CHAPTER 60 - NURSING MANAGEMENT: STROKE
EXAM QUESTIONS AND VERIFIED ANSWERS WITH
COMPLETE SOLUTIONS |ALREADY GRADED A+
Which health condition(s) can increase an individual's risk for stroke?
(Select all that apply)
a. Pneumonia
b. Atrial fibrillation
c. Previous TIA
d. Hypertension
e. Migraines - ANSWER - bcc’d
Which of the following factors related to cerebral blood flow most often determines the extent
of cerebral damage from a stroke?
a. Amount of cardiac output
b. Oxygen content of the blood
c. Degree of collateral circulation
d. Level of carbon dioxide in the blood - ANSWER - c
Which of the following pieces of information provided by the client would help differentiate a
hemorrhagic stroke from an ischemic stroke? A. Sensory disturbance
b. A history of hypertension
c. Presence of motor weakness
d. Sudden onset of severe headache - ANSWER - d
,A client with right-sided hemiplegia and aphasia resulting from a stroke most likely has
involvement of which of the following?
a. Brain stem
b. Vertebral artery
c. Left middle cerebral artery
d. Right middle cerebral artery - ANSWER - c
A client with a stroke is scheduled for angiography. Which of the following can this test detect?
a. Presence of increased intracranial pressure
b. Site and size of the infarction
c. Patency of the cerebral blood vessels
d. Presence of blood in the cerebra-spinal fluid - ANSWER - c
A client experiencing transient ischemic sacks is scheduled for a carotid endarterectomy. What
does the nurse explain to the client about the purpose of this procedure?
a. To decrease cerebral edema
b. To reduce the brain damage that occurs during a stroke in evolution
c. To prevent a stroke by removing atherosclerotic plaques blocking cerebral blood flow
d. To provide a circulatory bypass around thrombotic plaques obstructing cranial circulation -
ANSWER - c
For a client who is suspected to have had a stroke, what is one of the most important pieces of
information that the nurse can obtain?
a. Time of the client's last meal
b. Time at which stroke symptoms first appeared
c. Client's hypertension history and management
d. Family history of stroke and other cardiovascular diseases - ANSWER - b
, What does bladder training in a male client who has urinary incontinence after a stroke
include?
a. Limiting fluid intake
b. Keeping a urinal in place at all times
c. Assisting the client to stand to void
d. Catheterizing the client every 4 hours - ANSWER - c
What is the most common response of a client who sustained a stroke regarding the change in
body image?
a. Denial
b. Depression
c. Dissociation
d. Intellectualization - ANSWER - b
Which of the following modifiable risk factors for stroke would be most important for the nurse
to include when planning a community education program?
a. Hypertension
b. Hyperlipidemia
c. Alcohol consumption
d. Oral contraceptive use - ANSWER - a
Which of the following clinical manifestations should the nurse expect to assess in a client
admitted with a left-brain stroke?
a. Impulsivity
b. Impaired speech
c. Left-sided neglect
d. Short attention span - ANSWER - b
EXAM QUESTIONS AND VERIFIED ANSWERS WITH
COMPLETE SOLUTIONS |ALREADY GRADED A+
Which health condition(s) can increase an individual's risk for stroke?
(Select all that apply)
a. Pneumonia
b. Atrial fibrillation
c. Previous TIA
d. Hypertension
e. Migraines - ANSWER - bcc’d
Which of the following factors related to cerebral blood flow most often determines the extent
of cerebral damage from a stroke?
a. Amount of cardiac output
b. Oxygen content of the blood
c. Degree of collateral circulation
d. Level of carbon dioxide in the blood - ANSWER - c
Which of the following pieces of information provided by the client would help differentiate a
hemorrhagic stroke from an ischemic stroke? A. Sensory disturbance
b. A history of hypertension
c. Presence of motor weakness
d. Sudden onset of severe headache - ANSWER - d
,A client with right-sided hemiplegia and aphasia resulting from a stroke most likely has
involvement of which of the following?
a. Brain stem
b. Vertebral artery
c. Left middle cerebral artery
d. Right middle cerebral artery - ANSWER - c
A client with a stroke is scheduled for angiography. Which of the following can this test detect?
a. Presence of increased intracranial pressure
b. Site and size of the infarction
c. Patency of the cerebral blood vessels
d. Presence of blood in the cerebra-spinal fluid - ANSWER - c
A client experiencing transient ischemic sacks is scheduled for a carotid endarterectomy. What
does the nurse explain to the client about the purpose of this procedure?
a. To decrease cerebral edema
b. To reduce the brain damage that occurs during a stroke in evolution
c. To prevent a stroke by removing atherosclerotic plaques blocking cerebral blood flow
d. To provide a circulatory bypass around thrombotic plaques obstructing cranial circulation -
ANSWER - c
For a client who is suspected to have had a stroke, what is one of the most important pieces of
information that the nurse can obtain?
a. Time of the client's last meal
b. Time at which stroke symptoms first appeared
c. Client's hypertension history and management
d. Family history of stroke and other cardiovascular diseases - ANSWER - b
, What does bladder training in a male client who has urinary incontinence after a stroke
include?
a. Limiting fluid intake
b. Keeping a urinal in place at all times
c. Assisting the client to stand to void
d. Catheterizing the client every 4 hours - ANSWER - c
What is the most common response of a client who sustained a stroke regarding the change in
body image?
a. Denial
b. Depression
c. Dissociation
d. Intellectualization - ANSWER - b
Which of the following modifiable risk factors for stroke would be most important for the nurse
to include when planning a community education program?
a. Hypertension
b. Hyperlipidemia
c. Alcohol consumption
d. Oral contraceptive use - ANSWER - a
Which of the following clinical manifestations should the nurse expect to assess in a client
admitted with a left-brain stroke?
a. Impulsivity
b. Impaired speech
c. Left-sided neglect
d. Short attention span - ANSWER - b
