N13 EXAM 4 QUESTIONS WITH CORRECT ANSWERS 2025

N136: EXAM #4 QUESTIONS WITH
CORRECT ANSWERS 2025
InApromotingAhealthAmaintenanceAforAtheApreventionAofAstrokes,AtheAnurseAunderstandsAthatA
theAhighestAriskAforAtheAmostAcommonAtypeAofAstrokeAisApresentAin



a.AAfricanAAmericans
A



b.AwomenAwhoAsmoke
A



c.individualsAwithAhypertensionAandAdiabetes
A



Ad.AthoseAwhoAareAobeseAwithAhighAdietaryAfatAintakeA-
AcorrectAanswersC:AIndividualsAwithAhypertensionAandAdiabetes-


ATheAhighestAriskAfactorsAforAthromboticAstrokeAareAhypertensionAandAdiabetes.AAfricanAAmeri


cansAhaveAaAhigherAriskAforAstrokeAthanAdoAwhiteApersonsAbutAprobablyAbecauseAtheyAhaveAaAg
reaterAincidenceAofAhypertension.AFactorsAsuchAasAobesity,AdietAhighAinAsaturatedAfatsAandAcho
lesterol,AcigaretteAsmoking,AandAexcessiveAalcoholAuseAareAalsoAriskAfactorsAbutAcarryAlessAriskAt
hanAhypertension.

AAthrombusAthatAdevelopsAinAaAcerebralAarteryAdoesAnotAalwaysAcauseAaAlossAofAneurologicAfun
ctionAbecause



a.AtheAbodyAcanAdissolveAtheAatheroscleroticAplaquesAasAtheyAform
A



b.AsomeAtissuesAofAtheAbrainAdoAnotArequireAconstantAbloodAsupplyAtoApreventAdamage
A



c.AcirculationAthroughAtheAcircleAofAWillisAmayAprovideAbloodAsupplyAtoAtheAaffectedAareaAofAth
A


eAbrain

Ad.AneurologicAdeficitsAoccurAonlyAwhenAmajorAarteriesAareAoccludedAbyAthrombusAformationAa
roundAanAatheroscleroticAplaqueA-
AcorrectAanswersC:ACirculationAthroughAtheAcircleAofAWillisAmayAprovideAbloodAsupplyAtoAtheAaf


fectedAareaAofAtheAbrain.A

TheAcommunicationAbetweenAcerebralAarteriesAinAtheAcircleAofAWillingAprovidesAaAcollateralAcir
culation,AwhichAmayAmaintainAcirculationAtoAanAareaAofAtheAbrainAifAitsAoriginalAbloodAsupplyAis
Aobstructed.AALlAareasAofAtheAbrainArequireAconstantAbloodAsupply,AandAatheroscleroticAplaque


sAareAnotAreadilyAreversed.ANeurologicAdeficitsAcanAresultAfromAischemiaAcauseAbyAmanyAfactor
s.

AApatientAcomesAtoAtheAemergencyAdepartmentAimmediatelyAafterAexperiencingAnumbnessAof
AtheAfaceAandAanAinabilityAtoAspeak,AbutAwhileAtheApatientAawaitsAexamination,AtheAsymptomsA

,disappearAandAtheApatientArequestAdischarge.ATheAnurseAstressesAthatAitAisAimportantAforAtheAp
atientAtoAbeAevaluatedAprimarilyAbecause



a.AtheApatientAhasAprobablyAexperiencedAanAasymptomaticAlacunarAstroke
A



Ab.AtheAsymptomsAareAlikelyAtoAreturnAandAprogressAtoAworseningAneurologicAdeficitAinAtheAnex
tA24Ahours

c.AneurologicAdeficitsAthatAareAtransientAoccurAmostAoftenAasAaAresultAofAsmallAhemorrhagesAt
A


hatAclotAoff

Ad.AtheApatientAhasAprobablyAexperiencedAaAtransientAischemicAattackA(TIA),AwhichAisAaAsignAofA
progressiveAcerebralAvascularAdiseaseA-
AcorrectAanswersD:ATheApatientAhasAprobablyAexperiencedAaAtransientAischemicAattackA(TIA),Aw


hichAisAaAsignAofAprogressiveAcerebralAvascularAdisease-
AAATIAAisAaAtemporaryAfocalAlossAofAneurologicAfunction AcausedAbyAischemiaAofAanAareaAofAtheAb


rain,AusuallyAlastingAonlyAaboutA3Ahours.ATIAsAmayAbeAdueAtoAmicroemboliAfromAheartAdiseaseA
orAcarotidAorAcerebralAthrombiAandAareAaAwarningAofAprogressiveAdisease.AEvaluationAisAnecess
aryAtoAdetermineAtheAcauseAofAtheAneurologicAdeficitAandAprovideAprophylacticAtreatmentAifAp
ossible.

