NUR 390 EXAM 3 | COMPREHENSIVE STUDY GUIDE, NCLEX-STYLE PRACTICE QUESTIONS AND
ANSWERS 2026/2027
length of TIA - correct answer ✔✔less than one hour, usually less than five minutes
length of TIA - correct answer ✔✔less than one hour, usually less than five minutes
cardiac output must be reduced by ____ before cerebral blood flow is reduced - correct answer
✔✔one third
cardiac output must be reduced by ____ before cerebral blood flow is reduced - correct answer
✔✔one third
Decrease in blood viscosity ____ blood flow to the brain - correct answer ✔✔increases
Decrease in blood viscosity ____ blood flow to the brain - correct answer ✔✔increases
one of your major goals when caring for a stroke patient is to reduce secondary injury related to
____ - correct answer ✔✔increased ICP
one of your major goals when caring for a stroke patient is to reduce secondary injury related to
____ - correct answer ✔✔increased ICP
most identifiable modifiable risk factor for stroke - correct answer ✔✔hypertension
most identifiable modifiable risk factor for stroke - correct answer ✔✔hypertension
two types of ischemic stroke - correct answer ✔✔thrombotic and embolic
,two types of ischemic stroke - correct answer ✔✔thrombotic and embolic
most emboli in embolic stroke originate here - correct answer ✔✔endocardial layer of heart
most emboli in embolic stroke originate here - correct answer ✔✔endocardial layer of heart
inability to carry out learned sequential movements on command - correct answer ✔✔apraxia
inability to carry out learned sequential movements on command - correct answer ✔✔apraxia
diagnostics for stroke - correct answer ✔✔CT first - rule out hemorrhage
cardiac tests - determine if embolus is from heart
Transcranial doppler - ideal for subarachnoid hemorrhage
diagnostics for stroke - correct answer ✔✔CT first - rule out hemorrhage
cardiac tests - determine if embolus is from heart
Transcranial doppler - ideal for subarachnoid hemorrhage
stroke prevention Rx for patients post TIA - correct answer ✔✔aspirin regimen
stroke prevention Rx for patients post TIA - correct answer ✔✔aspirin regimen
may have to be d/c'd 10-24 days before surgery - correct answer ✔✔clopidogrel
may have to be d/c'd 10-24 days before surgery - correct answer ✔✔clopidogrel
,oral coag for pt's with Afib - correct answer ✔✔warfarin
direct factor Xa inhibitors:
rivaroxaban, dabigatran, apixaban
oral coag for pt's with Afib - correct answer ✔✔warfarin
direct factor Xa inhibitors:
rivaroxaban, dabigatran, apixaban
Many stroke patients may: - correct answer ✔✔worsen in the first 24-48 hours
Many stroke patients may: - correct answer ✔✔worsen in the first 24-48 hours
BP management post stroke - correct answer ✔✔Ischemic/no fibrinolytics - use drug therapy
only if BP is 220+/120+
For fibrinolytic therapy, BP must be less than 185/110. Maintain at or below 180/105 after
treatment.
BP management post stroke - correct answer ✔✔Ischemic/no fibrinolytics - use drug therapy
only if BP is 220+/120+
For fibrinolytic therapy, BP must be less than 185/110. Maintain at or below 180/105 after
treatment.
, Increased ICP is more likely with ____ - correct answer ✔✔hemorrhagic stroke
Increased ICP is more likely with ____ - correct answer ✔✔hemorrhagic stroke
Increased ICP from cerebral edema usually peaks in: - correct answer ✔✔72 hours
Increased ICP from cerebral edema usually peaks in: - correct answer ✔✔72 hours
Postural management of ICP - correct answer ✔✔elevate head of the bed, keep head and neck
in alignment, avoid hip flexion.
Postural management of ICP - correct answer ✔✔elevate head of the bed, keep head and neck
in alignment, avoid hip flexion.
