adult health 2 hesi
t
1. which finding is important to communicate to the impaired swallowing
healthcare provider when the nurse assesses a client
who has had a carotid endarterectomy?
a. poor appetite
b. impaired swallowing
c. decreased neck range of motion
d. slight swelling along the incision
2. which behavior would the nurse include when teach- slow performance
ing a family what to expect from a client who experi- and caution, im-
enced a stroke on the left side of the brain? select all paired speech/language
that apply aphasias, awareness of
a. impaired judgement deficits with depression
b. spatial perceptual deficits and anxiety
c. slow performance and caution
d. impaired speech/language aphasias
e. tendency to deny or minimize problems
f. awareness of deficits with depression and anxiety
3. which explanation would the nurse provide to a client temporary episodes of
about TIAs? neurological dysfunction
a. temporary episodes of neurological dysfunction
b. intermittent attacks caused by multiple small clots
c. ischemic attacks that result in progressive neurolog-
ical deterioration
d. exacerbations of neurological dysfunction alternat-
ing with remissions
4. which statement by a client who had an endarterec- taking this medication will
tomy that is prescribed clopidogrel would cause the help prevent further clog-
nurse to conclude that teaching was effective? ging of my arteries
a. clopidogrel will limit inflammation around my inci-
, adult health 2 hesi
t
sion
b. taking this medication will help prevent further
clogging of my arteries
c. the medication will lower the slight fever I have had
since surgery
d. I will take this medication to reduce the discomfort
I feel at the surgical incision
5. which amount of time is the max amount the nurse 1-2 hours
would permit an older adult with a CVA to remain in
one position?
a. 1-2 hours
b. 3-4 hours
c. 15-20 minutes
d. 30-40 minutes
6. which assessment finding indicates that a client has all of the above
had a stroke? select all that apply
a. lopsided smile
b. unilateral vision
c. incoherent speech
d. unable to raise right arm
e. symptoms started 2 hours ago
7. a 50 year old client has difficulty communicating be- acknowledge the spouse,
cause of expressive aphasia after a CVA. when the but look at the client for a
nurse inquired about the clients feelings, the spouse response
responds, which communication strategy would the
nurse use to address this behavior?
a. ask the spouse how they know the clients feelings
b. instruct the spout to let the client answer
c. when the spouse levels, return to speak with the
, adult health 2 hesi
t
client
d. acknowledge the spouse, but look at the client for
a response
8. a client with left sided weakness is learning how to use on the right side
a cane. the nurse would demonstrate proper use of
the cane by holding it where?
a. on alternating sides
b. on the right side
c. on the side with weakness
d. one the side of clients choice
9. which dinging for a client who has a diagnosis of right arm weakness
paroxysmal atrial fibrillation is most important to re-
port quickly to the healthcare provider?
a. irregular heartbeat
b. right arm weakness
c. client report of palpitations
d. client report of lightheadedness
10. which action would the nurse implement to assist a reinforce success in tasks
clients development of independence, after experi- accomplished
encing a CVA 2 weeks ago?
a. establish long range goals for the client
b. reinforce success in tasks accomplished
c. point out error in performance on which to focus
d. explain ways the client can regain independence in
activities
11. which behavior by a client who has a CVA begging to the client ignores food on
eat lunch indicates the client may be experiencing left the left side of the tray
hemianopsia?
a. the client asks to have food moved to the left side
, adult health 2 hesi
t
of the tray
b. the client drops the coffee cup when trying to use
the right hand
c. the client ignores food on the left side of the tray
d. the client report not being able to use the right arm
to help eat meals
12. which information would the nurse include in the dis- significance of a safe envi-
charge teaching plan for a cline who sustained a CVA ronment
with residual hemiparesis and hemianopsia?
a. necessity for bed rest at home
b. use of oxygen therapy at home
c. significance of a safe environment
d. need for decreased protein in diet
13. which explanation would the nurse provide about the has little control over this
clients behavior when family members of a client who behavior
has CVA ask why the client cries easily and without
provocation?
a. has little control over this behavior
b. is making an attempt to get attention
c. feels guilty about the demands being made on the
family
d. has selective memory from the pasts, especially sad
events
14. which assessment finding is associated with cranial difficulty in swallowing
nerve dysfunction after carotid endarterectomy?
