MEDSURG EXAM 3: NCLEX-STYLE PRACTICE
QUESTIONS AND ANSWERS |LATEST UPLOAD
|ALREADY GRADED A+
Following an aortic aneurysm repair, the patient suddenly develops severe pain in
the right lower extremity. The right pedal pulse is difficult to palpate, and the
right foot is cool and pale. Which complication should the nurse most suspect?
a. Hypothermia
b. Wound infection
c. Bleeding from the graft site
d. Graft occlusion - ANSWER - D
https://www.youtube.com/watch?v=58Y0OfOVzMo - ANSWER - Sepsis
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?
A. Ischemic thrombosis
B. Ischemic embolism
C. Hemorrhagic
D. Ischemic stenosis - ANSWER - The answer is B. If a patient is in uncontrolled a-
fib they are at risk for clot formation within the heart chambers. This clot can
leave the heart and travel to the brain. Hence, an ischemic embolism type stroke
can occur. An ischemic thrombosis type stroke is where a clot forms within the
artery wall of the neck or brain.
,Which patient below is at most risk for a hemorrhagic stroke?
A. A 65-year-old male patient with carotid stenosis.
B. A 89-year-old female with atherosclerosis.
C. A 88-year-old male with uncontrolled hypertension and a history of brain
aneurysm repair 2 years ago.
D. A 55-year-old female with atrial flutter. - ANSWER - The answer is C. A
hemorrhagic stroke occurs when bleeding in the brain happens due to a break in a
blood vessel. Risk factors for a hemorrhagic stroke is uncontrolled hypertension,
history of brain aneurysm, old age (due to aging blood vessels.) All the other
options are at risk for an ischemic type of stroke.
You're educating a patient about transient ischemic attacks (TIAs). Select all the
options that are incorrect about this condition:
A. TIAs are caused by a temporary decrease in blood flow to the brain.
B. TIAs produce signs and symptoms that can last for several weeks to months.
C. A TIAs is a warning sign that an impending stroke may occur.
D. TIAs don't require medical treatment. - ANSWER - The answers are B and D.
Options A and C are CORRECT statements about TIAs. However, option B is wrong
because TIAs produce signs and symptoms that can last a few minutes to hours
and resolve (NOT several weeks to months). Option D is wrong be TIAs do require
medical treatment.
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?
,A. Frontal lobe
B. Occipital lobe
C. Parietal lobe
D. Temporal - ANSWER - The answer is D. The temporal lobe is responsible for
hearing, learning, and feelings/emotions.
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?
A. Vision problems
B. Balance impairment
C. Language difficulty
D. Impaired short-term memory - ANSWER - The answer is B. The cerebellum is
important for coordination and balance.
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?
A. Brain stem
B. Hippocampus
C. Parietal lobe
D. Occipital lobe - ANSWER - The answer is D. The occipital lobe is responsible for
vision and color perception.
, A patient has right side brain damage from a stroke. Select all the signs and
symptoms that occurs with this type of stroke:
A. Right side hemiplegia
B. Confusion on date, time, and place
C. Aphasia
D. Unilateral neglect
E. Aware of limitations
F. Impulsive
G. Short attention span
H. Agraphia - ANSWER - The answers are B, D, F, and G.
Patients who have right side brain damage will have LEFT side hemiplegia
(opposite side), confused on date, time, and place, unilateral neglect (left side
neglect), DENIAL about limitations, be impulsive, and have a short attention span.
Agraphia, right side hemiplegia, aware of limitations, and aphasia occur in a LEFT
SIDE brain injury.
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:
A. Aphasia
B. Denial about limitations
C. Impaired math skills
D. Issues with seeing on the right side
E. Disoriented
QUESTIONS AND ANSWERS |LATEST UPLOAD
|ALREADY GRADED A+
Following an aortic aneurysm repair, the patient suddenly develops severe pain in
the right lower extremity. The right pedal pulse is difficult to palpate, and the
right foot is cool and pale. Which complication should the nurse most suspect?
a. Hypothermia
b. Wound infection
c. Bleeding from the graft site
d. Graft occlusion - ANSWER - D
https://www.youtube.com/watch?v=58Y0OfOVzMo - ANSWER - Sepsis
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?
A. Ischemic thrombosis
B. Ischemic embolism
C. Hemorrhagic
D. Ischemic stenosis - ANSWER - The answer is B. If a patient is in uncontrolled a-
fib they are at risk for clot formation within the heart chambers. This clot can
leave the heart and travel to the brain. Hence, an ischemic embolism type stroke
can occur. An ischemic thrombosis type stroke is where a clot forms within the
artery wall of the neck or brain.
,Which patient below is at most risk for a hemorrhagic stroke?
A. A 65-year-old male patient with carotid stenosis.
B. A 89-year-old female with atherosclerosis.
C. A 88-year-old male with uncontrolled hypertension and a history of brain
aneurysm repair 2 years ago.
D. A 55-year-old female with atrial flutter. - ANSWER - The answer is C. A
hemorrhagic stroke occurs when bleeding in the brain happens due to a break in a
blood vessel. Risk factors for a hemorrhagic stroke is uncontrolled hypertension,
history of brain aneurysm, old age (due to aging blood vessels.) All the other
options are at risk for an ischemic type of stroke.
You're educating a patient about transient ischemic attacks (TIAs). Select all the
options that are incorrect about this condition:
A. TIAs are caused by a temporary decrease in blood flow to the brain.
B. TIAs produce signs and symptoms that can last for several weeks to months.
C. A TIAs is a warning sign that an impending stroke may occur.
D. TIAs don't require medical treatment. - ANSWER - The answers are B and D.
Options A and C are CORRECT statements about TIAs. However, option B is wrong
because TIAs produce signs and symptoms that can last a few minutes to hours
and resolve (NOT several weeks to months). Option D is wrong be TIAs do require
medical treatment.
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?
,A. Frontal lobe
B. Occipital lobe
C. Parietal lobe
D. Temporal - ANSWER - The answer is D. The temporal lobe is responsible for
hearing, learning, and feelings/emotions.
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?
A. Vision problems
B. Balance impairment
C. Language difficulty
D. Impaired short-term memory - ANSWER - The answer is B. The cerebellum is
important for coordination and balance.
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?
A. Brain stem
B. Hippocampus
C. Parietal lobe
D. Occipital lobe - ANSWER - The answer is D. The occipital lobe is responsible for
vision and color perception.
, A patient has right side brain damage from a stroke. Select all the signs and
symptoms that occurs with this type of stroke:
A. Right side hemiplegia
B. Confusion on date, time, and place
C. Aphasia
D. Unilateral neglect
E. Aware of limitations
F. Impulsive
G. Short attention span
H. Agraphia - ANSWER - The answers are B, D, F, and G.
Patients who have right side brain damage will have LEFT side hemiplegia
(opposite side), confused on date, time, and place, unilateral neglect (left side
neglect), DENIAL about limitations, be impulsive, and have a short attention span.
Agraphia, right side hemiplegia, aware of limitations, and aphasia occur in a LEFT
SIDE brain injury.
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:
A. Aphasia
B. Denial about limitations
C. Impaired math skills
D. Issues with seeing on the right side
E. Disoriented
