NURS 3366 Exam 4 | Questions with 100% Verified Answers | Latest Update
Question: Which statement about the etiology of a brain attack is correct?
A. Hypertension increases the risk for hemorrhagic strokes not ischemic strokes.
B. Rupture of an arteriovenous (AV) malformation is the most common cause of ischemic strokes.
C. Hemorrhagic stroke is the most common category of brain attack.
D. Lifestyle choices play a role in stroke prevention.
Answer:
D. Lifestyle choices play a role in stroke prevention. but
Question: A patient has been diagnosed with an ischemic stroke of the left cerebral hemisphere. Prior to
providing food or water, the nurse should assess:
A. Pupillary response
B. Deep tendon reflexes
C. Peripheral reflexes
D. Gag reflex
Answer:
D. Gag reflex
Question: A patient with a history of atherosclerosis presents with dysphasia and right-sided hemiparesis.
Which additional finding would the nurse expect?
A. Inability to smile on the right side of the face
B. Inability to smile on the left side of the face
C. Vertigo and nystagmus
D. Inability to recognize his wife
Answer:
A. Inability to smile on the right side of the face
Question: Which nursing intervention is appropriate for a patient with an ischemic stroke involving the
right cerebral hemisphere?
A. Apply lubricating drops to the right eye.
B. Infuse large amounts of IV fluids to increase cerebral perfusion pressure.
C. Keep the head of the bed flat to increase intracranial pressure.
D. Approach the patient from the right side.
Answer:
D. Approach the patient from the right side.
Question: A patient presents with left arm and leg hemiparesis and facial drooping. Which statement
does NOT explain these findings?
A. The contralateral cranial nerve controlling facial movement is compromised.
B. Corticospinal tracts decussate and control the contralateral arm and leg.
C. Pyramidal tracts decussate and control the arm and leg on the ipsilateral side of the lesion.
, D. Ischemia causes cellular injury, malfunction, and swelling.
Answer:
C. Pyramidal tracts decussate and control the arm and leg on the ipsilateral side of the lesion.
Question: A patient presents with dysphasia and right-sided hemiparesis. Twenty-two hours later, all
symptoms have resolved. Which explanation is most accurate?
A. You had a temporary blockage in a brain artery; it is often warning of a future stroke.
B. You experienced a small hemorrhage and will need lifelong anticoagulants.
C. You have permanent brain damage and your symptoms will return.
D. You had a temporary cerebellar problem that predicts future balance issues.
Answer:
A. You had a temporary blockage in a brain artery; it is often a warning of a future stroke. a
Question: A woman presents with signs and symptoms consistent with stroke. Which statement is
accurate?
A. A left hemispheric stroke causes right facial droop and left arm weakness.
B. Dizziness, loss of coordination, and nystagmus suggest a cerebellar stroke.
C. A nurse can determine the stroke is hemorrhagic based on symptoms alone.
D. A nurse can determine the stroke is ischemic based on symptoms alone.
Answer:
a A. A left hemispheric stroke causes right facial droop and left arm weakness.
Question: A patient with diverticulitis and gastrointestinal bleeding will most likely present with:
A. Dark, tarry stool
B. Melena
C. Hematemesis
D. Hematochezia
Answer:
A. Dark, tarry stool
Question: A patient recently diagnosed with colorectal cancer makes which statement that demonstrates
an accurate understanding?
A. My intestinal polyp from a year ago did not contribute to my cancer.
B. If screening existed, the cancer would have been diagnosed earlier.
C. I'm glad I noticed blood in my bowel movement and changes in my bowel habits.
D. Taking aspirin caused my cancer.
Answer:
C. I'm glad I noticed blood in my bowel movement and changes in my bowel habits.
Question: Which statement about the etiology of a brain attack is correct?
A. Hypertension increases the risk for hemorrhagic strokes not ischemic strokes.
B. Rupture of an arteriovenous (AV) malformation is the most common cause of ischemic strokes.
C. Hemorrhagic stroke is the most common category of brain attack.
D. Lifestyle choices play a role in stroke prevention.
Answer:
D. Lifestyle choices play a role in stroke prevention. but
Question: A patient has been diagnosed with an ischemic stroke of the left cerebral hemisphere. Prior to
providing food or water, the nurse should assess:
A. Pupillary response
B. Deep tendon reflexes
C. Peripheral reflexes
D. Gag reflex
Answer:
D. Gag reflex
Question: A patient with a history of atherosclerosis presents with dysphasia and right-sided hemiparesis.
Which additional finding would the nurse expect?
A. Inability to smile on the right side of the face
B. Inability to smile on the left side of the face
C. Vertigo and nystagmus
D. Inability to recognize his wife
Answer:
A. Inability to smile on the right side of the face
Question: Which nursing intervention is appropriate for a patient with an ischemic stroke involving the
right cerebral hemisphere?
A. Apply lubricating drops to the right eye.
B. Infuse large amounts of IV fluids to increase cerebral perfusion pressure.
C. Keep the head of the bed flat to increase intracranial pressure.
D. Approach the patient from the right side.
Answer:
D. Approach the patient from the right side.
Question: A patient presents with left arm and leg hemiparesis and facial drooping. Which statement
does NOT explain these findings?
A. The contralateral cranial nerve controlling facial movement is compromised.
B. Corticospinal tracts decussate and control the contralateral arm and leg.
C. Pyramidal tracts decussate and control the arm and leg on the ipsilateral side of the lesion.
, D. Ischemia causes cellular injury, malfunction, and swelling.
Answer:
C. Pyramidal tracts decussate and control the arm and leg on the ipsilateral side of the lesion.
Question: A patient presents with dysphasia and right-sided hemiparesis. Twenty-two hours later, all
symptoms have resolved. Which explanation is most accurate?
A. You had a temporary blockage in a brain artery; it is often warning of a future stroke.
B. You experienced a small hemorrhage and will need lifelong anticoagulants.
C. You have permanent brain damage and your symptoms will return.
D. You had a temporary cerebellar problem that predicts future balance issues.
Answer:
A. You had a temporary blockage in a brain artery; it is often a warning of a future stroke. a
Question: A woman presents with signs and symptoms consistent with stroke. Which statement is
accurate?
A. A left hemispheric stroke causes right facial droop and left arm weakness.
B. Dizziness, loss of coordination, and nystagmus suggest a cerebellar stroke.
C. A nurse can determine the stroke is hemorrhagic based on symptoms alone.
D. A nurse can determine the stroke is ischemic based on symptoms alone.
Answer:
a A. A left hemispheric stroke causes right facial droop and left arm weakness.
Question: A patient with diverticulitis and gastrointestinal bleeding will most likely present with:
A. Dark, tarry stool
B. Melena
C. Hematemesis
D. Hematochezia
Answer:
A. Dark, tarry stool
Question: A patient recently diagnosed with colorectal cancer makes which statement that demonstrates
an accurate understanding?
A. My intestinal polyp from a year ago did not contribute to my cancer.
B. If screening existed, the cancer would have been diagnosed earlier.
C. I'm glad I noticed blood in my bowel movement and changes in my bowel habits.
D. Taking aspirin caused my cancer.
Answer:
C. I'm glad I noticed blood in my bowel movement and changes in my bowel habits.
