Nurs 216 Midterm Exam – Questions And Appropriate
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1. Which health condition(s) can increase an b. Atrial fibrillation
individual's risk for stroke? (Select all that c. Previous TIA
apply) d. Hypertension
a. Pneumonia
b. Atrial fibrillation
c. Previous TIA
d. Hypertension
e. Migraines
2. Which of the following factors related to c. Degree of collateral circulation
cerebral blood flow most often determines
the extent of cerebral damage from a
stroke?
a. Amount of cardiac output
b. Oxygen content of the blood
c. Degree of collateral circulation
d. Level of carbon dioxide in the blood
3. Which of the following pieces of d. Sudden onset of severe headache
information provided by the client would
help differentiate a hemorrhagic stroke from
an ischemic stroke?
a. Sensory disturbance
b. A history of hypertension
c. Presence of motor weakness
d. Sudden onset of severe headache
4. A client with right-sided hemiplegia and c. Left middle cerebral artery
aphasia resulting from a stroke most likely
has involvement of which of the following?
a. Brain stem
b. Vertebral artery
c. Left middle cerebral artery
d. Right middle cerebral artery
,5. A client with a stroke is scheduled for c. Patency of the cerebral blood vessels
angiography. Which of the following can this
test detect?
a. Presence of increased intracranial
pressure
b. Site and size of the infarction
c. Patency of the cerebral blood vessels
d. Presence of blood in the cerebro-spinal
fluid
6. A client experiencing transient ischemic c. To prevent a stroke by removing atherosclerotic plaques
attacks is scheduled for a carotid blocking cerebral blood flow
endarterectomy. What does the nurse
explain to the client about the purpose of
this procedure?
a. To decrease cerebral edema
b. To reduce the brain damage that occurs
during a stroke in evolution
c. To prevent a stroke by removing
atherosclerotic plaques blocking cerebral
blood flow
d. To provide a circulatory bypass around
thrombotic plaques obstructing cranial
circulation
7. For a client who is suspected to have had b. Time at which stroke symptoms first appeared
a stroke, what is one of the most important
pieces of information that the nurse can
obtain?
a. Time of the client's last meal
b. Time at which stroke symptoms first
appeared
c. Client's hypertension history and
management
d. Family history of stroke and other
cardiovascular diseases
8. What does bladder training in a male c. Assisting the client to stand to void
client who has urinary incontinence after a
stroke include?
a. Limiting fluid intake
b. Keeping a urinal in place at all times
c. Assisting the client to stand to void
d. Catheterizing the client every 4 hours
9. What is the most common response of a b. Depression
client who sustained a stroke regarding the
change in body image?
a. Denial
b. Depression
c. Dissociation
d. Intellectualization
1. What of the following is the nurse most a. Withdraws from stimuli
likely to recognize as a symptom of a client
with a migraine headache?
a. Withdraws from stimuli
b. Acts out with bizarre behaviour
c. Seeks out the company of others
d. Experiences painful facial spasms and
tearing
,2. What is the triad of symptoms the nurse b. Tremor, rigidity, bradykinesia
would expect to find during assessment of
the client with Parkinson's disease?
a. Spasticity, diplopia, tremor
b. Tremor, rigidity, bradykinesia
c. Ataxia, drowsiness, dysarthria
d. Diplopia, tremor, bradykinesia
3. What would the nurse expect to find c. Muscle weakness and wasting
during an assessment of the client with
amyotrophic lateral sclerosis?
a. Emotional lability
b. Mental deterioration
c. Muscle weakness and wasting
d. Sensory loss in the extremities
4. Social effects of a chronic neurological a. Divorce
disease include which of the following? b. Job loss
(Select all that apply) c. Depression
a. Divorce d. Role changes
b. Job loss e. Loss of self-esteem
c. Depression
d. Role changes
e. Loss of self-esteem
5. What is a major goal of treatment for the d. Adaptation by client and family to the disease
client with a chronic, progressive
neurological disease?
