STROKE NCLEX QUESTIONS WITH ALL
CORRECT ANSWERS 2025 UPDATE
A diagnosis of a ruptured cerebral aneurysm has been made in a patient with
manifestations of a stroke. The nurse anticipates that treatment options that would be
evaluated for the patient include
a. hyperventilation therapy
b. surgical clipping of the aneurysm
c. administration of hyperosmotic agents
d. administration of thrombolytic therapy - Answer-b
During the acute phase of a stroke, the nurse assesses the patient's vital signs and
neurologic status every 4 hours. A cardiovascular sign that the nurse would see as the
body attempts to increase cerebral blood flow is
a. hypertension
b. fluid overload
c. cardiac dysrhythmias
d. S3 and S4 heart sounds - Answer-a
During the secondary assessment of a patient with a stroke, what should be included
(select all that apply)?
a. gaze
b. sensation
c. facial palsy
d. proprioception
e. current medications
f. distal motor function - Answer-a, b, c, d, f
what is a nursing intervention that is indicated for the patient with hemiplegia?
a. the use of a footboard to prevent plantar flexion
b. immobilization of the affected arm against the chest with a sling
c. positioning the patient in bed with each joint lower than the joint proximal to it
d. having the patient perform passive rang of motion (ROM) of the affected limb with the
unaffected limb - Answer-d
a newly admitted patient diagnosed with a right sided brain stroke has homonymous
hemianopsia. early in the case of the patient what should the nurse do ?
a. place objects on the right side within the patients field of vision
b. approach the patient from the left side to assess the patients ability to compensate
c. place objects on the left side to assess the patients ability to compensate
, d. patch the affected eye to encourage patient to turn the head to scan the
environments - Answer-a
four days following a stroke, a patient is to start oral fluids and feedings. before feeding
the patient, what should the nurse do first?
a. check the patient's gag reflex
b. order a soft diet for the paitnet
c. raise the head of the bed to a sitting position
d. assess the patients ability to swallow tiny amounts of crushed ice - Answer-a
what is an appropriate food for a patient with a stroke who has mild dysphagia?
a. fruit juices
b. pureed meats
c. scrambled eggs
d. fortified milkshakes - Answer-c
a patients wife asks the nurse why her husband did not receive the clot-busting
medication (tissue plasminogen activators [tPA]) she has been riding about. her
husband is diagnosed with a hemorrhagic stroke. what is the best response by the
nurse to the patients wife?
a. " he didn't arrive within the time frame for that therapy"
b. " not everyone is eligible for this drug. has he had surgery lately?"
c. "you should discuss the treatment of your husband with his doctors"
d. "the medication you are talking about dissolves clots and could cause more bleeding
in your husbands brain" - Answer-d
the rehab nurse assesses the patient, caregiver and family before planning the rehab
program for this patient. what must be included in this assessment (select all that
apply)?
a. cognitive status of the family
b. patient resources and support
c. physical status of all body systems
d. rehab potential of patient
e. body strength remaining after the stroke
f. patient and caregiver expectation of the rehab - Answer-c, d, f
in promoting health maintenance for prevention of strokes, the nurse understands that
the highest risk for the most common type of stroke is present in which people?
a. blacks
b. women who smoke
c. persons with hypertension and diabetes
d. those who are obese with high dietary fat intake - Answer-c
a thrombus that develops in a cerebral artery does not always cause a loss of
neurologic function because
CORRECT ANSWERS 2025 UPDATE
A diagnosis of a ruptured cerebral aneurysm has been made in a patient with
manifestations of a stroke. The nurse anticipates that treatment options that would be
evaluated for the patient include
a. hyperventilation therapy
b. surgical clipping of the aneurysm
c. administration of hyperosmotic agents
d. administration of thrombolytic therapy - Answer-b
During the acute phase of a stroke, the nurse assesses the patient's vital signs and
neurologic status every 4 hours. A cardiovascular sign that the nurse would see as the
body attempts to increase cerebral blood flow is
a. hypertension
b. fluid overload
c. cardiac dysrhythmias
d. S3 and S4 heart sounds - Answer-a
During the secondary assessment of a patient with a stroke, what should be included
(select all that apply)?
a. gaze
b. sensation
c. facial palsy
d. proprioception
e. current medications
f. distal motor function - Answer-a, b, c, d, f
what is a nursing intervention that is indicated for the patient with hemiplegia?
a. the use of a footboard to prevent plantar flexion
b. immobilization of the affected arm against the chest with a sling
c. positioning the patient in bed with each joint lower than the joint proximal to it
d. having the patient perform passive rang of motion (ROM) of the affected limb with the
unaffected limb - Answer-d
a newly admitted patient diagnosed with a right sided brain stroke has homonymous
hemianopsia. early in the case of the patient what should the nurse do ?
a. place objects on the right side within the patients field of vision
b. approach the patient from the left side to assess the patients ability to compensate
c. place objects on the left side to assess the patients ability to compensate
, d. patch the affected eye to encourage patient to turn the head to scan the
environments - Answer-a
four days following a stroke, a patient is to start oral fluids and feedings. before feeding
the patient, what should the nurse do first?
a. check the patient's gag reflex
b. order a soft diet for the paitnet
c. raise the head of the bed to a sitting position
d. assess the patients ability to swallow tiny amounts of crushed ice - Answer-a
what is an appropriate food for a patient with a stroke who has mild dysphagia?
a. fruit juices
b. pureed meats
c. scrambled eggs
d. fortified milkshakes - Answer-c
a patients wife asks the nurse why her husband did not receive the clot-busting
medication (tissue plasminogen activators [tPA]) she has been riding about. her
husband is diagnosed with a hemorrhagic stroke. what is the best response by the
nurse to the patients wife?
a. " he didn't arrive within the time frame for that therapy"
b. " not everyone is eligible for this drug. has he had surgery lately?"
c. "you should discuss the treatment of your husband with his doctors"
d. "the medication you are talking about dissolves clots and could cause more bleeding
in your husbands brain" - Answer-d
the rehab nurse assesses the patient, caregiver and family before planning the rehab
program for this patient. what must be included in this assessment (select all that
apply)?
a. cognitive status of the family
b. patient resources and support
c. physical status of all body systems
d. rehab potential of patient
e. body strength remaining after the stroke
f. patient and caregiver expectation of the rehab - Answer-c, d, f
in promoting health maintenance for prevention of strokes, the nurse understands that
the highest risk for the most common type of stroke is present in which people?
a. blacks
b. women who smoke
c. persons with hypertension and diabetes
d. those who are obese with high dietary fat intake - Answer-c
a thrombus that develops in a cerebral artery does not always cause a loss of
neurologic function because
