Stroke (Exam 4) questions with
correct answers rated A+
A client diagnosed with transient ischemic attacks (TIAs) is scheduled for a carotid
endarterectomy. The nurse explains that this procedure will be done for what purpose?
a)To decrease cerebral edema
b)To prevent seizure activity that is common following a TIA
c)To remove opera sclerotic plaques blocking cerebral flow
To determine the cause of the TIA - correct answer ✔✔ c) To remove opera sclerotic plaques
blocking cerebral flow
A client who just experienced a suspected ischemic stroke is brought to the ED by ambulance.
On what should the nurse is primary assessment focus?
a)Cardiac and respiratory status
b)Seizure activity
c)Pain
Fluid and electrolyte balance - correct answer ✔✔ a) Cardiac and respiratory status
The client has been diagnosed with aphasia after suffering a stroke. What can the nurse do to
best make the clients atmosphere more conducive to communication?
a)Provide a board of commonly used needs and phrases
b)Have the client speak to loved ones on the phone daily
c)Help the client complete their sentence is as needed
d)Speak in a loud and deliberate voice to the client - correct answer ✔✔ a) Provide a board of
commonly used needs and phrases
,The nurse is assessing a client with a suspected stroke. What assessment finding is most
suggestive of a stroke?
a)Facial droop
b)Dysrhythmias
c)Periorbital edema
d)Projectile vomiting - correct answer ✔✔ a) Facial droop
The nurse is caring for a client diagnosed with an ischemic stroke and knows that the effective
positioning for the client is important. Which of the following should be integrated into the
clients plan of care?
a)The clients hip joint should be maintained in a flexed position
b)The client should be in a supine position unless ambulating
c)The client should be placed in a prone position for 15 to 30 minutes several times a day
d)The client should be placed in trendelenburg position 2 to 3 times daily to promote cerebral
perfusion - correct answer ✔✔ c) The client should be placed in a prone position for 15 to 30
minutes several times a day
A client is brought by ambulance to the emergency room after suffering with the family thinks is
a stroke. The nurse is caring for this client is aware that the absolute contraindication for
thrombolytic therapy is what?
a)Evidence of hemorrhagic stroke
b)Blood pressure > 180/110 mm Hg
c)Evidence of stroke evolution
d)Previous thrombolytic therapy within the last 12 months - correct answer ✔✔ a) Evidence of
hemorrhagic stroke
A client who suffered an ischemic stroke now has disturbed sensory perception. What principles
should guide the nurses care of this client?
, a)The client should be approached on the side where the visual perception is intact
b)Attention to the affected side should be minimized in order to decrease anxiety
c)The client should avoid turning on the direction of the defective visual field to minimize
shoulder subluxation
d)The client should be approached on the opposite side of where the visual perception is intact
to promote recovery - correct answer ✔✔ a) The client should be approached on the side
where the visual perception is intact
What should be included in the clients care plan when establishing an exercise program for a
client affected by a stroke?
a)Schedule passive range of motion every other day
b)Keep activity limited, as the client may be over stimulated
c)Have a client perform active range of motion exercises once a day
d)Exercise the affected extremities passively for 4 or 5 times a day - correct answer ✔✔ d)
Exercise the affected extremities passively for 4 or 5 times a day
A client who has experienced an ischemic stroke has been admitted to the medical unit. The
client's family is adamant that she remain on bed rest to hasten her recovery and to conserve
energy. What principle of care should inform the nurses response to the family?
a)The client should mobilize as soon as she is physically able
b)to prevent contractures and muscle atrophy the bed rest should not exceed 4 weeks
c)the client should remain on bed rest until she experiences expresses a desire to mobilize
d)lack of mobility will greatly increase the client's risk of stroke recurrence - correct answer ✔✔
a) The client should mobilize as soon as she is physically able
The nurse is caring for a client who had a hemorrhagic stroke. What assessment finding
constitutes an early sign of deterioration?
a)Generalized pain
b)Alteration in the level of consciousness
correct answers rated A+
A client diagnosed with transient ischemic attacks (TIAs) is scheduled for a carotid
endarterectomy. The nurse explains that this procedure will be done for what purpose?
a)To decrease cerebral edema
b)To prevent seizure activity that is common following a TIA
c)To remove opera sclerotic plaques blocking cerebral flow
To determine the cause of the TIA - correct answer ✔✔ c) To remove opera sclerotic plaques
blocking cerebral flow
A client who just experienced a suspected ischemic stroke is brought to the ED by ambulance.
