Stroke Management Quiz

A patient suddenly develops weakness on the right side of the body and difficulty speaking. What is the most likely cause?

• Hypoglycemic attack

• Migraine with aura

• Cerebrovascular accident (stroke)

• Transient global amnesia

The primary goal in the acute management of ischemic stroke is:

• Stabilize blood sugar and oxygenation

• Reduce brain temperature

• Restore cerebral blood flow

• Increase heart rate and cardiac contractility

A nurse knows that a major risk factor for hemorrhagic stroke is:

• Peripheral vascular disease

• Uncontrolled hypertension

• Chronic hypocalcemia

• Severe dehydration

A patient presents with facial drooping, arm weakness, and slurred speech. The nurse should immediately:

• Offer water and check swallowing ability

• Document findings and observe further

• Activate emergency response (call stroke team/911)

• Perform fingerstick glucose and delay further action

Which diagnostic test is first performed to differentiate ischemic from hemorrhagic stroke?

• Contrast-enhanced CT scan

• Non-contrast CT scan of the head

• Cerebral angiogram

• MRI with diffusion-weighted imaging

The window of opportunity for administering tPA (tissue plasminogen activator) in ischemic stroke is within:

• 3 to 4.5 hours

• 6 to 12 hours

• 24 hours

• 30 minutes only

A patient with a left-sided CVA is most likely to experience:

• Left-sided neglect and spatial-perceptual deficits

• Emotional lability and poor impulse control

• Right-sided weakness and speech difficulties

• Loss of facial recognition ability (prosopagnosia)

Which of the following is NOT a modifiable risk factor for stroke?

• Smoking tobacco

• Age

• Hypertension

• Hyperlipidemia

A nurse notes that a stroke patient is unable to comprehend spoken words but can speak fluently, though nonsensically. This is:

• Dysarthria

• Wernicke's aphasia

• Broca's aphasia

• Apraxia of speech

A patient with right hemisphere stroke is MOST likely to demonstrate:

• Left-sided neglect

• Expressive aphasia

• Bilateral loss of motor strength

• Preserved judgment and impulse control