STROKE- NCLEXACTUAL EXAM 2026 LATEST VERSION [QUESTIONS AND
ANSWERS] DETAILED AND VERIFIED FOR GUARANTEED PASS- LATEST UPDATE
GRADED A (BRAND NEW!!)
1. The nurse is caring for a pa- Diflculty swallowing
tient with a history of tran-
sient ischemic attacks (TIAs) The patient's inability to swallow without diflculty would cause
and moderate carotid stenosis the nurse the most concern. Diflculty in swallowing, hoarse-
who has undergone a carotid ness or other signs of cranial nerve dysfunction must be
endarterectomy. Which of the assessed. The nurse focuses on assessment of the following
following postoperative find- cranial nerves: facial (VII), vagus (X), spinal accessory (XI), and
ings would cause the nurse hypoglossal (XII). Some edema in the neck after surgery is ex-
the most concern? pected; however, extensive edema and hematoma formation
can obstruct the airway. Emergency airway supplies, including
those needed for a tracheostomy, must be available. The
a) Blood pressure (BP): 128/86 patient's neck pain and mild BP elevation need addressing but
mm Hg would not cause the nurse the most concern. Hypotension is
avoided to prevent cerebral ischemia and thrombosis. Uncon-
b) Neck pain: 3/10 (0 to 10 pain trolled hypertension may precipitate cerebral hemorrhage,
scale) edema, hemorrhage at the surgical incision, or disruption of
the arterial reconstruction.
c) Mild neck edema
d) Difficulty swallowing
2. An emergency department She is taking coumadin.
nurse is interviewing a client
with signs of an ischemic To be eligible for thrombolytic therapy, the client cannot be
stroke that began 2 hours ago. taking coumadin. Initiation of thrombolytic therapy must be
The client reports that she had within 3 hours in clients with ischemic stroke. The client is not
a cholecystectomy 6 weeks bolytic therapy for which of the
ago and is taking digoxin, following reasons?
coumadin, and labetelol. This
client is not eligible for throm-
,STROKE- NCLEXACTUAL EXAM 2026 LATEST VERSION [QUESTIONS AND
ANSWERS] DETAILED AND VERIFIED FOR GUARANTEED PASS- LATEST UPDATE
GRADED A (BRAND NEW!!)
eligible for thrombolytic therapy if she has had
surgery within 14 days. Digoxin and labetelol do
not prohibit thrombolytic therapy.
,STROKE- NCLEXACTUAL EXAM 2026 LATEST VERSION [QUESTIONS AND
ANSWERS] DETAILED AND VERIFIED FOR GUARANTEED PASS- LATEST UPDATE
GRADED A (BRAND NEW!!)
a) She is not within the treat-
ment time window.
b) She had surgery 6 weeks
ago.
c) She is taking digoxin.
d) She is taking coumadin.
3. Which disturbance results in Homonymous hemianopsia
loss of half of the visual field?
Homonymous hemianopsia (loss of half of the visual field)
may occur from stroke and may be temporary or permanent.
a) Anisocoria Double vision is documented as diplopia. Nystagmus is ocular
bobbing and may be seen in multiple sclerosis. Anisocoria is
b) Homonymous hemianop- unequal pupils.
sia
c) Nystagmus
d) Diplopia
4. A client with a cerebrovascular Perform a vision field assessment.
accident (CVA) is having diffi-
culty with eating food on the The nurse should perform a vision field assessment to eval-
plate. Which is the best nurs- uate the client forhemianopia. This finding could indicate
ing action to be taken? damage to the visual area of the brain as a result of evolving
CVA. Repositioning the tray and assisting with feeding would
not be the best nursing action until new finding has been
a) Reposition the tray and evaluated. Hemianopia can be associated with a CVA but,
, STROKE- NCLEX
Study online at https://quizlet.com/_54u2bo
plate. when presenting as a new finding, should be evaluated and
reported immediately. (less)
b) Perform a vision field as-
sessment.
c) Know this is a normal find-
ing for CVA.
d) Assist the client with feed-
ing.
5. A client is hospitalized when Transient ischemic attack
they present to the Emergency
Department with right-sided A transient ischemic attack (TIA) is a sudden, brief attack of
weakness. Within 6 hours of neurologic impairment caused by a temporary interruption in
being admitted, the neuro- cerebral blood flow. Symptoms may disappear within 1 hour;
logic deficits had resolved some continue for as long as 1 day. When the symptoms
and the client was back to terminate, the client resumes his or her presymptomatic state.
their presymptomatic state. The symptoms do not describe a left- or right-sided stroke or
The nurse caring for the client a cerebral aneurysm.
knows that the probable cause
of the neurologic deficit was
what?
a) Cerebral aneurysm
b) Transient ischemic attack
c) Left-sided stroke
d) Right-sided stroke
ANSWERS] DETAILED AND VERIFIED FOR GUARANTEED PASS- LATEST UPDATE
GRADED A (BRAND NEW!!)