a. Reversal of pathophysiological features
b. Total remission of the disease
c. Continuation of usual lifestyle
d. Adaptation by client and family to the
disease
1. Which of the following clients is most at d. A 78-year-old man admitted to the medical unit with
risk for developing delirium? complications related to congestive heart failure
a. A 50-year-old woman with cholecystitis
b. A 19-year-old man with a fractured femur
c. A 42-year-old woman having an elective
hysterectomy
d. A 78-year-old man admitted to the
medical unit with complications related to
congestive heart failure
2. Which of the following symptoms are the d. Acute onset, fluctuating course, inattention or disorganized
hallmarks of delirium? thinking, and altered level of consciousness
a. Inattention, fluctuating course,
hyperactivity, and altered level of
consciousness
b. Disorganized thinking, insidious onset,
inattention, and altered level of
consciousness
c. Acute onset, fluctuating course, memory
loss, and altered level of consciousness
d. Acute onset, fluctuating course,
inattention or disorganized thinking, and
altered level of consciousness
, 3. Which of the following descriptions best d. Syndrome characterized by cognitive dysfunction and loss
characterizes dementia? of memory
a. Syndrome that results only in memory loss
b. Disease associated with abrupt changes
in behaviour
c. Disease that is always due to reduced
blood flow to the brain
d. Syndrome characterized by cognitive
dysfunction and loss of memory
4. Which of the following is associated with c. Cognitive changes secondary to cerebral ischemia
vascular dementia?
a. Transient ischemic attacks
b. Bacterial or viral infection of neuronal
tissue
c. Cognitive changes secondary to cerebral
ischemia
d. Abrupt changes in cognitive function that
are irreversible
5. On which of the following findings is the c. Patient history and cognitive assessment
clinical diagnosis of dementia based?
a. Brain biopsy
b. Electroencephalography
c. Patient history and cognitive assessment
d. Computed tomography or MRI
6. Which statement(s) accurately describe(s) b. Caused by variety of factors and may progress to AD
mild cognitive impairment? (Select all that
apply)
a. Always progresses to AD
b. Caused by variety of factors and may
progress to AD
c. Should be aggressively treated with
acetylcholinesterase drugs
d. Caused by vascular infarcts that, if
treated, will delay progression to AD
e. Client is usually not aware that there is a
problem with his or her memory
7. What is a major goal of treatment for the a. Maintain safety
client with dementia?
a. Maintain safety
b. Maintain or increase body weight
c. Return to a higher level of self-care
d. Enhance functional ability over time
A 30-year-old white male recently suffered d.Diabetes
a cerebrovascular accident. Which of the
following is the most likely factor that
contributed to his stroke?
Select one:
a.Gender
b.Age
c.Race
d.Diabetes
Answers
Save
Students also studied
Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
30 terms 24 terms 22 terms
jesssbee Preview kenanderson2017 Preview Brittany182
Terms in this set (187)
1. Which health condition(s) can increase an b. Atrial fibrillation
individual's risk for stroke? (Select all that c. Previous TIA
apply) d. Hypertension
a. Pneumonia
b. Atrial fibrillation
c. Previous TIA
d. Hypertension
e. Migraines
2. Which of the following factors related to c. Degree of collateral circulation
cerebral blood flow most often determines
the extent of cerebral damage from a
stroke?
a. Amount of cardiac output
b. Oxygen content of the blood
c. Degree of collateral circulation
d. Level of carbon dioxide in the blood
3. Which of the following pieces of d. Sudden onset of severe headache
information provided by the client would
help differentiate a hemorrhagic stroke from
an ischemic stroke?
a. Sensory disturbance
b. A history of hypertension
c. Presence of motor weakness
d. Sudden onset of severe headache
4. A client with right-sided hemiplegia and c. Left middle cerebral artery
aphasia resulting from a stroke most likely
has involvement of which of the following?
a. Brain stem
b. Vertebral artery
c. Left middle cerebral artery
d. Right middle cerebral artery
,5. A client with a stroke is scheduled for c. Patency of the cerebral blood vessels
angiography. Which of the following can this
test detect?
a. Presence of increased intracranial
pressure
b. Site and size of the infarction
c. Patency of the cerebral blood vessels
d. Presence of blood in the cerebro-spinal
fluid
6. A client experiencing transient ischemic c. To prevent a stroke by removing atherosclerotic plaques
attacks is scheduled for a carotid blocking cerebral blood flow
endarterectomy. What does the nurse
explain to the client about the purpose of
this procedure?
a. To decrease cerebral edema
b. To reduce the brain damage that occurs
during a stroke in evolution
c. To prevent a stroke by removing
atherosclerotic plaques blocking cerebral
blood flow
d. To provide a circulatory bypass around
thrombotic plaques obstructing cranial
circulation
7. For a client who is suspected to have had b. Time at which stroke symptoms first appeared
a stroke, what is one of the most important
pieces of information that the nurse can
obtain?
