NUR 318 - Perfusion (Exam 3) – UPDATED Questions with 100% Verified Answers
NUR 318 - Perfusion (Exam 3) – UPDATED
Questions with 100% Verified Answers
Science › Medicine › Neurology
Section 1: Stroke, Some, Risk (Q1–Q12)
Question & Answer
Q1 Describe the patho of a stroke.
A - alteration in perfusion that blocks blood flow to the brain - no blood, no oxygen and no nutrients -
cell death (doesn't regenerate)
Q2 Describe a hemorrhagic stroke.
A vessel bursts, blood in the brain increases ICP
Q3 What are two kinds of hemorrhagic strokes?
A - cerebral aneurysm - AVM (arterio-venous malformation)
Q4 Describe an ischemic stroke (thombotic).
A - occurs when there is a clot in the cerebral artery - embolus from another body part travels to the
brain - the occlusion of blood supply is IMMEDIATE - neuro deficits or LOC happens instantly
Q5 What are some stats on strokes?
A - 5th leading cause of death in the U.S. - #1 cause of disability in adults - pathetic recurrence rate
Q6 What demographics are at the greatest risk for stroke?
A African Americans and patients with hypertension
Q7 What are some risk factors for an ischemic stroke (clot)?
A Hypertension/hyperlipidemia Elderly Atrial fibrillation Diabetes Smoking/sex (male)
Q8 What are some risk factors for a hemorrhagic stroke (bleed)?
A Headache Younger AVM and aneurysm Drugs like cocaine
Q9 What are some other stroke risk factors?
A - aneurysm - obesity - atherosclerosis - hypercoagulability - birth control (oral) - stressful working
conditions - sleep apnea
Q10 What are some afib treatment options?
A - rate control - ablation - anti-coagulants and anti-platelet drugs
Q11 What is the BEFAST acronym for stroke recognition?
A Balance (difficulties) Eyesight (changes) Face (uneven?) Arm (one arm hanging down?) Speech
(slurred speech?) Time (call 911 now)
Q12 What is a TIA?
A mini stroke or warning of impending stroke
Page 1 of 12
, NUR 318 - Perfusion (Exam 3) – UPDATED Questions with 100% Verified Answers
Section 2: Some, Stroke, Symptoms (Q13–Q24)
Question & Answer
Q13 What are some stroke symptoms for women?
A - face drooping - arm weakness - speech difficulties - vision problems - trouble walking or lack of
coordination - severe headache without a known cause - general weakness - disorientation and
confusion or memory problems
Q14 What are some stroke symptoms for men?
A - face drooping - arm weakness - speech difficulty - vision problems - trouble walking or lack of
coordination - severe headache without a known cause
Q15 What are some nursing interventions for a stroke (BRAIN attack)?
A - BP monitoring (don't lower too much because it may decrease perfusion to vital organs) -
Respirations (monitor) - Airway (monitor for aspiration risk) - IV access (always be prepared) -
Normoglycemic (diabetes is a risk factor for stroke)
Q16 What are some nursing interventions for a stroke (brain ATTACK)?
A - Aspirin - Temp <37.0 C (treat if high) - TEDS compression stockings to prevent VTE - Assess water
swallow test - CT stat (10 minutes once they get in the door; non-contrast) - Keep HOB up 30+
degrees/low Fowlers to decrease pressure on the brain from laying down
Q17 What can an MRI determine?
A edema, ischemia, or necrosis
Q18 What are four groups of medications for CVA?
A - anticoagulants (subq) - anti-platelets - alteplase - anti-eleptic *coumadin and heparin drip
Q19 Describe alteplase.
A fibrinolytic therapy using tpa (tissue plasminogen activator) - window shut at 3-4.5 hours post
baseline - must have special training
Q20 What are some symptoms of a left cerebral hemisphere stroke.
A - right hemiplegia (paralysis) or hemiparesis - aphasia - expressive + receptive - agnosia (unable to
recognize objects) - alexia (difficulty reading) - agraphia (writing difficulty) - anger (frustration) -
slow, cautious behavior - altered inellectual ability
Q21 What are some symptoms of a right cerebral hemisphere stroke?
A - left hemiplegia (paralysis) or hemiparesis - unilateral neglect - poor judgement, impulsive behavior
- loss of depth perception - hemianospia (loss of 1/2 vision) - increased distractibility - lack of
awareness of deficits
Q22 What are some stroke interventions in the hyperacute phase?
A - ABC - NIH stroke scale (NIHSS) - bleeds got to ICU - bore hole - clots get clot-busters - carotid
artery angioplasty with stents - carotid endartectomy - ream out
Q23 What are some post-stroke interventions?
