Nursing 3000 Exam questions and
answers graded A+
The nurse is caring for a client who experiences a brief episode of tinnitus, diplopia, and dysarthria
with no residual effects. Which of the following actions should the nurse anticipate as treatment for
this client?
a. Prophylactic clipping of cerebral aneurysms
b. Heparin via continuous intravenous infusion
c. Oral administration of low dose aspirin therapy
d. Therapy with tissue plasminogen activator (tPA) - ANS✅✅C. Oral administration of low dose
aspirin therapy
The client's symptoms are consistent with transient ischemic attack (TIA), and drugs that
inhibit platelet aggregation are prescribed after a TIA to prevent stroke.
The nurse is caring for a client who has recently had a stroke. When reviewing the clients'
laboratory report, which of the following results should the nurse report the health care
provider?
a. PaCO2 51 mm Hg
b. pH 7.41
c. PaO2 96 mm Hg
d. WBC 9.2 109/L - ANS✅✅A. PaCO2 51 mm Hg
All of the laboratory values are within normal range expect for the PaCO2. A high PaCO2 is a
potent vasodilator that increases cerebral blood flow.
, The nurse is admitting a client who had a stroke and is experiencing right-sided arm and leg
paralysis and facial drooping on the right side. Which of the following clinical manifestations
should the nurse expect to find?
a. Impulsive behaviour
b. Right-sided neglect
c. Hyperactive left-sided reflexes
d. Difficulty in understanding commands - ANS✅✅D. Difficulty in understanding commands
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
behaviour and neglect are more likely with a right-side stroke
The nurse receives a verbal report that a client has an occlusion of the left posterior cerebral
artery. Which of the following findings should the nurse anticipate?
a. Dysphasia
b. Confusion
c. Visual deficits
d. Poor judgement - ANS✅✅C. Visual deficits
Visual disturbances are expected with posterior cerebral artery occlusion. Aphasia occurs with
middle cerebral artery involvement. Cognitive deficits and changes in judgement are more
typical of anterior cerebral artery occlusion
answers graded A+
The nurse is caring for a client who experiences a brief episode of tinnitus, diplopia, and dysarthria
with no residual effects. Which of the following actions should the nurse anticipate as treatment for
this client?
a. Prophylactic clipping of cerebral aneurysms
b. Heparin via continuous intravenous infusion
c. Oral administration of low dose aspirin therapy
d. Therapy with tissue plasminogen activator (tPA) - ANS✅✅C. Oral administration of low dose
aspirin therapy
The client's symptoms are consistent with transient ischemic attack (TIA), and drugs that
inhibit platelet aggregation are prescribed after a TIA to prevent stroke.
The nurse is caring for a client who has recently had a stroke. When reviewing the clients'
laboratory report, which of the following results should the nurse report the health care
provider?
a. PaCO2 51 mm Hg
b. pH 7.41
c. PaO2 96 mm Hg
d. WBC 9.2 109/L - ANS✅✅A. PaCO2 51 mm Hg
All of the laboratory values are within normal range expect for the PaCO2. A high PaCO2 is a
potent vasodilator that increases cerebral blood flow.
, The nurse is admitting a client who had a stroke and is experiencing right-sided arm and leg
paralysis and facial drooping on the right side. Which of the following clinical manifestations
should the nurse expect to find?
a. Impulsive behaviour
b. Right-sided neglect
c. Hyperactive left-sided reflexes
d. Difficulty in understanding commands - ANS✅✅D. Difficulty in understanding commands
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
behaviour and neglect are more likely with a right-side stroke
The nurse receives a verbal report that a client has an occlusion of the left posterior cerebral
artery. Which of the following findings should the nurse anticipate?
a. Dysphasia
b. Confusion
c. Visual deficits
d. Poor judgement - ANS✅✅C. Visual deficits
Visual disturbances are expected with posterior cerebral artery occlusion. Aphasia occurs with
middle cerebral artery involvement. Cognitive deficits and changes in judgement are more
typical of anterior cerebral artery occlusion