TheAneurologicAfunctionsAthatAareAaffectedAbyAaAstrokeAareAprimarilyArelatedAtoA



a.AtheAamountAofAtissueAareaAinvolved
A



b.AtheArapidityAofAonsetAofAsymptoms
A



c.AtheAbrainAareaAperfusedAbyAtheAaffectedAartery
A



Ad.AtheApresenceAorAabsenceAofAcollateralAcirculationA-
AcorrectAanswersC:ATheAbrainAareaAperfusedAbyAtheAaffectedAartery-


AclinicalAmanifestationAofAalteredAneurologicAfunction Adiffer,AdependingAprimarilyAonAtheAspeci


ficAcerebralAarteryAinvolvedAandAtheAareaAofAtheAbrainAthatAisAperfusedAbyAtheAartery.ATheAdegr
eeAofAimpairmentAdependsAonArapidityAofAonset,AtheAsizeAofAtheAlesion,AandAtheApresenceAofAc
ollateralAcirculation.

AApatientAisAadmittedAtoAtheAhospitalAwithAaAleftAhemiplegia.AToAdetermineAtheAsizeAandAlocati
onAandAtoAascertainAwhetherAaAstrokeAisAischemicAorAhemorrhagic,AtheAnurseAanticipatesAthatA
theAhealthAcareAproviderAwillArequestAaA



a.ACTAscan
A



b.AlumbarApuncture
A

, c.AcerebralAarteriogram
A



Ad.ApositronAemissionAtomographyA(PET)A-AcorrectAanswersA:ACTAscan-
AAACTAscanAisAtheAmostAcommonlyAusedAdiagnosticAtestAtoAdetermineAtheAsizeAandAlocationAofAt


heAlesionAandAtoAdifferentiateAaAthromboticAstrokeAfromAaAhemorrhagicAstroke.APositronAemiss
ionAtomographyA(PET)AwillAshowAtheAmetabolicAactivityAofAtheAbrainAandAprovideAaAdepictionAo
fAtheAextentAofAtissueAdamageAafterAaAstroke.ALumbarApuncturesAareAnotAperformedAroutinelyA
becauseAofAtheAchanceAofAincreasedAintracranialApressureAcausingAherniation.ACerebralAarterio
gramsAareAinvasiveAandAmayAdislodgeAanAembolismAorAcauseAfurtherAhemorrhage;AtheyAareApe
rformedAonlyAwhenAnoAotherAtestAcanAprovideAtheAneededAinformation.

AAcarotidAendarterectomyAisAbeingAconsideredAasAaAtreatmentAforAaApatientAwhoAhasAhadAseve
ralATIAs.ATheAnurseAexplainsAtoAtheApatientAthatAthisAsurgery



a.AisAusedAtoArestoreAbloodAtoAtheAbrainAfollowingAanAobstructionAofAaAcerebralAartery
A



Ab.AinvolvesAintracranialAsurgeryAtoAjoinAaAsuperficialAextracranialAarteryAtoAanAintracranialAarte
ry

Ac.AinvolvesAremovingAanAatheroscleroticAplaqueAinAtheAcarotidAarteryAtoApreventAanAimpendin
gAstroke

Ad.AisAsuedAtoAopenAaAstenosisAinAaAcarotidAarteryAwithAaAballoonAandAstentAtoArestoreAcerebralA
circulationA-
AcorrectAanswersC:AInvolvesAremovingAanAatheroscleroticAplaqueAinAtheAcarotidAarteryAtoAprev


entAanAimpendingAstroke-
AAnAendarterectomyAisAaAremovalAofAanAatheroscleroticAplaque,AandAplaqueAinAtheAcarotidAarte


ryAmayAimpairAcirculationAenoughAtoAcauseAaAstroke.AAAcarotidAendarterectomyAisAperformedAt
oApreventAaAcerebrovascularAaccidentA(CVA),AasAareAmostAotherAsurgicalAprocedures.AAnAextacr
anial-
intracranialAbypassAinvolvesAcranialAsurgeryAtoAbypassAaAscleroticAintacranialAartery.APercutane
ousAtransluminalAangioplastyAusesAaAballoonAtoAcompressAstenoticAareasAinAtheAcarotidAandAve
rtebrobasilarAarteriesAandAoftenAincludesAinsertingAaAstentAtoAholdAtheAarteryAopen.

TheAincidenceAofAischemicAstrokeAinApatientsAwithATIAsAandAotherAriskAfactorsAisAreducedAwithA
administrationAofA



a.AfurosemideA(Lasix)
A



b.AlovastatinA(Mevacor)
A



c.AdailyAlowAdoseAaspirin
A