HESI Case Studies – Stroke Test Questions and Answers
Graded A+
The Emergency Department (ED) nurse preparing Mr. Jones and his son for this
completes the admission assessment. Mr. Jones procedure? - ANSWER -Explain procedure
is alert but struggles to answer questions. When requires client to lie completely still
he attempts to talk, he slurs his speech and
appears very frightened. Which additional clinical
manifestations should the nurse expect to find if The neurologist also prescribes a magnetic
Mr. Jones' symptoms have been caused by a resonance imaging (MRI) of the head STAT.
stroke? - ANSWER -carotid bruit Which data warrants immediate intervention by
the nurse concerning this diagnostic test? -
elevated BP ANSWER -left hip replacement
hyporeflexic DTR
Which explanation by the nurse is the most
therapeutic response? - ANSWER -"Your
Which assessment finding warrants immediate father has had a stroke, and the blood supply to
intervention by the RN? (Select all) - the brain has been compromised."
ANSWER -Mr. Jones' Glasgow Coma
Scale (GCS) score changes from 12 to 9
Barry is visibly upset and states, "Dad has been
Mr. Jones has a positive Babinski's reflex fine all week. We even went out to dinner. I love
bilaterally him so much and I am scared." How should the
nurse respond? - ANSWER -"I know this is
Mr. Jones is unable to verbalize responses to the scary for you. Would you like to sit and talk?"
nurse's questions
The neurologist diagnoses an ischemic right-
Due to his deteriorating condition, the neurologist sided stroke. The neurologist determines that Mr.
is consulted to see Mr. Jones immediately. The Jones is not a candidate for tissue plasminogen
nurse suspects that Mr. Jones has probably activator (tPA). Enoxaparin 1 mg/kg
suffered a right-sided stroke. Which clinical subcutaneously every 12 hours is prescribed.Mr.
manifestations further support this assessment? - Jones weighs 170 pounds. How many mg of
ANSWER -increased distractibility enoxaparin will the nurse administer in each
dose? (Enter the numerical value only. If
visual deficit on left side rounding is required, round to the whole number).
- ANSWER -77
spatial-perceptual deficits
170/2.2= 77.27
paresthesia on left side
With a diagnosis of a stroke, which priority
The neurologist writes a diagnosis of "suspected intervention should the nurse include in Mr.
stroke" and prescribes a computed tomography Jones' plan of care? -
ANSWER -monitor
(CT) scan without contrast STAT. Which
glucose daily
intervention should the nurse implement when
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Graded A+
The Emergency Department (ED) nurse preparing Mr. Jones and his son for this
completes the admission assessment. Mr. Jones procedure? - ANSWER -Explain procedure
is alert but struggles to answer questions. When requires client to lie completely still
he attempts to talk, he slurs his speech and
appears very frightened. Which additional clinical
manifestations should the nurse expect to find if The neurologist also prescribes a magnetic
Mr. Jones' symptoms have been caused by a resonance imaging (MRI) of the head STAT.
stroke? - ANSWER -carotid bruit Which data warrants immediate intervention by
the nurse concerning this diagnostic test? -
elevated BP ANSWER -left hip replacement
hyporeflexic DTR
Which explanation by the nurse is the most
therapeutic response? - ANSWER -"Your
Which assessment finding warrants immediate father has had a stroke, and the blood supply to
intervention by the RN? (Select all) - the brain has been compromised."
ANSWER -Mr. Jones' Glasgow Coma
Scale (GCS) score changes from 12 to 9
Barry is visibly upset and states, "Dad has been
Mr. Jones has a positive Babinski's reflex fine all week. We even went out to dinner. I love
bilaterally him so much and I am scared." How should the
nurse respond? - ANSWER -"I know this is
Mr. Jones is unable to verbalize responses to the scary for you. Would you like to sit and talk?"
nurse's questions
The neurologist diagnoses an ischemic right-
Due to his deteriorating condition, the neurologist sided stroke. The neurologist determines that Mr.
is consulted to see Mr. Jones immediately. The Jones is not a candidate for tissue plasminogen
nurse suspects that Mr. Jones has probably activator (tPA). Enoxaparin 1 mg/kg
suffered a right-sided stroke. Which clinical subcutaneously every 12 hours is prescribed.Mr.
manifestations further support this assessment? - Jones weighs 170 pounds. How many mg of
ANSWER -increased distractibility enoxaparin will the nurse administer in each
dose? (Enter the numerical value only. If
visual deficit on left side rounding is required, round to the whole number).
- ANSWER -77
spatial-perceptual deficits
170/2.2= 77.27
paresthesia on left side
With a diagnosis of a stroke, which priority
The neurologist writes a diagnosis of "suspected intervention should the nurse include in Mr.
stroke" and prescribes a computed tomography Jones' plan of care? -
ANSWER -monitor
(CT) scan without contrast STAT. Which
glucose daily
intervention should the nurse implement when
1/4
