NR341 Adult Complex health Final Exam Questions and Answers 100% Pass |Verified & Updated|ACTUAL 2025/2026 Cheat Sheet

NR341 Adult Complex health Final
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1. What are symptoms of a stroke, brain attack, and CVA?: *Headache
*Confusion
*Seizures
*Incontinence
*Vomiting
*Disorientation
*Diplopia
*Ptosis
*Hypertension
*Apraxia
*Decreased Neuromuscular control
*Memory Impairment
*Aphasia (L Hemisphere for CVA)
*Decreased cough/Swallow Reflex
*Agnosia (Decr. Sensory interpretation)
*Hemiparesis/hemiplegia
*Emotional Liability
*Loss of corneal reflex
*Homonymous *Hemianopsia
*Spatial-Perceptual Defects
2. What are symptoms of Transient Ischemic Attacks (TIA)?: *Confusion
*Vertigo
*Dysarthria
*Transient Hemiparesis
*Temporary Vision Changes
*Typically lasts less than 1 hours
3. What are Focal Neurological symptoms?: *Paralysis
*Sensory Loss
*Language Disorder
*Reflex Changes
4. What are the 3 steps to stroke recognition?: 1. Ask person to smile and stick out tongue



, NR341 Adult Complex health Final
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2. Ask person to make a complete sentence

3. Ask person to raise both arms
5. What are symptoms of CVA?: *Hypo/Hypertonia
*Perceptual Defects
*Apraxia

*Loss of voluntary movement on one side

*Decreased Neuromuscular Control

*Communication Issues
*Emotional Lability
*Impaired judgement and memory
6. What are causes of CVA?: *Atherosclerosis
*Thrombosis
*Embolism
*Cerebral hemorrhage (trauma/tissue damage).
7. What are symptoms of Right Hemisphere CVA?: *Left sided weakness/Paralyzed left side
hemiplegia

*Perceptual Defects (Vulnerable to Accidents)

*Spatial-Perceptual Deficits

*Tends to minimize problems

*Short attention span
*Visual field deficits
*Impaired judgment
*Impulsive
*Impaired time concept




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8. What are symptoms of Left Hemisphere CVA?: *Right sided weakness/Paralyzed right side
Hemiplegia

*Aphasia
*Slow performance
*Visual field deficits
*Depression/Anxiety
*Impaired comprehension
9. What are diagnostics for CVA?: *Neuro Exam
*Lumbar Puncture
*CT of the brain
*MRI
10. What are pupillary abnormalities associated with CVA?: *Pupil on opposite side of lesion
usually larger

*Conjugate Deviation (looks toward lesion)

*Homonymous Hemianopsia
11. What are reversible risk factors for CVA?: *Smoking
*Obesity
*Increased salt intake
*Sedentary life
*Increased stress
*Oral Birth Control
12. What are partially reversible risk factors of CVA?: *Increased BP
*Cardiac Valve Disease
*Dysrhythmias
*Diabetic Mellitus
*Increased Cholesteral
13. What are the non-reversible risk factors for CVA?: *Sex
*Age




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*Race
*Heredity
14. What are the nursing goals related to CVA care?: 1) Airway and oxygenation
2) Decreased ICP
3) Nutrition
4) Preserve function
5) Safety
6) Rehabilitation
7) Education
15. What are causes of cerebral edema?: *Cerebral Hemorrhage
*Cellular Toxins
*Ischemic Cells
16. What are causes of dilated cerebral arteries?: *Increased PCO2
*Acidotic State
17. What are risk factors/Etiology of increased ICP?: *Secondary to initial damage

*Brain tumor
*Closed head injury
*Ruptured blood vessels
*Embolism
*Thrombosis
*Ischemia
*Hydrocephalus
18. What are manifestations of increased ICP?: *Change in LOC *Vomiting
*Pupillary changes *Seizures
*Papilledema (DOLL'S EYES)

*HA
*Decreased Sensory and motor function

*Posturing changes (Decerebrate, Decorticate, Flaccid)