On what should the nurse is primary assessment focus?
a)Cardiac and respiratory status
b)Seizure activity
c)Pain
Fluid and electrolyte balance - correct answer ✔✔ a) Cardiac and respiratory status
The client has been diagnosed with aphasia after suffering a stroke. What can the nurse do to
best make the clients atmosphere more conducive to communication?
a)Provide a board of commonly used needs and phrases
b)Have the client speak to loved ones on the phone daily
c)Help the client complete their sentence is as needed
d)Speak in a loud and deliberate voice to the client - correct answer ✔✔ a) Provide a board of
commonly used needs and phrases
,The nurse is assessing a client with a suspected stroke. What assessment finding is most
suggestive of a stroke?
a)Facial droop
b)Dysrhythmias
c)Periorbital edema
d)Projectile vomiting - correct answer ✔✔ a) Facial droop
The nurse is caring for a client diagnosed with an ischemic stroke and knows that the effective
positioning for the client is important. Which of the following should be integrated into the
clients plan of care?
a)The clients hip joint should be maintained in a flexed position
b)The client should be in a supine position unless ambulating
c)The client should be placed in a prone position for 15 to 30 minutes several times a day
d)The client should be placed in trendelenburg position 2 to 3 times daily to promote cerebral
perfusion - correct answer ✔✔ c) The client should be placed in a prone position for 15 to 30
minutes several times a day
A client is brought by ambulance to the emergency room after suffering with the family thinks is
a stroke. The nurse is caring for this client is aware that the absolute contraindication for
thrombolytic therapy is what?
a)Evidence of hemorrhagic stroke
b)Blood pressure > 180/110 mm Hg
c)Evidence of stroke evolution
d)Previous thrombolytic therapy within the last 12 months - correct answer ✔✔ a) Evidence of
hemorrhagic stroke
A client who suffered an ischemic stroke now has disturbed sensory perception. What principles
should guide the nurses care of this client?
, a)The client should be approached on the side where the visual perception is intact
b)Attention to the affected side should be minimized in order to decrease anxiety
c)The client should avoid turning on the direction of the defective visual field to minimize
shoulder subluxation
d)The client should be approached on the opposite side of where the visual perception is intact
to promote recovery - correct answer ✔✔ a) The client should be approached on the side
where the visual perception is intact
What should be included in the clients care plan when establishing an exercise program for a
client affected by a stroke?
a)Schedule passive range of motion every other day
b)Keep activity limited, as the client may be over stimulated
c)Have a client perform active range of motion exercises once a day
d)Exercise the affected extremities passively for 4 or 5 times a day - correct answer ✔✔ d)
Exercise the affected extremities passively for 4 or 5 times a day
A client who has experienced an ischemic stroke has been admitted to the medical unit. The
client's family is adamant that she remain on bed rest to hasten her recovery and to conserve
energy. What principle of care should inform the nurses response to the family?
a)The client should mobilize as soon as she is physically able
b)to prevent contractures and muscle atrophy the bed rest should not exceed 4 weeks
c)the client should remain on bed rest until she experiences expresses a desire to mobilize
d)lack of mobility will greatly increase the client's risk of stroke recurrence - correct answer ✔✔
a) The client should mobilize as soon as she is physically able
The nurse is caring for a client who had a hemorrhagic stroke. What assessment finding
constitutes an early sign of deterioration?
a)Generalized pain
b)Alteration in the level of consciousness