Remove ___ from stroke patient - correct answer ✔✔dentures
Remove ___ from stroke patient - correct answer ✔✔dentures
Establish IV access with ___ in stroke patient - correct answer ✔✔normal saline
Establish IV access with ___ in stroke patient - correct answer ✔✔normal saline
tPA must be given within ____ of onset of ____ - correct answer ✔✔3-4.5 hours / ischemic
stroke
tPA must be given within ____ of onset of ____ - correct answer ✔✔3-4.5 hours / ischemic
stroke
ANSWERS 2026/2027
length of TIA - correct answer ✔✔less than one hour, usually less than five minutes
length of TIA - correct answer ✔✔less than one hour, usually less than five minutes
cardiac output must be reduced by ____ before cerebral blood flow is reduced - correct answer
✔✔one third
cardiac output must be reduced by ____ before cerebral blood flow is reduced - correct answer
✔✔one third
Decrease in blood viscosity ____ blood flow to the brain - correct answer ✔✔increases
Decrease in blood viscosity ____ blood flow to the brain - correct answer ✔✔increases
one of your major goals when caring for a stroke patient is to reduce secondary injury related to
____ - correct answer ✔✔increased ICP
one of your major goals when caring for a stroke patient is to reduce secondary injury related to
____ - correct answer ✔✔increased ICP
most identifiable modifiable risk factor for stroke - correct answer ✔✔hypertension
most identifiable modifiable risk factor for stroke - correct answer ✔✔hypertension
two types of ischemic stroke - correct answer ✔✔thrombotic and embolic
,two types of ischemic stroke - correct answer ✔✔thrombotic and embolic
most emboli in embolic stroke originate here - correct answer ✔✔endocardial layer of heart
most emboli in embolic stroke originate here - correct answer ✔✔endocardial layer of heart
inability to carry out learned sequential movements on command - correct answer ✔✔apraxia
inability to carry out learned sequential movements on command - correct answer ✔✔apraxia
diagnostics for stroke - correct answer ✔✔CT first - rule out hemorrhage
cardiac tests - determine if embolus is from heart
Transcranial doppler - ideal for subarachnoid hemorrhage
diagnostics for stroke - correct answer ✔✔CT first - rule out hemorrhage
cardiac tests - determine if embolus is from heart
Transcranial doppler - ideal for subarachnoid hemorrhage
stroke prevention Rx for patients post TIA - correct answer ✔✔aspirin regimen
stroke prevention Rx for patients post TIA - correct answer ✔✔aspirin regimen
may have to be d/c'd 10-24 days before surgery - correct answer ✔✔clopidogrel
may have to be d/c'd 10-24 days before surgery - correct answer ✔✔clopidogrel
,oral coag for pt's with Afib - correct answer ✔✔warfarin
direct factor Xa inhibitors:
rivaroxaban, dabigatran, apixaban
oral coag for pt's with Afib - correct answer ✔✔warfarin
direct factor Xa inhibitors:
rivaroxaban, dabigatran, apixaban
Many stroke patients may: - correct answer ✔✔worsen in the first 24-48 hours
Many stroke patients may: - correct answer ✔✔worsen in the first 24-48 hours
BP management post stroke - correct answer ✔✔Ischemic/no fibrinolytics - use drug therapy
only if BP is 220+/120+
For fibrinolytic therapy, BP must be less than 185/110. Maintain at or below 180/105 after
treatment.
BP management post stroke - correct answer ✔✔Ischemic/no fibrinolytics - use drug therapy
only if BP is 220+/120+
For fibrinolytic therapy, BP must be less than 185/110. Maintain at or below 180/105 after
treatment.
, Increased ICP is more likely with ____ - correct answer ✔✔hemorrhagic stroke
Increased ICP is more likely with ____ - correct answer ✔✔hemorrhagic stroke
Increased ICP from cerebral edema usually peaks in: - correct answer ✔✔72 hours
Increased ICP from cerebral edema usually peaks in: - correct answer ✔✔72 hours
Postural management of ICP - correct answer ✔✔elevate head of the bed, keep head and neck
in alignment, avoid hip flexion.
Postural management of ICP - correct answer ✔✔elevate head of the bed, keep head and neck
in alignment, avoid hip flexion.
Remove ___ from stroke patient - correct answer ✔✔dentures
Remove ___ from stroke patient - correct answer ✔✔dentures
Establish IV access with ___ in stroke patient - correct answer ✔✔normal saline
Establish IV access with ___ in stroke patient - correct answer ✔✔normal saline
tPA must be given within ____ of onset of ____ - correct answer ✔✔3-4.5 hours / ischemic
stroke
tPA must be given within ____ of onset of ____ - correct answer ✔✔3-4.5 hours / ischemic
stroke
