N330 EXAM 1 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question:
ischemic CVA (stroke)
Answer:
blood flow BLOCKED to the brain by a thrombus or embolism
Question:
What are the signs and symptoms of an ischemic stroke
Answer:
numbing/weakness on ONE side of the face, arm, or leg LOC sudden headache
difficulty walking difficulty speaking (aphasia) vision loss
Question:
Nursing interventions for ischemic stroke
Answer:
elevate HOB vital signs assess NEURO maintain airway/ventilation prevent
shoulder abduction aspirin
Question:
What are the requirements to give an ischemic stroke patient tPA
Answer:
18 or older negative bleeding on contrast CT symptoms less than 3 hours ago
weight determines amount given
Question:
What does tPA do?
Answer:
dissolves blood clots in the brain
Question:
Aspirin administration and risk?
Answer:
24-48 hours AFTER stroke UNLESS patient has history of A-Fib
Question:
What is a negative side effect of tPA? (and the reason it is NOT given to
hemorrhagic CVA patients)
Answer:
bleeding! the blood clot is broken by this drug
Question:
hemorrhagic CVA (stroke)
Answer:
blood vessel RUPTURES and bleeds into brain tissue surrounding brain
Question:
hemorrhagic stroke signs and symptoms
, Answer:
"worst headache of my life" LOC seizures increased ICP (from blood in
subarachnoid space)
Question:
nursing interventions for hemorrhagic stroke
Answer:
lower BP CT scan lumbar puncture cerebral angiography HOB at 30 degrees
oxygen monitor for hyponatremia lower ICP
Question:
Secondary ischemia
Answer:
reduced perfusion and vasoconstriction causes reduced blood flow to the
brain (decrease by non-stimulating enviornment)
Question:
Stroke prevention LDL and HDL levels
Answer:
LDL should be 100 HDL high, LDL low
Question:
delirium
Answer:
quick onset, often reversible, fluctuates
Question:
dementia
Answer:
gradual decline, not reversible, progressive
Question:
chronic illness
Answer:
subjective, managing symptoms
Question:
chronic disease
Answer:
objective, diagnosable, treatment-focused
Question:
palliative care
Answer:
doesn't treat illness, manages symptoms, provides physical and emotional
support/comfort
Question:
autonomic dysreflexia
Answer:
uncontrolled sympathetic responses (Increased BP, decreased HR,
temperature changes) triggered by full bladder, fecal matter, etc.
CORRECT ANSWERS
Question:
ischemic CVA (stroke)
Answer:
blood flow BLOCKED to the brain by a thrombus or embolism
Question:
What are the signs and symptoms of an ischemic stroke
Answer:
numbing/weakness on ONE side of the face, arm, or leg LOC sudden headache
difficulty walking difficulty speaking (aphasia) vision loss
Question:
Nursing interventions for ischemic stroke
Answer:
elevate HOB vital signs assess NEURO maintain airway/ventilation prevent
shoulder abduction aspirin
Question:
What are the requirements to give an ischemic stroke patient tPA
Answer:
18 or older negative bleeding on contrast CT symptoms less than 3 hours ago
weight determines amount given
Question:
What does tPA do?
Answer:
dissolves blood clots in the brain
Question:
Aspirin administration and risk?
Answer:
24-48 hours AFTER stroke UNLESS patient has history of A-Fib
Question:
What is a negative side effect of tPA? (and the reason it is NOT given to
hemorrhagic CVA patients)
Answer:
bleeding! the blood clot is broken by this drug
Question:
hemorrhagic CVA (stroke)
Answer:
blood vessel RUPTURES and bleeds into brain tissue surrounding brain
Question:
hemorrhagic stroke signs and symptoms
, Answer:
"worst headache of my life" LOC seizures increased ICP (from blood in
subarachnoid space)
Question:
nursing interventions for hemorrhagic stroke
Answer:
lower BP CT scan lumbar puncture cerebral angiography HOB at 30 degrees
oxygen monitor for hyponatremia lower ICP
Question:
Secondary ischemia
Answer:
reduced perfusion and vasoconstriction causes reduced blood flow to the
brain (decrease by non-stimulating enviornment)
Question:
Stroke prevention LDL and HDL levels
Answer:
LDL should be 100 HDL high, LDL low
Question:
delirium
Answer:
quick onset, often reversible, fluctuates
Question:
dementia
Answer:
gradual decline, not reversible, progressive
Question:
chronic illness
Answer:
subjective, managing symptoms
Question:
chronic disease
Answer:
objective, diagnosable, treatment-focused
Question:
palliative care
Answer:
doesn't treat illness, manages symptoms, provides physical and emotional
support/comfort
Question:
autonomic dysreflexia
Answer:
uncontrolled sympathetic responses (Increased BP, decreased HR,
temperature changes) triggered by full bladder, fecal matter, etc.
