HESI RN EXIT CASE STUDY: STROKE UPDATED AND
REVISED IN 2024-2025 DECEMBER
The Emergency Department (ED) nurse completes the
admission assessment. Mr. Jones is alert but struggles to
answer questions. When he attempts to talk, he slurs his
speech and appears very frightened. Which additional clinical
manifestations should the nurse expect to find if Mr. Jones'
symptoms have been caused by a stroke? - ANSWER->carotid
bruit
elevated BP
hyporeflexic DTR
Which assessment finding warrants immediate intervention by
the RN? (Select all) - ANSWER->Mr. Jones' Glasgow Coma Scale
(GCS) score changes from 12 to 9
Mr. Jones has a positive Babinski's reflex bilaterally
Mr. Jones is unable to verbalize responses to the nurse's
questions
Due to his deteriorating condition, the neurologist is consulted
to see Mr. Jones immediately. The nurse suspects that Mr.
Jones has probably suffered a right-sided stroke. Which clinical
manifestations further support this assessment? - ANSWER-
>increased distractibility
, visual deficit on left side
spatial-perceptual deficits
paresthesia on left side
The neurologist writes a diagnosis of "suspected stroke" and
prescribes a computed tomography (CT) scan without contrast
STAT. Which intervention should the nurse implement when
preparing Mr. Jones and his son for this procedure? - ANSWER-
>Explain procedure requires client to lie completely still
The neurologist also prescribes a magnetic resonance imaging
(MRI) of the head STAT. Which data warrants immediate
intervention by the nurse concerning this diagnostic test? -
ANSWER->left hip replacement
Which explanation by the nurse is the most therapeutic
response? - ANSWER->"Your father has had a stroke, and the
blood supply to the brain has been compromised."
Barry is visibly upset and states, "Dad has been fine all week.
We even went out to dinner. I love him so much and I am
scared." How should the nurse respond? - ANSWER->"I know
this is scary for you. Would you like to sit and talk?"
The neurologist diagnoses an ischemic right-sided stroke. The
neurologist determines that Mr. Jones is not a candidate for
REVISED IN 2024-2025 DECEMBER
The Emergency Department (ED) nurse completes the
admission assessment. Mr. Jones is alert but struggles to
answer questions. When he attempts to talk, he slurs his
speech and appears very frightened. Which additional clinical
manifestations should the nurse expect to find if Mr. Jones'
symptoms have been caused by a stroke? - ANSWER->carotid
bruit
elevated BP
hyporeflexic DTR
Which assessment finding warrants immediate intervention by
the RN? (Select all) - ANSWER->Mr. Jones' Glasgow Coma Scale
(GCS) score changes from 12 to 9
Mr. Jones has a positive Babinski's reflex bilaterally
Mr. Jones is unable to verbalize responses to the nurse's
questions
Due to his deteriorating condition, the neurologist is consulted
to see Mr. Jones immediately. The nurse suspects that Mr.
Jones has probably suffered a right-sided stroke. Which clinical
manifestations further support this assessment? - ANSWER-
>increased distractibility
, visual deficit on left side
spatial-perceptual deficits
paresthesia on left side
The neurologist writes a diagnosis of "suspected stroke" and
prescribes a computed tomography (CT) scan without contrast
STAT. Which intervention should the nurse implement when
preparing Mr. Jones and his son for this procedure? - ANSWER-
>Explain procedure requires client to lie completely still
The neurologist also prescribes a magnetic resonance imaging
(MRI) of the head STAT. Which data warrants immediate
intervention by the nurse concerning this diagnostic test? -
ANSWER->left hip replacement
Which explanation by the nurse is the most therapeutic
response? - ANSWER->"Your father has had a stroke, and the
blood supply to the brain has been compromised."
Barry is visibly upset and states, "Dad has been fine all week.
We even went out to dinner. I love him so much and I am
scared." How should the nurse respond? - ANSWER->"I know
this is scary for you. Would you like to sit and talk?"
The neurologist diagnoses an ischemic right-sided stroke. The
neurologist determines that Mr. Jones is not a candidate for
