Med surg exam 3 stroke practice
questions 2025 fully solved
The nurse in a primary care provider's office is assessing several patients today. Which patient is
most at risk for a stroke?
A. A 92-yr-old female patient who takes warfarin (Coumadin) for atrial fibrillation
B. A 28-yr-old male patient who uses marijuana after chemotherapy to control nausea
C. A 42-yr-old female patient who takes oral contraceptives and has migraine headaches
D. A 72-yr-old male patient who has hypertension and diabetes mellitus and smokes tobacco -
correct answer ✔✔ D. A 72-yr-old male patient who has hypertension and diabetes mellitus and
smokes tobacco
The nurse is teaching a senior citizen's group about signs and symptoms of a stroke. Which
statement by the nurse would provide accurate information?
A. "Take the person to the hospital if a headache lasts for more than 24 hours."
B. "Stroke symptoms usually start when the person is awake and physically active."
C. "A person with a transient ischemic attack has mild symptoms that will go away."
D. "Call 911 immediately if a person develops slurred speech or difficulty speaking." - correct
answer ✔✔ D. "Call 911 immediately if a person develops slurred speech or difficulty speaking."
When providing care to the patient with an acute stroke, which duty can be delegated to the
LPN/LVN?
A. Screen patient for tPA eligibility.
B. Assess the patient's ability to swallow.
C. Administer scheduled anticoagulant medications.
D. Place equipment needed for seizure precautions in the room. - correct answer ✔✔ C.
Administer scheduled anticoagulant medications.
,Which modifiable risk factor for stroke would be most important for the nurse to include when
planning a community education program?
A. Hypertension
B. Hyperlipidemia
C. Alcohol consumption
D. Oral contraceptive use - correct answer ✔✔ A. Hypertension
The nurse would expect to find what clinical manifestation in a patient admitted with a left-
sided stroke?
A. Impulsivity
B. Impaired speech
C. Left-side neglect
D. Short attention span - correct answer ✔✔ B. Impaired speech
Which intervention is most appropriate when communicating with a patient with aphasia after a
stroke?
A. Present several thoughts at once so that the patient can connect the ideas.
B. Ask open-ended questions to provide the patient the opportunity to speak.
C. Finish the patient's sentences to minimize frustration associated with slow speech.
D. Use simple, short sentences accompanied by visual cues to enhance comprehension. -
correct answer ✔✔ D. Use simple, short sentences accompanied by visual cues to enhance
comprehension.
A CT scan of a 68-yr-old male patient's head reveals that he has experienced a hemorrhagic
stroke. What is the priority nursing intervention in the emergency department?
A. Maintenance of the patient's airway
B. Positioning to promote cerebral perfusion
, C. Control of fluid and electrolyte imbalances
D. Administration of tissue plasminogen activator (tPA) - correct answer ✔✔ A. Maintenance of
the patient's airway
A female patient has left-sided hemiplegia after an ischemic stroke 4 days earlier. How should
the nurse promote skin integrity?
A. Position the patient on her weak side the majority of the time.
B. Alternate the patient's positioning between supine and side-lying.
C. Avoid the use of pillows in order to promote independence in positioning.D. Establish a
schedule for the massage of areas where skin breakdown emerges. - correct answer ✔✔ B.
Alternate the patient's positioning between supine and side-lying.
Which sensory-perceptual deficit is associated with left-sided stroke (right hemiplegia)? A.
Overestimation of physical abilities
B. Difficulty judging position and distance
C. Slow and possibly fearful performance of tasks
D. Impulsivity and impatience at performing tasks - correct answer ✔✔ C. Slow and possibly
fearful performance of tasks
The female patient has been brought to the emergency department complaining of the most
severe headache of her life. Which type of stroke should the nurse anticipate? A. TIA
B. Embolic stroke
C. Thrombotic stroke
D. Subarachnoid hemorrhage - correct answer ✔✔ D. Subarachnoid hemorrhage
The patient with diabetes mellitus had a right-sided stroke. Which nursing intervention should
the nurse plan to provide for this patient?