1. The nurse is caring for a pa- Diflculty swallowing
tient with a history of tran-
sient ischemic attacks (TIAs) The patient's inability to swallow without diflculty would cause
and moderate carotid stenosis the nurse the most concern. Diflculty in swallowing, hoarse-
who has undergone a carotid ness or other signs of cranial nerve dysfunction must be
endarterectomy. Which of the assessed. The nurse focuses on assessment of the following
following postoperative find- cranial nerves: facial (VII), vagus (X), spinal accessory (XI), and
ings would cause the nurse hypoglossal (XII). Some edema in the neck after surgery is ex-
the most concern? pected; however, extensive edema and hematoma formation
can obstruct the airway. Emergency airway supplies, including
those needed for a tracheostomy, must be available. The
a) Blood pressure (BP): 128/86 patient's neck pain and mild BP elevation need addressing but
mm Hg would not cause the nurse the most concern. Hypotension is
avoided to prevent cerebral ischemia and thrombosis. Uncon-
b) Neck pain: 3/10 (0 to 10 pain trolled hypertension may precipitate cerebral hemorrhage,
scale) edema, hemorrhage at the surgical incision, or disruption of
the arterial reconstruction.
c) Mild neck edema
d) Difficulty swallowing
2. An emergency department She is taking coumadin.
nurse is interviewing a client
with signs of an ischemic To be eligible for thrombolytic therapy, the client cannot be
stroke that began 2 hours ago. taking coumadin. Initiation of thrombolytic therapy must be
The client reports that she had within 3 hours in clients with ischemic stroke. The client is not
a cholecystectomy 6 weeks bolytic therapy for which of the
ago and is taking digoxin, following reasons?
coumadin, and labetelol. This
client is not eligible for throm-
,STROKE- NCLEXACTUAL EXAM 2026 LATEST VERSION [QUESTIONS AND
ANSWERS] DETAILED AND VERIFIED FOR GUARANTEED PASS- LATEST UPDATE
GRADED A (BRAND NEW!!)
eligible for thrombolytic therapy if she has had
surgery within 14 days. Digoxin and labetelol do
not prohibit thrombolytic therapy.
,STROKE- NCLEXACTUAL EXAM 2026 LATEST VERSION [QUESTIONS AND
ANSWERS] DETAILED AND VERIFIED FOR GUARANTEED PASS- LATEST UPDATE
GRADED A (BRAND NEW!!)
a) She is not within the treat-
ment time window.
b) She had surgery 6 weeks
ago.
c) She is taking digoxin.
d) She is taking coumadin.
3. Which disturbance results in Homonymous hemianopsia
loss of half of the visual field?
Homonymous hemianopsia (loss of half of the visual field)
may occur from stroke and may be temporary or permanent.
a) Anisocoria Double vision is documented as diplopia. Nystagmus is ocular
bobbing and may be seen in multiple sclerosis. Anisocoria is
b) Homonymous hemianop- unequal pupils.
sia
c) Nystagmus
d) Diplopia
4. A client with a cerebrovascular Perform a vision field assessment.
accident (CVA) is having diffi-
culty with eating food on the The nurse should perform a vision field assessment to eval-
plate. Which is the best nurs- uate the client forhemianopia. This finding could indicate
ing action to be taken? damage to the visual area of the brain as a result of evolving
CVA. Repositioning the tray and assisting with feeding would
not be the best nursing action until new finding has been
a) Reposition the tray and evaluated. Hemianopia can be associated with a CVA but,
, STROKE- NCLEX
Study online at https://quizlet.com/_54u2bo
plate. when presenting as a new finding, should be evaluated and
reported immediately. (less)
b) Perform a vision field as-
sessment.
c) Know this is a normal find-
ing for CVA.
d) Assist the client with feed-
ing.
5. A client is hospitalized when Transient ischemic attack
they present to the Emergency
Department with right-sided A transient ischemic attack (TIA) is a sudden, brief attack of
weakness. Within 6 hours of neurologic impairment caused by a temporary interruption in
being admitted, the neuro- cerebral blood flow. Symptoms may disappear within 1 hour;
logic deficits had resolved some continue for as long as 1 day. When the symptoms
and the client was back to terminate, the client resumes his or her presymptomatic state.
their presymptomatic state. The symptoms do not describe a left- or right-sided stroke or
The nurse caring for the client a cerebral aneurysm.
knows that the probable cause
of the neurologic deficit was
what?
a) Cerebral aneurysm
b) Transient ischemic attack
c) Left-sided stroke
d) Right-sided stroke
