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Worksheets13A NRG304 LEC Finals QUIZ 1
Total questions: 30
Worksheet time: 3600secs
A patient is admitted with uncontrolled atrial fibrillation. The patient’s medication history includes vitamin D supplements and calcium. What type of stroke is this patient at MOST risk for?
Ischemic thrombosis
Ischemic embolism
Hemorrhagic
Ischemic stenosis
You are assigned in the ICU. Which patient below is at most risk for a hemorrhagic stroke?
A 65 year old male patient with carotid stenosis
A 89 year old female with atherosclerosis.
A 88 year old male with uncontrolled hypertension and a history of brain aneurysm repair 2 years ago.
A 55 year old female with atrial flutter.
A patient who suffered a stroke one month ago is experiencing hearing problems along with issues learning and showing emotion. On the MRI what lobe in the brain do you expect to be affected?
Frontal lobe
Occipital lobe
Parietal lobe
Temporal
A patient's MRI imaging shows damage to the cerebellum a week after the patient suffered a stroke. What assessment findings would correlate with this MRI finding?
Vision problems
Balance impairment
Language difficulty
Impaired short-term memory
A patient is demonstrating signs and symptoms of stroke. The patient reports loss of vision. What area of the brain do you suspect is affected based on this finding?
Brain stem
Hippocampus
Parietal lobe
Occipital lobe
A patient has right side brain damage from a stroke. Select all the signs and symptoms that occur with this type of stroke:
Confusion on date, time, and place
Impulsive
Short attention span
Right side hemiplegia
You're educating a group of nursing students about left side brain damage. Select all the signs and symptoms noted with this type of stroke:
Impaired math skills
Depression and anger
Issues with seeing on the right side
Impulsive
During discharge teaching for a patient who experienced a mild stroke, you are providing details on how to eliminate risk factors for experiencing another stroke. Which risk factors below for stroke are not modifiable? Select all that apply.
Smoking
Sedentary lifestyle
Advanced age
Family history
Your patient has expressive aphasia. Select all the ways to effectively communicate with this patient?
Use a communication board
Discourage the patient from using words.
Don't repeat questions.
Fill in the words for the patient they can't say.
While conversing with a patient who had a stroke six months ago, you note their speech is hard to understand and slurred. This is known as:
Dysarthria
Apraxia
Dysphagia
Agnosia
You're assessing your patient's pupil size and vision after a stroke. The patient says they can only see half of the objects in the room. You document this finding as:
Hemianopsia
Diplopia
Unilateral neglect
Hemiplegia
A patient who has hemianopia is at risk for injury. What can you educate the patient to perform regularly to prevent injury?
Wearing anti-embolism stockings daily
Consume soft foods and tuck in chin while swallowing
Scanning the room from side to side frequently
Muscle training
A patient has experienced right side brain damage. You note the patient is experiencing neglect syndrome. What nursing intervention will you include in the patient's plan of care?
Remind the patient to use and touch both sides of the body daily.
Offer the patient a soft mechanical diet with honey thick liquids.
Ask direct questions that require one word responses.
Offer the bedpan and bedside commode every 2 hours.
Regular oral hygiene is an essential intervention for the client who has had a stroke. Which of the following nursing measures is inappropriate when providing oral hygiene?
Placing the client on the back with a small pillow under the head.
Keeping portable suctioning equipment at the bedside.
Opening the client’s mouth with a padded tongue blade.
Cleaning the client’s mouth and teeth with a toothbrush.
The client diagnosed with atrial fibrillation has experienced a transient ischemic attack (TIA). Which medication would the nurse anticipate being ordered for the client on discharge?
An oral anticoagulant medication
A thrombolytic medication
A beta-blocker medication
An anti-hyperuricemic medication
Which assessment data would indicate to the nurse that the client would be at risk for a hemorrhagic stroke?
A blood glucose level of 480 mg/dl.
A right-sided carotid bruit.
A blood pressure of 220/120 mmHg.
The presence of bronchogenic carcinoma.
A client admitted to the hospital with a subarachnoid hemorrhage has complaints of severe headache, nuchal rigidity, and projectile vomiting. The nurse knows lumbar puncture (LP) would be contraindicated in this client in which of the following circumstances?
Vomiting continues.
Intracranial pressure (ICP) is increased.
The client needs mechanical ventilation.
Blood is anticipated in the cerebrospinal fluid (CSF).
Which of the following signs and symptoms of increased ICP after head trauma would appear first?
Bradycardia
Large amounts of very dilute urine
Restlessness and confusion
Widened pulse pressure
The nurse is caring for the client with increased intracranial pressure. The nurse would note which of the following trends in vital signs if the ICP is rising?
Increasing temperature, increasing pulse, increasing respirations, decreasing blood pressure.
Increasing temperature, decreasing pulse, decreasing respirations, increasing blood pressure.
Decreasing temperature, decreasing pulse, increasing respirations, decreasing blood pressure.
Decreasing temperature, increasing pulse, decreasing respirations, increasing blood pressure.
A male client who has suffered a cerebrovascular accident (CVA) is too weak to move on his own. To help the client avoid pressure ulcers, the nurse should:
turn him frequently.
perform passive range-of-motion (ROM) exercises.
reduce the client’s fluid intake.
encourage the client to use a footboard.
The nurse is caring for a male client diagnosed with a cerebral aneurysm who reports a severe headache. Which action should the nurse perform?
Sit with the client for a few minutes.
Administer an analgesic.
Inform the nurse manager.
Call the physician immediately.
After a cerebrovascular accident, a 75 yr old client is admitted to the health care facility. The client has left-sided weakness and an absent gag reflex. He’s incontinent and has a tarry stool. His blood pressure is 90/50 mm Hg, and his hemoglobin is 10 g/dl. Which of the following is a priority for this client?
checking stools for occult blood
performing range-of-motion exercises to the left side
keeping skin clean and dry
elevating the head of the bed to 30 degrees
Ms. Kelly. has had a CVA (cerebrovascular accident) and has severe right-sided weakness. She has been taught to walk with a cane. The nurse is evaluating her use of the cane prior to discharge. Which of the following reflects correct use of the cane?
Holding the cane in her left hand, Ms. Kelly. moves the cane forward first, then her right leg, and finally her left leg
Holding the cane in her right hand, Ms. Kelly. moves the cane forward first, then her left leg, and finally her right leg
Holding the cane in her right hand, Ms. Kelly. moves the cane and her right leg forward, then moves her left leg forward.
Holding the cane in her left hand, Ms. Kelly. moves the cane and her left leg forward, then moves her right leg forward
Gary Jordan suffered a cerebrovascular accident that left her unable to comprehend speech and unable to speak. This type of aphasia is known as:
Receptive aphasia
Expressive aphasia
Global aphasia
Conduction aphasia
If a male client experienced a cerebrovascular accident (CVA) that damaged the hypothalamus, the nurse would anticipate that the client has problems with:
body temperature control.
balance and equilibrium.
visual acuity.
thinking and reasoning.
You are taking care of a patient who suffered a stroke and has peripheral vision loss. Which of the following intervention is appropriate?
Approach the patient from the intact field of vision
Consistently place the patient items on the same location
Place objects in the center of intact visual field
Encourage the patient to use eyeglasses if available
While assessing the patient diagnosed with stroke you noticed that he is not able to recognize previously familiar objects perceived by one or more of his senses. This is known as:
Aphasia
Apraxia
Ataxia
Agnosia
You are taking care of a patient who suffered a stroke and has Visual field deficit of diplopia. Which of the following intervention is appropriate?
Approach the patient from the intact field of vision
Consistently place the patient items on the same location
Place objects in the center of intact visual field
Encourage the patient to use eyeglasses if available
You are assessing a patient with Right CVA. All of the following are signs and symptoms of a patient with Right CVA except?
Impaired judgement
Aware of the deficit
Impulsive
Impaired time concept
You are assigned in the ICU where you are taking care of a Stroke patient. You know that all of the following are signs and symptoms of patient with Left CVA, Except?
Left sided hemiplegia
slow performance
Aware of the deficit
Impaired comprehension
