STROKE PREPU (CC4) EXAM WITH
COMPREHENSIVE QUESTIONS WITH
CORRECT ANSWERS
A nurse is communicating with a client who has aphasia after having a stroke.
Which action should the nurse take?
a. Keep the television on while she speaks.
b. Talk in a louder than normal voice.
c. Use one long sentence to say everything that needs to be said.
d. Face the client and establish eye contact. - ANSWER - d. Face the client and
establish eye contact.
Which statements reflect the nursing management of a client with receptive
aphasia?
a. Encourage the client to repeat sounds of the alphabet.
b. Speak slowly and clearly to assist the client in forming the sounds.
c. Speak clearly to the client in simple sentences; use gestures or pictures.
d. Frequently reorient the client to time, place, and situation. - ANSWER - b. Speak
slowly and clearly to assist the client in forming the sounds.
A client with a cerebrovascular accident (CVA) is having difficulty with eating food
on the plate. Which is the best priority nursing action to be taken?
a. Reposition the tray and plate.
b. Assist the client with feeding.
c. Perform a vision field assessment.
,d. Know this is a normal finding for CVA. - ANSWER - c. Perform a vision field
assessment.
The nurse is providing information about strokes to a community group. Which of
the following would the nurse identify as the primary initial symptoms of an
ischemic stroke?
a. Vomiting and seizures
b. Weakness on one side of the body and difficulty with speech
c. Severe headache and early change in level of consciousness
d. Foot drop and external hip rotation - ANSWER - b. Weakness on one side of the
body and difficulty with speech
A family member comes to the clinic to talk to the nurse about a client who has
had a stroke on the right side of the brain. The family member is concerned
because of the deficits the client is exhibiting. The nurse knows that when a client
experiences a stroke on the right side of the brain, common deficits include what?
Select all that apply.
a. Tendency to distractibility
b. Impairment of long-term memory
c. Hyperaware of deficits
d. Left-sided hemiplegia
e. Neglect of objects and people on the left side - ANSWER - a. Tendency to
distractibility
d. Left-sided hemiplegia
e. Neglect of objects and people on the left side
, After a stroke, a client is admitted to the facility. The client has left-sided
weakness and an absent gag reflex. He's incontinent and has a tarry stool. His
blood pressure is 90/50 mm Hg, and his hemoglobin is 10 g. Which nursing
intervention is a priority for this client?
a. Checking stools for occult blood
b. Elevating the head of the bed to 30 degrees
c. Keeping skin clean and dry
d. Performing range-of-motion (ROM) exercises on the left side - ANSWER - b.
Elevating the head of the bed to 30 degrees
A 76-year-old male client is brought to the clinic by his daughter. The daughter
states that her father has had two transient ischemic attacks (TIAs) in the past
week. The physician orders carotid angiography, and the report reveals that the
carotid artery has been narrowed by atherosclerotic plaques. What treatment
option does the nurse expect the physician to offer this client to increase blood
flow to the brain? Select all that apply.
a. Balloon angioplasty of the carotid artery followed by stent placement
b. Administration of tissue plasminogen activator
c. Removal of the carotid artery
d. Carotid endarterectomy
e. Percutaneous transluminal coronary artery angioplasty - ANSWER - a. Balloon
angioplasty of the carotid artery followed by stent placement
d. Carotid endarterectomy
When should the nurse plan the rehabilitation of a patient who is having an
ischemic stroke?
a. The day the patient has the stroke
b. After the patient has passed the acute phase of the stroke
COMPREHENSIVE QUESTIONS WITH
CORRECT ANSWERS
A nurse is communicating with a client who has aphasia after having a stroke.
Which action should the nurse take?
a. Keep the television on while she speaks.
b. Talk in a louder than normal voice.
c. Use one long sentence to say everything that needs to be said.
d. Face the client and establish eye contact. - ANSWER - d. Face the client and
establish eye contact.
Which statements reflect the nursing management of a client with receptive
aphasia?
a. Encourage the client to repeat sounds of the alphabet.
b. Speak slowly and clearly to assist the client in forming the sounds.
c. Speak clearly to the client in simple sentences; use gestures or pictures.
d. Frequently reorient the client to time, place, and situation. - ANSWER - b. Speak
slowly and clearly to assist the client in forming the sounds.
A client with a cerebrovascular accident (CVA) is having difficulty with eating food
on the plate. Which is the best priority nursing action to be taken?
a. Reposition the tray and plate.
b. Assist the client with feeding.
c. Perform a vision field assessment.
,d. Know this is a normal finding for CVA. - ANSWER - c. Perform a vision field
assessment.
The nurse is providing information about strokes to a community group. Which of
the following would the nurse identify as the primary initial symptoms of an
ischemic stroke?
a. Vomiting and seizures
b. Weakness on one side of the body and difficulty with speech
c. Severe headache and early change in level of consciousness
d. Foot drop and external hip rotation - ANSWER - b. Weakness on one side of the
body and difficulty with speech
A family member comes to the clinic to talk to the nurse about a client who has
had a stroke on the right side of the brain. The family member is concerned
because of the deficits the client is exhibiting. The nurse knows that when a client
experiences a stroke on the right side of the brain, common deficits include what?
Select all that apply.
a. Tendency to distractibility
b. Impairment of long-term memory
c. Hyperaware of deficits
d. Left-sided hemiplegia
e. Neglect of objects and people on the left side - ANSWER - a. Tendency to
distractibility
d. Left-sided hemiplegia
e. Neglect of objects and people on the left side
, After a stroke, a client is admitted to the facility. The client has left-sided
weakness and an absent gag reflex. He's incontinent and has a tarry stool. His
blood pressure is 90/50 mm Hg, and his hemoglobin is 10 g. Which nursing
intervention is a priority for this client?
a. Checking stools for occult blood
b. Elevating the head of the bed to 30 degrees
c. Keeping skin clean and dry
d. Performing range-of-motion (ROM) exercises on the left side - ANSWER - b.
Elevating the head of the bed to 30 degrees
A 76-year-old male client is brought to the clinic by his daughter. The daughter
states that her father has had two transient ischemic attacks (TIAs) in the past
week. The physician orders carotid angiography, and the report reveals that the
carotid artery has been narrowed by atherosclerotic plaques. What treatment
option does the nurse expect the physician to offer this client to increase blood
flow to the brain? Select all that apply.
a. Balloon angioplasty of the carotid artery followed by stent placement
b. Administration of tissue plasminogen activator
c. Removal of the carotid artery
d. Carotid endarterectomy
e. Percutaneous transluminal coronary artery angioplasty - ANSWER - a. Balloon
angioplasty of the carotid artery followed by stent placement
d. Carotid endarterectomy
When should the nurse plan the rehabilitation of a patient who is having an
ischemic stroke?
a. The day the patient has the stroke
b. After the patient has passed the acute phase of the stroke
