NUR265 Exam 4 Galen College of Nursing Actual
Exam 2026/2027 | Complete Exam-Style Questions
with Detailed Rationales | Pass Guaranteed – A+
Graded
SECTION 1: NEUROLOGICAL DISORDERS (Q1–Q16)
Q1: A 68-year-old male is brought to the emergency department with sudden onset of
right-sided weakness and difficulty speaking. His wife states symptoms began 45
minutes ago. Which action should the nurse anticipate as the FIRST priority?
A. Administer tissue plasminogen activator (tPA) immediately upon arrival.
B. Obtain a non-contrast CT scan of the head to rule out hemorrhage.
C. Insert a nasogastric tube and initiate enteral feeding.
D. Begin aggressive blood pressure lowering to below 140/90 mmHg.
Correct Answer: B
Rationale: Correct because a non-contrast CT scan is the first action to rule out
hemorrhagic stroke before tPA administration. Guidelines recommend imaging within
25 minutes of arrival to determine eligibility for thrombolytic therapy.
,Q2: A patient with a left hemispheric stroke is admitted to the medical-surgical unit. The
nurse should expect to assess for which of the following deficits?
A. Left-sided neglect and spatial-perceptual deficits.
B. Right-sided weakness and aphasia.
C. Bilateral vision loss and ataxia.
D. Decreased gag reflex and dysphagia only.
Correct Answer: B
Rationale: Correct because left hemispheric stroke causes right-sided weakness and
aphasia (language deficits), which matches NUR 265 curriculum on lateralizing stroke
signs.
Q3: A patient with a right hemispheric stroke is being cared for on the unit. Which
nursing intervention is MOST appropriate based on the expected deficits?
A. Place the call light on the patient's right side and use simple, one-step commands.
B. Approach the patient from the left side and provide frequent reorientation to the
affected side.
C. Place the call light on the patient's left side and remind the patient to scan the left
visual field.
D. Avoid placing objects on the patient's right side to prevent overstimulation.
Correct Answer: C
, Rationale: Correct because right hemispheric stroke causes left-sided neglect and
spatial-perceptual deficits; placing items on the left and encouraging left-sided scanning
addresses the neglect.
Q4: A patient with a stroke is diagnosed with Broca's aphasia. Which clinical finding
does the nurse expect?
A. Fluent but nonsensical speech with intact comprehension.
B. Difficulty speaking with intact comprehension.
C. Inability to read with preserved writing ability.
D. Global loss of all language functions.
Correct Answer: B
Rationale: Correct because Broca's (expressive) aphasia is characterized by difficulty
speaking with intact comprehension, which is a key distinction tested on the NUR 265
exam.
Q5: A patient with a stroke is diagnosed with Wernicke's aphasia. Which clinical finding
does the nurse expect?
A. Non-fluent speech with preserved comprehension.
B. Fluent but nonsensical speech with poor comprehension.
C. Complete inability to produce or understand language.
D. Difficulty repeating words with preserved spontaneous speech.
Correct Answer: B
Exam 2026/2027 | Complete Exam-Style Questions
with Detailed Rationales | Pass Guaranteed – A+
Graded
SECTION 1: NEUROLOGICAL DISORDERS (Q1–Q16)
Q1: A 68-year-old male is brought to the emergency department with sudden onset of
right-sided weakness and difficulty speaking. His wife states symptoms began 45
minutes ago. Which action should the nurse anticipate as the FIRST priority?
A. Administer tissue plasminogen activator (tPA) immediately upon arrival.
B. Obtain a non-contrast CT scan of the head to rule out hemorrhage.
C. Insert a nasogastric tube and initiate enteral feeding.
D. Begin aggressive blood pressure lowering to below 140/90 mmHg.
Correct Answer: B
Rationale: Correct because a non-contrast CT scan is the first action to rule out
hemorrhagic stroke before tPA administration. Guidelines recommend imaging within
25 minutes of arrival to determine eligibility for thrombolytic therapy.
,Q2: A patient with a left hemispheric stroke is admitted to the medical-surgical unit. The
nurse should expect to assess for which of the following deficits?
A. Left-sided neglect and spatial-perceptual deficits.
B. Right-sided weakness and aphasia.
C. Bilateral vision loss and ataxia.
D. Decreased gag reflex and dysphagia only.
Correct Answer: B
Rationale: Correct because left hemispheric stroke causes right-sided weakness and
aphasia (language deficits), which matches NUR 265 curriculum on lateralizing stroke
signs.
Q3: A patient with a right hemispheric stroke is being cared for on the unit. Which
nursing intervention is MOST appropriate based on the expected deficits?
A. Place the call light on the patient's right side and use simple, one-step commands.
B. Approach the patient from the left side and provide frequent reorientation to the
affected side.
C. Place the call light on the patient's left side and remind the patient to scan the left
visual field.
D. Avoid placing objects on the patient's right side to prevent overstimulation.
Correct Answer: C
, Rationale: Correct because right hemispheric stroke causes left-sided neglect and
spatial-perceptual deficits; placing items on the left and encouraging left-sided scanning
addresses the neglect.
Q4: A patient with a stroke is diagnosed with Broca's aphasia. Which clinical finding
does the nurse expect?
A. Fluent but nonsensical speech with intact comprehension.
B. Difficulty speaking with intact comprehension.
C. Inability to read with preserved writing ability.
D. Global loss of all language functions.
Correct Answer: B
Rationale: Correct because Broca's (expressive) aphasia is characterized by difficulty
speaking with intact comprehension, which is a key distinction tested on the NUR 265
exam.
Q5: A patient with a stroke is diagnosed with Wernicke's aphasia. Which clinical finding
does the nurse expect?
A. Non-fluent speech with preserved comprehension.
B. Fluent but nonsensical speech with poor comprehension.
C. Complete inability to produce or understand language.
D. Difficulty repeating words with preserved spontaneous speech.
Correct Answer: B