A. Safety measures
B. Patience with communication
questions 2025 fully solved
The nurse in a primary care provider's office is assessing several patients today. Which patient is
most at risk for a stroke?
A. A 92-yr-old female patient who takes warfarin (Coumadin) for atrial fibrillation
B. A 28-yr-old male patient who uses marijuana after chemotherapy to control nausea
C. A 42-yr-old female patient who takes oral contraceptives and has migraine headaches
D. A 72-yr-old male patient who has hypertension and diabetes mellitus and smokes tobacco -
correct answer ✔✔ D. A 72-yr-old male patient who has hypertension and diabetes mellitus and
smokes tobacco
The nurse is teaching a senior citizen's group about signs and symptoms of a stroke. Which
statement by the nurse would provide accurate information?
A. "Take the person to the hospital if a headache lasts for more than 24 hours."
B. "Stroke symptoms usually start when the person is awake and physically active."
C. "A person with a transient ischemic attack has mild symptoms that will go away."
D. "Call 911 immediately if a person develops slurred speech or difficulty speaking." - correct
answer ✔✔ D. "Call 911 immediately if a person develops slurred speech or difficulty speaking."
When providing care to the patient with an acute stroke, which duty can be delegated to the
LPN/LVN?
A. Screen patient for tPA eligibility.
B. Assess the patient's ability to swallow.
C. Administer scheduled anticoagulant medications.
D. Place equipment needed for seizure precautions in the room. - correct answer ✔✔ C.
Administer scheduled anticoagulant medications.
,Which modifiable risk factor for stroke would be most important for the nurse to include when
planning a community education program?
A. Hypertension
B. Hyperlipidemia
C. Alcohol consumption
D. Oral contraceptive use - correct answer ✔✔ A. Hypertension
The nurse would expect to find what clinical manifestation in a patient admitted with a left-
sided stroke?
A. Impulsivity
B. Impaired speech
C. Left-side neglect
D. Short attention span - correct answer ✔✔ B. Impaired speech
Which intervention is most appropriate when communicating with a patient with aphasia after a
stroke?
A. Present several thoughts at once so that the patient can connect the ideas.
B. Ask open-ended questions to provide the patient the opportunity to speak.
C. Finish the patient's sentences to minimize frustration associated with slow speech.
D. Use simple, short sentences accompanied by visual cues to enhance comprehension. -
correct answer ✔✔ D. Use simple, short sentences accompanied by visual cues to enhance
comprehension.
A CT scan of a 68-yr-old male patient's head reveals that he has experienced a hemorrhagic
stroke. What is the priority nursing intervention in the emergency department?
A. Maintenance of the patient's airway
B. Positioning to promote cerebral perfusion
, C. Control of fluid and electrolyte imbalances
D. Administration of tissue plasminogen activator (tPA) - correct answer ✔✔ A. Maintenance of
the patient's airway
A female patient has left-sided hemiplegia after an ischemic stroke 4 days earlier. How should
the nurse promote skin integrity?
A. Position the patient on her weak side the majority of the time.
B. Alternate the patient's positioning between supine and side-lying.
C. Avoid the use of pillows in order to promote independence in positioning.D. Establish a
schedule for the massage of areas where skin breakdown emerges. - correct answer ✔✔ B.
Alternate the patient's positioning between supine and side-lying.
Which sensory-perceptual deficit is associated with left-sided stroke (right hemiplegia)? A.
Overestimation of physical abilities
B. Difficulty judging position and distance
C. Slow and possibly fearful performance of tasks
D. Impulsivity and impatience at performing tasks - correct answer ✔✔ C. Slow and possibly
fearful performance of tasks
The female patient has been brought to the emergency department complaining of the most
severe headache of her life. Which type of stroke should the nurse anticipate? A. TIA
B. Embolic stroke
C. Thrombotic stroke
D. Subarachnoid hemorrhage - correct answer ✔✔ D. Subarachnoid hemorrhage
The patient with diabetes mellitus had a right-sided stroke. Which nursing intervention should
the nurse plan to provide for this patient?
A. Safety measures
B. Patience with communication
