STROKE SCA MONITORED ASSESSMENT UPDATED 2025
WITH QUESTIONS AND VERIFIED ANSWERS GRADED A+
1. The daughter of a patient admitted unconscious to the emergency
room with a possible stroke reports her mother has a history of
hypertension that she does not manage well. She has been using estrogen
replacement therapy for the past 6 years, and estrogen and her
antihypertensive medication are the only drugs she uses. Her only
activity is managing her home, and she appears overweight. The finding
that the nurse recognizes as the most significant risk factor for a stroke
in the patient is
1. obesity.
2. hypertension.
3. sedentary lifestyle.
4. estrogen replacement therapy. VERIFIED ANSWER Answer: 2
2. A patient is hospitalized with a stroke manifested by hemiplegia and
impaired speech. When obtaining a health history from the patient's
family, the nurse recognizes that the effects of the stroke are most likely
to be complicated by the patient's history of
1. hypertension.
2. diabetes mellitus.
3. moderate alcohol consumption.
4. chronic obstructive pulmonary disease. VERIFIED ANSWER
Answer: 4
,3. The nurse expects that management of the patient who experiences a
brief episode of tinnitus, diplopia, and dysarthria with no residual effects
will include
1. oral administration of ticlopidine (Ticlid).
2. heparin via continuous intravenous infusion.
3. prophylactic clipping of cerebral aneurysms.
4. therapy with tissue plasminogen activator (TPA). VERIFIED
ANSWER Answer: 1
4. When a patient is hospitalized with a possible stroke, the nurse
recognizes that the stroke most likely resulted from a subarachnoid
hemorrhage when the patient's family reports that the patient
1. has a history of atrial fibrillation.
2. was unable to be aroused in the morning.
3. had been complaining of a headache before losing consciousness.
4. has had several brief episodes of mental confusion and right arm and
leg weakness. VERIFIED ANSWER Answer: 3
5. A patient with a stroke caused by thrombosis of the middle cerebral
artery experiences right-sided paralysis of the upper and lower
extremities and facial drooping on the right side. Based on the location
of the patient's stroke, an additional assessment finding that the nurse
would expect to be present is
1. apraxia.
2. aphasia.
3. atonic bladder.
,4. central vision loss. VERIFIED ANSWER Answer: 2
6. A patient has an occlusion of the left posterior cerebral artery. The
nurse recognizes that manifestations most likely to occur indicate
damage to the
1. cerebellum.
2. frontal lobe.
3. parietal lobe.
4. occipital and inferior temporal lobes. VERIFIED ANSWER Answer:
4
7. The physician prescribes clopidogrel (Plavix) for a patient with
cerebral atherosclerosis. The nurse teaches the patient that an expected
outcome of this drug includes
1. regulation of his blood pressure.
2. breakdown of clots that have formed in his cerebral arteries.
3. prevention of platelet clumps around atherosclerotic plaques.
4. healing of sites where blood is leaking out of his cerebral arteries.
VERIFIED ANSWER Answer: 3
8. The physician recommends a carotid endarterectomy for a patient
with carotid atherosclerosis and a history of transient ischemic attacks.
The patient asks the nurse whether this procedure involves brain surgery.
In responding to the patient, the nurse includes the information that
1. an endarterectomy involves brain surgery because plaques in arteries
at the base of the brain are removed.
, 2. this surgery involves resection of a diseased portion of the artery in
the brain and replacing it with a synthetic graft.
3. a carotid endarterectomy involves removal of plaques in an artery in
the neck and does not involve surgery in the brain.
4. in this surgery a burr hole is drilled in the skull to connect an artery
outside the skull to one inside the brain, bypassing a blockage.
VERIFIED ANSWER Answer: 3
9. On initial assessment of a patient hospitalized following a stroke, the
nurse finds the patient's blood pressure to be 180/90. The nurse
anticipates that
1. IV fluids will be withheld until the blood pressure is within normal
range.
2. unless the blood pressure is lowered, the patient is at risk for another
stroke.
3. IV fluids will be administered to promote hydration to maintain
cerebral perfusion.
4. IV antihypertensive agents will be administered to maintain a mean
arterial pressure (MAP) of 140 mm Hg. VERIFIED ANSWER Answer:
3
10. A 68-year-old man has had several transient ischemic attacks with
temporary hemiparesis and dysarthria that have lasted up to an hour. The
nurse encourages the patient to seek immediate medical assistance for
any symptoms that last longer than an hour, explaining that permanent
disability from a stroke may be reduced if therapy is initiated within 3
hours with the use of
1. intravenous heparin.
