NUR104 Medical Surgical Nursing Final Reveiw Questions
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NUR104 MEDICAL SURGICAL NURSING FINAL REVEIW
QUESTIONS. 450+ QUESTIONS WITH CORRECT VERIFIED
ANSWERS. LATEST 2024-2025
1. The optic nerve is known as cranial nerve X (ten). True
False: False
Optic nerve is cranial nerve II
Vagus nerve is cranial nerve X
2. Which modifiable risk factors for stroke would be most
important for the nurse to include when planning a community
education program?
A. Hypertension
B. Hyerlipidemia
C. Alcohol consumption
D. Oral contraceptive use: A. Hypertension
Hypertension is the single most important modifiable risk factor, but it is still often
undetected and inadequately treated. The public is often more aware of hyperlipidemia
and oral contraceptive use as risk factors for stroke. Alcohol is also a modifiable risk
factor.
3. The nurse would expect to find what clinical manifestation in a patient admitted
with a left-sided stroke?
A. Impulsivity
B. Impaired speech
C. Left-side neglect
D. Short attention span: B. Impaired speech
Clinical manifestations of left-sided brain damage include right hemiplegia, impaired
speech/language, impaired right/left discrimination, and slow and cautious performance.
Impulsivity, left-sided neglect, and short attention span are all manifestations of right-
sided brain damage.
4. The nurse is discharging a patient admitted with a transient ischemic attack
(TIA). For which medications might the nurse expect to provide discharge
instructions (select all that apply)?
A. Clopidogrel (Plavix)
, NUR104 Medical Surgical Nursing Final Reveiw Questions
Study online at https://quizlet.com/_bizg41
B. Enoxaparin (Lovenox)
C. Dipyridamole (Persantine)
D. Enteric-coated aspirin (Ecotrin)
E. Tissue plasminogen activator (tPA): A. Clopidogrel (Plavix)
C. Dipyridamole (Persantine)
D. Enteric-coated aspirin (Ecotrin)
Aspirin is the most frequently used antiplatelet agent. Other drugs to prevent clot
formation include clopidogrel (Plavix), dipyridamole (Persantine), ticlopidine (Ticlid),
combined dipyridamole and aspirin (Aggrenox), and anticoagulant drugs, such as oral
warfarin (Coumadin). Tissue plasminogen activator is a fibrinolytic medication used to
treat ischemic stroke not prevent TIAs or strokes.
5. Computed tomography (CT) of a 68-year-old male patient's head reveals that he
has experienced a hemorrhagic stroke. What is the priority nursing intervention in
the emergency department?
A. Maintenance of patient's airway.
B. Positioning to promote cerebral perfusion.
C. Control of fluid and electrolyte imbalances.
D. Administration of tissue plasminogen activator (tPA): A. Maintenance of patient's
airway.
Maintenance of a patent airway is the priority in the acute care of a patient with a
hemorrhagic stroke. It supersedes the importance of fluid and electrolyte imbalance and
positioning. tPA is contraindicated in hemorrhagic stroke.
6. Which sensory-perceptual deficit is associated with left-sided stroke (right
hemiplegia)?
A. Overestimation of physical abilities.
B. Difficulty judging position and distance.
C. Slow and possibly fearful performance of tasks.
D. Impulsivity and impatience at performing tasks.: C. Slow and possibly fearful
performance of tasks.
Patients with a left-sided stroke (right hemiplegia) commonly are slower in organization
and performance of tasks and may have a fearful, anxious response to a stroke.
, NUR104 Medical Surgical Nursing Final Reveiw Questions
Study online at https://quizlet.com/_bizg41
Overconfidence, spatial disorientation, and impulsivity are more commonly associated
with a right-sided stroke.
7. The female patient has been brought to the ED with a sudden onset of a severe
headache that is different from any other headache she has had previously. When
considering the possibility of a stroke, which type of stroke should the nurse know is
most likely occurring?
A. TIA
B. Embolic stroke
C. Thrombotic stroke
D. Subarachnoid hemorrhage: D. Subarachnoid hemorrhage
Headache is common in a patient who has a subarachnoid hemorrhage or an
intracerebral hemorrhage. A TIA is a transient loss of neurologic function usually
without a headache. A headache may occur with an ischemic embolic stroke, but severe
neurologic deficits are the initial symptoms. The ischemic thrombotic stroke
manifestations progress in the first 72 hours as infarction and cerebral edema increase.
8. The patient with diabetes mellitus has had a right-sided stroke. Which nursing
intervention should the nurse plan to provide for this patient related to expected
manifestations of this stroke?
A. Safety measures
B. Patience with communication
C. Mobility assistance on the right side
D. Place food in the left side of patient's mouth: A. Safety measures
A patient with a right-sided stroke has spatial-perceptual deficits, tends to minimize
problems, has a short attention span, is impulsive, and may have impaired judgment.
