NSG 3250 EXAM 3
(2026-2027) ACTUAL QUESTIONS &
ANSWERS
1. What is the main difference between a TIA and a stroke?
A. TIA causes irreversible brain damage, while stroke does not
B. TIA is transient with no permanent brain injury, while a stroke can cause irreversible brain damage
C. TIA is always hemorrhagic, while stroke is always ischemic
D. TIA and stroke are the same condition
2. A patient with a transient ischemic attack (TIA) may experience which signs and symptoms?
A. Aphasia
B. Ataxia
C. Hemiplegia and difficulty swallowing
D. Aphasia, ataxia, hemiplegia, difficulty swallowing, difficulty speaking, and weakness
3. Which nursing interventions are appropriate when caring for a patient with a stroke?
A. Use long explanations and speak rapidly
B. Encourage a noisy environment
C. Use short, simple phrases; speak slowly; reduce distractions; use a writing board when appropriate;
and allow adequate time for the patient to respond
D. Speak only through gestures
,4. A patient has experienced a left-sided stroke. Which symptoms should the nurse expect?
A. Left-sided weakness and improved language ability
B. Right-sided weakness/sensory deficits and possible hemianopsia
C. Bilateral paralysis
D. Only lower-extremity weakness
5. Which cerebral hemisphere is primarily associated with language and verbal communication?
A. Right hemisphere
B. Cerebellum
C. Brainstem
D. Left hemisphere
6. When assessing a patient with a suspected stroke, what important information should the nurse
obtain?
A. Time of the patient's last meal
B. Time of the patient's last medication
C. When the patient was last known to be normal or when symptoms began
D. Time of the patient's last bowel movement
7. Which are signs of increased intracranial pressure (ICP)?
A. Bradycardia only
B. Increased appetite
C. Headache and altered respiratory pattern
D. Increased urine output
, 8. Which intervention is appropriate for a patient at risk for increased intracranial pressure?
A. Administer hypotonic IV solutions
B. Encourage frequent stimulation
C. Maintain a quiet environment and avoid interventions that can increase ICP
D. Keep the patient completely flat
9. Which dietary intervention is appropriate for a patient with a stroke and difficulty swallowing?
A. Give large pieces of solid food
B. Encourage thin liquids only
C. Use an appropriate modified diet/food consistency based on the patient's swallowing assessment
D. Feed the patient while lying flat
10. Which position should be used after feeding a patient with dysphagia following a stroke?
A. Supine
B. Prone
C. Semi-Fowler's/upright position
D. Trendelenburg
11. What is the priority nursing intervention for a patient experiencing a seizure?
A. Restrain the patient's extremities
B. Place an object in the patient's mouth
C. Protect the patient from injury and maintain airway, breathing, and circulation (ABC)
(2026-2027) ACTUAL QUESTIONS &
ANSWERS
1. What is the main difference between a TIA and a stroke?
A. TIA causes irreversible brain damage, while stroke does not
B. TIA is transient with no permanent brain injury, while a stroke can cause irreversible brain damage
C. TIA is always hemorrhagic, while stroke is always ischemic
D. TIA and stroke are the same condition
2. A patient with a transient ischemic attack (TIA) may experience which signs and symptoms?
A. Aphasia
B. Ataxia
C. Hemiplegia and difficulty swallowing
D. Aphasia, ataxia, hemiplegia, difficulty swallowing, difficulty speaking, and weakness
3. Which nursing interventions are appropriate when caring for a patient with a stroke?
A. Use long explanations and speak rapidly
B. Encourage a noisy environment
C. Use short, simple phrases; speak slowly; reduce distractions; use a writing board when appropriate;
and allow adequate time for the patient to respond
D. Speak only through gestures
,4. A patient has experienced a left-sided stroke. Which symptoms should the nurse expect?
A. Left-sided weakness and improved language ability
B. Right-sided weakness/sensory deficits and possible hemianopsia
C. Bilateral paralysis
D. Only lower-extremity weakness
5. Which cerebral hemisphere is primarily associated with language and verbal communication?
A. Right hemisphere
B. Cerebellum
C. Brainstem
D. Left hemisphere
6. When assessing a patient with a suspected stroke, what important information should the nurse
obtain?
A. Time of the patient's last meal
B. Time of the patient's last medication
C. When the patient was last known to be normal or when symptoms began
D. Time of the patient's last bowel movement
7. Which are signs of increased intracranial pressure (ICP)?
A. Bradycardia only
B. Increased appetite
C. Headache and altered respiratory pattern
D. Increased urine output
, 8. Which intervention is appropriate for a patient at risk for increased intracranial pressure?
A. Administer hypotonic IV solutions
B. Encourage frequent stimulation
C. Maintain a quiet environment and avoid interventions that can increase ICP
D. Keep the patient completely flat
9. Which dietary intervention is appropriate for a patient with a stroke and difficulty swallowing?
A. Give large pieces of solid food
B. Encourage thin liquids only
C. Use an appropriate modified diet/food consistency based on the patient's swallowing assessment
D. Feed the patient while lying flat
10. Which position should be used after feeding a patient with dysphagia following a stroke?
A. Supine
B. Prone
C. Semi-Fowler's/upright position
D. Trendelenburg
11. What is the priority nursing intervention for a patient experiencing a seizure?
A. Restrain the patient's extremities
B. Place an object in the patient's mouth
C. Protect the patient from injury and maintain airway, breathing, and circulation (ABC)
