NCLEX Stroke Test Questions and Answers Rated A
The nurse is assigned to care for a client the family understands the measures to use
with complete right-sided hemiparesis from a when
stroke (brain attack).Which characteristics are caring for the client?
associated 1. "We need to discourage him from wearing
with this condition? Select all that apply. eyeglasses."
1. The client is aphasic. 2. "We need to place objects in his impaired field
2. The client has weakness on the right side of of vision."
the body. 3. "We need to approach him from the impaired
3. The client has complete bilateral paralysis of field of vision."
the arms and legs. 4. "We need to remind him to turn his head to
4. The client has weakness on the right side of scan the lost visual field." - -ANSWER: 4
the face and tongue. Rationale: Homonymous hemianopsia is loss of
5. The client has lost the abilityto move the right half of the visual field. The client with
arm but is able to walk independently. homonymous hemianopsia should have objects
6. The client has lost the ability to ambulate placed in the intact field of vision, and the nurse
independently but is able to feed and bathe also should approach the client from the intact
himself or herself without assistance - - side. The nurse
ANSWER: 1, 2, 4 instructs the client to scan the environment to
Rationale: Hemiparesis is a weakness of one overcome the visual deficit and does client
side of the body that may occur after a stroke. It teaching from within the intact field of vision. The
involves weakness of the face and tongue, arm, nurse encourages the use of personal
and leg on one side. These clients are also eyeglasses,
aphasic: unable to discriminate words and if they are available.
letters. They are generally ------------------------------------------------
very cautious and get anxious when attempting a Test-Taking Strategy: Focus on the subject,
new task. Complete bilateral paralysis does not homonymous hemianopsia. Eliminate options 2
occur in hemiparesis. The client with right-sided and 3 first because they are comparable or alike.
hemiparesis has weakness of the right arm and Recalling the definition of homonymous
leg and needs assistance with feeding, bathing, hemianopsia will direct you easily to the correct
and ambulating. option
----------------------------------------------
Test-Taking Strategy: Focus on the subject,
right-sided hemiparesis. Recalling that The nurse is assessing the adaptation of a client
hemiparesis indicates weakness on one side of to changes in functional status after a stroke
the body and focusing on the subject will direct (brain attack). Which observation indicates
you to the correct option. Also, noting the word to the nurse that the client is adapting most
complete in the question will assist you in successfully?
answering correctly. 1. Gets angry with family if they interrupt a task
2. Experiences bouts of depression and irritability
3. Has difficulty with using modified feeding
The nurse has instructed the family of a client utensils
with 4. Consistently uses adaptive equipment in
stroke (brain attack) who has homonymous dressing
hemianopsia about measures to help the client self - -ANSWER: 4
overcome the deficit. Which statement suggests Rationale: Clients are evaluated as coping
that successfully with lifestyle changes after a stroke
1/5
, NCLEX Stroke Test Questions and Answers Rated A
if they make appropriate lifestyle alterations, use the brain happens due to a break in a blood
the assistance of others, and have appropriate vessel. Risk factors for a hemorrhagic stroke is
social interactions. Options 1 and 2 are not uncontrolled hypertension, history of brain
adaptive behaviors; option 3 indicates a not yet aneurysm, old age (due to aging blood vessels.)
successful attempt to adapt. All the other options are at risk for an ischemic
---------------------------------------------- type of stroke.
Test-Taking Strategy: Note the strategic word,
most, and focus on the subject, indications that a
client who has had a stroke is adapting most You're educating a patient about transient
successfully. Options 1 and 2 are behaviors that ischemic attacks (TIAs). Select all the options
may be expected in the client with a stroke, but that are incorrect about this condition:*
they are not adaptive responses. Instead, they A. TIAs are caused by a temporary decrease in
are a result of the insult to the brain. Options 3 blood flow to the brain.
and 4 indicate that the client is trying to adapt, B. TIAs produce signs and symptoms that can
but the correct option has the best outcome. last for several weeks to months.
C. A TIAs is a warning sign that an impending
stroke may occur.
A patient is admitted with uncontrolled atrial D. TIAs don't require medical treatment. - -
fibrillation. The patient's medication history The answers are B and D.
includes vitamin D supplements and calcium. Options A and C are CORRECT statements
What type of stroke is this patient at MOST risk about TIAs. However, option B is wrong because
for?* TIAs produce signs and symptoms that can last a
A. Ischemic thrombosis few minutes to hours and resolve (NOT several
B. Ischemic embolism weeks to months). Option D is wrong be TIAs do
C. Hemorrhagic require medical treatment.
D. Ischemic stenosis - -The answer is B.
If a patient is in uncontrolled a-fib they are at risk
for clot formation within the heart chambers. This A patient who suffered a stroke one month ago is
clot can leave the heart and travel to the brain. experiencing hearing problems along with issues
Hence, an ischemic embolism type stroke can learning and showing emotion. On the MRI what
occur. An ischemic thrombosis type stroke is lobe in the brain do you expect to be affected?*
where a clot forms within the artery wall of the A. Frontal lobe
neck or brain. B. Occipital lobe
C. Parietal lobe
D. Temporal - -The answer is D.
Which patient below is at most risk for a The temporal lobe is responsible for hearing,
hemorrhagic stroke?* learning, and feelings/emotions
A. A 65 year old male patient with carotid
stenosis.
B. A 89 year old female with atherosclerosis. A patient's MRI imaging shows damage to the
C. A 88 year old male with uncontrolled cerebellum a week after the patient suffered a
hypertension and a history of brain aneurysm stroke. What assessment findings would
repair 2 years ago. correlate with this MRI finding?*
D. A 55 year old female with atrial flutter. - A. Vision problems
-The answer is C. B. Balance impairment
A hemorrhagic stroke occurs when bleeding in C. Language difficulty
2/5
The nurse is assigned to care for a client the family understands the measures to use
with complete right-sided hemiparesis from a when
stroke (brain attack).Which characteristics are caring for the client?
associated 1. "We need to discourage him from wearing
with this condition? Select all that apply. eyeglasses."
