NUR 4500 Med-Surg Exams 1–8 | Chapters 66–89 | Practice Questions, Answers & Detailed Rationales | 2026 Exam Prep

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NUR 4500 MED SURG EXAMS 1- 8, CHAPTER 66-89
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Med Surge Quiz 3 - CHP 66
Question 1
A female patient is diagnosed with a right-sided stroke. The patient is now
experiencing hemianopsia. How might the nurse help the patient manage her
potential sensory and perceptional difficulties?
You Selected:
• Place the patient's extremities where she can see them. - ANSWER:
• Place the patient's extremities where she can see them. Explanation:
Reference:
□ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of
Medical-Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins,
2014, Chapter 67: Management of Patients With Cerebrovascular Disorders, p.
1984. Chapter 67: Management of Patients With Cerebrovascular Disorders - Page
1984




Question 2 See full Question
When preparing to discharge a patient home, the nurse has met with the family and
warned them that the patient may exhibit unexpected emotional responses. The
nurse should teach the family that these responses are typically a result of what
cause? You Selected:
• Frustration around changes in function and communication - ANSWER:
• Frustration around changes in function and communication Explanation:

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Reference:
□ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of
Medical-Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins,
2014, Chapter 67: Management of Patients With Cerebrovascular Disorders, p.
1986. Chapter 67: Management of Patients With Cerebrovascular Disorders - Page
1986




Question 3 See full Question
A patient is brought by ambulance to the ED after suffering what the family thinks
is a stroke. The nurse caring for this patient is aware that an absolute
contraindication for thrombolytic therapy is what?
You Selected:
• Evidence of hemorrhagic stroke - ANSWER:
• Evidence of hemorrhagic stroke Explanation:
Reference:
□ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of
Medical-Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins,
2014, Chapter 67: Management of Patients With Cerebrovascular Disorders, p.
1977. Chapter 67: Management of Patients With Cerebrovascular Disorders - Page
1977




Question 4 See full Question
A patient with a new diagnosis of ischemic stroke is deemed to be a candidate for
treatment with tissue plasminogen activator (t-PA) and has been admitted to the
ICU. In addition to closely monitoring the patient's cardiac and neurologic status,
the nurse monitors the patient for signs of what complication?
You Selected:
• Bleeding

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- ANSWER:
• Bleeding Explanation:
Reference:
□ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of
Medical-Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins,
2014, Chapter 67: Management of Patients With Cerebrovascular Disorders, p.
1979. Chapter 67: Management of Patients With Cerebrovascular Disorders - Page
1979




Question 5 See full Question
A patient has recently begun mobilizing during the recovery from an ischemic
stroke. To protect the patient's safety during mobilization, the nurse should perform
what action? You Selected:
• Avoid mobilizing the patient in the early morning or late evening. -
ANSWER:
• Have a colleague follow the patient closely with a wheelchair. Explanation:
Reference:
□ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of
Medical-Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins,
2014, Chapter 67:
Management of Patients With Cerebrovascular Disorders, p. 1982. Chapter 67:
Management of Patients With Cerebrovascular Disorders - Page 1982




Question 6 See full Question
The nurse is performing stroke risk screenings at a hospital open house. The nurse
has identified four patients who might be at risk for a stroke. Which patient is
likely at the highest risk for a hemorrhagic stroke?

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You Selected:
• White male, age 60, with history of uncontrolled hypertension - ANSWER:
• White male, age 60, with history of uncontrolled hypertension Explanation:
Reference:
□ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of
Medical-Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins,
2014, Chapter 67: Management of Patients With Cerebrovascular Disorders, p.
1988. Chapter 67: Management of Patients With Cerebrovascular Disorders - Page
1988




Question 7 See full Question
A patient who has experienced an ischemic stroke has been admitted to the medical
unit. The patient's family in adamant that she remain on bed rest to hasten her
recovery and to conserve energy. What principle of care should inform the nurse's
response to the family?
You Selected:
• The patient should mobilize as soon as she is physically able. - ANSWER:
• The patient should mobilize as soon as she is physically able. Explanation:
Reference:
□ Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of
Medical-Surgical Nursing, 13th ed., Philadelphia: Lippincott Williams & Wilkins,
2014, Chapter 67: Management of Patients With Cerebrovascular Disorders, p.
1982. Chapter 67: Management of Patients With Cerebrovascular Disorders - Page
1982




Question 8 See full Question