Fundamentals Vsim Qs Final Exam Questions with 100% Correct Answers

1. When taking a patient's health history, which of the following does the nurse identify as risk factors for having a stroke? (Select all that apply.) a. Hypertension b. Recent weight loss c. Smoking d. Asthma e. Diabetes mellitus Correct Answer a,c,e 2. The nurse has an order to complete neurochecks every four hours. Which assessments would the nurse include in the neurological examination? (Select all that apply.) a. Cranial nerves b. Range of motion c. Level of consciousness d. Sensory perception e. Memory Correct Answer a,c,d,e 3. The nurse is caring for four medical-surgical patients. Which patient should be assessed using the Glasgow Coma Scale? a. An 85 year old patient with dementia and increasing confusion b. A 47 year old patient who suffered a brain injury and lost consciousness in a MVA c. A 51 year old patient with cancer who is experiencing episodes of anxiety and depression d. A 32 year old patient who is paraplegic and has pneumonia Correct Answer b 4. The nurse is caring for a patient who is suspected of having a stroke. What should be the nurse's first action to ensure patient safety when it appears the patient is having difficulty swallowing prescribed oral medication? a. Schedule an immediate speech therapist swallow study b. Educate the patient to the substantial risk of aspiration associated with a stroke c. Hold this dose of medication and make the patient NPO d. Notify the provider of the suspected problem Correct Answer c 5. A patient is experiencing dysphagia following a stroke. How should the nurse position the patient when administering medications? a. Supine b. Left lateral c. High Fowler's d. Semi-Fowler's Correct Answer c