ESTUDYR
NURSING 213 (NEW) UPDATED EXAM 1 WITH MOST TESTED
QUESTIONS AND ANSWERS | GRADED A+ | ASSURED SUCCESS
WITH DETAILED RATIONALES
1
A 72-year-old client arrives with sudden right-sided weakness and slurred speech. Which term
best describes this event?
A. Transient ischemic attack (TIA)
B. Seizure
C. Cerebrovascular accident (CVA) — “stroke” / brain attack
D. Syncope
✔ Correct Answer: C
Rationale: A CVA (stroke) is an acute neurologic event causing permanent brain damage; the
age and focal deficits are classic.
2
Which of the following is a nonmodifiable risk factor for stroke?
A. Hypertension
B. Age (≥65 years)
C. Smoking
D. Hyperlipidemia
✔ Correct Answer: B
Rationale: Age is nonmodifiable; HTN, smoking, and hyperlipidemia are modifiable.
3
A patient has repeated brief episodes of focal neurologic dysfunction that resolve within 24
hours. This is called:
A. Ischemic stroke
B. Transient ischemic attack (TIA)
C. Embolic stroke
D. Hemorrhagic stroke
,ESTUDYR
✔ Correct Answer: B
Rationale: TIAs are temporary focal deficits (minutes to <24 hr) and are warning signs for future
stroke.
4
Which type of stroke is due to rupture of a cerebral artery causing bleeding into the brain tissue
and increased intracranial pressure (ICP)?
A. Embolic stroke
B. Thrombotic stroke
C. Hemorrhagic stroke
D. Lacunar infarct
✔ Correct Answer: C
Rationale: Hemorrhagic strokes result from bleeding and often elevate ICP, worsening
outcomes.
5
A stroke that develops slowly over several hours to days due to thrombosis at an
atherosclerotic plaque is most likely:
A. Embolic stroke
B. Thrombotic stroke
C. Hemorrhagic stroke
D. Subarachnoid hemorrhage
✔ Correct Answer: B
Rationale: Thrombotic strokes from in situ clotting on plaques often produce gradual symptom
progression.
6
Which stroke type is most likely when an intracardiac clot travels to the brain and suddenly
occludes a cerebral artery?
A. Thrombotic stroke
B. Embolic stroke
, ESTUDYR
C. Hemorrhagic stroke
D. Lacunar stroke
✔ Correct Answer: B
Rationale: Embolic strokes originate from distant clots (commonly heart) and produce abrupt
deficits.
7
Time-sensitive treatment for eligible ischemic stroke patients is alteplase (tPA). The usual
recommended window from symptom onset is:
A. Within 24 hours
B. Within 12 hours
C. Within ~3 hours (may extend to certain cases up to 4.5 hrs per protocols)
D. Within 48 hours
✔ Correct Answer: C
Rationale: IV tPA is most effective when administered as soon as possible, commonly within 3
hours of onset.
8
Which mnemonic helps quickly screen for stroke signs in the field (facial droop, arm drift,
slurred speech)?
A. ABCDE
B. SAMPLE
C. FAST
D. RICE
✔ Correct Answer: C
Rationale: FAST = Face, Arms, Speech, Time — used to recognize stroke and call emergency
services.
9
A patient with an acute stroke has sudden visual field loss on one side and difficulty perceiving
one side of the body (neglect). These findings are most consistent with damage in:
NURSING 213 (NEW) UPDATED EXAM 1 WITH MOST TESTED
QUESTIONS AND ANSWERS | GRADED A+ | ASSURED SUCCESS
WITH DETAILED RATIONALES
1
A 72-year-old client arrives with sudden right-sided weakness and slurred speech. Which term
best describes this event?
A. Transient ischemic attack (TIA)
B. Seizure
C. Cerebrovascular accident (CVA) — “stroke” / brain attack
D. Syncope
✔ Correct Answer: C
Rationale: A CVA (stroke) is an acute neurologic event causing permanent brain damage; the
age and focal deficits are classic.
2
Which of the following is a nonmodifiable risk factor for stroke?
A. Hypertension
B. Age (≥65 years)
C. Smoking
D. Hyperlipidemia
✔ Correct Answer: B
Rationale: Age is nonmodifiable; HTN, smoking, and hyperlipidemia are modifiable.
3
A patient has repeated brief episodes of focal neurologic dysfunction that resolve within 24
hours. This is called:
A. Ischemic stroke
B. Transient ischemic attack (TIA)
C. Embolic stroke
D. Hemorrhagic stroke
,ESTUDYR
✔ Correct Answer: B
Rationale: TIAs are temporary focal deficits (minutes to <24 hr) and are warning signs for future
stroke.
4
Which type of stroke is due to rupture of a cerebral artery causing bleeding into the brain tissue
and increased intracranial pressure (ICP)?
A. Embolic stroke
B. Thrombotic stroke
C. Hemorrhagic stroke
D. Lacunar infarct
✔ Correct Answer: C
Rationale: Hemorrhagic strokes result from bleeding and often elevate ICP, worsening
outcomes.
5
A stroke that develops slowly over several hours to days due to thrombosis at an
atherosclerotic plaque is most likely:
A. Embolic stroke
B. Thrombotic stroke
C. Hemorrhagic stroke
D. Subarachnoid hemorrhage
✔ Correct Answer: B
Rationale: Thrombotic strokes from in situ clotting on plaques often produce gradual symptom
progression.
6
Which stroke type is most likely when an intracardiac clot travels to the brain and suddenly
occludes a cerebral artery?
A. Thrombotic stroke
B. Embolic stroke
, ESTUDYR
C. Hemorrhagic stroke
D. Lacunar stroke
✔ Correct Answer: B
Rationale: Embolic strokes originate from distant clots (commonly heart) and produce abrupt
deficits.
7
Time-sensitive treatment for eligible ischemic stroke patients is alteplase (tPA). The usual
recommended window from symptom onset is:
A. Within 24 hours
B. Within 12 hours
C. Within ~3 hours (may extend to certain cases up to 4.5 hrs per protocols)
D. Within 48 hours
✔ Correct Answer: C
Rationale: IV tPA is most effective when administered as soon as possible, commonly within 3
hours of onset.
8
Which mnemonic helps quickly screen for stroke signs in the field (facial droop, arm drift,
slurred speech)?
A. ABCDE
B. SAMPLE
C. FAST
D. RICE
✔ Correct Answer: C
Rationale: FAST = Face, Arms, Speech, Time — used to recognize stroke and call emergency
services.
9
A patient with an acute stroke has sudden visual field loss on one side and difficulty perceiving
one side of the body (neglect). These findings are most consistent with damage in:
