MSN 377 EVALUATION EXAM ACTUAL QUESTIONS AND
SOLUTIONS RATED A+
✔✔The nurse is discharging a patient admitted with a transient ischemic attack (TIA).
For which medications might the nurse expect to provide discharge instructions (select
all that apply.)?
A. ticlopidine
B. clopidogrel
C. enoxaparin
D. dipyridamole
E. enteric-coated aspirin
F. tPA - ✔✔A. ticlopidine
B. clopidogrel
D. dipyridamole
E. enteric-coated aspirin
✔✔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-sided neglect
D. short attention span - ✔✔B. impaired speech
Clinical manifestations of left-sided brain damage include right hemiplegia, impaired
speech/language, impaired right/left discrimination, and slow and cautious performance.
Impulsivity, left-sided neglect, and short attention span are all manifestations of right-
sided brain damage.
✔✔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. alternating 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 occurs - ✔✔B.
alternating the patient's positioning between supine and side-lying
✔✔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 - ✔✔A. hypertension
Hypertension is the single most important modifiable risk factor, but it is still often
undetected and inadequately treated
, ✔✔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 aware
D. call 911 immediately if a person develops slurred speech or difficulty speaking -
✔✔D. call 911 immediately if a person develops slurred speech or difficulty speaking
✔✔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 - ✔✔D. subarachnoid hemorrhage
Headache is common in a patient who has a subarachnoid hemorrhage or an
intracerebral 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
C. mobility assistance on the right side
D. place food in the left side of the patient's mouth - ✔✔A. safety measures
A patient with a right-sided stroke has spatial-perceptual deficits, tends to minimize
problems, has a short attention span, is impulsive, and may have impaired judgment.
Safety is the biggest concern for this patient
✔✔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 associate with slow speech
D. use simple, short sentences accompanies by visual cues to enhance comprehension
- ✔✔D. use simple, short sentences accompanies by visual cues to enhance
comprehension
When communicating with a patient with aphasia, the nurse should present one thought
or idea at a time. Ask questions that can be answered with a "yes," "no," or simple word.
Use visual cues and allow time for the individual to comprehend and respond to
conversation.
SOLUTIONS RATED A+
✔✔The nurse is discharging a patient admitted with a transient ischemic attack (TIA).
For which medications might the nurse expect to provide discharge instructions (select
all that apply.)?
A. ticlopidine
B. clopidogrel
C. enoxaparin
D. dipyridamole
E. enteric-coated aspirin
F. tPA - ✔✔A. ticlopidine
B. clopidogrel
D. dipyridamole
E. enteric-coated aspirin
✔✔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-sided neglect
D. short attention span - ✔✔B. impaired speech
Clinical manifestations of left-sided brain damage include right hemiplegia, impaired
speech/language, impaired right/left discrimination, and slow and cautious performance.
Impulsivity, left-sided neglect, and short attention span are all manifestations of right-
sided brain damage.
✔✔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. alternating 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 occurs - ✔✔B.
alternating the patient's positioning between supine and side-lying
✔✔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 - ✔✔A. hypertension
Hypertension is the single most important modifiable risk factor, but it is still often
undetected and inadequately treated
, ✔✔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 aware
D. call 911 immediately if a person develops slurred speech or difficulty speaking -
✔✔D. call 911 immediately if a person develops slurred speech or difficulty speaking
✔✔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 - ✔✔D. subarachnoid hemorrhage
Headache is common in a patient who has a subarachnoid hemorrhage or an
intracerebral 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
C. mobility assistance on the right side
D. place food in the left side of the patient's mouth - ✔✔A. safety measures
A patient with a right-sided stroke has spatial-perceptual deficits, tends to minimize
problems, has a short attention span, is impulsive, and may have impaired judgment.
Safety is the biggest concern for this patient
✔✔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 associate with slow speech
D. use simple, short sentences accompanies by visual cues to enhance comprehension
- ✔✔D. use simple, short sentences accompanies by visual cues to enhance
comprehension
When communicating with a patient with aphasia, the nurse should present one thought
or idea at a time. Ask questions that can be answered with a "yes," "no," or simple word.
Use visual cues and allow time for the individual to comprehend and respond to
conversation.