1. The client is aphasic. 2. "We need to place objects in his impaired field
2. The client has weakness on the right side of of vision."
the body. 3. "We need to approach him from the impaired
3. The client has complete bilateral paralysis of field of vision."
the arms and legs. 4. "We need to remind him to turn his head to
4. The client has weakness on the right side of scan the lost visual field." - -ANSWER: 4
the face and tongue. Rationale: Homonymous hemianopsia is loss of
5. The client has lost the abilityto move the right half of the visual field. The client with
arm but is able to walk independently. homonymous hemianopsia should have objects
6. The client has lost the ability to ambulate placed in the intact field of vision, and the nurse
independently but is able to feed and bathe also should approach the client from the intact
himself or herself without assistance - - side. The nurse
ANSWER: 1, 2, 4 instructs the client to scan the environment to
Rationale: Hemiparesis is a weakness of one overcome the visual deficit and does client
side of the body that may occur after a stroke. It teaching from within the intact field of vision. The
involves weakness of the face and tongue, arm, nurse encourages the use of personal
and leg on one side. These clients are also eyeglasses,
aphasic: unable to discriminate words and if they are available.
letters. They are generally ------------------------------------------------
very cautious and get anxious when attempting a Test-Taking Strategy: Focus on the subject,
new task. Complete bilateral paralysis does not homonymous hemianopsia. Eliminate options 2
occur in hemiparesis. The client with right-sided and 3 first because they are comparable or alike.
hemiparesis has weakness of the right arm and Recalling the definition of homonymous
leg and needs assistance with feeding, bathing, hemianopsia will direct you easily to the correct
and ambulating. option
----------------------------------------------
Test-Taking Strategy: Focus on the subject,
right-sided hemiparesis. Recalling that The nurse is assessing the adaptation of a client
hemiparesis indicates weakness on one side of to changes in functional status after a stroke
the body and focusing on the subject will direct (brain attack). Which observation indicates
you to the correct option. Also, noting the word to the nurse that the client is adapting most
complete in the question will assist you in successfully?
answering correctly. 1. Gets angry with family if they interrupt a task
2. Experiences bouts of depression and irritability
3. Has difficulty with using modified feeding
The nurse has instructed the family of a client utensils
with 4. Consistently uses adaptive equipment in
stroke (brain attack) who has homonymous dressing
hemianopsia about measures to help the client self - -ANSWER: 4
overcome the deficit. Which statement suggests Rationale: Clients are evaluated as coping
that successfully with lifestyle changes after a stroke
1/5
, NCLEX Stroke Test Questions and Answers Rated A
if they make appropriate lifestyle alterations, use the brain happens due to a break in a blood
the assistance of others, and have appropriate vessel. Risk factors for a hemorrhagic stroke is
social interactions. Options 1 and 2 are not uncontrolled hypertension, history of brain
adaptive behaviors; option 3 indicates a not yet aneurysm, old age (due to aging blood vessels.)
successful attempt to adapt. All the other options are at risk for an ischemic
---------------------------------------------- type of stroke.
Test-Taking Strategy: Note the strategic word,
most, and focus on the subject, indications that a
client who has had a stroke is adapting most You're educating a patient about transient
successfully. Options 1 and 2 are behaviors that ischemic attacks (TIAs). Select all the options
may be expected in the client with a stroke, but that are incorrect about this condition:*
they are not adaptive responses. Instead, they A. TIAs are caused by a temporary decrease in
are a result of the insult to the brain. Options 3 blood flow to the brain.
and 4 indicate that the client is trying to adapt, B. TIAs produce signs and symptoms that can
but the correct option has the best outcome. last for several weeks to months.
C. A TIAs is a warning sign that an impending
stroke may occur.
A patient is admitted with uncontrolled atrial D. TIAs don't require medical treatment. - -
fibrillation. The patient's medication history The answers are B and D.
includes vitamin D supplements and calcium. Options A and C are CORRECT statements
What type of stroke is this patient at MOST risk about TIAs. However, option B is wrong because
for?* TIAs produce signs and symptoms that can last a
A. Ischemic thrombosis few minutes to hours and resolve (NOT several
B. Ischemic embolism weeks to months). Option D is wrong be TIAs do
C. Hemorrhagic require medical treatment.
D. Ischemic stenosis - -The answer is B.
If a patient is in uncontrolled a-fib they are at risk
for clot formation within the heart chambers. This A patient who suffered a stroke one month ago is
clot can leave the heart and travel to the brain. experiencing hearing problems along with issues
Hence, an ischemic embolism type stroke can learning and showing emotion. On the MRI what
occur. An ischemic thrombosis type stroke is lobe in the brain do you expect to be affected?*
where a clot forms within the artery wall of the A. Frontal lobe
neck or brain. B. Occipital lobe
C. Parietal lobe
D. Temporal - -The answer is D.
Which patient below is at most risk for a The temporal lobe is responsible for hearing,
hemorrhagic stroke?* learning, and feelings/emotions
A. A 65 year old male patient with carotid
stenosis.
B. A 89 year old female with atherosclerosis. A patient's MRI imaging shows damage to the
C. A 88 year old male with uncontrolled cerebellum a week after the patient suffered a
hypertension and a history of brain aneurysm stroke. What assessment findings would
repair 2 years ago. correlate with this MRI finding?*
D. A 55 year old female with atrial flutter. - A. Vision problems
-The answer is C. B. Balance impairment
A hemorrhagic stroke occurs when bleeding in C. Language difficulty
2/5
