WorksheetsCVA Knowledge Assessment Quiz
Total questions: 20
Worksheet time: 10mins
A 65-year-old patient with a history of hypertension, diabetes, and smoking presents for a routine check-up. As a nurse, how would you prioritize interventions to reduce this patient's risk of experiencing a cerebrovascular accident (CVA)?
Focus solely on smoking cessation, as it is the most significant risk factor.
Develop a comprehensive plan addressing blood pressure control, blood glucose management, and smoking cessation.
Recommend only dietary changes to lower cholesterol.
Advise the patient to increase physical activity without addressing other risk factors.
A patient with atrial fibrillation is at increased risk for CVA. As a nurse, how would you use evidence to justify the initiation of anticoagulant therapy in this patient?
Anticoagulants are only used for pain management in CVA.
Anticoagulants reduce the risk of embolic stroke by preventing clot formation in atrial fibrillation.
Anticoagulants are prescribed to lower blood pressure.
Anticoagulants are used to treat infections associated with CVA.
A patient presents to the emergency department with sudden onset of right-sided weakness and slurred speech. As a nurse, what is your reasoning for prioritizing a rapid assessment and activation of the stroke team?
Early intervention is not necessary for CVA.
Rapid assessment and activation of the stroke team increase the likelihood of timely administration of thrombolytic therapy, improving outcomes.
The patient should be observed for 24 hours before any intervention.
Only physicians are responsible for stroke assessment.
A patient with a history of transient ischemic attacks (TIAs) is non-compliant with prescribed antiplatelet medication. How would you use evidence to counsel the patient on the importance of medication adherence in preventing a future CVA?
Explain that missing doses occasionally has no impact on stroke risk.
Discuss research showing that consistent use of antiplatelet medication significantly reduces the risk of stroke recurrence.
Suggest stopping the medication if side effects occur.
Advise the patient to take the medication only when symptoms appear.
A patient is prescribed both antihypertensive and statin medications after a minor stroke. How would you plan a patient education session to maximize understanding and adherence to this medication regimen?
Provide written instructions only.
Use a combination of verbal explanation, written materials, and teach-back methods to ensure understanding and adherence.
Instruct the patient to take all medications at once, regardless of timing.
Advise the patient to stop medications if they feel better.
A patient with a suspected hemorrhagic stroke is admitted. As a nurse, how would you use clinical reasoning to differentiate between ischemic and hemorrhagic stroke in your initial assessment?
Assume all strokes are ischemic and treat accordingly.
Assess for symptoms such as sudden severe headache, vomiting, and decreased level of consciousness, which are more indicative of hemorrhagic stroke.
Only rely on the patient's blood pressure readings.
Wait for the physician to make all assessments.
A patient is at high risk for CVA due to uncontrolled hypertension and hyperlipidemia. How would you strategically plan nursing interventions to address these modifiable risk factors?
Focus only on medication administration.
Develop a multifaceted plan including medication management, dietary counseling, and regular monitoring of blood pressure and lipid levels.
Advise the patient to avoid all physical activity.
Recommend herbal supplements instead of prescribed medications.
A patient with a history of CVA is prescribed warfarin. What evidence-based strategies would you use to monitor and manage potential complications associated with this medication?
Monitor only for signs of infection.
Regularly assess INR levels, educate the patient on bleeding risks, and review dietary restrictions related to vitamin K.
Advise the patient to stop warfarin if they experience headaches.
Only monitor blood pressure.
A patient presents with sudden facial drooping and difficulty speaking. As a nurse, how would you use strategic thinking to ensure the patient receives appropriate emergency care?
Wait for the physician to arrive before taking any action.
Immediately perform a FAST assessment, document findings, and activate the stroke protocol.
Advise the patient to rest and reassess in an hour.
Only check the patient's blood sugar.
A patient with a history of hypertension and obesity is seeking advice on reducing their risk of CVA. How would you use evidence to guide your recommendations?
Suggest only weight loss as the primary intervention.
Recommend a combination of blood pressure control, weight management, dietary changes, and regular physical activity based on current guidelines.
Advise the patient to avoid all medications.
Focus only on reducing salt intake.
A patient is prescribed tissue plasminogen activator (tPA) for an acute ischemic stroke. How would you plan nursing care to minimize complications during and after administration?
Monitor only the patient's temperature.
Closely monitor neurological status, blood pressure, and signs of bleeding, and ensure frequent reassessment during and after tPA administration.
Allow the patient to eat and drink immediately after tPA administration.
Discontinue all other medications.
A patient with a history of CVA is non-compliant with antihypertensive therapy. How would you use reasoning and evidence to address barriers to medication adherence?
Ignore the patient's concerns about side effects.
Explore reasons for non-compliance, provide education on the importance of blood pressure control, and collaborate to find solutions such as adjusting medication or addressing side effects.
Advise the patient to stop all medications.
Only provide written instructions.
A patient is admitted with symptoms suggestive of a CVA. How would you use strategic thinking to prioritize your initial nursing actions?
Complete all routine admission paperwork before assessment.
Rapidly assess airway, breathing, and circulation, perform a neurological assessment, and notify the stroke team immediately.
Wait for family members to provide a full history before acting.
Only check the patient's temperature.
A patient with a history of CVA is prescribed both aspirin and clopidogrel. How would you use evidence to monitor for and manage potential adverse effects of dual antiplatelet therapy?
Monitor only for fever.
Regularly assess for signs of bleeding, such as bruising or gastrointestinal symptoms, and educate the patient on when to seek medical attention.
Advise the patient to stop both medications if they feel tired.
Only monitor blood pressure.
A patient with a suspected CVA arrives at the emergency department. How would you use reasoning to determine the most appropriate diagnostic test to confirm the type of stroke?
Order a chest X-ray.
Recommend an immediate non-contrast CT scan of the head to differentiate between ischemic and hemorrhagic stroke.
Request only routine blood tests.
Suggest an abdominal ultrasound.
A patient with a history of CVA is prescribed statins. How would you use evidence to educate the patient about the role of statins in secondary stroke prevention?
Statins are only used to treat infections.
Statins lower cholesterol and reduce the risk of recurrent stroke by stabilizing atherosclerotic plaques.
Statins are used to control blood sugar.
Statins are only for pain management.
A patient with a history of CVA is experiencing difficulty swallowing. How would you use strategic planning to prevent aspiration and further complications?
Allow the patient to eat and drink as usual.
Collaborate with a speech-language pathologist, implement swallowing precautions, and monitor for signs of aspiration.
Only provide intravenous fluids.
Ignore the swallowing difficulty.
A patient with a history of hypertension and diabetes is admitted for CVA. How would you use evidence to plan long-term risk reduction strategies for this patient?
Focus only on blood pressure control.
Develop a comprehensive plan including blood pressure and glucose management, lifestyle modifications, and regular follow-up.
Advise the patient to stop all medications.
Only recommend dietary changes.
A patient is prescribed antihypertensive medication after a CVA. How would you use reasoning to monitor for and address potential side effects that could impact adherence?
Ignore any complaints of dizziness or fatigue.
Regularly assess for side effects such as dizziness or fatigue, and collaborate with the healthcare team to adjust therapy as needed.
Advise the patient to stop the medication if side effects occur.
Only monitor blood pressure.
A patient with a suspected CVA is found unresponsive at home. As a nurse, how would you use strategic thinking to guide the emergency response before the arrival of emergency medical services?
Wait for EMS to arrive before taking any action.
Assess airway, breathing, and circulation, initiate CPR if necessary, and provide information to EMS upon arrival.
Only check the patient's temperature.
Move the patient to another room.
