NSG223- NSG 223 Exam 4 (New 2026- 2027
Update) Med Surg II Review Questions and
Verified Answers 100% Correct A Grade –
Herzing
Question
causes of ischemic stroke
Answer:
- large artery thrombosis (plaque)
- small penetrating artery thrombosis (lacunar)
- cardiogenic embolism (A-fib pts are prone to clots, can be prevented)***
- cryptogenic (no known cause)
- other (drug use, vasospasm)
Question
What cardiac disorder places patient at high risk of stroke?
Answer:
atrial fibrillation
Question
symptoms of ischemic stroke
Answer:
- numbness or weakness of face, arm,
or leg (usually 1 side)
- confusion, change in mental status
- trouble speaking or understanding speech
- difficulty walking
- dizziness
- sudden, severe headache
- visual disturbances
,Question
types of hemorrhagic stroke
Answer:
- intracerebral hemorrhage (caused by hyperten- sion)
- intracranial (caused by aneurysm)
- subarachnoid (ruptured aneurysm)
- arteriovenous malformations (congenital)
Question
symptoms of hemorrhagic stroke
Answer:
- exploding headache***
- nausea
- vomiting
- confusion
- vision changes
- weakness
- trouble speaking
Question
symptoms of increased cranial pressure (ICP)
Answer:
- headache
- nausea
- vomiting
- decreasing respirations**
- decreasing heartrate**
- widening pulse pressure (increasing gap between SBP and DBP, Ex:
120/70, then 130/60, then 140/50)**
- vision changes
- confusion
, Question
diagnostic tests for stroke
Answer:
- non-contrast CT (within 25 min of arrival to ER
- determines type, non-contrast because we do not want contrast leaking into the
brain if pt has hemorrhagic stroke)
- neuro exam (pupils, speech, LOC)
- 12-lead EKG (A-Fib)
- glucose level (symptoms are similar to hypoglycemia)
Question
clinical symptoms after stroke
Answer:
- motor loss
- communication loss
- visual loss
- sensory loss
- cognitive loss
Question
hemianopsia
Answer:
blindness in half the visual field in one or both eyes
Question
agnosia
Answer:
inability to recognize familiar objects by touch
Update) Med Surg II Review Questions and
Verified Answers 100% Correct A Grade –
Herzing
Question
causes of ischemic stroke
Answer:
- large artery thrombosis (plaque)
- small penetrating artery thrombosis (lacunar)
- cardiogenic embolism (A-fib pts are prone to clots, can be prevented)***
- cryptogenic (no known cause)
- other (drug use, vasospasm)
Question
What cardiac disorder places patient at high risk of stroke?
Answer:
atrial fibrillation
Question
symptoms of ischemic stroke
Answer:
- numbness or weakness of face, arm,
or leg (usually 1 side)
- confusion, change in mental status
- trouble speaking or understanding speech
- difficulty walking
- dizziness
- sudden, severe headache
- visual disturbances
,Question
types of hemorrhagic stroke
Answer:
- intracerebral hemorrhage (caused by hyperten- sion)
- intracranial (caused by aneurysm)
- subarachnoid (ruptured aneurysm)
- arteriovenous malformations (congenital)
Question
symptoms of hemorrhagic stroke
Answer:
- exploding headache***
- nausea
- vomiting
- confusion
- vision changes
- weakness
- trouble speaking
Question
symptoms of increased cranial pressure (ICP)
Answer:
- headache
- nausea
- vomiting
- decreasing respirations**
- decreasing heartrate**
- widening pulse pressure (increasing gap between SBP and DBP, Ex:
120/70, then 130/60, then 140/50)**
- vision changes
- confusion
, Question
diagnostic tests for stroke
Answer:
- non-contrast CT (within 25 min of arrival to ER
- determines type, non-contrast because we do not want contrast leaking into the
brain if pt has hemorrhagic stroke)
- neuro exam (pupils, speech, LOC)
- 12-lead EKG (A-Fib)
- glucose level (symptoms are similar to hypoglycemia)
Question
clinical symptoms after stroke
Answer:
- motor loss
- communication loss
- visual loss
- sensory loss
- cognitive loss
Question
hemianopsia
Answer:
blindness in half the visual field in one or both eyes
Question
agnosia
Answer:
inability to recognize familiar objects by touch
