Name] – Academic Year [20XX–20XX] – Practice Questions
with Complete Solutions
The nurse is assessing a patient using the Glasgow Coma Scale. Which of the following
are components of that scale? (Select all that apply.) - correct answer -- Eye opening
- Motor response
- Verbal response
Mr. Russell has been placed on fall precautions. What actions should the nurse take to
keep the patient safe? (Select all that apply.) - correct answer -- Maintain bed in low
position at all times.
- Instruct patient to call for assistance when out of bed.
- Place the call bell within reach.
- Provide non-skid socks for ambulation.
A patient has been admitted with a diagnosis of stroke, and the nurse has received
orders to hold warfarin until labs results are received. What lab result does the nurse
anticipate reviewing prior to administering this medication? - correct answer -PT/INR
Mr. Russell experienced dysphagia and mild left-sided weakness following his stroke.
For which additional symptoms of stroke should the nurse assess? (Select all that
apply.) - correct answer -- Communication difficulties
- Sensory deficits
- Urinary incontinence