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WorksheetsStroke and Neurological Disorders Quiz
Total questions: 20
Worksheet time: 20mins
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.
A nurse recognizes that ptosis and diplopia in MG are signs of:
Autonomic nervous system disorder
Neuromuscular fatigue affecting ocular muscles
Increased intracranial pressure
Vestibular dysfunction
Which of the following medications should be avoided in a patient with MG?
NSAIDs
Calcium supplements
Beta-blockers
ACE inhibitors
What nursing action is most appropriate during meals for an MG patient?
Encourage fluid intake before meals
Allow full meal portions to conserve energy
Administer meds after meals
Assess gag reflex and ensure upright position
The most important reason for advising rest periods for an MG patient is to:
Reduce pain
Avoid respiratory alkalosis
Prevent muscle fatigue
Promote bowel motility
A TBI patient is showing unequal pupils and decerebrate posturing. What is the nurse's priority intervention?
Prepare for decompressive craniectomy
Administer hypertonic fluids
Lower HOB to 15°
Perform oral suctioning
Which clinical finding in a TBI patient is most indicative of increased ICP?
Restlessness and mild headache
Sluggish pupils and tachycardia
Cushing's triad
Dry mucous membranes
In managing a patient with TBI, which strategy helps maintain CPP (Cerebral Perfusion Pressure)?
Keeping MAP > 70 mmHg
Allowing permissive hypotension
Using loop diuretics to reduce fluid overload
Elevating the legs above the heart
A nurse observes a TBI patient urinating excessively with hypernatremia. Which condition is suspected?
SIADH
Neurogenic shock
Diabetes Insipidus
UTI
Which intervention is contraindicated in managing increased ICP in a TBI patient?
Elevating HOB to 30°
Hyperventilating the patient briefly
Administering hypotonic saline
Providing sedation
A nurse is reviewing ventilator settings of a TBI patient. What goal is most appropriate?
PaCO₂ > 45 mmHg
Maintain PaCO₂ between 35-40 mmHg
Maintain PaO₂ at 55 mmHg
Allow permissive hypercapnia
