NEUROLOGIC CRITICAL CONDITION WITH
ACTUAL QUESTION AND ANSWERS SOLVED
100%
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 - ANS -C. Symptoms resolve in 30-60 minutes
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 - ANS -B. Patient
is euphoric and smiling but disoriented to person, place, and time
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 - ANS -D. Use a picture board that
displays objects and activities
,A patient with a right cerebral hemisphere stroke may have safety issues related to which
factor?
A. Poor impulse control
B. Alexia and agraphia
C. Loss of language and analytical skills
D. Slow and cautious behavior - ANS -A. Poor impulse control
What is the priority concept for the interdisciplinary care and treatment of a patient who is
suspected of having a stroke?
A. Pain
B. Cognition
C. Perfusion
D. Sensory perception - ANS -C. Perfusion
A patient who had a stroke several years ago continues to have the potential for aspiration.
Which intervention is best to delegate to the unlicensed assistive personnel?
A. Monitor the patient for and notify the charge nurse of any occurrence of coughing, choking,
or difficulty breathing
B. Elevate the head of the bed and slowly feed small spoonfuls of pudding, pausing between
each spoonful
C. Check for swallow reflex by placing index finger and thumb on the Adam's apple and
palpating during swallowing
D. Give the patient a glass of water before feeding solid foods, and have oral suction ready at
bedside - ANS -B. Elevate the head of the bed and slowly feed small spoonfuls of pudding,
pausing between each spoonful
A patient with an ischemic stroke is placed on a cardiac monitor. Which cardiac dysrhythmia
places the patient at risk for emboli?
A. Sinus bradycardia
B. Atrial fibrillation
, C. Sinus tachycardia
D. First-degree heart block - ANS -B. Atrial fibrillation
A patient sustained a stroke that affected the right hemisphere of the brain. The patient has
visual spatial deficits of proprioception. After assessing the safety of the patient's home, the
home health nurse identifies which enviornmental feature that represents a potential safety
problem for this patient?
A. The handrail that borders the bathtub is on the right-hand side
B. The patient's favorite chair faces the front door of the house
C. The patient's bedside table is on the left-hand side of the bed
D. Family has relocated the patient to a ground-floor bedroom - ANS -A. The handrail that
borders the bathtub is on the right-hand side
A patient presents to the advanced stroke center with signs and symptoms of an ischemic
stroke. What is the priority factor when considering fibrinolytic therapy?
A. Age less than 80 years
B. History of stroke
C. Recent surgery
D. Time of onset of symptoms - ANS -D. Time of onset of symptoms
The nurse notices that a patient seems to be having trouble swallowing. Which intervention
does the nurse employ for this patient?
A. Limit the diet to clear liquids given through a straw
B. Withhold food and fluids until swallowing is assessed
C. Monitor the patient's weight and compare trends to baseline
D. Observe the patient while eating and note problematic foods - ANS -B. Withhold food and
fluids until swallowing is assessed
ACTUAL QUESTION AND ANSWERS SOLVED
100%
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 - ANS -C. Symptoms resolve in 30-60 minutes
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 - ANS -B. Patient
is euphoric and smiling but disoriented to person, place, and time
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 - ANS -D. Use a picture board that
displays objects and activities
,A patient with a right cerebral hemisphere stroke may have safety issues related to which
factor?
A. Poor impulse control
B. Alexia and agraphia
C. Loss of language and analytical skills
D. Slow and cautious behavior - ANS -A. Poor impulse control
What is the priority concept for the interdisciplinary care and treatment of a patient who is
suspected of having a stroke?
A. Pain
B. Cognition
C. Perfusion
D. Sensory perception - ANS -C. Perfusion
A patient who had a stroke several years ago continues to have the potential for aspiration.
Which intervention is best to delegate to the unlicensed assistive personnel?
A. Monitor the patient for and notify the charge nurse of any occurrence of coughing, choking,
or difficulty breathing
B. Elevate the head of the bed and slowly feed small spoonfuls of pudding, pausing between
each spoonful
C. Check for swallow reflex by placing index finger and thumb on the Adam's apple and
palpating during swallowing
D. Give the patient a glass of water before feeding solid foods, and have oral suction ready at
bedside - ANS -B. Elevate the head of the bed and slowly feed small spoonfuls of pudding,
pausing between each spoonful
A patient with an ischemic stroke is placed on a cardiac monitor. Which cardiac dysrhythmia
places the patient at risk for emboli?
A. Sinus bradycardia
B. Atrial fibrillation
, C. Sinus tachycardia
D. First-degree heart block - ANS -B. Atrial fibrillation
A patient sustained a stroke that affected the right hemisphere of the brain. The patient has
visual spatial deficits of proprioception. After assessing the safety of the patient's home, the
home health nurse identifies which enviornmental feature that represents a potential safety
problem for this patient?
A. The handrail that borders the bathtub is on the right-hand side
B. The patient's favorite chair faces the front door of the house
C. The patient's bedside table is on the left-hand side of the bed
D. Family has relocated the patient to a ground-floor bedroom - ANS -A. The handrail that
borders the bathtub is on the right-hand side
A patient presents to the advanced stroke center with signs and symptoms of an ischemic
stroke. What is the priority factor when considering fibrinolytic therapy?
A. Age less than 80 years
B. History of stroke
C. Recent surgery
D. Time of onset of symptoms - ANS -D. Time of onset of symptoms
The nurse notices that a patient seems to be having trouble swallowing. Which intervention
does the nurse employ for this patient?
A. Limit the diet to clear liquids given through a straw
B. Withhold food and fluids until swallowing is assessed
C. Monitor the patient's weight and compare trends to baseline
D. Observe the patient while eating and note problematic foods - ANS -B. Withhold food and
fluids until swallowing is assessed
