HEMISPHERES QUESTIONS AND ANSWERS
WITH DETAILED SOLUTIONS – UPDATED
2026 VERSION GUARANTEED SUCCESS
The nurse is assigned to care for a client with complete right-sided hemiparesis from a stroke
(brain attack). Which characteristics are associated with this condition? Select all that apply.
A. The client is aphasic.
B. The client has weakness on the right side of the body.
C. The client has complete bilateral paralysis of the arms and legs.
D. The client has weakness on the right side of the face and tongue.
E. The client has lost the ability to move the right arm but is able to walk independently.
F. The client has lost the ability to ambulate independently but is able to feed and bathe himself
or herself without assistance. - ANSWER - A. The client is aphasic.
B. The client has weakness on the right side of the body.
D. The client has weakness on the right side of the face and tongue.
hemiparesis is weakness of one side of the body that may occur after a stroke involving
weakness of the face and tongue, arm, and leg on one side which requires assistance with
feeding, bathing, & ambulating
complete bilateral paralysis does not occur in hemiparesis
The nurse is caring for the client with increased intracranial pressure. The nurse would note
which trend in vital signs if the intracranial pressure is rising?
A. Increasing temperature, increasing pulse, increasing respirations, decreasing blood pressure
,B. Increasing temperature, decreasing pulse, decreasing respirations, increasing blood pressure
C. Decreasing temperature, decreasing pulse, increasing respirations, decreasing blood pressure
D. Decreasing temperature, increasing pulse, decreasing respirations, increasing blood pressure
- ANSWER - B. Increasing temperature, decreasing pulse, decreasing respirations, increasing
blood pressure
A client with a neurological problem is experiencing hyperthermia. Which measures would be
appropriate for the nurse to use in trying to lower the client's body temperature? Select all that
apply.
A. Giving tepid sponge baths
B. Applying a hypothermia blanket
C. Covering the client with blankets
D. Administering acetaminophen per protocol
E. Placing ice packs over the client's abdomen and in the axilla and groin - ANSWER - A. Giving
tepid sponge baths
B. Applying a hypothermia blanket
D. Administering acetaminophen per protocol
standard measures to lower body temperature include removing bed covers, providing cool
sponge baths, using an electric fan in the room, administering acetaminophen, and placing a
hypothermia blanket under the patient
ice packs could cause shivering which increases cellular oxygen demands and has the potential
to increase ICP
A patient with a TBI has nonreactive and dilated pupils. What would the nurse anticipate?
A. Loss of vision
B. Brain stem herniation
, C. Intense headache
D. Projectile vomiting - ANSWER - B. Brain stem herniation
The nurse understands which symptom is the earliest indicator of increased intracranial
pressure when caring for a patient with a head injury?
A. Increased pupil size
B. Nausea and vomiting
C. Agitation and confusion
D. Elevated blood pressure - ANSWER - C. Agitation and confusion
CASE STUDY: The spouse of a patient brought to the ED states that 6 hours ago her husband
began having difficulty finding words. The patient has since become progressively worse. He
has right hemiparesis. Upon assessing the patient, you note that he is lying flat in a supine
position and has been incontinent of urine. What is the priority nursing intervention for this
patient at this time?
A. Provide perineal care.
B. Assess for gag reflex.
C. Elevate the head of the bed.
D. Perform a linen and gown change. - ANSWER - C. Elevate the head of the bed.
An hour later after a CT scan, the patient is diagnosed with a left hemisphere stroke. Which
manifestations would the nurse expect? Select all that apply.
A. Constant smiling
B. Intellectual impairment
C. Deficits in the right visual field
D. Disorientation to time, place, and person
WITH DETAILED SOLUTIONS – UPDATED
2026 VERSION GUARANTEED SUCCESS
The nurse is assigned to care for a client with complete right-sided hemiparesis from a stroke
(brain attack). Which characteristics are associated with this condition? Select all that apply.
A. The client is aphasic.
B. The client has weakness on the right side of the body.
C. The client has complete bilateral paralysis of the arms and legs.
D. The client has weakness on the right side of the face and tongue.
E. The client has lost the ability to move the right arm but is able to walk independently.
F. The client has lost the ability to ambulate independently but is able to feed and bathe himself
or herself without assistance. - ANSWER - A. The client is aphasic.
B. The client has weakness on the right side of the body.
D. The client has weakness on the right side of the face and tongue.
hemiparesis is weakness of one side of the body that may occur after a stroke involving
weakness of the face and tongue, arm, and leg on one side which requires assistance with
feeding, bathing, & ambulating
complete bilateral paralysis does not occur in hemiparesis
The nurse is caring for the client with increased intracranial pressure. The nurse would note
which trend in vital signs if the intracranial pressure is rising?
A. Increasing temperature, increasing pulse, increasing respirations, decreasing blood pressure
,B. Increasing temperature, decreasing pulse, decreasing respirations, increasing blood pressure
C. Decreasing temperature, decreasing pulse, increasing respirations, decreasing blood pressure
D. Decreasing temperature, increasing pulse, decreasing respirations, increasing blood pressure
- ANSWER - B. Increasing temperature, decreasing pulse, decreasing respirations, increasing
blood pressure
A client with a neurological problem is experiencing hyperthermia. Which measures would be
appropriate for the nurse to use in trying to lower the client's body temperature? Select all that
apply.
A. Giving tepid sponge baths
B. Applying a hypothermia blanket
C. Covering the client with blankets
D. Administering acetaminophen per protocol
E. Placing ice packs over the client's abdomen and in the axilla and groin - ANSWER - A. Giving
tepid sponge baths
B. Applying a hypothermia blanket
D. Administering acetaminophen per protocol
standard measures to lower body temperature include removing bed covers, providing cool
sponge baths, using an electric fan in the room, administering acetaminophen, and placing a
hypothermia blanket under the patient
ice packs could cause shivering which increases cellular oxygen demands and has the potential
to increase ICP
A patient with a TBI has nonreactive and dilated pupils. What would the nurse anticipate?
A. Loss of vision
B. Brain stem herniation
, C. Intense headache
D. Projectile vomiting - ANSWER - B. Brain stem herniation
The nurse understands which symptom is the earliest indicator of increased intracranial
pressure when caring for a patient with a head injury?
A. Increased pupil size
B. Nausea and vomiting
C. Agitation and confusion
D. Elevated blood pressure - ANSWER - C. Agitation and confusion
CASE STUDY: The spouse of a patient brought to the ED states that 6 hours ago her husband
began having difficulty finding words. The patient has since become progressively worse. He
has right hemiparesis. Upon assessing the patient, you note that he is lying flat in a supine
position and has been incontinent of urine. What is the priority nursing intervention for this
patient at this time?
A. Provide perineal care.
B. Assess for gag reflex.
C. Elevate the head of the bed.
D. Perform a linen and gown change. - ANSWER - C. Elevate the head of the bed.
An hour later after a CT scan, the patient is diagnosed with a left hemisphere stroke. Which
manifestations would the nurse expect? Select all that apply.
A. Constant smiling
B. Intellectual impairment
C. Deficits in the right visual field
D. Disorientation to time, place, and person
