HEMISPHERES 3.0 LEVEL VII DISCHARGE
& PREVENTION EXAM QUESTIONS WITH
CORRECT ANSWERS
A patient arrives at the emergency department with slurred speech, right facial droop, and right arm
weakness. Which of these actions by the healthcare provider is the priority?
A. Prepare the patient for a computerized tomography (CT) scan of the head/
B. Prepare to administer a thrombolytic medication
C. Transfer the patient to the neurological care unit
D. Call the speech pathologist to the emergency department - ANSWER - A. Prepare the patient for a
computerized tomography (CT) scan of the head
The healthcare provider is assessing a patient admitted with a diagnosis of hemorrhagic stroke affecting
the right cranial hemisphere. Which assessment finding is consistent with this diagnosis?
A. Bilateral Babinski's sign
B. Kerning’s sign
C. Left-sided flaccidity
D. Right-sided spasticity - ANSWER - C. Left-sided flaccidity
The wife of a patient who is recovering from a cerebral vascular accident (CVA) tells the healthcare
provider, "My husband acts as though I'm talking to him in a foreign language." The healthcare provider
will correctly document this communication disorder as which of the following?
A. Dysarthria
B. Expressive aphasia
, C. Receptive aphasia
D. Dysphasia - ANSWER - C. Receptive aphasia
A patient who is recovering from a cerebral vascular accident (CVA) is experiencing bladder distention,
urinary frequency, oliguria, and leakage of urine. The healthcare provider suspects these findings are
related to which of these urinary problems?
A. Stress incontinence
B. Urge incontinence
C. Overflow incontinence
D. Benign prostatic hypertrophy - ANSWER - C. Overflow incontinence
A patient with a history of transient ischemic attacks (TIA) is prescribed low dose aspirin daily. Which of
the following statements made by the patient indicates the teaching about this medication has been
successful?
A. "I will call the clinic if I experience a ringing sound in my ears."
B. "If I experience stomach upset I can take the aspirin with an antacid."
C. "I can stop taking my anti-lipid medication now that I'm taking aspirin."
D. "I should use the enteric-coated aspirin to reduce the risk of bleeding." - ANSWER - A. "I will call the
clinic if I experience a ringing sound in my ears."
A patient tells the healthcare provider, "Yesterday I felt numbness in my right hand, my vision became
blurry, and I felt like I was losing my balance, but after I laid down for about an hour it went away."
What is the healthcare provider's best response?
A. "This may be a warning sign of a stroke."
B. "Call us if this ever happens again."
C. "Did you feel any nausea at the time?"
D. "Were you drinking alcohol at the time?" - ANSWER - A. "This may be a warning sign of a stroke."
& PREVENTION EXAM QUESTIONS WITH
CORRECT ANSWERS
A patient arrives at the emergency department with slurred speech, right facial droop, and right arm
weakness. Which of these actions by the healthcare provider is the priority?
A. Prepare the patient for a computerized tomography (CT) scan of the head/
B. Prepare to administer a thrombolytic medication
C. Transfer the patient to the neurological care unit
D. Call the speech pathologist to the emergency department - ANSWER - A. Prepare the patient for a
computerized tomography (CT) scan of the head
The healthcare provider is assessing a patient admitted with a diagnosis of hemorrhagic stroke affecting
the right cranial hemisphere. Which assessment finding is consistent with this diagnosis?
A. Bilateral Babinski's sign
B. Kerning’s sign
C. Left-sided flaccidity
D. Right-sided spasticity - ANSWER - C. Left-sided flaccidity
The wife of a patient who is recovering from a cerebral vascular accident (CVA) tells the healthcare
provider, "My husband acts as though I'm talking to him in a foreign language." The healthcare provider
will correctly document this communication disorder as which of the following?
A. Dysarthria
B. Expressive aphasia
, C. Receptive aphasia
D. Dysphasia - ANSWER - C. Receptive aphasia
A patient who is recovering from a cerebral vascular accident (CVA) is experiencing bladder distention,
urinary frequency, oliguria, and leakage of urine. The healthcare provider suspects these findings are
related to which of these urinary problems?
A. Stress incontinence
B. Urge incontinence
C. Overflow incontinence
D. Benign prostatic hypertrophy - ANSWER - C. Overflow incontinence
A patient with a history of transient ischemic attacks (TIA) is prescribed low dose aspirin daily. Which of
the following statements made by the patient indicates the teaching about this medication has been
successful?
A. "I will call the clinic if I experience a ringing sound in my ears."
B. "If I experience stomach upset I can take the aspirin with an antacid."
C. "I can stop taking my anti-lipid medication now that I'm taking aspirin."
D. "I should use the enteric-coated aspirin to reduce the risk of bleeding." - ANSWER - A. "I will call the
clinic if I experience a ringing sound in my ears."
A patient tells the healthcare provider, "Yesterday I felt numbness in my right hand, my vision became
blurry, and I felt like I was losing my balance, but after I laid down for about an hour it went away."
What is the healthcare provider's best response?
A. "This may be a warning sign of a stroke."
B. "Call us if this ever happens again."
C. "Did you feel any nausea at the time?"
D. "Were you drinking alcohol at the time?" - ANSWER - A. "This may be a warning sign of a stroke."
