Sherpath Questions with CORRECT Answers (Verified Update)
Q1: Which response would the nurse give when asked how an embolic stroke occurs?
A. "An embolus from the heart or lower circulation lodges in a cerebral vessel."
B. "Atherosclerotic plaque accumulates in a cerebral vessel and blocks blood flow."
C. "The vertebral artery dissects after a chiropractic adjustment to the cervical spine."
D. "The carotid artery bifurcation is chemically irritated and prevents the flow of blood."
Answer: A. "An embolus from the heart or lower circulation lodges in a cerebral vessel."
Q2: Which type of stroke is most common?
A. Ischemic
B. Intracerebral hemorrhage
C. Cryptogenic
D. Subarachnoid hemorrhage
Answer: A. Ischemic
Q3: Which complication would the nurse monitor for when caring for a patient with ischemic
stroke? Select all that apply. One, some, or all responses may be correct.
A. Seizures
B. Pneumonia
C. Cerebral edema
D. Hemorrhagic conversion
E. Intracranial hypertension
Answer: A. Seizures
C. Cerebral edema
D. Hemorrhagic conversion
E. Intracranial hypertension
Q4: Which medication prescription would the nurse question after administer- ing alteplase 12
hours ago to a patient admitted to the critical care unit with ischemic stroke?
A. Aspirin
B. Acetaminophen
C. Phenytoin
D. Gabapentin
Answer: A. Aspirin
, Q5: Which patient factor would prevent the use of alteplase as a treatment for ischemic stroke?
A. Male sex
B. Age 14 years
C. NIHSS score of 15
D. History of breast cancer
Answer: B. Age 14 years
Q6: Which intervention would the nurse incorporate into the plan of care for a patient receiving
rt-PA for ischemic stroke?
A. Administer nitroprusside for a systolic blood pressure >150 mm Hg.
B. Maintain body temperature between 97° and 98°F.
C. Administer prophylactic medications for cerebral edema.
D. Implement seizure precautions.
Answer: D. Implement seizure precautions.
Q7: Which statement would the nurse make when asked to describe an arteri- ovenous
malformation (AVM)?
A. "An AVM occurs in the brainstem of people with a history of hypertension."
B. "The blood supply is provided by cerebral arteries called feeders."
C. "An AVM functions like a space-occupying lesion, which can be difficult to manage."
D. "The change in the arterial wall that occurs with an AVM is caused by septic emboli that
distends the vessel."
Answer: B. "The blood supply is provided by cerebral arteries called feeders."
Q8: Which assessment finding would indicate the presence of an unruptured posterior
communicating artery aneurysm?
A. Increased temperature
B. Irregular heart rhythm
C. Cheyne-Stokes respirations
D. Eyelid drooping
Answer: D. Eyelid drooping
Q9: Which approach is used to conservatively prevent the rebleeding of a subarachnoid
hemorrhage (SAH)?
A. Embolization
B. Surgical clipping
C. Endovascular coiling
D. Antihypertensive medication
Answer: D. Antihypertensive medication
Q1: Which response would the nurse give when asked how an embolic stroke occurs?
A. "An embolus from the heart or lower circulation lodges in a cerebral vessel."
B. "Atherosclerotic plaque accumulates in a cerebral vessel and blocks blood flow."
C. "The vertebral artery dissects after a chiropractic adjustment to the cervical spine."
D. "The carotid artery bifurcation is chemically irritated and prevents the flow of blood."
Answer: A. "An embolus from the heart or lower circulation lodges in a cerebral vessel."
Q2: Which type of stroke is most common?
A. Ischemic
B. Intracerebral hemorrhage
C. Cryptogenic
D. Subarachnoid hemorrhage
Answer: A. Ischemic
Q3: Which complication would the nurse monitor for when caring for a patient with ischemic
stroke? Select all that apply. One, some, or all responses may be correct.
A. Seizures
B. Pneumonia
C. Cerebral edema
D. Hemorrhagic conversion
E. Intracranial hypertension
Answer: A. Seizures
C. Cerebral edema
D. Hemorrhagic conversion
E. Intracranial hypertension
Q4: Which medication prescription would the nurse question after administer- ing alteplase 12
hours ago to a patient admitted to the critical care unit with ischemic stroke?
A. Aspirin
B. Acetaminophen
C. Phenytoin
D. Gabapentin
Answer: A. Aspirin
, Q5: Which patient factor would prevent the use of alteplase as a treatment for ischemic stroke?
A. Male sex
B. Age 14 years
C. NIHSS score of 15
D. History of breast cancer
Answer: B. Age 14 years
Q6: Which intervention would the nurse incorporate into the plan of care for a patient receiving
rt-PA for ischemic stroke?
A. Administer nitroprusside for a systolic blood pressure >150 mm Hg.
B. Maintain body temperature between 97° and 98°F.
C. Administer prophylactic medications for cerebral edema.
D. Implement seizure precautions.
Answer: D. Implement seizure precautions.
Q7: Which statement would the nurse make when asked to describe an arteri- ovenous
malformation (AVM)?
A. "An AVM occurs in the brainstem of people with a history of hypertension."
B. "The blood supply is provided by cerebral arteries called feeders."
C. "An AVM functions like a space-occupying lesion, which can be difficult to manage."
D. "The change in the arterial wall that occurs with an AVM is caused by septic emboli that
distends the vessel."
Answer: B. "The blood supply is provided by cerebral arteries called feeders."
Q8: Which assessment finding would indicate the presence of an unruptured posterior
communicating artery aneurysm?
A. Increased temperature
B. Irregular heart rhythm
C. Cheyne-Stokes respirations
D. Eyelid drooping
Answer: D. Eyelid drooping
Q9: Which approach is used to conservatively prevent the rebleeding of a subarachnoid
hemorrhage (SAH)?
A. Embolization
B. Surgical clipping
C. Endovascular coiling
D. Antihypertensive medication
Answer: D. Antihypertensive medication
