Neuro Test Bank Q&A
Neuro Test Bank
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1. 1. A patient has had an ischemic stroke 1. Ans: C
and has been admitted to the medical
unit. What action should the nurse per- Feedback:
form to best prevent joint deformities?
A pillow in the axilla prevents adduction of the af-
A) Place the patient in the prone posi-
fected shoulder and keeps the arm away from the
tion for 30 minutes/day.
chest. The prone position with a pillow under the
B) Assist the patient in acutely flexing
pelvis, not flat, promotes hyperextension of the hip
the thigh to promote movement.
joints, essential for normal gait. To promote ve-
C) Place a pillow in the axilla when there
nous return and prevent edema, the upper thigh
is limited external rotation.
should not be flexed acutely. The hand is placed in
D) Place patient's hand in pronation.
slight supination, not pronation, which is its most
functional position.
2. 2. A patient diagnosed with transient 2. Ans: C
ischemic attacks (TIAs) is scheduled for
a carotid endarterectomy. The nurse Feedback:
explains that this procedure will be
The main surgical procedure for select patients
done for what purpose?
with TIAs is carotid endarterectomy, the removal
A) To decrease cerebral edema
of an atherosclerotic plaque or thrombus from the
B) To prevent seizure activity that is
carotid artery to prevent stroke in
common following a TIA
patients with occlusive disease of the extracranial
C) To remove atherosclerotic plaques
arteries. An endarterectomy does not decrease
blocking cerebral flow
cerebral edema, prevent seizure activity, or deter-
D) To determine the cause of the TIA
mine the cause of a TIA.
3. 3. The nurse is discharging home a pa- 3. Ans: C
tient who suffered a stroke. He has a
flaccid right arm and leg and is expe- Feedback:
riencing problems with urinary incon-
Depression is a common and serious problem in
tinence. The nurse makes a referral to
the patient who has had a stroke. It can result
a home health nurse because of an
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Neuro Test Bank
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awareness of what common patient re- from a profound disruption in his or her life and
sponse to a change in body image? changes in total function, leaving the patient with
A) Denial a loss of independence. The nurse needs to en-
B) Fear courage the patient to verbalize feelings to assess
C) Depression the effect of the stroke on self-esteem. Denial,
D) Disassociation fear, and disassociation are not the most common
patient response to a change in body image, al-
though each can occur in some patients.
4. 4. When caring for a patient who had a 4. Ans: B
hemorrhagic stroke, close monitoring
of vital signs and neurologic changes is Feedback:
imperative. What is the earliest sign of
Alteration in LOC is the earliest sign of deteri-
deterioration in a patient with a hemor-
oration in a patient after a hemorrhagic stroke,
rhagic stroke of which the nurse should
such as mild drowsiness, slight slurring of speech,
be aware?
and sluggish papillary reaction. Sudden headache
A) Generalized pain
may occur, but generalized pain is less common.
B) Alteration in level of consciousness
Seizures and shortness of breath are not identified
(LOC)
as early signs of hemorrhagic stroke.
C) Tonicclonic seizures
D) Shortness of breath
5. 5.The nurse is performing stroke risk 5. Ans: B
screenings at a hospital open house.
The nurse has identified four patients Feedback:
who might be at risk for a stroke. Which
Uncontrolled hypertension is the primary cause of
patient is likely at the highest risk for a
a hemorrhagic stroke. Control of hypertension, es-
hemorrhagic stroke?
pecially in individuals over 55 years of age, clearly
A) White female, age 60, with history of
reduces the risk for hemorrhagic stroke. Addition-
excessive alcohol intake
al risk factors are increased age, male gender, and
B) White male, age 60, with history of
excessive alcohol intake. Another high-risk group
uncontrolled hypertension
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C) Black male, age 60, with history of includes African Americans, where the incidence
diabetes of first stroke is almost twice that as in Caucasians.
D) Black male, age 50, with history of
smoking
6. 6. A patient who just suffered a sus- 6. Ans: A
pected ischemic stroke is brought to
the ED by ambulance. On what should Feedback:
the nurse's primary assessment fo-
Acute care begins with managing ABCs. Patients
cus?
may have difficulty keeping an open and clear
A) Cardiac and respiratory status
airway secondary to decreased LOC. Neurolog-
B) Seizure activity
ic assessment with close monitoring for signs of
C) Pain
increased neurologic deficit and seizure activity
D) Fluid and electrolyte balance
occurs next. Fluid and electrolyte balance must
be controlled carefully with the goal of adequate
hydration to promote perfusion and decrease fur-
ther brain activity.
7. 7. A patient with a cerebral aneurysm 7. Ans: D
exhibits signs and symptoms of an in-
crease in intracranial pressure (ICP). Feedback:
What nursing intervention would be
The patient is placed on immediate and absolute
most appropriate for this patient?
bed rest in a quiet, nonstressful environment be-
A) Range-of-motion exercises to pre-
cause activity, pain, and anxiety elevate BP, which
vent contractures
increases the risk for bleeding. Visitors are restrict-
B) Encouraging independence with
ed. The nurse administers all personal care. The
ADLs to promote recovery
patient is fed and bathed to prevent any exertion
C) Early initiation of physical therapy
that might raise BP.
D) Absolute bed rest in a quiet, non-
stimulating environment
8.
