ANSWERS
Speak clearly and in simple sentences; use gestures or pictures when able. Frequently reorient the
patient to time, place, and situation. Speak slowly and clearly to assist the patient in forming the
sounds. Encourage the patient to repeat sounds of the alphabet. ANSW✅✅Encourage the patient
to repeat sounds of the alphabet.
A nurse practitioner provides health teaching to a patient who has difficulty managing hypertension.
This patient is at an increased risk of which type of stroke?
Hemorrhage due to an aneurysm Subarachnoid hemorrhage Intracerebral hemorrhage
Arteriovenous malformation ANSW✅✅Intracerebral hemorrhage
The nurse has just received report on a client in the ED being transferred to the acute stroke unit
with a diagnosis of a right hemispheric stroke. Which findins does the nurse understand is indicative
of a right hemispheric stroke?
Aphasia Spatial-perceptual deficits Slow, cautious behavior Altered intellectual ability
ANSW✅✅Spatial-perceptual deficits
The nurse is performing stroke risk screenings at a hospital open house. Identification of high-risk
individuals is the goal of the screenings. The nurse has identified four patients who might be at risk
for a stroke. Which patient is likely at highest risk for a stroke?
White man, age 60 with history of uncontrolled hypertension Black man, age 50 with history of
smoking White woman, age 60 with history of excessive alcohol intake Black man, age 60, with
history of diabetes ANSW✅✅White man, age 60 with history of uncontrolled hypertension
After a stroke, a client is admitted to the facility. The client has left-sided weakness and an absent
gag reflex. He's incontinent and has a tarry stool. His blood pressure is 90/50 mm Hg, and his
hemoglobin is 10 g. Which nursing intervention is a priority for this client?
, Checking stools for occult blood Keeping skin clean and dry Elevating the head of the bed to 30
degrees Performing range-of-motion (ROM) exercises on the left side ANSW✅✅Elevating the
head of the bed to 30 degrees
If warfarin is contraindicated as a treatment for stroke, which medication is the best option?
Aspirin Clopidogrel Ticlodipine Dipyridamole ANSW✅✅Aspirin
Which is a modifiable risk factor for transient ischemic attacks and ischemic strokes?
Advanced age Social drinking Thyroid disease Smoking ANSW✅✅Smoking
A client diagnosed with a stroke is ordered to receive warfarin. Later, the nurse learns that the
warfarin is contraindicated and the order is canceled. The nurse knows that the best alternative
medication to give is
ticlodipine. dipyridamole. aspirin. clopidogrel. ANSW✅✅aspirin
The nurse is providing information about strokes to a community group. Which of the following
would the nurse identify as the primary initial symptoms of an ischemic stroke?
Weakness on one side of the body and difficulty with speech Footdrop and external hip rotation
Vomiting and seizures Severe headache and early change in level of consciousness
ANSW✅✅Weakness on one side of the body and difficulty with speech
Which term refers to the inability to perform previously learned purposeful motor acts on a
voluntary basis?
Perseveration Apraxia Agnosia Agraphia ANSW✅✅Apraxia
A patient who has suffered a stroke begins having complications regarding spasticity in the lower
extremity. What ordered medication does the nurse administer to help alleviate this problem?