VERIFIED 2026/2027 Med Surge (CVA) Stroke chapter 58, 59
Med Surge (CVA) Stroke chapter 58, 59
1. The nurse is assessing a client experiencing motor loss as a result of a left-sided cerebral vascular
accident (CVA). Which clinical manifestations would the nurse document?
1. Hemiparesis of the client's left arm and apraxia.
2. Paralysis of the right side of hte body and ataxia
3. Homonymous heminopsia and diplopia
4. impulsive behavior and hostility toward family.
2. 2
3. A 78 year old client is admitted to the emergency department with numbness and weakness of the left
arm and slurred speech. Which nursing intervention is priority?
1. Prepare to administer recombinant tissue plasminogen activator (rt-PA)
2. Discuss the precipitating factors that caused the symptoms
3. Schedule for a STAT computed tomography (CT) scan of head
4. Notify the speech pathologist for an emergency consult.
4.
5. Which client would the nurse identify as being most at risk for experiencing a CVA?
1. A 55 year old African American male.
2. A 84 year old Japanese female.
3. A 67 year old Cacasian male.
4. A 39 year old pregnant female
6. 1. African-Americans have twice the rate of CVAs as Causasians and men have a
7.
Which intervention should be included in the nursing care plan? Select all that apply.
1. Position the client to prevent shoulder adduction
2. Turn and reposition the client every shift
3. Encourage the client to move the affected side
4. Perform quadriceps exercises three(3) times a day
8. The Nurse is planning care for a client experiencing agnosia(failure to recognize familar swallowing)
secondary to a cerebrovascular accident. Which collaborative intervention will be included in the plan
of care?
1. Observing the client swallowing for possible aspirations
2. Positioning the client in a semi-fowler's position when sleeping
3. Placing a suction set-up at the clients bedside during meals
4. Referring the client to an occupational therapist for evaluation
Chapter 58
The patient had an ischemic stroke 5 hours earlier. What
treatment do you anticipate?
a. Administer nicardipine (Cardene) for the patient's BP of 200/100
mm Hg
b. Administer systemic thrombolytic tissue plasminogen activator
(tPA)
, VERIFIED 2026/2027 Med Surge (CVA) Stroke chapter 58, 59
c. Make patient NPO
d. Administer acetaminophen (Tylenol) prophylactically
The patient had an ischemic stroke and is undergoing
rehabilitation. He is diagnosed with homonymous hemianopsia.
What should you do?
a. Better arrange the environment to suit the patient's needs
b. Teach the patient to turn his head to scan the environment
c. Obtain prescriptive glasses for the patient
d. Have the patient wear an eye patch
The patient says, "The smoodle pinkered, and I want him square,
and I want to plunthery him." What impairment do you suspect?
a. Wernicke's aphasia
b. Broca's aphasia
c. Dysarthia
d. Aphasia
a. Wernicke's aphasia.
The patient had a stroke on the left side of the brain (right
hemiplegia). He is eating dinner and suddenly bursts into tears.
How do you respond?
a. Ask the pt about his feelings
b. Give him a tissue
c. Distract the patient
d. Obtain an antidepressant for the patient
Which modifiable risk factors for stroke are most important for you
to include when planning a community education program?
a. Hypertension
b. Hyperlipidemia
c. Alcohol consumption
d. Oral contraceptive use
You would expect to find which clinical manifestation in a patient
admitted with a left-brain stroke?
a. Impassivity
b. Impaired speech
c. Left-sided neglect
d. Short attention span
You are discharging a patient admitted with a transient ischemic
attack (TIA). For which medications do you expect to provide
discharge instructions (select all that apply)?
a. Clopidogrel (Plavix)
b. Enoxaparin (Lovenox)
c. Dipyridamole (Persantine)
d. Enteric-coated aspirin (Ecotin)
e. Tissue plasminogen activator (tPA)
Med Surge (CVA) Stroke chapter 58, 59
1. The nurse is assessing a client experiencing motor loss as a result of a left-sided cerebral vascular
accident (CVA). Which clinical manifestations would the nurse document?
1. Hemiparesis of the client's left arm and apraxia.
2. Paralysis of the right side of hte body and ataxia
3. Homonymous heminopsia and diplopia
4. impulsive behavior and hostility toward family.
2. 2
3. A 78 year old client is admitted to the emergency department with numbness and weakness of the left
arm and slurred speech. Which nursing intervention is priority?
1. Prepare to administer recombinant tissue plasminogen activator (rt-PA)
2. Discuss the precipitating factors that caused the symptoms
3. Schedule for a STAT computed tomography (CT) scan of head
4. Notify the speech pathologist for an emergency consult.
4.
5. Which client would the nurse identify as being most at risk for experiencing a CVA?
1. A 55 year old African American male.
2. A 84 year old Japanese female.
3. A 67 year old Cacasian male.
4. A 39 year old pregnant female
6. 1. African-Americans have twice the rate of CVAs as Causasians and men have a
7.
Which intervention should be included in the nursing care plan? Select all that apply.
1. Position the client to prevent shoulder adduction
2. Turn and reposition the client every shift
3. Encourage the client to move the affected side
4. Perform quadriceps exercises three(3) times a day
8. The Nurse is planning care for a client experiencing agnosia(failure to recognize familar swallowing)
secondary to a cerebrovascular accident. Which collaborative intervention will be included in the plan
of care?
1. Observing the client swallowing for possible aspirations
2. Positioning the client in a semi-fowler's position when sleeping
3. Placing a suction set-up at the clients bedside during meals
4. Referring the client to an occupational therapist for evaluation
Chapter 58
The patient had an ischemic stroke 5 hours earlier. What
treatment do you anticipate?
a. Administer nicardipine (Cardene) for the patient's BP of 200/100
mm Hg
b. Administer systemic thrombolytic tissue plasminogen activator
(tPA)
, VERIFIED 2026/2027 Med Surge (CVA) Stroke chapter 58, 59
c. Make patient NPO
d. Administer acetaminophen (Tylenol) prophylactically
The patient had an ischemic stroke and is undergoing
rehabilitation. He is diagnosed with homonymous hemianopsia.
What should you do?
a. Better arrange the environment to suit the patient's needs
b. Teach the patient to turn his head to scan the environment
c. Obtain prescriptive glasses for the patient
d. Have the patient wear an eye patch
The patient says, "The smoodle pinkered, and I want him square,
and I want to plunthery him." What impairment do you suspect?
a. Wernicke's aphasia
b. Broca's aphasia
c. Dysarthia
d. Aphasia
a. Wernicke's aphasia.
The patient had a stroke on the left side of the brain (right
hemiplegia). He is eating dinner and suddenly bursts into tears.
How do you respond?
a. Ask the pt about his feelings
b. Give him a tissue
c. Distract the patient
d. Obtain an antidepressant for the patient
Which modifiable risk factors for stroke are most important for you
to include when planning a community education program?
a. Hypertension
b. Hyperlipidemia
c. Alcohol consumption
d. Oral contraceptive use
You would expect to find which clinical manifestation in a patient
admitted with a left-brain stroke?
a. Impassivity
b. Impaired speech
c. Left-sided neglect
d. Short attention span
You are discharging a patient admitted with a transient ischemic
attack (TIA). For which medications do you expect to provide
discharge instructions (select all that apply)?
a. Clopidogrel (Plavix)
b. Enoxaparin (Lovenox)
c. Dipyridamole (Persantine)
d. Enteric-coated aspirin (Ecotin)
e. Tissue plasminogen activator (tPA)
