HEMISPHERES 3.0 LEVEL VII DISCHARGE
& PREVENTION EXAM QUESTIONS WITH
CORRECT ANSWERS
Stroke program performance is primarily evaluated through
a. Morbidity and mortality review
b. Collection and analysis of data
c. Annual competency assessment
d. Accurate protocols and polices - ANS -B
The nurse has an 86 year old new stoke pt that has been placed on oxygen via NC with an order
to keep SPO2 greater than or equal to 92%. Upon assessment, the nurse notices the SPO2 is
85%. Immediate intervention is needed because
a. The brain does not store oxygen
b. This puts the pt at risk for SZ
c. This will alter the basic metabolic panel
d. Elderly pts are at high risk of PNA - ANS -A
,The RN taking care of a post rt-PA pt knows to monitor VS and neuro status every
a. Q15 min for 1 hr, q30 minutes for 2 hours, hourly for 16 hours, and then q4 hours
b. Q15 min for 2 hr, q30 min for 4 hours, q1 hr for 16 hours, and then every 2-4 hours
c. Q15 min for 2 hr, q30 min for 6 hours, q1 hr for 16 hours, and then every 2-4 hours
d. Q15 min for 2 hr, q30 minutes for 8 hours, hourly for 16 hours, and then q4 hours - ANS -C
The RN educating a group of high school students on stroke prevention focusing on cigarette
use. Which of the following is accurate?
a. Cigarette smoking increases incidence of ischemic stroke but not SAH
b. Passive smoke exposure is not associated with stroke
c. Smoking cessation is associated with rapid reduction in stroke risk
d. Limited smoking in social settings does not increase risk of stroke - ANS -C
MRI quality will MOST likely be affected by which of the following
a. Pts of advanced age
b. Pts who received thrombolytics
, c. Pt with thyroid cancer
d. Pt with increased ICP - ANS -D
A stroke pt with BP of 210/112 has been administered an IVP antihypertensive medication. On
recheck, the pt is sleeping and difficult to arouse with a BP of 148/82. The SCRN recognizes that
a. This is normal finding, the pt is exhausted from being in the hospital
b. The BP was lowered too aggressively, the pt needs increased perfusion
c. The pt likely experienced another stroke
d. The BP remains elevated, the pt should receive additional antihypertensive treatment - ANS -
B
On day 4, a pt with a left MCA infarct is more aphasic, has increased weakness of the right arm
and leg. The head CT confirms increased vasogenic edema. The MD orders mannitol 25mg IV
q3hr. What are the nursing considerations when administering this med?
a. Need for hypertensive management, sedation, and analgesics
b. Serum osmolality, CPP goals, and fluid balance
c. Hypotonic solutions, HOB position, and arterial line
d. VTE prevention, HOB position, and pulmonary toilet - ANS -B
& PREVENTION EXAM QUESTIONS WITH
CORRECT ANSWERS
Stroke program performance is primarily evaluated through
a. Morbidity and mortality review
b. Collection and analysis of data
c. Annual competency assessment
d. Accurate protocols and polices - ANS -B
The nurse has an 86 year old new stoke pt that has been placed on oxygen via NC with an order
to keep SPO2 greater than or equal to 92%. Upon assessment, the nurse notices the SPO2 is
85%. Immediate intervention is needed because
a. The brain does not store oxygen
b. This puts the pt at risk for SZ
c. This will alter the basic metabolic panel
d. Elderly pts are at high risk of PNA - ANS -A
,The RN taking care of a post rt-PA pt knows to monitor VS and neuro status every
a. Q15 min for 1 hr, q30 minutes for 2 hours, hourly for 16 hours, and then q4 hours
b. Q15 min for 2 hr, q30 min for 4 hours, q1 hr for 16 hours, and then every 2-4 hours
c. Q15 min for 2 hr, q30 min for 6 hours, q1 hr for 16 hours, and then every 2-4 hours
d. Q15 min for 2 hr, q30 minutes for 8 hours, hourly for 16 hours, and then q4 hours - ANS -C
The RN educating a group of high school students on stroke prevention focusing on cigarette
use. Which of the following is accurate?
a. Cigarette smoking increases incidence of ischemic stroke but not SAH
b. Passive smoke exposure is not associated with stroke
c. Smoking cessation is associated with rapid reduction in stroke risk
d. Limited smoking in social settings does not increase risk of stroke - ANS -C
MRI quality will MOST likely be affected by which of the following
a. Pts of advanced age
b. Pts who received thrombolytics
, c. Pt with thyroid cancer
d. Pt with increased ICP - ANS -D
A stroke pt with BP of 210/112 has been administered an IVP antihypertensive medication. On
recheck, the pt is sleeping and difficult to arouse with a BP of 148/82. The SCRN recognizes that
a. This is normal finding, the pt is exhausted from being in the hospital
b. The BP was lowered too aggressively, the pt needs increased perfusion
c. The pt likely experienced another stroke
d. The BP remains elevated, the pt should receive additional antihypertensive treatment - ANS -
B
On day 4, a pt with a left MCA infarct is more aphasic, has increased weakness of the right arm
and leg. The head CT confirms increased vasogenic edema. The MD orders mannitol 25mg IV
q3hr. What are the nursing considerations when administering this med?
a. Need for hypertensive management, sedation, and analgesics
b. Serum osmolality, CPP goals, and fluid balance
c. Hypotonic solutions, HOB position, and arterial line
d. VTE prevention, HOB position, and pulmonary toilet - ANS -B
