CHAPTER 57: STROKE HARDING:
LEWIS'S MEDICAL-SURGICAL
NURSING. EXAM 2025 QUESTIONS AND
ANSWERS
What topic should the nurse anticipate teaching a patient who had a brief episode of tinnitus,
diplopia (double vision), and dysarthria (slurred speech) with no residual effects? - ANS Oral
low-dose aspirin therapy
Rational:
The patient's symptoms are consistent with transient ischemic attack (TIA), and drugs that
inhibit platelet aggregation are prescribed after a TIA to prevent a stroke. Continuous heparin
infusion is not routinely used after TIA or with acute ischemic stroke. The patient's symptoms
are not consistent with a cerebral aneurysm. tPA is used only for acute ischemic stroke, not
for TIA.
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, A patient is being admitted with a possible stroke. Which information from the assessment
indicates that the nurse should consult with the health care provider before giving a prescribed
dose of aspirin? - ANS The patient reports that symptoms began with a severe headache.
Rational:
A sudden onset headache is typical of a subarachnoid hemorrhage, and aspirin is
contraindicated. Atrial fibrillation, dysphasia, and transient ischemic attack are not
contraindications to aspirin use.
A patient being admitted with a stroke has right-sided facial drooping and right-sided arm and
leg paralysis. Which finding should the nurse expect? - ANS Difficulty comprehending
instructions
Rational:
Right-sided paralysis indicates a left-brain stroke, which will lead to difficulty with
comprehension and use of language. The left-side reflexes are likely to be intact. Impulsive
behavior and neglect are more likely with a right-side stroke.
During change of shift report, a nurse is told that a patient has an occluded left posterior
cerebral artery. What finding should the nurse anticipate? - ANS Visual deficits
Rational:
2 Copyright ©2025 FYNDLAY ALL RIGHTS RESERVED.
LEWIS'S MEDICAL-SURGICAL
NURSING. EXAM 2025 QUESTIONS AND
ANSWERS
What topic should the nurse anticipate teaching a patient who had a brief episode of tinnitus,
diplopia (double vision), and dysarthria (slurred speech) with no residual effects? - ANS Oral
low-dose aspirin therapy
Rational:
The patient's symptoms are consistent with transient ischemic attack (TIA), and drugs that
inhibit platelet aggregation are prescribed after a TIA to prevent a stroke. Continuous heparin
infusion is not routinely used after TIA or with acute ischemic stroke. The patient's symptoms
are not consistent with a cerebral aneurysm. tPA is used only for acute ischemic stroke, not
for TIA.
1 Copyright ©2025 FYNDLAY ALL RIGHTS RESERVED.
, A patient is being admitted with a possible stroke. Which information from the assessment
indicates that the nurse should consult with the health care provider before giving a prescribed
dose of aspirin? - ANS The patient reports that symptoms began with a severe headache.
Rational:
A sudden onset headache is typical of a subarachnoid hemorrhage, and aspirin is
contraindicated. Atrial fibrillation, dysphasia, and transient ischemic attack are not
contraindications to aspirin use.
A patient being admitted with a stroke has right-sided facial drooping and right-sided arm and
leg paralysis. Which finding should the nurse expect? - ANS Difficulty comprehending
instructions
Rational:
Right-sided paralysis indicates a left-brain stroke, which will lead to difficulty with
comprehension and use of language. The left-side reflexes are likely to be intact. Impulsive
behavior and neglect are more likely with a right-side stroke.
During change of shift report, a nurse is told that a patient has an occluded left posterior
cerebral artery. What finding should the nurse anticipate? - ANS Visual deficits
Rational:
2 Copyright ©2025 FYNDLAY ALL RIGHTS RESERVED.