WITH QUESTIONS AND VERIFIED ANSWERS GRADED A+
1. The daughter of a patient admitted unconscious to the emergency
room with a possible stroke reports her mother has a history of
hypertension that she does not manage well. She has been using estrogen
replacement therapy for the past 6 years, and estrogen and her
antihypertensive medication are the only drugs she uses. Her only
activity is managing her home, and she appears overweight. The finding
that the nurse recognizes as the most significant risk factor for a stroke
in the patient is
1. obesity.
2. hypertension.
3. sedentary lifestyle.
4. estrogen replacement therapy. VERIFIED ANSWER Answer: 2
2. A patient is hospitalized with a stroke manifested by hemiplegia and
impaired speech. When obtaining a health history from the patient's
family, the nurse recognizes that the effects of the stroke are most likely
to be complicated by the patient's history of
1. hypertension.
2. diabetes mellitus.
3. moderate alcohol consumption.
4. chronic obstructive pulmonary disease. VERIFIED ANSWER
Answer: 4
,3. The nurse expects that management of the patient who experiences a
brief episode of tinnitus, diplopia, and dysarthria with no residual effects
will include
1. oral administration of ticlopidine (Ticlid).
2. heparin via continuous intravenous infusion.
3. prophylactic clipping of cerebral aneurysms.
4. therapy with tissue plasminogen activator (TPA). VERIFIED
ANSWER Answer: 1
4. When a patient is hospitalized with a possible stroke, the nurse
recognizes that the stroke most likely resulted from a subarachnoid
hemorrhage when the patient's family reports that the patient
1. has a history of atrial fibrillation.
2. was unable to be aroused in the morning.
3. had been complaining of a headache before losing consciousness.
4. has had several brief episodes of mental confusion and right arm and
leg weakness. VERIFIED ANSWER Answer: 3
5. A patient with a stroke caused by thrombosis of the middle cerebral
artery experiences right-sided paralysis of the upper and lower
extremities and facial drooping on the right side. Based on the location
of the patient's stroke, an additional assessment finding that the nurse
would expect to be present is
1. apraxia.
2. aphasia.
3. atonic bladder.
,4. central vision loss. VERIFIED ANSWER Answer: 2
6. A patient has an occlusion of the left posterior cerebral artery. The
nurse recognizes that manifestations most likely to occur indicate
damage to the
1. cerebellum.
2. frontal lobe.
3. parietal lobe.
4. occipital and inferior temporal lobes. VERIFIED ANSWER Answer:
4
7. The physician prescribes clopidogrel (Plavix) for a patient with
cerebral atherosclerosis. The nurse teaches the patient that an expected
outcome of this drug includes
1. regulation of his blood pressure.
2. breakdown of clots that have formed in his cerebral arteries.
3. prevention of platelet clumps around atherosclerotic plaques.
4. healing of sites where blood is leaking out of his cerebral arteries.
VERIFIED ANSWER Answer: 3
8. The physician recommends a carotid endarterectomy for a patient
with carotid atherosclerosis and a history of transient ischemic attacks.
The patient asks the nurse whether this procedure involves brain surgery.
In responding to the patient, the nurse includes the information that
1. an endarterectomy involves brain surgery because plaques in arteries
at the base of the brain are removed.
, 2. this surgery involves resection of a diseased portion of the artery in
the brain and replacing it with a synthetic graft.
3. a carotid endarterectomy involves removal of plaques in an artery in
the neck and does not involve surgery in the brain.
4. in this surgery a burr hole is drilled in the skull to connect an artery
outside the skull to one inside the brain, bypassing a blockage.
VERIFIED ANSWER Answer: 3
9. On initial assessment of a patient hospitalized following a stroke, the
nurse finds the patient's blood pressure to be 180/90. The nurse
anticipates that
1. IV fluids will be withheld until the blood pressure is within normal
range.
2. unless the blood pressure is lowered, the patient is at risk for another
stroke.
3. IV fluids will be administered to promote hydration to maintain
cerebral perfusion.
4. IV antihypertensive agents will be administered to maintain a mean
arterial pressure (MAP) of 140 mm Hg. VERIFIED ANSWER Answer:
3
10. A 68-year-old man has had several transient ischemic attacks with
temporary hemiparesis and dysarthria that have lasted up to an hour. The
nurse encourages the patient to seek immediate medical assistance for
any symptoms that last longer than an hour, explaining that permanent
disability from a stroke may be reduced if therapy is initiated within 3
hours with the use of
1. intravenous heparin.