Safety is the biggest concern for this patient. Hemiplegia occurs on the left side of this
patient's body. The patient with a left-sided stroke has hemiplegia on the right, is more
likely to have communication problems, and needs mobility assistance on the right side
with food placed on the left side if the patient needs to be fed after a swallow evaluation
has taken place.
9. Of the following patients, the nurse recognizes that the one with the highest risk
for stroke is a(n):
A. obese 45-year old Native American.
B. 35-year-old Asian American woman who smokes.
C. 32-year-old white woman taking oral contraceptives.
, NUR104 Medical Surgical Nursing Final Reveiw Questions
Study online at https://quizlet.com/_bizg41
D. 65-year-old African American man with hypertension.: D. 65-year-old African
American man with hypertension.
Nonmodifiable risk factors for stroke include age (older than 65 years), male gender,
ethnicity or race (incidence is highest in African Americans; next highest in Hispanics,
Native Americans/Alaska Natives, and Asian Americans; and next highest in white
people), and family history of stroke or personal history of a transient ischemic attack or
stroke. Modifiable risk factors for stroke include hypertension (most important), heart
disease (especially atrial fibrillation), smoking, excessive alcohol consumption (causes
hypertension), abdominal obesity, sleep apnea, metabolic syndrome, lack of physical
exercise, poor diet (high in saturated fat and low in fruits and vegetables), and drug
abuse (especially cocaine). Other risk factors for stroke include a diagnosis of diabetes
mellitus, increased serum levels of cholesterol, birth control pills (high levels of
progestin and estrogen), history of migraine headaches, inflammatory conditions,
hyperhomocystinemia, and sickle cell disease.
10. The factor related to cerebral blood flow that most often determines the extent
of cerebral damage from a stroke is the
a. amount of cardiac output.
b. oxygen content of the blood.
c. degree of collateral circulation.
d. level of carbon dioxide in the blood.: c
Rationale: The extent of the stroke depends on the rapidity of onset, size of the lesion,
and presence of collateral circulation.
11. Information provided by the patient that would help differentiate a hemorrhagic
stroke from a thrombotic stroke includes
a. sensory disturbance.
b. a history of hypertension.
c. presence of motor weakness.
d. sudden onset of severe headache.: d
Rationale: A hemorrhagic stroke usually causes a sudden onset of symptoms, which
include neurologic deficits, headache, nausea, vomiting, decreased level of
consciousness, and hypertension. Ischemic stroke symptoms may progress in the first 72
hours as infarction and cerebral edema increase.
12. For a patient who is suspected of having a stroke, one of the most important
pieces of information that the nurse can obtain is
a. time of the patient's last meal.
Study online at https://quizlet.com/_bizg41
NUR104 MEDICAL SURGICAL NURSING FINAL REVEIW
QUESTIONS. 450+ QUESTIONS WITH CORRECT VERIFIED
ANSWERS. LATEST 2024-2025
1. The optic nerve is known as cranial nerve X (ten). True
False: False
Optic nerve is cranial nerve II
Vagus nerve is cranial nerve X
2. Which modifiable risk factors for stroke would be most
important for the nurse to include when planning a community
education program?
A. Hypertension
B. Hyerlipidemia
C. Alcohol consumption
D. Oral contraceptive use: A. Hypertension
Hypertension is the single most important modifiable risk factor, but it is still often
undetected and inadequately treated. The public is often more aware of hyperlipidemia
and oral contraceptive use as risk factors for stroke. Alcohol is also a modifiable risk
factor.
3. The nurse would expect to find what clinical manifestation in a patient admitted
with a left-sided stroke?
A. Impulsivity
B. Impaired speech
C. Left-side neglect
D. Short attention span: B. Impaired speech
Clinical manifestations of left-sided brain damage include right hemiplegia, impaired
speech/language, impaired right/left discrimination, and slow and cautious performance.
Impulsivity, left-sided neglect, and short attention span are all manifestations of right-
sided brain damage.
4. The nurse is discharging a patient admitted with a transient ischemic attack
(TIA). For which medications might the nurse expect to provide discharge
instructions (select all that apply)?
A. Clopidogrel (Plavix)
, NUR104 Medical Surgical Nursing Final Reveiw Questions
Study online at https://quizlet.com/_bizg41
B. Enoxaparin (Lovenox)
C. Dipyridamole (Persantine)
D. Enteric-coated aspirin (Ecotrin)
E. Tissue plasminogen activator (tPA): A. Clopidogrel (Plavix)
C. Dipyridamole (Persantine)
D. Enteric-coated aspirin (Ecotrin)
Aspirin is the most frequently used antiplatelet agent. Other drugs to prevent clot
formation include clopidogrel (Plavix), dipyridamole (Persantine), ticlopidine (Ticlid),
combined dipyridamole and aspirin (Aggrenox), and anticoagulant drugs, such as oral
warfarin (Coumadin). Tissue plasminogen activator is a fibrinolytic medication used to
treat ischemic stroke not prevent TIAs or strokes.
5. Computed tomography (CT) of a 68-year-old male patient's head reveals that he
has experienced a hemorrhagic stroke. What is the priority nursing intervention in
the emergency department?
