MS2 QUIZ #9 CHAPTERS 23&24:
CEREBROVASCULAR ACCIDENT,
SPINAL CORD INJURY 2025/2026
ACCURATE ANSWERS
Which patient is at the greatest risk for a CVA?
a. A 20-year-old obese Latin woman who is taking birth control pills
b. A 40-year-old athletic white man with a family history of CVA
c. A 60-year-old Asian woman who smokes occasionally
d. A 65-year-old African-American man with hypertension - CORRECT ANSWERSANS: A 65-year-old
African-American man with hypertension
Older African Americans have a higher incidence of CVA than occasional smokers, young persons, or
athletes. Hypertension increases the risk.
A nurse is updating a teaching plan for a patient who sustained a TIA. What should the nurse be sure to
include?
a. Daily aspirin dose
b. Long rest periods daily
c. Reduction of fluid intake to 800 mL/day
d. High-carbohydrate diet - CORRECT ANSWERSANS: Daily aspirin dose
Daily aspirin reduces platelet aggregation and may prevent another attack. Reductions of fluid and long
rest periods encourage clot formation.
A patient recovering from a CVA asks the purpose of the warfarin (Coumadin). What is the best response
by the nurse regarding the purpose of Coumadin?
, a. Dissolves the clot
b. Prevents the formation of new clots
c. Dilates the vessels to improve blood flow
d. Suppresses the formation of platelets - CORRECT ANSWERSANS: Prevents the formation of new clots
Coumadin and heparin prevent more clots rather than dissolving them. Coumadin has no effect on
vasodilation or blood cell production.
What should a nurse ensure as a priority for a patient immediately after a CVA?
a. Preservation of motor function
b. Airway maintenance
c. Adequate hydration
d. Control of elimination - CORRECT ANSWERSANS: Airway maintenance
Adequate oxygenation prevents hypoxemia, which can extend and worsen effects of the CVA.
When should a nurse recognize that the acute phase of a CVA has ended?
a. Forty-eight hours has passed from its onset.
b. The patient begins to respond verbally.
c. BP drops.
d. Vital signs and neurologic signs stabilize. - CORRECT ANSWERSANS: Vital signs and neurologic signs
stabilize.
When the vital and neurologic signs stabilize, the acute phase has ended. Verbal response, lower BP,
and the passage of time without other signs are not adequate evidence that the acute phase has ended.
A patient in the acute phase of a CVA who has been speaking distinctly begins to speak indistinctly and
only with great effort but still coherent. What should this nurse determine when assessing this patient?
CEREBROVASCULAR ACCIDENT,
SPINAL CORD INJURY 2025/2026
ACCURATE ANSWERS
Which patient is at the greatest risk for a CVA?
a. A 20-year-old obese Latin woman who is taking birth control pills
b. A 40-year-old athletic white man with a family history of CVA
c. A 60-year-old Asian woman who smokes occasionally
d. A 65-year-old African-American man with hypertension - CORRECT ANSWERSANS: A 65-year-old
African-American man with hypertension
Older African Americans have a higher incidence of CVA than occasional smokers, young persons, or
athletes. Hypertension increases the risk.
A nurse is updating a teaching plan for a patient who sustained a TIA. What should the nurse be sure to
include?
a. Daily aspirin dose
b. Long rest periods daily
c. Reduction of fluid intake to 800 mL/day
d. High-carbohydrate diet - CORRECT ANSWERSANS: Daily aspirin dose
Daily aspirin reduces platelet aggregation and may prevent another attack. Reductions of fluid and long
rest periods encourage clot formation.
A patient recovering from a CVA asks the purpose of the warfarin (Coumadin). What is the best response
by the nurse regarding the purpose of Coumadin?
, a. Dissolves the clot
b. Prevents the formation of new clots
c. Dilates the vessels to improve blood flow
d. Suppresses the formation of platelets - CORRECT ANSWERSANS: Prevents the formation of new clots
Coumadin and heparin prevent more clots rather than dissolving them. Coumadin has no effect on
vasodilation or blood cell production.
What should a nurse ensure as a priority for a patient immediately after a CVA?
a. Preservation of motor function
b. Airway maintenance
c. Adequate hydration
d. Control of elimination - CORRECT ANSWERSANS: Airway maintenance
Adequate oxygenation prevents hypoxemia, which can extend and worsen effects of the CVA.
When should a nurse recognize that the acute phase of a CVA has ended?
a. Forty-eight hours has passed from its onset.
b. The patient begins to respond verbally.
c. BP drops.
d. Vital signs and neurologic signs stabilize. - CORRECT ANSWERSANS: Vital signs and neurologic signs
stabilize.
When the vital and neurologic signs stabilize, the acute phase has ended. Verbal response, lower BP,
and the passage of time without other signs are not adequate evidence that the acute phase has ended.
A patient in the acute phase of a CVA who has been speaking distinctly begins to speak indistinctly and
only with great effort but still coherent. What should this nurse determine when assessing this patient?
