PN 140 CVA EXAM QUESTIONS WITH VERIFIED ANSWERS

The nurse is assigned to care for an adult client who had a stroke and is
aphasic. Which interventions should the nurse use for communicating
with the client? Select all that apply

1. Face the client when talking.
2. Speak slowly and maintain eye contact.
3. Use gestures when talking to enhance words.
4. Avoid the use of body language when talking to the client.
5. Give the client directions using short phrases and simple terms.
6. Phrase what was said differently the second time, if there is a need to
repeat it. - ANSWER 1, 2, 3, 5

An aphasic client has difficulty expressing or understanding language.
The nurse should face the client when talking, establish and maintain
eye contact, and speak slowly and distinctly. The nurse should use
gestures and pantomime when talking to enhance words and use body
language to enhance the message. The nurse should give the client
directions using short phrases and simple terms, and phrase questions
so that they can be answered with a yes or no. If there is a need to
repeat something, the nurse should use the same words a second time.

The nurse is planning care for the client with hemiparesis of the right
arm and leg. Where should the nurse plan to place objects needed by
the client?

1. Within the client's reach, on the left side
2. Within the client's reach, on the right side
3. Just out of the client's reach, on the left side
4. Just out of the client's reach, on the right side - ANSWER 1. Within
the client's reach, on the left side

, Hemiparesis is a weakness of the face, arm, and leg on one side. The
client with one-sided hemiparesis benefits from having objects placed on
the unaffected side and within reach. Other helpful activities with
hemiparesis include range-of-motion exercises to the affected side and
muscle-strengthening exercises to the unaffected side.

The nurse is reinforcing instructions to the family of a stroke client who
has homonymous hemianopsia about measures to help the client
overcome the deficit. The nurse determines that the family understands
the measures to use if they state that they will do which?

1. Place objects in the client's impaired field of vision.
2. Approach the client from the impaired field of vision.
3. Discourage the client from wearing his or her own eyeglasses.
4.Remind the client to turn the head to scan the lost visual field. -
ANSWER 4. Remind the client to turn the head to scan the lost visual
field.

Homonymous hemianopsia is loss of half of the visual field. The client
with homonymous hemianopsia should have objects placed in the intact
field of vision, and the nurse should approach the client from the intact
side. The nurse instructs the client to scan the environment to overcome
the visual deficit and performs client teaching from within the intact field
of vision. The nurse encourages the use of personal eyeglasses if they
are available.

A client with right leg hemiplegia is experiencing difficulty with mobility.
The nurse determines that there is a need for further teaching if the
nurse observes which action by the family?

1. Applying a premolded splint
2. Performing active ROM to the affected leg
3. Encouraging the client to stand unassisted on the leg
4. Providing passive range of motion (ROM) to the affected leg -
ANSWER 3. Encouraging the client to stand unassisted on the leg

The question is worded to elicit an unsafe action on the part of the
family. Depending on the client's functional ability, either passive or