NUR 240 Exam 4 Neuro Iggy Questions
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with answers|\
1. Which clinical finding could help the health care team
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
differentiate a transient ischemic attack from a stroke?
|\ |\ |\ |\ |\ |\ |\ |\
a. Patient has a unilateral facial droop.
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b. Patient has slurred speech.
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C. Symptoms resolve in 30-60 minutes.
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d. Electrocardiogram is normal. - CORRECT ANSWERS
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✔✔C. Symptoms resolve in 30-60 minutes.
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2. The nurse is preparing to discharge a patient with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
transient ischemic attacks. What topics does the nurse
|\ |\ |\ |\ |\ |\ |\ |\
include in discharge teaching? Select all that apply.
|\ |\ |\ |\ |\ |\ |\ |\
a. Reduction of high blood pressure
|\ |\ |\ |\ |\ |\
b. Drug teaching for aspirin or other antiplatelet drug
|\ |\ |\ |\ |\ |\ |\ |\ |\
,c. Lifestyle changes such as smoking cessation
|\ |\ |\ |\ |\ |\ |\
d. Self-care for managing chronic conditions, such as
|\ |\ |\ |\ |\ |\ |\ |\
diabetes |\
e. Increased risk for stroke and signs/ symptoms
|\ |\ |\ |\ |\ |\ |\ |\
f. Benefits of taking vitamin supplements - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔a. Reduction of high blood pressure
|\ |\ |\ |\ |\ |\ |\
b. Drug teaching for aspirin or other antiplatelet drug
|\ |\ |\ |\ |\ |\ |\ |\ |\
c. Lifestyle changes such as smoking cessation
|\ |\ |\ |\ |\ |\ |\
d. Self-care for managing chronic conditions, such as
|\ |\ |\ |\ |\ |\ |\ |\
diabetes |\
e. Increased risk for stroke and signs/ symptoms
|\ |\ |\ |\ |\ |\ |\
3. The home health nurse is assessing a patient who had
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a stroke that affected the right hemisphere. What would
|\ |\ |\ |\ |\ |\ |\ |\ |\
the nurse expect to observe?
|\ |\ |\ |\ |\
,a. Patient is overly anxious and cautious when asked to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
do a new task.
|\ |\ |\ |\
b. Patient is euphoric and smiling but disoriented to
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person, place, and time. |\ |\ |\ |\
c. Patient is depressed and expresses ongoing worries
|\ |\ |\ |\ |\ |\ |\ |\
about the future. |\ |\ |\
d. Patient has a flat affect but is able to answer most
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
questions appropriately. - CORRECT ANSWERS ✔✔b. |\ |\ |\ |\ |\ |\
Patient is euphoric and smiling but disoriented to person,
|\ |\ |\ |\ |\ |\ |\ |\ |\
place, and time. |\ |\
4. The nurse is assessing a patient who was brought to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the emergency department for altered mental status. In
|\ |\ |\ |\ |\ |\ |\ |\
the absence of family members or witnesses to give a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
history, what does the nurse do to identify two conditions
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
that could mimic emergent neurologic conditions?
|\ |\ |\ |\ |\ |\
a. Check skin turgor and perform a bladder scan.
|\ |\ |\ |\ |\ |\ |\ |\ |\
b. Check blood glucose and oxygen saturation.
|\ |\ |\ |\ |\ |\ |\
, C. Observe for jugular vein distention and pitting edema.
|\ |\ |\ |\ |\ |\ |\ |\ |\
d. Observe for jaundice and abdominal distention. -
|\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔b. Check blood glucose and
|\ |\ |\ |\ |\ |\ |\
oxygen saturation. |\
5. Following a left cerebral hemisphere stroke, the patient
|\ |\ |\ |\ |\ |\ |\ |\
has expressive (Broca's) aphasia. Which intervention is
|\ |\ |\ |\ |\ |\ |\ |\
best to use when communicating with this patient?
|\ |\ |\ |\ |\ |\ |\ |\
a. Repeat the names of objects on a routine basis.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
b. Face the patient and speak slowly and clearly.
|\ |\ |\ |\ |\ |\ |\ |\ |\
C. Obtain a whiteboard with an erasable marker.
|\ |\ |\ |\ |\ |\ |\ |\
d. Use a picture board that displays objects and activities.
