NUR 3250 Med-Surg Exam 3 Review – 1200 Kahoot-
Style Questions
| Galen College of Nursing | 2026/2027 Update
Verified Answers & Detailed Rationales
TESTBANK FOR NUR 3250 Med-Surg Exam 3 Review –
1200 Kahoot-Style Questions
| Galen College of Nursing | 2026/2027 Update
For more or specific SEND EMAIL.
,Questions 1–170
Section A: Neurological Assessment & Stroke (Questions 1–
60)
Question 1
A patient presents with a sudden onset of slurred speech and right-sided weakness that
completely resolves within 30 minutes. The emergency department nurse recognizes
that a transient ischemic attack differs from a stroke primarily because a TIA:
A. Is diagnosed with MRI rather than CT imaging
B. Causes permanent necrosis and irreversible brain damage
C. Produces transient symptoms without necrosis or lasting damage
D. Presents with completely different symptoms than a stroke
Correct Answer: C
Rationale: A transient ischemic attack is a transient episode with no necrosis or
irreversible damage, and it may present with stroke symptoms that resolve without
lasting damage. TIA is diagnosed with CT, not MRI. Stroke causes permanent damage. A
TIA can present with the same symptoms as a stroke.
For more or specific SEND EMAIL.
,Question 2
A patient is admitted with a suspected stroke. Which diagnostic study is used to
evaluate a transient ischemic attack?
A. CT scan only
B. MRI only
C. CT scan or MRI
D. Lumbar puncture
Correct Answer: A
Rationale: A transient ischemic attack is diagnosed with CT, not MRI. Stroke is a
condition with permanent damage that is diagnosed with CT or MRI. Lumbar puncture is
not the standard diagnostic tool for TIA or stroke evaluation.
Question 3
Which clinical assessment finding is an absolute contraindication for administering
tissue plasminogen activator (tPA) to a patient presenting with acute ischemic stroke
symptoms?
A. Age of 78 years old
B. Blood pressure reading of 170/90 mmHg
C. Blood pressure reading of 195/115 mmHg
D. Symptom onset exactly 2 hours ago
Correct Answer: C
Rationale: tPA administration requires a blood pressure of less than 185/110 mmHg to
reduce the risk of hemorrhagic conversion. Patients with a blood pressure higher than
this threshold must have their blood pressure lowered safely with antihypertensives
before tPA can be given.
Question 4
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, A nurse cares for a patient with a suspected stroke. Which diagnostic test must be
completed first before any anticoagulant or fibrinolytic therapy is initiated?
A. Non-contrast Head CT scan
B. Magnetic Resonance Imaging (MRI)
C. Carotid Doppler ultrasound
D. 12-lead Electrocardiogram (ECG)
Correct Answer: A
Rationale: A non-contrast head CT scan is the gold standard diagnostic tool used
immediately to differentiate between an ischemic stroke and a hemorrhagic stroke, as
fibrinolytic therapy is fatal in patients with bleeding.
Question 5
A patient diagnosed with an ischemic stroke has a blood pressure of 190/100 mmHg.
The patient is not a candidate for fibrinolytic therapy. Which action should the nurse
take?
A. Administer IV bolus antihypertensives immediately
B. Monitor the blood pressure and maintain head of bed at 30 degrees
C. Apply a cooling blanket to induce mild therapeutic hypothermia
D. Request an immediate prescription for a continuous nitroprusside infusion
Correct Answer: B
Rationale: In patients with acute ischemic stroke who are not candidates for fibrinolytic
therapy, permissive hypertension (up to 220/120 mmHg) is often allowed to maintain
collateral perfusion to the penumbra. Blood pressure is not treated unless it exceeds
these extreme limits.
Question 6
A nurse assesses a patient who experienced a stroke involving the right hemisphere of
the brain. Which clinical manifestation should the nurse anticipate?
For more or specific SEND EMAIL.
Style Questions
| Galen College of Nursing | 2026/2027 Update
Verified Answers & Detailed Rationales
TESTBANK FOR NUR 3250 Med-Surg Exam 3 Review –
1200 Kahoot-Style Questions
| Galen College of Nursing | 2026/2027 Update
For more or specific SEND EMAIL.
,Questions 1–170
Section A: Neurological Assessment & Stroke (Questions 1–
60)
Question 1
A patient presents with a sudden onset of slurred speech and right-sided weakness that
completely resolves within 30 minutes. The emergency department nurse recognizes
that a transient ischemic attack differs from a stroke primarily because a TIA:
A. Is diagnosed with MRI rather than CT imaging
B. Causes permanent necrosis and irreversible brain damage
C. Produces transient symptoms without necrosis or lasting damage
D. Presents with completely different symptoms than a stroke
Correct Answer: C
Rationale: A transient ischemic attack is a transient episode with no necrosis or
irreversible damage, and it may present with stroke symptoms that resolve without
lasting damage. TIA is diagnosed with CT, not MRI. Stroke causes permanent damage. A
TIA can present with the same symptoms as a stroke.
For more or specific SEND EMAIL.
,Question 2
A patient is admitted with a suspected stroke. Which diagnostic study is used to
evaluate a transient ischemic attack?
A. CT scan only
B. MRI only
C. CT scan or MRI
D. Lumbar puncture
Correct Answer: A
Rationale: A transient ischemic attack is diagnosed with CT, not MRI. Stroke is a
condition with permanent damage that is diagnosed with CT or MRI. Lumbar puncture is
not the standard diagnostic tool for TIA or stroke evaluation.
Question 3
Which clinical assessment finding is an absolute contraindication for administering
tissue plasminogen activator (tPA) to a patient presenting with acute ischemic stroke
symptoms?
A. Age of 78 years old
B. Blood pressure reading of 170/90 mmHg
C. Blood pressure reading of 195/115 mmHg
D. Symptom onset exactly 2 hours ago
Correct Answer: C
Rationale: tPA administration requires a blood pressure of less than 185/110 mmHg to
reduce the risk of hemorrhagic conversion. Patients with a blood pressure higher than
this threshold must have their blood pressure lowered safely with antihypertensives
before tPA can be given.
Question 4
For more or specific SEND EMAIL.
, A nurse cares for a patient with a suspected stroke. Which diagnostic test must be
completed first before any anticoagulant or fibrinolytic therapy is initiated?
A. Non-contrast Head CT scan
B. Magnetic Resonance Imaging (MRI)
C. Carotid Doppler ultrasound
D. 12-lead Electrocardiogram (ECG)
Correct Answer: A
Rationale: A non-contrast head CT scan is the gold standard diagnostic tool used
immediately to differentiate between an ischemic stroke and a hemorrhagic stroke, as
fibrinolytic therapy is fatal in patients with bleeding.
Question 5
A patient diagnosed with an ischemic stroke has a blood pressure of 190/100 mmHg.
The patient is not a candidate for fibrinolytic therapy. Which action should the nurse
take?
A. Administer IV bolus antihypertensives immediately
B. Monitor the blood pressure and maintain head of bed at 30 degrees
C. Apply a cooling blanket to induce mild therapeutic hypothermia
D. Request an immediate prescription for a continuous nitroprusside infusion
Correct Answer: B
Rationale: In patients with acute ischemic stroke who are not candidates for fibrinolytic
therapy, permissive hypertension (up to 220/120 mmHg) is often allowed to maintain
collateral perfusion to the penumbra. Blood pressure is not treated unless it exceeds
these extreme limits.
Question 6
A nurse assesses a patient who experienced a stroke involving the right hemisphere of
the brain. Which clinical manifestation should the nurse anticipate?
For more or specific SEND EMAIL.