a. Time of the client's last meal
b. Time at which stroke symptoms first
appeared
c. Client's hypertension history and
management
d. Family history of stroke and other
cardiovascular diseases
8. What does bladder training in a male c. Assisting the client to stand to void
client who has urinary incontinence after a
stroke include?
a. Limiting fluid intake
b. Keeping a urinal in place at all times
c. Assisting the client to stand to void
d. Catheterizing the client every 4 hours
9. What is the most common response of a b. Depression
client who sustained a stroke regarding the
change in body image?
a. Denial
b. Depression
c. Dissociation
d. Intellectualization
1. What of the following is the nurse most a. Withdraws from stimuli
likely to recognize as a symptom of a client
with a migraine headache?
a. Withdraws from stimuli
b. Acts out with bizarre behaviour
c. Seeks out the company of others
d. Experiences painful facial spasms and
tearing
,2. What is the triad of symptoms the nurse b. Tremor, rigidity, bradykinesia
would expect to find during assessment of
the client with Parkinson's disease?
a. Spasticity, diplopia, tremor
b. Tremor, rigidity, bradykinesia
c. Ataxia, drowsiness, dysarthria
d. Diplopia, tremor, bradykinesia
3. What would the nurse expect to find c. Muscle weakness and wasting
during an assessment of the client with
amyotrophic lateral sclerosis?
a. Emotional lability
b. Mental deterioration
c. Muscle weakness and wasting
d. Sensory loss in the extremities
4. Social effects of a chronic neurological a. Divorce
disease include which of the following? b. Job loss
(Select all that apply) c. Depression
a. Divorce d. Role changes
b. Job loss e. Loss of self-esteem
c. Depression
d. Role changes
e. Loss of self-esteem
5. What is a major goal of treatment for the d. Adaptation by client and family to the disease
client with a chronic, progressive
neurological disease?
a. Reversal of pathophysiological features
b. Total remission of the disease
c. Continuation of usual lifestyle
d. Adaptation by client and family to the
disease
1. Which of the following clients is most at d. A 78-year-old man admitted to the medical unit with
risk for developing delirium? complications related to congestive heart failure
a. A 50-year-old woman with cholecystitis
b. A 19-year-old man with a fractured femur
c. A 42-year-old woman having an elective
hysterectomy
d. A 78-year-old man admitted to the
medical unit with complications related to
congestive heart failure
2. Which of the following symptoms are the d. Acute onset, fluctuating course, inattention or disorganized
hallmarks of delirium? thinking, and altered level of consciousness
a. Inattention, fluctuating course,
hyperactivity, and altered level of
consciousness
b. Disorganized thinking, insidious onset,
inattention, and altered level of
consciousness
c. Acute onset, fluctuating course, memory
loss, and altered level of consciousness
d. Acute onset, fluctuating course,
inattention or disorganized thinking, and
altered level of consciousness
, 3. Which of the following descriptions best d. Syndrome characterized by cognitive dysfunction and loss
characterizes dementia? of memory
a. Syndrome that results only in memory loss
b. Disease associated with abrupt changes
in behaviour
c. Disease that is always due to reduced
blood flow to the brain
d. Syndrome characterized by cognitive
dysfunction and loss of memory
4. Which of the following is associated with c. Cognitive changes secondary to cerebral ischemia
vascular dementia?
a. Transient ischemic attacks
b. Bacterial or viral infection of neuronal
tissue
c. Cognitive changes secondary to cerebral
ischemia
d. Abrupt changes in cognitive function that
are irreversible
5. On which of the following findings is the c. Patient history and cognitive assessment
clinical diagnosis of dementia based?
a. Brain biopsy
b. Electroencephalography
c. Patient history and cognitive assessment
d. Computed tomography or MRI
6. Which statement(s) accurately describe(s) b. Caused by variety of factors and may progress to AD
mild cognitive impairment? (Select all that
apply)
a. Always progresses to AD
b. Caused by variety of factors and may
progress to AD
c. Should be aggressively treated with
acetylcholinesterase drugs
d. Caused by vascular infarcts that, if
treated, will delay progression to AD
e. Client is usually not aware that there is a
problem with his or her memory
7. What is a major goal of treatment for the a. Maintain safety
client with dementia?
a. Maintain safety
b. Maintain or increase body weight
c. Return to a higher level of self-care
d. Enhance functional ability over time
A 30-year-old white male recently suffered d.Diabetes
a cerebrovascular accident. Which of the
following is the most likely factor that
contributed to his stroke?
Select one:
a.Gender
b.Age
c.Race
d.Diabetes
