NCLEX-RN Practice Set and Lab Values 2023/2024 100% Solved

NCLEX-RN Practice Set and Lab Values 2023/2024 100% Solved 1. A client is admitted to the emergency department (ED). The family reports the client had a sudden onset of left-sided facial droop and slurred speech at home. The nurse ob-serves left-sided muscle weakness. Which is the most important question for the nurse to ask? 1. "What over-the-counter medications does your parent take?" 2. "What was your parent doing when the symptoms began?" 3. "When did you notice the onset of your parent's symptoms?" 4. "Does your parent have a history of high blood pressure?" 2. The nurse meets with the parent of an adolescent male who presents for an annual health maintenance visit. The parent voices concern that the child has recently become clumsy and uncoordinated. Which response by the 1/42 Correct: 3 Rationale: Time is of the essence when providing care to a client who experiences ischemic stroke, as thrombolytic therapy is only effective for 4.5 to 6 hours from onset of sx. This is the priority assessment ques-tion as thrombolytic thera-py can restore circulation for this client. 2:A hemorrhagic stroke may be precipitated by strenous activity. This question is important to differentiate whether the client is experiencing a hemorrhagic or ischemic stroke but not the priority. 4: HTN or high blood pressure is a common risk factor for all types of stroke. Al-though this is an appropri-ate assessment question, it does not address the here and now