MedSurg Exam 2: Stroke questions
with answers rated A+
Which modifiable risk factors for stroke would be most important for the nurse to include when
planning a community education program?
A. Hypertension
B. Hyperlipidemia
C. Alcohol consumption
D. Oral contraceptive use - correct answer ✔✔ a
Computed tomography (CT) of a 68-year-old male patient's head reveals that he has
experienced a hemorrhagic stroke. What is the priority nursing intervention in the emergency
department?
A. Maintenance of patient's airway.
B. Positioning to promote cerebral perfusion.
C. Control of fluid and electrolyte imbalances.
D. Administration of tissue plasminogen activator (tPA) - correct answer ✔✔ a
A female patient has left-sided hemiplegia following an ischemic stroke that she experienced 4
days earlier. How should the nurse best promote the health of the patient's integumentary
system?
A. Position the patient on her weak side the majority of the time.
B. Alternate the patient's positioning between supine and side-lying.
,C. Avoid the use of pillows in order to promote independence in positioning.
D. Establish a schedule for the message of areas where skin breakdown emerges. - correct
answer ✔✔ b
The female patient has been brought to the ED with a sudden onset of a severe headache that
is different from any other headache she has had previously. When considering the possibility of
a stroke, which type of stroke should the nurse know is most likely occurring?
A. TIA
B. Embolic stroke
C. Thrombotic stroke
D. Subarachnoid hemorrhage - correct answer ✔✔ d
The patient with diabetes mellitus has had a right-sided stroke. Which nursing intervention
should the nurse plan to provide for this patient related to expected manifestations of this
stroke?
A. Safety measures
B. Patience with communication
C. Mobility assistance on the right side
D. Place food in the left side of patient's mouth - correct answer ✔✔ a
The nurse is teaching a senior citizen's group about signs and symptoms of a stroke. Which
statement by the nurse would provide accurate information?
A. "Take the person to the hospital if a headache lasts for more than 24 hours."
B. "Stroke symptoms usually start when the person is awake and physically active."
C. "A person with a transient ischemic attack has mild symptoms that will go away."
, D. "Call 911 immediately if a person develops slurred speech or difficulty speaking." - correct
answer ✔✔ d
Of the following patients, the nurse recognizes that the one with the highest risk for a stroke is
a(n)
a. obese 45-year-old Native American.
b. 35-year-old Asian American woman who smokes.
c. 32-year-old white woman taking oral contraceptives.
d. 65-year-old African American man with hypertension. - correct answer ✔✔ d
The factor related to cerebral blood flow that most often determines the extent of cerebral
damage from a stroke is the
a. amount of cardiac output.
b. oxygen content of the blood.
c. degree of collateral circulation.
d. level of carbon dioxide in the blood. - correct answer ✔✔ c
A patient with right-sided hemiplegia and aphasia resulting from a stroke most likely has
involvement of the
a. brainstem.
b. vertebral artery.
c. left middle cerebral artery.
d. right middle cerebral artery. - correct answer ✔✔ c
with answers rated A+
Which modifiable risk factors for stroke would be most important for the nurse to include when
planning a community education program?
A. Hypertension
B. Hyperlipidemia
C. Alcohol consumption
D. Oral contraceptive use - correct answer ✔✔ a
Computed tomography (CT) of a 68-year-old male patient's head reveals that he has
experienced a hemorrhagic stroke. What is the priority nursing intervention in the emergency
department?
A. Maintenance of patient's airway.
B. Positioning to promote cerebral perfusion.
C. Control of fluid and electrolyte imbalances.
D. Administration of tissue plasminogen activator (tPA) - correct answer ✔✔ a
A female patient has left-sided hemiplegia following an ischemic stroke that she experienced 4
days earlier. How should the nurse best promote the health of the patient's integumentary
system?
A. Position the patient on her weak side the majority of the time.
B. Alternate the patient's positioning between supine and side-lying.
,C. Avoid the use of pillows in order to promote independence in positioning.
D. Establish a schedule for the message of areas where skin breakdown emerges. - correct
answer ✔✔ b
The female patient has been brought to the ED with a sudden onset of a severe headache that
is different from any other headache she has had previously. When considering the possibility of
a stroke, which type of stroke should the nurse know is most likely occurring?
A. TIA
B. Embolic stroke
C. Thrombotic stroke
D. Subarachnoid hemorrhage - correct answer ✔✔ d
The patient with diabetes mellitus has had a right-sided stroke. Which nursing intervention
should the nurse plan to provide for this patient related to expected manifestations of this
stroke?
A. Safety measures
B. Patience with communication
C. Mobility assistance on the right side
D. Place food in the left side of patient's mouth - correct answer ✔✔ a
The nurse is teaching a senior citizen's group about signs and symptoms of a stroke. Which
statement by the nurse would provide accurate information?
A. "Take the person to the hospital if a headache lasts for more than 24 hours."
B. "Stroke symptoms usually start when the person is awake and physically active."
C. "A person with a transient ischemic attack has mild symptoms that will go away."
, D. "Call 911 immediately if a person develops slurred speech or difficulty speaking." - correct
answer ✔✔ d
Of the following patients, the nurse recognizes that the one with the highest risk for a stroke is
a(n)
a. obese 45-year-old Native American.
b. 35-year-old Asian American woman who smokes.
c. 32-year-old white woman taking oral contraceptives.
d. 65-year-old African American man with hypertension. - correct answer ✔✔ d
The factor related to cerebral blood flow that most often determines the extent of cerebral
damage from a stroke is the
a. amount of cardiac output.
b. oxygen content of the blood.
c. degree of collateral circulation.
d. level of carbon dioxide in the blood. - correct answer ✔✔ c
A patient with right-sided hemiplegia and aphasia resulting from a stroke most likely has
involvement of the
a. brainstem.
b. vertebral artery.
c. left middle cerebral artery.
d. right middle cerebral artery. - correct answer ✔✔ c
