Stroke and Neurological Disorders Quiz

A patient is admitted with signs of an acute ischemic stroke. Which intervention must the nurse prioritize within the first 25 minutes of arrival at the ED?

• Administer aspirin

• Prepare for a CT scan

• Start thrombolytic therapy

• Check blood glucose level

A nurse is preparing to administer IV tPA to a patient with ischemic stroke. Which finding would require immediate notification of the physician?

• Blood pressure of 160/95 mmHg

• INR of 2.1

• GCS of 14

• History of atrial fibrillation

Which assessment finding indicates left hemispheric stroke?

• Left-sided facial droop and impulsive behavior

• Right-sided hemiparesis and aphasia

• Visual neglect and left-sided weakness

• Ataxia and diplopia

In hemorrhagic stroke, the nurse monitors for signs of increased ICP. Which is the most critical finding?

• Headache and nausea

• Cushing's triad

• Facial asymmetry

• Aphasia

A stroke patient is unable to swallow safely. Which is the best nursing action?

• Offer soft diet with thickened liquids

• Elevate HOB to 90° while feeding

• Request NPO and NG tube placement

• Administer food with liquid consistency

Which statement by the nurse shows understanding of post-stroke blood pressure management in ischemic stroke with tPA administration?

• I'll keep the SBP below 160 mmHg.

• Permissive hypertension helps perfuse the penumbra.

• I'll maintain SBP below 185 mmHg.

• We must keep BP within normal limits only.

Which nursing goal has the highest priority 48 hours after stroke onset?

• Improving family coping

• Preventing DVT and aspiration

• Promoting verbal communication

• Encouraging ambulation

A patient with MG complains of increasing muscle weakness and difficulty breathing. Pyridostigmine was delayed by 5 hours. What is the nurse's priority action?

• Administer atropine

• Initiate oxygen and notify physician

• Reassess patient after 30 minutes

• Encourage deep breathing exercises

Which test confirms a diagnosis of myasthenic crisis versus cholinergic crisis?

• Pulmonary function test

• Tensilon test

• MRI of the brain

• Anti-ACh receptor antibody test

A patient with MG is prescribed pyridostigmine. What instruction is essential?

• Take it only when symptoms appear.

• Take it exactly on time every day.

• Skip the dose if nausea develops.

• Double the dose if weakness persists.