QUESTIONS AND CORRECT DETAILED ANSWERS
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Information provided by the patient that would help distinguish a hemorrhagic
stroke from a thrombotic stroke
includes
a. sensory changes.
b. a history of hypertension.
c. presence of motor weakness.
d. sudden onset of severe headache - CORRECT ANSWER- D
A patient after a stroke has difficulty finding words and
weakness in his right arm. What area of the brain is most
likely involved?
a. Brainstem
b. Vertebral artery
c. Left middle cerebral artery
d. Right middle cerebral artery - CORRECT ANSWER- C
,Which test would provide the best initial diagnostic information for a patient who
presents to the emergency department with a potential stroke?
a. Noncontrast head CT
b. Cerebral angiography
c. Transcranial doppler ultrasonography
d. Intraarterial digital subtraction angiography - CORRECT ANSWER- A
A patient having TIAs is scheduled for a carotid endarterectomy. The nurse
explains that the purpose of this procedure
is to
a. decrease cerebral edema.
b. reduce the brain damage that occurs during a stroke in
evolution.
c. prevent a stroke by removing atherosclerotic plaques
blocking cerebral blood flow.
d. provide a circulatory bypass around thrombotic plaques
obstructing cranial circulation. - CORRECT ANSWER- C
Which patient has the highest risk for having a stroke?
a. A 45-year-old Native American with obesity
b. A 65-year-old Black man with hypertension
c. A 35-year-old Asian American woman who smokes
,d. A 32-year-old White woman taking oral contraceptives - CORRECT ANSWER- B
The factor related to cerebral blood flow that most often
determines the extent of cerebral damage from a stroke is the
a. O2 content of the blood.
b. amount of cardiac output.
c. level of CO2 in the blood.
d. degree of collateral circulation - CORRECT ANSWER- B
For a patient who is suspected of having a stroke, the most
important piece of information that the nurse would obtain
is
a. time of the patient's last meal.
b. time at which stroke symptoms first appeared.
c. patient's hypertension history and management.
d. family history of stroke and other cardiovascular diseases. - CORRECT ANSWER- B
Bladder training in a male patient who has urinary incontinence after a stroke
includes
a. limiting fluid intake.
b. helping the patient to stand to void.
c. keeping a urinal in place at all times.
, d. catheterizing the patient every 4 hours. - CORRECT ANSWER- B
A patient who recently had a stroke is home after one month
of rehabilitation. The home care nurse is concerned when the
patient says (select all that apply)
a. "I just don't want to do anything anymore."
b. "My daughter visits twice a day and helps me."
c. "I just can't sleep at night. I wake up every hour."
d. "I understand that my atrial fibrillation caused my stroke.
e. "I have no problem going up the stairs. Why is everyone so worried?" - CORRECT
ANSWER- ACE
In promoting health maintenance for prevention of strokes, the nurse
understands that
the highest risk for the most common type of stroke is present in which people?
a. Blacks
b. Women who smoke
c. Persons with hypertension and diabetes
d. Those who are obese with high dietary fat intake - CORRECT ANSWER- C
A thrombus that develops in a cerebral artery does not always cause a loss of
neurologic function because