A - bedside dysphagia screening before eating - help with communication - prevent skin breakdown -
prevent contractions - safety, safety, safety - support affected shoulder - cope with frustration
Page 2 of 12
NUR 318 - Perfusion (Exam 3) – UPDATED
Questions with 100% Verified Answers
Science › Medicine › Neurology
Section 1: Stroke, Some, Risk (Q1–Q12)
Question & Answer
Q1 Describe the patho of a stroke.
A - alteration in perfusion that blocks blood flow to the brain - no blood, no oxygen and no nutrients -
cell death (doesn't regenerate)
Q2 Describe a hemorrhagic stroke.
A vessel bursts, blood in the brain increases ICP
Q3 What are two kinds of hemorrhagic strokes?
A - cerebral aneurysm - AVM (arterio-venous malformation)
Q4 Describe an ischemic stroke (thombotic).
A - occurs when there is a clot in the cerebral artery - embolus from another body part travels to the
brain - the occlusion of blood supply is IMMEDIATE - neuro deficits or LOC happens instantly
Q5 What are some stats on strokes?
A - 5th leading cause of death in the U.S. - #1 cause of disability in adults - pathetic recurrence rate
Q6 What demographics are at the greatest risk for stroke?
A African Americans and patients with hypertension
Q7 What are some risk factors for an ischemic stroke (clot)?
A Hypertension/hyperlipidemia Elderly Atrial fibrillation Diabetes Smoking/sex (male)
Q8 What are some risk factors for a hemorrhagic stroke (bleed)?
A Headache Younger AVM and aneurysm Drugs like cocaine
Q9 What are some other stroke risk factors?
A - aneurysm - obesity - atherosclerosis - hypercoagulability - birth control (oral) - stressful working
conditions - sleep apnea
Q10 What are some afib treatment options?
A - rate control - ablation - anti-coagulants and anti-platelet drugs
Q11 What is the BEFAST acronym for stroke recognition?
A Balance (difficulties) Eyesight (changes) Face (uneven?) Arm (one arm hanging down?) Speech
(slurred speech?) Time (call 911 now)
Q12 What is a TIA?
A mini stroke or warning of impending stroke
Page 1 of 12
, NUR 318 - Perfusion (Exam 3) – UPDATED Questions with 100% Verified Answers
Section 2: Some, Stroke, Symptoms (Q13–Q24)
Question & Answer
Q13 What are some stroke symptoms for women?
A - face drooping - arm weakness - speech difficulties - vision problems - trouble walking or lack of
coordination - severe headache without a known cause - general weakness - disorientation and
confusion or memory problems
Q14 What are some stroke symptoms for men?
A - face drooping - arm weakness - speech difficulty - vision problems - trouble walking or lack of
coordination - severe headache without a known cause
Q15 What are some nursing interventions for a stroke (BRAIN attack)?
A - BP monitoring (don't lower too much because it may decrease perfusion to vital organs) -
Respirations (monitor) - Airway (monitor for aspiration risk) - IV access (always be prepared) -
Normoglycemic (diabetes is a risk factor for stroke)
Q16 What are some nursing interventions for a stroke (brain ATTACK)?
A - Aspirin - Temp <37.0 C (treat if high) - TEDS compression stockings to prevent VTE - Assess water
swallow test - CT stat (10 minutes once they get in the door; non-contrast) - Keep HOB up 30+
degrees/low Fowlers to decrease pressure on the brain from laying down
Q17 What can an MRI determine?
A edema, ischemia, or necrosis
Q18 What are four groups of medications for CVA?
A - anticoagulants (subq) - anti-platelets - alteplase - anti-eleptic *coumadin and heparin drip
Q19 Describe alteplase.
A fibrinolytic therapy using tpa (tissue plasminogen activator) - window shut at 3-4.5 hours post
baseline - must have special training
Q20 What are some symptoms of a left cerebral hemisphere stroke.
A - right hemiplegia (paralysis) or hemiparesis - aphasia - expressive + receptive - agnosia (unable to
recognize objects) - alexia (difficulty reading) - agraphia (writing difficulty) - anger (frustration) -
slow, cautious behavior - altered inellectual ability
Q21 What are some symptoms of a right cerebral hemisphere stroke?
A - left hemiplegia (paralysis) or hemiparesis - unilateral neglect - poor judgement, impulsive behavior
- loss of depth perception - hemianospia (loss of 1/2 vision) - increased distractibility - lack of
awareness of deficits
Q22 What are some stroke interventions in the hyperacute phase?
A - ABC - NIH stroke scale (NIHSS) - bleeds got to ICU - bore hole - clots get clot-busters - carotid
artery angioplasty with stents - carotid endartectomy - ream out
Q23 What are some post-stroke interventions?
A - bedside dysphagia screening before eating - help with communication - prevent skin breakdown -
prevent contractions - safety, safety, safety - support affected shoulder - cope with frustration
Page 2 of 12
