental exposures, and stress.


What are non-modifiable factors in disease predisposition?
Genetics, age, sex, ethnicity.


What is primary prevention?
Prevents disease onset (vaccination, lifestyle changes).

, What is secondary prevention?
Detects early disease (screenings, early intervention).


What is tertiary prevention?
Manages existing conditions to prevent complications (rehabilitation, chronic
disease management).


What is hypertrophy?
Increased cell size (muscle growth).


What is hyperplasia?
Increased cell number (wound healing).


What is metaplasia?
Reversible adaptation to stress in some cases.


What is dysplasia?
Disordered cell growth (precancerous changes).


What is irreversible metaplasia?
Long-term exposure leading to malignancy.


What is pathologic hypertrophy?

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Subido en
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