Module 9 Stroke Exam Question &
Answers 2026
Which modifiable risk factor for stroke would be most
important for the nurse to include when planning a
community education program?
a. Alcohol use
b. Hypertension
c. Hyperlipidemia
d. Oral contraceptive use - CORRECT ANSWERS ✔✔B
Hypertension is the single most important modifiable risk
factor, but it is still often undetected and inadequately
treated. The public is often more aware of hyperlipidemia
and oral contraceptive use as risk factors for stroke.
Alcohol is also a modifiable risk factor.
A patient has left-sided hemiplegia after an ischemic
stroke 4 days earlier. How should the nurse promote skin
integrity?
a. Position the patient on her weak side most of the time.
b. Avoid the use of pillows to promote independence in
positioning.
c. Alternate the patient's positioning between supine and
side-lying.
d. Establish a schedule for the massage of areas where
skin breakdown emerges. - CORRECT ANSWERS ✔✔C
,Module 9 Stroke Exam Question &
Answers 2026
A position change schedule should be established for
stroke patients. An example is side-back-side, with a
maximum duration of 2 hours for any position. The
patient should be positioned on the weak or paralyzed
side for only 30 minutes. Pillows may be used to facilitate
positioning. Areas of skin breakdown should never be
massaged.
A CT scan of a patient's head reveals a hemorrhagic
stroke. What is the priority nursing intervention in the
emergency department?
a. Maintaining the patient's airway
b. Positioning to promote cerebral perfusion
c. Controlling fluid and electrolyte imbalances
d. Administering tissue plasminogen activator (tPA) -
CORRECT ANSWERS ✔✔A
Maintaining a patent airway is the priority in the acute
care of a patient with a hemorrhagic stroke. It supersedes
the importance of fluid and electrolyte imbalance and
positioning. tPA is contraindicated in hemorrhagic stroke.
,Module 9 Stroke Exam Question &
Answers 2026
A 74-yr-old man who has right-sided extremity paralysis
related to a thrombotic stroke develops constipation.
Which action should the nurse take first?
a. Assist the patient to the bathroom every 2 hours.
b. Provide incontinence briefs to wear during the day.
c. Give a bisacodyl (Dulcolax) rectal suppository every
day.
d. Provide several servings daily of cooked fruits and
vegetables. - CORRECT ANSWERS ✔✔A
Patients after a stroke often have constipation. Dietary
management includes the following: fluid intake of 2500
to 3000 mL daily, prune juice (120 mL) or stewed prunes
daily, cooked fruit 3 times daily, cooked vegetables 3
times daily, and whole-grain cereal or bread 3 to 5 times
daily. Patients with urinary incontinence should be
assisted to the bathroom every 2 hours. Suppositories
may be ordered for short-term management if the patient
does not respond to increased fluid and fiber.
Incontinence briefs are indicated as a short-term
intervention for urinary incontinence.
Which intervention is most appropriate when
communicating with a patient with aphasia after a stroke?
, Module 9 Stroke Exam Question &
Answers 2026
a. Present several thoughts at once so the patient can
connect the ideas.
b. Ask open-ended questions to give the patient the
opportunity to speak.
c. Use simple, short sentences with visual cues to
enhance comprehension.
d. Finish the patient's sentences to minimize frustration
associated with slow speech. - CORRECT ANSWERS
✔✔C
When communicating with a patient with aphasia, the
nurse should present one thought or idea at a time. Ask
questions that can be answered with a "yes," "no," or
simple word. Use visual cues and allow time for the
patient to comprehend and respond to conversation.
Which sensory-perceptual deficit is associated with left-
sided stroke (right hemiplegia)?
a. Slow, fearful performance of tasks
b. Overestimation of physical abilities
c. Difficulty judging position and distance
d. Impulsivity and impatience at performing tasks -
CORRECT ANSWERS ✔✔A
Answers 2026
Which modifiable risk factor for stroke would be most
important for the nurse to include when planning a
community education program?
a. Alcohol use
b. Hypertension
c. Hyperlipidemia
d. Oral contraceptive use - CORRECT ANSWERS ✔✔B
Hypertension is the single most important modifiable risk
factor, but it is still often undetected and inadequately
treated. The public is often more aware of hyperlipidemia
and oral contraceptive use as risk factors for stroke.
Alcohol is also a modifiable risk factor.
A patient has left-sided hemiplegia after an ischemic
stroke 4 days earlier. How should the nurse promote skin
integrity?
a. Position the patient on her weak side most of the time.
b. Avoid the use of pillows to promote independence in
positioning.
c. Alternate the patient's positioning between supine and
side-lying.
d. Establish a schedule for the massage of areas where
skin breakdown emerges. - CORRECT ANSWERS ✔✔C
,Module 9 Stroke Exam Question &
Answers 2026
A position change schedule should be established for
stroke patients. An example is side-back-side, with a
maximum duration of 2 hours for any position. The
patient should be positioned on the weak or paralyzed
side for only 30 minutes. Pillows may be used to facilitate
positioning. Areas of skin breakdown should never be
massaged.
A CT scan of a patient's head reveals a hemorrhagic
stroke. What is the priority nursing intervention in the
emergency department?
a. Maintaining the patient's airway
b. Positioning to promote cerebral perfusion
c. Controlling fluid and electrolyte imbalances
d. Administering tissue plasminogen activator (tPA) -
CORRECT ANSWERS ✔✔A
Maintaining a patent airway is the priority in the acute
care of a patient with a hemorrhagic stroke. It supersedes
the importance of fluid and electrolyte imbalance and
positioning. tPA is contraindicated in hemorrhagic stroke.
,Module 9 Stroke Exam Question &
Answers 2026
A 74-yr-old man who has right-sided extremity paralysis
related to a thrombotic stroke develops constipation.
Which action should the nurse take first?
a. Assist the patient to the bathroom every 2 hours.
b. Provide incontinence briefs to wear during the day.
c. Give a bisacodyl (Dulcolax) rectal suppository every
day.
d. Provide several servings daily of cooked fruits and
vegetables. - CORRECT ANSWERS ✔✔A
Patients after a stroke often have constipation. Dietary
management includes the following: fluid intake of 2500
to 3000 mL daily, prune juice (120 mL) or stewed prunes
daily, cooked fruit 3 times daily, cooked vegetables 3
times daily, and whole-grain cereal or bread 3 to 5 times
daily. Patients with urinary incontinence should be
assisted to the bathroom every 2 hours. Suppositories
may be ordered for short-term management if the patient
does not respond to increased fluid and fiber.
Incontinence briefs are indicated as a short-term
intervention for urinary incontinence.
Which intervention is most appropriate when
communicating with a patient with aphasia after a stroke?
, Module 9 Stroke Exam Question &
Answers 2026
a. Present several thoughts at once so the patient can
connect the ideas.
b. Ask open-ended questions to give the patient the
opportunity to speak.
c. Use simple, short sentences with visual cues to
enhance comprehension.
d. Finish the patient's sentences to minimize frustration
associated with slow speech. - CORRECT ANSWERS
✔✔C
When communicating with a patient with aphasia, the
nurse should present one thought or idea at a time. Ask
questions that can be answered with a "yes," "no," or
simple word. Use visual cues and allow time for the
patient to comprehend and respond to conversation.
Which sensory-perceptual deficit is associated with left-
sided stroke (right hemiplegia)?
a. Slow, fearful performance of tasks
b. Overestimation of physical abilities
c. Difficulty judging position and distance
d. Impulsivity and impatience at performing tasks -
CORRECT ANSWERS ✔✔A
