Neuro NCLEX Questions,
Neuro NCLEX Questions
Study online at https://quizlet.com/_2oem35
1. A patient comes to the emergency de- a.) Transient ischemic stroke
partment immediately after experiencing
numbness of the face and an inability to Rationale:
speak, but while the patient awaits ex- The patient has probably experienced a
amination, the symptoms disappear and transient ischemic attack (TIA), which is a
the patient request discharge. The nurse sign of progressive cerebral vascular dis-
stresses that it is important for the patient ease- (A TIA is a temporary focal loss of neu-
to be evaluated primarily because the pa- rologic function caused by ischemia of an
tient has probably experienced a; area of the brain, usually lasting only about
3 hours. TIAs may be due to microemboli
a.) Transient ischemic attack from heart disease or carotid or cerebral
b.) Ischemic stroke thrombi and are a warning of progressive
c.) Hemorrhagic stroke disease. Evaluation is necessary to deter-
d.) MI mine the cause of the neurologic deficit and
provide prophylactic treatment if possible.)
2. Aspirin is ordered for a patient who is ad- c. The patient states, "My symptoms started
mitted with a possible stroke. Which infor- with a terrible headache."
mation obtained during the admission as-
sessment indicates that the nurse should Rationale:
consult with the health care provider be- A sudden onset headache is typical of a
fore giving the aspirin? subarachnoid hemorrhage, and aspirin is
contraindicated. Atrial fibrillation, dysphasia,
a. The patient has dysphasia. and transient ischemic attack (TIA) are not
b. The patient has atrial fibrillation. contraindications to aspirin use, so the nurse
c. The patient states, "My symptoms start- can administer the aspirin.
ed with a terrible headache."
d. The patient has a history of brief
episodes of right-sided hemiplegia.
3. A patient with a stroke experiences d. Difficulty in understanding commands
right-sided arm and leg paralysis and facial
actualstudy 1
, Neuro NCLEX Questions,
Neuro NCLEX Questions
Study online at https://quizlet.com/_2oem35
drooping on the right side. When admit- Rationale:
ting the patient, which clinical manifesta- Right-sided paralysis indicates a left-brain
tion will the nurse expect to find? stroke, which will lead to difficulty with
comprehension and use of language. The
a. Impulsive behavior left-side reflexes are likely to be intact. Im-
b. Right-sided neglect pulsive behavior and neglect are more likely
c. Hyperactive left-sided reflexes with a right-side stroke.
d. Difficulty in understanding commands
4. A patient with a history of several transient d. tissue plasminogen activator (tPA) infu-
ischemic attacks (TIAs) arrives in the emer- sion.
gency department with hemiparesis and
dysarthria that started 2 hours previously. Rationale:
The nurse anticipates the need to prepare The patient's history and clinical manifesta-
the patient for tions suggest an acute ischemic stroke and a
patient who is seen within 4.5 hours of stroke
a. surgical endarterectomy. onset is likely to receive tPA (after screening
b. transluminal angioplasty. with a CT scan). Heparin administration in
c. intravenous heparin administration. the emergency phase is not indicated. Emer-
d. tissue plasminogen activator (tPA) infu- gent carotid transluminal angioplasty or en-
sion. darterectomy is not indicated for the patient
who is having an acute ischemic stroke.
5. When caring for a patient with left-sided c. Place objects needed for activities of daily
homonymous hemianopsia resulting from living on the patient's right side.
a stroke, which intervention should the
nurse include in the plan of care during the Rationale:
acute period of the stroke? During the acute period, the nurse should
place objects on the patient's unaffected
a. Apply an eye patch to the left eye. side. Since there is a visual defect in the left
b. Approach the patient from the left side. half of each eye, an eye patch is not appro-
c. Place objects needed for activities of dai- priate. The patient should be approached
ly living on the patient's right side. from the right side. The visual deficit may
actualstudy 2
Neuro NCLEX Questions
Study online at https://quizlet.com/_2oem35
1. A patient comes to the emergency de- a.) Transient ischemic stroke
partment immediately after experiencing
numbness of the face and an inability to Rationale:
speak, but while the patient awaits ex- The patient has probably experienced a
amination, the symptoms disappear and transient ischemic attack (TIA), which is a
the patient request discharge. The nurse sign of progressive cerebral vascular dis-
stresses that it is important for the patient ease- (A TIA is a temporary focal loss of neu-
to be evaluated primarily because the pa- rologic function caused by ischemia of an
tient has probably experienced a; area of the brain, usually lasting only about
3 hours. TIAs may be due to microemboli
a.) Transient ischemic attack from heart disease or carotid or cerebral
b.) Ischemic stroke thrombi and are a warning of progressive
c.) Hemorrhagic stroke disease. Evaluation is necessary to deter-
d.) MI mine the cause of the neurologic deficit and
provide prophylactic treatment if possible.)
2. Aspirin is ordered for a patient who is ad- c. The patient states, "My symptoms started
mitted with a possible stroke. Which infor- with a terrible headache."
mation obtained during the admission as-
sessment indicates that the nurse should Rationale:
consult with the health care provider be- A sudden onset headache is typical of a
fore giving the aspirin? subarachnoid hemorrhage, and aspirin is
contraindicated. Atrial fibrillation, dysphasia,
a. The patient has dysphasia. and transient ischemic attack (TIA) are not
b. The patient has atrial fibrillation. contraindications to aspirin use, so the nurse
c. The patient states, "My symptoms start- can administer the aspirin.
ed with a terrible headache."
d. The patient has a history of brief
episodes of right-sided hemiplegia.
3. A patient with a stroke experiences d. Difficulty in understanding commands
right-sided arm and leg paralysis and facial
actualstudy 1
, Neuro NCLEX Questions,
Neuro NCLEX Questions
Study online at https://quizlet.com/_2oem35
drooping on the right side. When admit- Rationale:
ting the patient, which clinical manifesta- Right-sided paralysis indicates a left-brain
tion will the nurse expect to find? stroke, which will lead to difficulty with
comprehension and use of language. The
a. Impulsive behavior left-side reflexes are likely to be intact. Im-
b. Right-sided neglect pulsive behavior and neglect are more likely
c. Hyperactive left-sided reflexes with a right-side stroke.
d. Difficulty in understanding commands
4. A patient with a history of several transient d. tissue plasminogen activator (tPA) infu-
ischemic attacks (TIAs) arrives in the emer- sion.
gency department with hemiparesis and
dysarthria that started 2 hours previously. Rationale:
The nurse anticipates the need to prepare The patient's history and clinical manifesta-
the patient for tions suggest an acute ischemic stroke and a
patient who is seen within 4.5 hours of stroke
a. surgical endarterectomy. onset is likely to receive tPA (after screening
b. transluminal angioplasty. with a CT scan). Heparin administration in
c. intravenous heparin administration. the emergency phase is not indicated. Emer-
d. tissue plasminogen activator (tPA) infu- gent carotid transluminal angioplasty or en-
sion. darterectomy is not indicated for the patient
who is having an acute ischemic stroke.
5. When caring for a patient with left-sided c. Place objects needed for activities of daily
homonymous hemianopsia resulting from living on the patient's right side.
a stroke, which intervention should the
nurse include in the plan of care during the Rationale:
acute period of the stroke? During the acute period, the nurse should
place objects on the patient's unaffected
a. Apply an eye patch to the left eye. side. Since there is a visual defect in the left
b. Approach the patient from the left side. half of each eye, an eye patch is not appro-
c. Place objects needed for activities of dai- priate. The patient should be approached
ly living on the patient's right side. from the right side. The visual deficit may
actualstudy 2