A. Maintenance of patient's airway.
B. Positioning to promote cerebral perfusion.
C. Control of fluid and electrolyte imbalances.
D. Administration of tissue plasminogen activator (tPA): A. Maintenance of patient's
airway.
Maintenance of a patent airway is the priority in the acute care of a patient with a
hemorrhagic stroke. It supersedes the importance of fluid and electrolyte imbalance and
positioning. tPA is contraindicated in hemorrhagic stroke.
6. Which sensory-perceptual deficit is associated with left-sided stroke (right
hemiplegia)?
A. Overestimation of physical abilities.
B. Difficulty judging position and distance.
C. Slow and possibly fearful performance of tasks.
D. Impulsivity and impatience at performing tasks.: C. Slow and possibly fearful
performance of tasks.
Patients with a left-sided stroke (right hemiplegia) commonly are slower in organization
and performance of tasks and may have a fearful, anxious response to a stroke.
, NUR104 Medical Surgical Nursing Final Reveiw Questions
Study online at https://quizlet.com/_bizg41
Overconfidence, spatial disorientation, and impulsivity are more commonly associated
with a right-sided stroke.
7. The female patient has been brought to the ED with a sudden onset of a severe
headache that is different from any other headache she has had previously. When
considering the possibility of a stroke, which type of stroke should the nurse know is
most likely occurring?
A. TIA
B. Embolic stroke
C. Thrombotic stroke
D. Subarachnoid hemorrhage: D. Subarachnoid hemorrhage
Headache is common in a patient who has a subarachnoid hemorrhage or an
intracerebral hemorrhage. A TIA is a transient loss of neurologic function usually
without a headache. A headache may occur with an ischemic embolic stroke, but severe
neurologic deficits are the initial symptoms. The ischemic thrombotic stroke
manifestations progress in the first 72 hours as infarction and cerebral edema increase.
8. The patient with diabetes mellitus has had a right-sided stroke. Which nursing
intervention should the nurse plan to provide for this patient related to expected
manifestations of this stroke?
A. Safety measures
B. Patience with communication
C. Mobility assistance on the right side
D. Place food in the left side of patient's mouth: A. Safety measures
A patient with a right-sided stroke has spatial-perceptual deficits, tends to minimize
problems, has a short attention span, is impulsive, and may have impaired judgment.
Safety is the biggest concern for this patient. Hemiplegia occurs on the left side of this
patient's body. The patient with a left-sided stroke has hemiplegia on the right, is more
likely to have communication problems, and needs mobility assistance on the right side
with food placed on the left side if the patient needs to be fed after a swallow evaluation
has taken place.
9. Of the following patients, the nurse recognizes that the one with the highest risk
for stroke is a(n):
A. obese 45-year old Native American.
B. 35-year-old Asian American woman who smokes.
C. 32-year-old white woman taking oral contraceptives.
, NUR104 Medical Surgical Nursing Final Reveiw Questions
Study online at https://quizlet.com/_bizg41
D. 65-year-old African American man with hypertension.: D. 65-year-old African
American man with hypertension.
Nonmodifiable risk factors for stroke include age (older than 65 years), male gender,
ethnicity or race (incidence is highest in African Americans; next highest in Hispanics,
Native Americans/Alaska Natives, and Asian Americans; and next highest in white
people), and family history of stroke or personal history of a transient ischemic attack or
stroke. Modifiable risk factors for stroke include hypertension (most important), heart
disease (especially atrial fibrillation), smoking, excessive alcohol consumption (causes
hypertension), abdominal obesity, sleep apnea, metabolic syndrome, lack of physical
exercise, poor diet (high in saturated fat and low in fruits and vegetables), and drug
abuse (especially cocaine). Other risk factors for stroke include a diagnosis of diabetes
mellitus, increased serum levels of cholesterol, birth control pills (high levels of
progestin and estrogen), history of migraine headaches, inflammatory conditions,
hyperhomocystinemia, and sickle cell disease.
10. The factor related to cerebral blood flow that most often determines the extent
of cerebral damage from a stroke is the
a. amount of cardiac output.
b. oxygen content of the blood.
c. degree of collateral circulation.
d. level of carbon dioxide in the blood.: c
Rationale: The extent of the stroke depends on the rapidity of onset, size of the lesion,
and presence of collateral circulation.
11. Information provided by the patient that would help differentiate a hemorrhagic
stroke from a thrombotic stroke includes
a. sensory disturbance.
b. a history of hypertension.
c. presence of motor weakness.
d. sudden onset of severe headache.: d
Rationale: A hemorrhagic stroke usually causes a sudden onset of symptoms, which
include neurologic deficits, headache, nausea, vomiting, decreased level of
consciousness, and hypertension. Ischemic stroke symptoms may progress in the first 72
hours as infarction and cerebral edema increase.
12. For a patient who is suspected of having a stroke, one of the most important
pieces of information that the nurse can obtain is
a. time of the patient's last meal.