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- CORRECT ANSWERS ✔✔d. Use a picture board that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
displays objects and activities. |\ |\ |\
6. The nurse is caring for a patient with right cerebral
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hemisphere damage. The patient demonstrates |\ |\ |\ |\ |\
disorientation to time and place and neglect of the left |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
visual field, and he has poor depth perception. Which task
|\ |\ |\ |\ |\ |\ |\ |\ |\
is best delegated to unlicensed assistive personnel?
|\ |\ |\ |\ |\ |\ |\ |\
|\ |\ |\ |\ |\ |\ |\
with answers|\
1. Which clinical finding could help the health care team
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
differentiate a transient ischemic attack from a stroke?
|\ |\ |\ |\ |\ |\ |\ |\
a. Patient has a unilateral facial droop.
|\ |\ |\ |\ |\ |\ |\
b. Patient has slurred speech.
|\ |\ |\ |\ |\
C. Symptoms resolve in 30-60 minutes.
|\ |\ |\ |\ |\ |\
d. Electrocardiogram is normal. - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔C. Symptoms resolve in 30-60 minutes.
|\ |\ |\ |\ |\
2. The nurse is preparing to discharge a patient with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
transient ischemic attacks. What topics does the nurse
|\ |\ |\ |\ |\ |\ |\ |\
include in discharge teaching? Select all that apply.
|\ |\ |\ |\ |\ |\ |\ |\
a. Reduction of high blood pressure
|\ |\ |\ |\ |\ |\
b. Drug teaching for aspirin or other antiplatelet drug
|\ |\ |\ |\ |\ |\ |\ |\ |\
,c. Lifestyle changes such as smoking cessation
|\ |\ |\ |\ |\ |\ |\
d. Self-care for managing chronic conditions, such as
|\ |\ |\ |\ |\ |\ |\ |\
diabetes |\
e. Increased risk for stroke and signs/ symptoms
|\ |\ |\ |\ |\ |\ |\ |\
f. Benefits of taking vitamin supplements - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔a. Reduction of high blood pressure
|\ |\ |\ |\ |\ |\ |\
b. Drug teaching for aspirin or other antiplatelet drug
|\ |\ |\ |\ |\ |\ |\ |\ |\
c. Lifestyle changes such as smoking cessation
|\ |\ |\ |\ |\ |\ |\
d. Self-care for managing chronic conditions, such as
|\ |\ |\ |\ |\ |\ |\ |\
diabetes |\
e. Increased risk for stroke and signs/ symptoms
|\ |\ |\ |\ |\ |\ |\
3. The home health nurse is assessing a patient who had
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a stroke that affected the right hemisphere. What would
|\ |\ |\ |\ |\ |\ |\ |\ |\
the nurse expect to observe?
|\ |\ |\ |\ |\
,a. Patient is overly anxious and cautious when asked to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
do a new task.
|\ |\ |\ |\
b. Patient is euphoric and smiling but disoriented to
|\ |\ |\ |\ |\ |\ |\ |\ |\
person, place, and time. |\ |\ |\ |\
c. Patient is depressed and expresses ongoing worries
|\ |\ |\ |\ |\ |\ |\ |\
about the future. |\ |\ |\
d. Patient has a flat affect but is able to answer most
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
questions appropriately. - CORRECT ANSWERS ✔✔b. |\ |\ |\ |\ |\ |\
Patient is euphoric and smiling but disoriented to person,
|\ |\ |\ |\ |\ |\ |\ |\ |\
place, and time. |\ |\
4. The nurse is assessing a patient who was brought to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the emergency department for altered mental status. In
|\ |\ |\ |\ |\ |\ |\ |\
the absence of family members or witnesses to give a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
history, what does the nurse do to identify two conditions
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
that could mimic emergent neurologic conditions?
|\ |\ |\ |\ |\ |\
a. Check skin turgor and perform a bladder scan.
|\ |\ |\ |\ |\ |\ |\ |\ |\
b. Check blood glucose and oxygen saturation.
|\ |\ |\ |\ |\ |\ |\
, C. Observe for jugular vein distention and pitting edema.
|\ |\ |\ |\ |\ |\ |\ |\ |\
d. Observe for jaundice and abdominal distention. -
|\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔b. Check blood glucose and
|\ |\ |\ |\ |\ |\ |\
oxygen saturation. |\
5. Following a left cerebral hemisphere stroke, the patient
|\ |\ |\ |\ |\ |\ |\ |\
has expressive (Broca's) aphasia. Which intervention is
|\ |\ |\ |\ |\ |\ |\ |\
best to use when communicating with this patient?
|\ |\ |\ |\ |\ |\ |\ |\
a. Repeat the names of objects on a routine basis.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
b. Face the patient and speak slowly and clearly.
|\ |\ |\ |\ |\ |\ |\ |\ |\
C. Obtain a whiteboard with an erasable marker.
|\ |\ |\ |\ |\ |\ |\ |\
d. Use a picture board that displays objects and activities.
|\ |\ |\ |\ |\ |\ |\ |\ |\
- CORRECT ANSWERS ✔✔d. Use a picture board that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
displays objects and activities. |\ |\ |\
6. The nurse is caring for a patient with right cerebral
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hemisphere damage. The patient demonstrates |\ |\ |\ |\ |\
disorientation to time and place and neglect of the left |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
visual field, and he has poor depth perception. Which task
|\ |\ |\ |\ |\ |\ |\ |\ |\
is best delegated to unlicensed assistive personnel?
|\ |\ |\ |\ |\ |\ |\ |\
