MedSurg – Neuro ACTUAL UPDATED
Exam Questions and CORECT Answers
A nurse is teaching a community group about modifiable and nonmodifiable risk factors for
ischemic strokes. Which of the following is a risk factor that cannot be modified? - CORRECT
ANSWER -advanced age
Which of the following is accurate regarding a hemorrhagic stroke? - CORRECT
ANSWER -main presenting symptom is an "exploding headache"
The nurse is caring for a patient having a hemorrhagic stroke. What position in the bed will the
nurse maintain this patient? - CORRECT ANSWER -Semi-Fowler's
A patient is in the acute phase of an ischemic stroke. How long does the nurse know that this
phase may last? - CORRECT ANSWER -1 to 3 days
A patient presents to the emergency room with complaints of having an "exploding headache"
for the last 2 hours. The patient is immediately seen by a triage nurse who suspects the patient is
experiencing a stroke. Which of the following is a possible cause based on the characteristic
symptom? - CORRECT ANSWER -cerebral aneurysm
A client has been diagnosed as having global aphasia. The nurse recognizes that the client will be
unable to perform which action? - CORRECT ANSWER -Form words that are
understandable or comprehend spoken words
A client has experienced an ischemic stroke that has damaged the frontal lobe of his brain.
Which of the following deficits does the nurse expect to observe during assessment? -
CORRECT ANSWER -Limited attention span and forgetfulness
A nurse is assisting with a community screening for people at high risk for stroke. To which of
the following clients would the nurse pay most attention? - CORRECT ANSWER -A 60-
year-old African-American man
, A patient diagnosed with transient ischemic attacks (TIAs) is scheduled for a carotid
endarterectomy. The nurse explains that this procedure will be done for what purpose? -
CORRECT ANSWER -To prevent a stroke by removing atherosclerotic plaques blocking
cerebral flow
When providing teaching to a client who reports tension headaches, which of the following
instructions would be most beneficial to prevent onset of symptoms? - CORRECT
ANSWER -Perform stretching exercises and frequent position change.
From which direction should a nurse approach a client who is blind in the right eye? -
CORRECT ANSWER -From the left side of the client
When developing a care plan for a client who has recently suffered a stroke, a nurse includes the
nursing diagnosis Risk for imbalanced body temperature. What is the rationale for this
diagnosis? - CORRECT ANSWER -The stroke may have impacted the body's
thermoregulation centers.
A nurse who provides care at a community clinic is in contact with a diverse group of patients.
Which of the following individuals most clearly displays risk factors for stroke? - CORRECT
ANSWER -An obese woman with a history of atrial fibrillation and type 2 diabetes
A patient diagnosed with an ischemic stroke should be treated within the first 3 hours of
symptom onset with which of the following? - CORRECT ANSWER -Tissue plasminogen
activator (tPA)
Which interventions would be recommended for a client with dysphagia? Select all that apply -
CORRECT ANSWER --assist the client with meals
-test the gag reflex before offering food or fluids
-allow ample time to eat.
A client who's paralyzed on the left side has been receiving physical therapy and attending
teaching sessions about safety. Which behavior indicates that the client accurately understands
Exam Questions and CORECT Answers
A nurse is teaching a community group about modifiable and nonmodifiable risk factors for
ischemic strokes. Which of the following is a risk factor that cannot be modified? - CORRECT
ANSWER -advanced age
Which of the following is accurate regarding a hemorrhagic stroke? - CORRECT
ANSWER -main presenting symptom is an "exploding headache"
The nurse is caring for a patient having a hemorrhagic stroke. What position in the bed will the
nurse maintain this patient? - CORRECT ANSWER -Semi-Fowler's
A patient is in the acute phase of an ischemic stroke. How long does the nurse know that this
phase may last? - CORRECT ANSWER -1 to 3 days
A patient presents to the emergency room with complaints of having an "exploding headache"
for the last 2 hours. The patient is immediately seen by a triage nurse who suspects the patient is
experiencing a stroke. Which of the following is a possible cause based on the characteristic
symptom? - CORRECT ANSWER -cerebral aneurysm
A client has been diagnosed as having global aphasia. The nurse recognizes that the client will be
unable to perform which action? - CORRECT ANSWER -Form words that are
understandable or comprehend spoken words
A client has experienced an ischemic stroke that has damaged the frontal lobe of his brain.
Which of the following deficits does the nurse expect to observe during assessment? -
CORRECT ANSWER -Limited attention span and forgetfulness
A nurse is assisting with a community screening for people at high risk for stroke. To which of
the following clients would the nurse pay most attention? - CORRECT ANSWER -A 60-
year-old African-American man
, A patient diagnosed with transient ischemic attacks (TIAs) is scheduled for a carotid
endarterectomy. The nurse explains that this procedure will be done for what purpose? -
CORRECT ANSWER -To prevent a stroke by removing atherosclerotic plaques blocking
cerebral flow
When providing teaching to a client who reports tension headaches, which of the following
instructions would be most beneficial to prevent onset of symptoms? - CORRECT
ANSWER -Perform stretching exercises and frequent position change.
From which direction should a nurse approach a client who is blind in the right eye? -
CORRECT ANSWER -From the left side of the client
When developing a care plan for a client who has recently suffered a stroke, a nurse includes the
nursing diagnosis Risk for imbalanced body temperature. What is the rationale for this
diagnosis? - CORRECT ANSWER -The stroke may have impacted the body's
thermoregulation centers.
A nurse who provides care at a community clinic is in contact with a diverse group of patients.
Which of the following individuals most clearly displays risk factors for stroke? - CORRECT
ANSWER -An obese woman with a history of atrial fibrillation and type 2 diabetes
A patient diagnosed with an ischemic stroke should be treated within the first 3 hours of
symptom onset with which of the following? - CORRECT ANSWER -Tissue plasminogen
activator (tPA)
Which interventions would be recommended for a client with dysphagia? Select all that apply -
CORRECT ANSWER --assist the client with meals
-test the gag reflex before offering food or fluids
-allow ample time to eat.
A client who's paralyzed on the left side has been receiving physical therapy and attending
teaching sessions about safety. Which behavior indicates that the client accurately understands
