SCA STROKE 411 PROCTORED ASSESSMENT UPDATED
2025// WITH 250+ QUESTIONS AND 100% CORRECT
ANSWERS GRADED A+
A physician orders aspirin, 325 mg P.O. daily for a client who has
experienced a transient ischemic attack (TIA). The nurse should teach
the client that the physician has ordered this medication to:
control headache pain. enhance the immune response. reduce the chance
of blood clot formation. prevent intracranial bleeding. VERIFIED
ANSWER reduce the chance of blood clot formation
What is the expected outcome of thrombolytic drug therapy for stroke?
increased vascular permeability prevention of hemorrhage
vasoconstriction dissolved emboli VERIFIED ANSWER dissolved
emboli
When helping the client who has had a cerebrovascular accident (CVA)
learn self-care skills, the nurse should:
teach the client to put on clothing on the affected side first. dress the
client, explaining each step of the process as it is completed. encourage
the client to wear clothing designed especially for people who have had
a CVA. advise the client to ask for help when dressing. VERIFIED
ANSWER teach the client to put on clothing on the affected side first.
The results of which serologic test should the nurse have on the medical
record before a client is started on tissue plasminogen activator or
alteplase recombinant?
, Lee-White clotting time potassium level fibrin split product partial
thromboplastin time VERIFIED ANSWER partial thromboplastin time
During the first 24 hours after thrombolytic treatment for an ischemic
stroke, the primary goal is to control the client's:
temperature. respirations. pulse. blood pressure. VERIFIED ANSWER
blood pressure.
The nurse is assisting a client with a stroke who has homonymous
hemianopia. The nurse should understand that the client will:
forget the names of foods. have a preference for foods high in salt. eat
food on only half of the plate. not be able to swallow liquids. VERIFIED
ANSWER eat food on only half of the plate.
What is a priority nursing assessment in the first 24 hours after
admission of the client with a thrombotic stroke?
bowel sounds pupil size and pupillary response echocardiogram
cholesterol level VERIFIED ANSWER pupil size and pupillary response
A physician orders several drugs for a client with hemorrhagic stroke.
Which drug order should the nurse question?
Phenytoin Heparin sodium Dexamethasone Methyldopa VERIFIED
ANSWER Heparin sodium
,A client arrives in the emergency department with an ischemic stroke.
Because the health care team is considering administering tissue
plasminogen activator (t-PA) administration, the nurse should first:
ask what medications the client is taking. identify the time of onset of
the stroke. determine if the client is scheduled for any surgical
procedures. complete a history and health assessment. VERIFIED
ANSWER identify the time of onset of the stroke.
Which nursing interventions would be useful for a client with ICP
related to bleeding in the brain? Select all that apply.
Avoid any activities that cause a Valsalva maneuver. Follow the
physician's orders to increase fluid volume. Report changes in
neurologic status as soon as a worsening trend is identified. Use the
Glasgow Coma Scale to assess neurologic status at least every 2 hours.
VERIFIED ANSWER Avoid any activities that cause a Valsalva
maneuver.
Report changes in neurologic status as soon as a worsening trend is
identified.
A 76-year-old male client is brought to the clinic by his daughter. The
daughter states that her father has had two transient ischemic attacks
(TIAs) in the past week. The physician orders carotid angiography, and
the report reveals that the carotid artery has been narrowed by
atherosclerotic plaques. What treatment option does the nurse expect the
physician to offer this client to increase blood flow to the brain? Select
all that apply.
, Carotid endarterectomy Percutaneous transluminal coronary artery
angioplasty Removal of the carotid artery Administration of tissue
plasminogen activator Balloon angioplasty of the carotid artery followed
by stent placement VERIFIED ANSWER Balloon angioplasty of the
carotid artery followed by stent placement
Carotid endarterectomy
Which are contraindications for the administration of tissue plasminogen
activator (t-PA)? Select all that apply.
Ischemic stroke Systolic BP less than or equal to 185 mm Hg
Intracranial hemorrhage Age 18 years or older Major abdominal surgery
within 10 days VERIFIED ANSWER Intracranial hemorrhage
Which interventions would be recommended for a client with
dysphagia? Select all that apply.
Test the gag reflex before offering food or fluids. Place food on the
affected side of the mouth. Assist the client with meals. Allow ample
time to eat. VERIFIED ANSWER Test the gag reflex before offering
food or fluids.
Assist the client with meals.
Allow ample time to eat.