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Neuro Test Bank
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1. 1. A patient has had an ischemic stroke 1. Ans: C
and has been admitted to the medical
unit. What action should the nurse per- Feedback:
form to best prevent joint deformities?
A pillow in the axilla prevents adduction of the af-
A) Place the patient in the prone posi-
fected shoulder and keeps the arm away from the
tion for 30 minutes/day.
chest. The prone position with a pillow under the
B) Assist the patient in acutely flexing
pelvis, not flat, promotes hyperextension of the hip
the thigh to promote movement.
joints, essential for normal gait. To promote ve-
C) Place a pillow in the axilla when there
nous return and prevent edema, the upper thigh
is limited external rotation.
should not be flexed acutely. The hand is placed in
D) Place patient's hand in pronation.
slight supination, not pronation, which is its most
functional position.
2. 2. A patient diagnosed with transient 2. Ans: C
ischemic attacks (TIAs) is scheduled for
a carotid endarterectomy. The nurse Feedback:
explains that this procedure will be
The main surgical procedure for select patients
done for what purpose?
with TIAs is carotid endarterectomy, the removal
A) To decrease cerebral edema
of an atherosclerotic plaque or thrombus from the
B) To prevent seizure activity that is
carotid artery to prevent stroke in
common following a TIA
patients with occlusive disease of the extracranial
C) To remove atherosclerotic plaques
arteries. An endarterectomy does not decrease
blocking cerebral flow
cerebral edema, prevent seizure activity, or deter-
D) To determine the cause of the TIA
mine the cause of a TIA.
3. 3. The nurse is discharging home a pa- 3. Ans: C
tient who suffered a stroke. He has a
flaccid right arm and leg and is expe- Feedback:
riencing problems with urinary incon-
Depression is a common and serious problem in
tinence. The nurse makes a referral to
the patient who has had a stroke. It can result
a home health nurse because of an
Actualstudy Page 1
, Neuro Test Bank Q&A
Neuro Test Bank
Study online at https://quizlet.com/_5rxp14
awareness of what common patient re- from a profound disruption in his or her life and
sponse to a change in body image? changes in total function, leaving the patient with
A) Denial a loss of independence. The nurse needs to en-
B) Fear courage the patient to verbalize feelings to assess
C) Depression the effect of the stroke on self-esteem. Denial,
D) Disassociation fear, and disassociation are not the most common
patient response to a change in body image, al-
though each can occur in some patients.
4. 4. When caring for a patient who had a 4. Ans: B
hemorrhagic stroke, close monitoring
of vital signs and neurologic changes is Feedback:
imperative. What is the earliest sign of
Alteration in LOC is the earliest sign of deteri-
deterioration in a patient with a hemor-
oration in a patient after a hemorrhagic stroke,
rhagic stroke of which the nurse should
such as mild drowsiness, slight slurring of speech,
be aware?
and sluggish papillary reaction. Sudden headache
A) Generalized pain
may occur, but generalized pain is less common.
B) Alteration in level of consciousness
Seizures and shortness of breath are not identified
(LOC)
as early signs of hemorrhagic stroke.
C) Tonicclonic seizures
D) Shortness of breath
5. 5.The nurse is performing stroke risk 5. Ans: B
screenings at a hospital open house.
The nurse has identified four patients Feedback:
who might be at risk for a stroke. Which
Uncontrolled hypertension is the primary cause of
patient is likely at the highest risk for a
a hemorrhagic stroke. Control of hypertension, es-
hemorrhagic stroke?
pecially in individuals over 55 years of age, clearly
A) White female, age 60, with history of
reduces the risk for hemorrhagic stroke. Addition-
excessive alcohol intake
al risk factors are increased age, male gender, and
B) White male, age 60, with history of
excessive alcohol intake. Another high-risk group
uncontrolled hypertension
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Neuro Test Bank
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C) Black male, age 60, with history of includes African Americans, where the incidence
diabetes of first stroke is almost twice that as in Caucasians.
D) Black male, age 50, with history of
smoking
6. 6. A patient who just suffered a sus- 6. Ans: A
pected ischemic stroke is brought to
the ED by ambulance. On what should Feedback:
the nurse's primary assessment fo-
Acute care begins with managing ABCs. Patients
cus?
may have difficulty keeping an open and clear
A) Cardiac and respiratory status
airway secondary to decreased LOC. Neurolog-
B) Seizure activity
ic assessment with close monitoring for signs of
C) Pain
increased neurologic deficit and seizure activity
D) Fluid and electrolyte balance
occurs next. Fluid and electrolyte balance must
be controlled carefully with the goal of adequate
hydration to promote perfusion and decrease fur-
ther brain activity.
7. 7. A patient with a cerebral aneurysm 7. Ans: D
exhibits signs and symptoms of an in-
crease in intracranial pressure (ICP). Feedback:
What nursing intervention would be
The patient is placed on immediate and absolute
most appropriate for this patient?
bed rest in a quiet, nonstressful environment be-
A) Range-of-motion exercises to pre-
cause activity, pain, and anxiety elevate BP, which
vent contractures
increases the risk for bleeding. Visitors are restrict-
B) Encouraging independence with
ed. The nurse administers all personal care. The
ADLs to promote recovery
patient is fed and bathed to prevent any exertion
C) Early initiation of physical therapy
that might raise BP.
D) Absolute bed rest in a quiet, non-
stimulating environment
8.
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