STROKE 3.0 LEVEL VII DISCHARGE &
PREVENTION EXAM QUESTIONS WITH
CORRECT ANSWERS
1. The daughter of a patient admitted unconscious to the emergency room with a
possible stroke reports her mother has a history of hypertension that she does
not manage well. She has been using estrogen replacement therapy for the past 6
years, and estrogen and her antihypertensive medication are the only drugs she
uses. Her only activity is managing her home, and she appears overweight. The
finding that the nurse recognizes as the most significant risk factor for a stroke in
the patient is
1. obesity.
2. hypertension.
3. sedentary lifestyle.
4. estrogen replacement therapy. - ANSWER - Answer: 2
2. A patient is hospitalized with a stroke manifested by hemiplegia and impaired
speech. When obtaining a health history from the patient's family, the nurse
recognizes that the effects of the stroke are most likely to be complicated by the
patient's history of
1. hypertension.
2. diabetes mellitus.
3. moderate alcohol consumption.
4. chronic obstructive pulmonary disease. - ANSWER - Answer: 4
,3. The nurse expects that management of the patient who experiences a brief
episode of tinnitus, diplopia, and dysarthria with no residual effects will include
1. oral administration of ticlopidine (Tic lid).
2. heparin via continuous intravenous infusion.
3. prophylactic clipping of cerebral aneurysms.
4. therapy with tissue plasminogen activator (TPA). - ANSWER - Answer: 1
4. When a patient is hospitalized with a possible stroke, the nurse recognizes that
the stroke most likely resulted from a subarachnoid hemorrhage when the
patient's family reports that the patient
1. has a history of atrial fibrillation.
2. was unable to be aroused in the morning.
3. had been complaining of a headache before losing consciousness.
4. has had several brief episodes of mental confusion and right arm and leg
weakness. - ANSWER - Answer: 3
5. A patient with a stroke caused by thrombosis of the middle cerebral artery
experiences right-sided paralysis of the upper and lower extremities and facial
drooping on the right side. Based on the location of the patient's stroke, an
additional assessment finding that the nurse would expect to be present is
1. apraxia.
2. aphasia.
3. atonic bladder.
4. central vision loss. - ANSWER - Answer: 2
6. A patient has an occlusion of the left posterior cerebral artery. The nurse
recognizes that manifestations most likely to occur indicate damage to the
, 1. cerebellum.
2. frontal lobe.
3. parietal lobe.
4. occipital and inferior temporal lobes. - ANSWER - Answer: 4
7. The physician prescribes clopidogrel (Plavix) for a patient with cerebral
atherosclerosis. The nurse teaches the patient that an expected outcome of this
drug includes
1. regulation of his blood pressure.
2. breakdown of clots that have formed in his cerebral arteries.
3. prevention of platelet clumps around atherosclerotic plaques.
4. healing of sites where blood is leaking out of his cerebral arteries. - ANSWER -
Answer: 3
8. The physician recommends a carotid endarterectomy for a patient with carotid
atherosclerosis and a history of transient ischemic attacks. The patient asks the
nurse whether this procedure involves brain surgery. In responding to the patient,
the nurse includes the information that
1. an endarterectomy involves brain surgery because plaques in arteries at the
base of the brain are removed.
2. this surgery involves resection of a diseased portion of the artery in the brain
and replacing it with a synthetic graft.
3. a carotid endarterectomy involves removal of plaques in an artery in the neck
and does not involve surgery in the brain.
4. in this surgery a burr hole is drilled in the skull to connect an artery outside the
skull to one inside the brain, bypassing a blockage. - ANSWER - Answer: 3
PREVENTION EXAM QUESTIONS WITH
CORRECT ANSWERS
1. The daughter of a patient admitted unconscious to the emergency room with a
possible stroke reports her mother has a history of hypertension that she does
not manage well. She has been using estrogen replacement therapy for the past 6
years, and estrogen and her antihypertensive medication are the only drugs she
uses. Her only activity is managing her home, and she appears overweight. The
finding that the nurse recognizes as the most significant risk factor for a stroke in
the patient is
1. obesity.
2. hypertension.
3. sedentary lifestyle.
4. estrogen replacement therapy. - ANSWER - Answer: 2
2. A patient is hospitalized with a stroke manifested by hemiplegia and impaired
speech. When obtaining a health history from the patient's family, the nurse
recognizes that the effects of the stroke are most likely to be complicated by the
patient's history of
1. hypertension.
2. diabetes mellitus.
3. moderate alcohol consumption.
4. chronic obstructive pulmonary disease. - ANSWER - Answer: 4
,3. The nurse expects that management of the patient who experiences a brief
episode of tinnitus, diplopia, and dysarthria with no residual effects will include
1. oral administration of ticlopidine (Tic lid).
2. heparin via continuous intravenous infusion.
3. prophylactic clipping of cerebral aneurysms.
4. therapy with tissue plasminogen activator (TPA). - ANSWER - Answer: 1
4. When a patient is hospitalized with a possible stroke, the nurse recognizes that
the stroke most likely resulted from a subarachnoid hemorrhage when the
patient's family reports that the patient
1. has a history of atrial fibrillation.
2. was unable to be aroused in the morning.
3. had been complaining of a headache before losing consciousness.
4. has had several brief episodes of mental confusion and right arm and leg
weakness. - ANSWER - Answer: 3
5. A patient with a stroke caused by thrombosis of the middle cerebral artery
experiences right-sided paralysis of the upper and lower extremities and facial
drooping on the right side. Based on the location of the patient's stroke, an
additional assessment finding that the nurse would expect to be present is
1. apraxia.
2. aphasia.
3. atonic bladder.
4. central vision loss. - ANSWER - Answer: 2
6. A patient has an occlusion of the left posterior cerebral artery. The nurse
recognizes that manifestations most likely to occur indicate damage to the
, 1. cerebellum.
2. frontal lobe.
3. parietal lobe.
4. occipital and inferior temporal lobes. - ANSWER - Answer: 4
7. The physician prescribes clopidogrel (Plavix) for a patient with cerebral
atherosclerosis. The nurse teaches the patient that an expected outcome of this
drug includes
1. regulation of his blood pressure.
2. breakdown of clots that have formed in his cerebral arteries.
3. prevention of platelet clumps around atherosclerotic plaques.
4. healing of sites where blood is leaking out of his cerebral arteries. - ANSWER -
Answer: 3
8. The physician recommends a carotid endarterectomy for a patient with carotid
atherosclerosis and a history of transient ischemic attacks. The patient asks the
nurse whether this procedure involves brain surgery. In responding to the patient,
the nurse includes the information that
1. an endarterectomy involves brain surgery because plaques in arteries at the
base of the brain are removed.
2. this surgery involves resection of a diseased portion of the artery in the brain
and replacing it with a synthetic graft.
3. a carotid endarterectomy involves removal of plaques in an artery in the neck
and does not involve surgery in the brain.
4. in this surgery a burr hole is drilled in the skull to connect an artery outside the
skull to one inside the brain, bypassing a blockage. - ANSWER - Answer: 3