A client with atrial fibrillation is receiving coumadin to prevent clots
from forming in the atria. The order is for Coumadin (warfarin) 2.5 mg
2025// WITH 250+ QUESTIONS AND 100% CORRECT
ANSWERS GRADED A+
A physician orders aspirin, 325 mg P.O. daily for a client who has
experienced a transient ischemic attack (TIA). The nurse should teach
the client that the physician has ordered this medication to:
control headache pain. enhance the immune response. reduce the chance
of blood clot formation. prevent intracranial bleeding. VERIFIED
ANSWER reduce the chance of blood clot formation
What is the expected outcome of thrombolytic drug therapy for stroke?
increased vascular permeability prevention of hemorrhage
vasoconstriction dissolved emboli VERIFIED ANSWER dissolved
emboli
When helping the client who has had a cerebrovascular accident (CVA)
learn self-care skills, the nurse should:
teach the client to put on clothing on the affected side first. dress the
client, explaining each step of the process as it is completed. encourage
the client to wear clothing designed especially for people who have had
a CVA. advise the client to ask for help when dressing. VERIFIED
ANSWER teach the client to put on clothing on the affected side first.
The results of which serologic test should the nurse have on the medical
record before a client is started on tissue plasminogen activator or
alteplase recombinant?
, Lee-White clotting time potassium level fibrin split product partial
thromboplastin time VERIFIED ANSWER partial thromboplastin time
During the first 24 hours after thrombolytic treatment for an ischemic
stroke, the primary goal is to control the client's:
temperature. respirations. pulse. blood pressure. VERIFIED ANSWER
blood pressure.
The nurse is assisting a client with a stroke who has homonymous
hemianopia. The nurse should understand that the client will:
forget the names of foods. have a preference for foods high in salt. eat
food on only half of the plate. not be able to swallow liquids. VERIFIED
ANSWER eat food on only half of the plate.
What is a priority nursing assessment in the first 24 hours after
admission of the client with a thrombotic stroke?
bowel sounds pupil size and pupillary response echocardiogram
cholesterol level VERIFIED ANSWER pupil size and pupillary response
A physician orders several drugs for a client with hemorrhagic stroke.
Which drug order should the nurse question?
Phenytoin Heparin sodium Dexamethasone Methyldopa VERIFIED
ANSWER Heparin sodium
,A client arrives in the emergency department with an ischemic stroke.
Because the health care team is considering administering tissue
plasminogen activator (t-PA) administration, the nurse should first:
ask what medications the client is taking. identify the time of onset of
the stroke. determine if the client is scheduled for any surgical
procedures. complete a history and health assessment. VERIFIED
ANSWER identify the time of onset of the stroke.
Which nursing interventions would be useful for a client with ICP
related to bleeding in the brain? Select all that apply.
Avoid any activities that cause a Valsalva maneuver. Follow the
physician's orders to increase fluid volume. Report changes in
neurologic status as soon as a worsening trend is identified. Use the
Glasgow Coma Scale to assess neurologic status at least every 2 hours.
VERIFIED ANSWER Avoid any activities that cause a Valsalva
maneuver.
Report changes in neurologic status as soon as a worsening trend is
identified.
A 76-year-old male client is brought to the clinic by his daughter. The
daughter states that her father has had two transient ischemic attacks
(TIAs) in the past week. The physician orders carotid angiography, and
the report reveals that the carotid artery has been narrowed by
atherosclerotic plaques. What treatment option does the nurse expect the
physician to offer this client to increase blood flow to the brain? Select
all that apply.
, Carotid endarterectomy Percutaneous transluminal coronary artery
angioplasty Removal of the carotid artery Administration of tissue
plasminogen activator Balloon angioplasty of the carotid artery followed
by stent placement VERIFIED ANSWER Balloon angioplasty of the
carotid artery followed by stent placement
Carotid endarterectomy
Which are contraindications for the administration of tissue plasminogen
activator (t-PA)? Select all that apply.
Ischemic stroke Systolic BP less than or equal to 185 mm Hg
Intracranial hemorrhage Age 18 years or older Major abdominal surgery
within 10 days VERIFIED ANSWER Intracranial hemorrhage
Which interventions would be recommended for a client with
dysphagia? Select all that apply.
Test the gag reflex before offering food or fluids. Place food on the
affected side of the mouth. Assist the client with meals. Allow ample
time to eat. VERIFIED ANSWER Test the gag reflex before offering
food or fluids.
Assist the client with meals.
Allow ample time to eat.
A client with atrial fibrillation is receiving coumadin to prevent clots
from forming in the atria. The order is for Coumadin (warfarin) 2.5 mg
