NEURO NCLEX CHALLENGE 50Q PT 1
NEURO NCLEX CHALLENGE 50Q PT 1
Study online at https://quizlet.com/_i853m2
1. A 68-year-old male patient who had a left-sided stroke A.
is admitted to the hospital. The patient has right-sided
weakness and is unable to perform activities of dai-
ly living without assistance. The nurse is providing
oral hygiene to the patient and is preparing to use
a padded tongue blade to open the patient's mouth.
Which nursing measure is
inappropriate when providing oral hygiene to the pa-
tient who had a stroke?
A. Placing the client on the back with a small pillow
under the head.
B. Keeping portable suctioning equipment at the bed-
side.
C. Opening the client's mouth with a padded tongue
blade.
D. Cleaning the client's mouth and teeth with a tooth-
brush.
2. 64-year-old client with a history of hypertension is C.
admitted to the emergency department with sudden
onset right-sided weakness, facial droop, and difficulty
speaking. Which nursing intervention is the highest
priority in the initial management of this client?
A. Prepare to administer recombinant tissue plasmino-
gen activator (rt-PA).
B. Discuss the precipitating factors that caused the
symptoms.
C. Schedule for A STAT computer tomography (CT) scan
of the head.
D. Notify the speech pathologist for an emergency
consultation.
actualstudy 1
, NEURO NCLEX CHALLENGE 50Q PT 1
NEURO NCLEX CHALLENGE 50Q PT 1
Study online at https://quizlet.com/_i853m2
3. A client arrives in the emergency department with an A.
ischemic stroke and receives tissue plasminogen acti-
vator (t-PA)administration. Which is the priority nurs-
ing assessment?
A. Time of onset of current stroke
B. Complete physical and history
C. Current medications
D. Upcoming surgical procedures
4. During the first 24 hours after thrombolytic therapy C.
for ischemic stroke, the primary goal is to control the
client's:
A. Pulse
B. Respirations
C. Blood pressure
D. Temperature
5. What is a priority nursing assessment in the first 24 B.
hours after admission of the client with a thrombotic
stroke?
A. Cholesterol level
B. Pupil size and pupillary response
C. Bowel sounds
D. Echocardiogram
6. What is the expected outcome of thrombolytic drug C.
therapy?
A. Increased vascular permeability
B. Vasoconstriction
C. Dissolved emboli
D. Prevention of hemorrhage
7. D.
actualstudy 2
NEURO NCLEX CHALLENGE 50Q PT 1
Study online at https://quizlet.com/_i853m2
1. A 68-year-old male patient who had a left-sided stroke A.
is admitted to the hospital. The patient has right-sided
weakness and is unable to perform activities of dai-
ly living without assistance. The nurse is providing
oral hygiene to the patient and is preparing to use
a padded tongue blade to open the patient's mouth.
Which nursing measure is
inappropriate when providing oral hygiene to the pa-
tient who had a stroke?
A. Placing the client on the back with a small pillow
under the head.
B. Keeping portable suctioning equipment at the bed-
side.
C. Opening the client's mouth with a padded tongue
blade.
D. Cleaning the client's mouth and teeth with a tooth-
brush.
2. 64-year-old client with a history of hypertension is C.
admitted to the emergency department with sudden
onset right-sided weakness, facial droop, and difficulty
speaking. Which nursing intervention is the highest
priority in the initial management of this client?
A. Prepare to administer recombinant tissue plasmino-
gen activator (rt-PA).
B. Discuss the precipitating factors that caused the
symptoms.
C. Schedule for A STAT computer tomography (CT) scan
of the head.
D. Notify the speech pathologist for an emergency
consultation.
actualstudy 1
, NEURO NCLEX CHALLENGE 50Q PT 1
NEURO NCLEX CHALLENGE 50Q PT 1
Study online at https://quizlet.com/_i853m2
3. A client arrives in the emergency department with an A.
ischemic stroke and receives tissue plasminogen acti-
vator (t-PA)administration. Which is the priority nurs-
ing assessment?
A. Time of onset of current stroke
B. Complete physical and history
C. Current medications
D. Upcoming surgical procedures
4. During the first 24 hours after thrombolytic therapy C.
for ischemic stroke, the primary goal is to control the
client's:
A. Pulse
B. Respirations
C. Blood pressure
D. Temperature
5. What is a priority nursing assessment in the first 24 B.
hours after admission of the client with a thrombotic
stroke?
A. Cholesterol level
B. Pupil size and pupillary response
C. Bowel sounds
D. Echocardiogram
6. What is the expected outcome of thrombolytic drug C.
therapy?
A. Increased vascular permeability
B. Vasoconstriction
C. Dissolved emboli
D. Prevention of hemorrhage
7. D.
actualstudy 2