a. labored breathing
b. edema of the neck
c. difficulty in swallowing
d. alteration in blood pressure
t
1. which finding is important to communicate to the impaired swallowing
healthcare provider when the nurse assesses a client
who has had a carotid endarterectomy?
a. poor appetite
b. impaired swallowing
c. decreased neck range of motion
d. slight swelling along the incision
2. which behavior would the nurse include when teach- slow performance
ing a family what to expect from a client who experi- and caution, im-
enced a stroke on the left side of the brain? select all paired speech/language
that apply aphasias, awareness of
a. impaired judgement deficits with depression
b. spatial perceptual deficits and anxiety
c. slow performance and caution
d. impaired speech/language aphasias
e. tendency to deny or minimize problems
f. awareness of deficits with depression and anxiety
3. which explanation would the nurse provide to a client temporary episodes of
about TIAs? neurological dysfunction
a. temporary episodes of neurological dysfunction
b. intermittent attacks caused by multiple small clots
c. ischemic attacks that result in progressive neurolog-
ical deterioration
d. exacerbations of neurological dysfunction alternat-
ing with remissions
4. which statement by a client who had an endarterec- taking this medication will
tomy that is prescribed clopidogrel would cause the help prevent further clog-
nurse to conclude that teaching was effective? ging of my arteries
a. clopidogrel will limit inflammation around my inci-
, adult health 2 hesi
t
sion
b. taking this medication will help prevent further
clogging of my arteries
c. the medication will lower the slight fever I have had
since surgery
d. I will take this medication to reduce the discomfort
I feel at the surgical incision
5. which amount of time is the max amount the nurse 1-2 hours
would permit an older adult with a CVA to remain in
one position?
a. 1-2 hours
b. 3-4 hours
c. 15-20 minutes
d. 30-40 minutes
6. which assessment finding indicates that a client has all of the above
had a stroke? select all that apply
a. lopsided smile
b. unilateral vision
c. incoherent speech
d. unable to raise right arm
e. symptoms started 2 hours ago
7. a 50 year old client has difficulty communicating be- acknowledge the spouse,
cause of expressive aphasia after a CVA. when the but look at the client for a
nurse inquired about the clients feelings, the spouse response
responds, which communication strategy would the
nurse use to address this behavior?
a. ask the spouse how they know the clients feelings
b. instruct the spout to let the client answer
c. when the spouse levels, return to speak with the
, adult health 2 hesi
t
client
d. acknowledge the spouse, but look at the client for
a response
8. a client with left sided weakness is learning how to use on the right side
a cane. the nurse would demonstrate proper use of
the cane by holding it where?
a. on alternating sides
b. on the right side
c. on the side with weakness
d. one the side of clients choice
9. which dinging for a client who has a diagnosis of right arm weakness
paroxysmal atrial fibrillation is most important to re-
port quickly to the healthcare provider?
a. irregular heartbeat
b. right arm weakness
c. client report of palpitations
d. client report of lightheadedness
10. which action would the nurse implement to assist a reinforce success in tasks
clients development of independence, after experi- accomplished
encing a CVA 2 weeks ago?
a. establish long range goals for the client
b. reinforce success in tasks accomplished
c. point out error in performance on which to focus
d. explain ways the client can regain independence in
activities
11. which behavior by a client who has a CVA begging to the client ignores food on
eat lunch indicates the client may be experiencing left the left side of the tray
hemianopsia?
a. the client asks to have food moved to the left side
, adult health 2 hesi
t
of the tray
b. the client drops the coffee cup when trying to use
the right hand
c. the client ignores food on the left side of the tray
d. the client report not being able to use the right arm
to help eat meals
12. which information would the nurse include in the dis- significance of a safe envi-
charge teaching plan for a cline who sustained a CVA ronment
with residual hemiparesis and hemianopsia?
a. necessity for bed rest at home
b. use of oxygen therapy at home
c. significance of a safe environment
d. need for decreased protein in diet
13. which explanation would the nurse provide about the has little control over this
clients behavior when family members of a client who behavior
has CVA ask why the client cries easily and without
provocation?
a. has little control over this behavior
b. is making an attempt to get attention
c. feels guilty about the demands being made on the
family
d. has selective memory from the pasts, especially sad
events
14. which assessment finding is associated with cranial difficulty in swallowing
nerve dysfunction after carotid endarterectomy?
a. labored breathing
b. edema of the neck
c. difficulty in swallowing
d. alteration in blood pressure
