ADULT 1 - FINAL EXAM CONTENT -
PRACTICE QUESTIONS WITH
COMPLETE SOLUTION
1. 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.
2. 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.
,3. 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.
4. 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.
5. 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.
,6. 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.
7. 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.
8. 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
F. Depression and anger
G. Impulsive
H. Agraphia - ANSWER - The answers are A, C, D, F, and H. Patients who have left
side brain damage will have aphasia, be AWARE of their limitations, impaired
math skills, issues with seeing on the right side, no deficit in memory,
depression/anger, cautious, and agraphia. All the other options are found in right
side brain injury.
9. During discharge teaching for a patient who experienced a mild stroke, you are
providing details on how to eliminate risk factors for experiencing another stroke.
Which risk factors below for stroke are modifiable?
A. Smoking
B. Family history
C. Advanced age
D. Obesity
E. Sedentary lifestyle - ANSWER - The answers are A, D, and E. These risk factors
are modifiable in that the patient can attempt to change them to prevent another
stroke in the future. The other risk factors are NOT modifiable.
10. Your patient who had a stroke has issues with understanding speech. What
type of aphasia is this patient experiencing and what area of the brain is affected?
A. Expressive; Wernicke's area
PRACTICE QUESTIONS WITH
COMPLETE SOLUTION
1. 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.
2. 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.
,3. 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.
4. 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.
5. 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.
,6. 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.
7. 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.
8. 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
F. Depression and anger
G. Impulsive
H. Agraphia - ANSWER - The answers are A, C, D, F, and H. Patients who have left
side brain damage will have aphasia, be AWARE of their limitations, impaired
math skills, issues with seeing on the right side, no deficit in memory,
depression/anger, cautious, and agraphia. All the other options are found in right
side brain injury.
9. During discharge teaching for a patient who experienced a mild stroke, you are
providing details on how to eliminate risk factors for experiencing another stroke.
Which risk factors below for stroke are modifiable?
A. Smoking
B. Family history
C. Advanced age
D. Obesity
E. Sedentary lifestyle - ANSWER - The answers are A, D, and E. These risk factors
are modifiable in that the patient can attempt to change them to prevent another
stroke in the future. The other risk factors are NOT modifiable.
10. Your patient who had a stroke has issues with understanding speech. What
type of aphasia is this patient experiencing and what area of the brain is affected?
A. Expressive; Wernicke's area
