1
Hesi Case Studies – Stroke 2026 |
Comprehensive Q&A For Certification
Success
Over the next 24 hour, Mr. Jones' SaO2, potassium level, and telemetry readings
are within normal limits for his age, but his cardiac output decreases. The HCP
needs to be notified regarding decreased cardiac output to decide whether to
initiate IV fluid if hypovolemia is an issue and to determine other medical
intervention. Which nursing interventions would be priority at this time? - correct-
answer -Monitor LOC
Monitor intake & output hourly
Monitor capillary refill every 2 to 4 hours
Monitor pulse oximetry
As the nurse assesses Mr. Jones, Barry asks, "Why isn't my dad a candidate for
thrombolytic therapy?" How should the nurse respond to Barry? - correct-answer
-"He is not a candidate because of therapeutic time constraints related to this
medication."
, 2
Mr. Jones spends 3 days in the Neuro Intensive Care Unit. Once stabilized, he is
transferred to a 30-bed medical unit. Mr. Jones has left-sided paralysis, facial
drooping with dysphagia, left visual field deficit and aphasia. His IV fluids are
discontinued, but he continues with a 20 gauge saline lock, now in the right
forearm. He also has an indwelling urinary catheter. The HCP prescribes bedrest
and sitting upright in a chair 4 times a day.Which nursing diagnosis has the highest
priority? - correct-answer -Impaired swallowing
Which nursing intervention should the nurse implement to address Mr. Jones' self-
care deficit? - correct-answer -Use plate guards when Mr. Jones is eating
Barry asks the nurse, "Why did my dad have this stroke? Does this mean I might
have a stroke when I get older?" The nurse discusses the difference between
modifiable and nonmodifiable risk factors for a stroke.Which conditions are
considered a modifiable risk factor for a stroke? - correct-answer -High cholesterol
levels
Diet
lifestyle
Hx of atrial fibrillation
Hesi Case Studies – Stroke 2026 |
Comprehensive Q&A For Certification
Success
Over the next 24 hour, Mr. Jones' SaO2, potassium level, and telemetry readings
are within normal limits for his age, but his cardiac output decreases. The HCP
needs to be notified regarding decreased cardiac output to decide whether to
initiate IV fluid if hypovolemia is an issue and to determine other medical
intervention. Which nursing interventions would be priority at this time? - correct-
answer -Monitor LOC
Monitor intake & output hourly
Monitor capillary refill every 2 to 4 hours
Monitor pulse oximetry
As the nurse assesses Mr. Jones, Barry asks, "Why isn't my dad a candidate for
thrombolytic therapy?" How should the nurse respond to Barry? - correct-answer
-"He is not a candidate because of therapeutic time constraints related to this
medication."
, 2
Mr. Jones spends 3 days in the Neuro Intensive Care Unit. Once stabilized, he is
transferred to a 30-bed medical unit. Mr. Jones has left-sided paralysis, facial
drooping with dysphagia, left visual field deficit and aphasia. His IV fluids are
discontinued, but he continues with a 20 gauge saline lock, now in the right
forearm. He also has an indwelling urinary catheter. The HCP prescribes bedrest
and sitting upright in a chair 4 times a day.Which nursing diagnosis has the highest
priority? - correct-answer -Impaired swallowing
Which nursing intervention should the nurse implement to address Mr. Jones' self-
care deficit? - correct-answer -Use plate guards when Mr. Jones is eating
Barry asks the nurse, "Why did my dad have this stroke? Does this mean I might
have a stroke when I get older?" The nurse discusses the difference between
modifiable and nonmodifiable risk factors for a stroke.Which conditions are
considered a modifiable risk factor for a stroke? - correct-answer -High cholesterol
levels
Diet
lifestyle
Hx of atrial fibrillation
