Stroke NCLEX: Questions With In-Depth Solutions
Of the following patients, the nurse recognizes that the one with the highest
risk for a stroke is a(n)
A. obese 45-yr-old Native American
B. 35-yr-old Asian American woman who smokes
C. 32-yr-old white woman taking oral contraceptives
D. 65-yr-old African American man with hypertension Correct Answer - D.
65-yr-old African American man with hypertension
The factor related to cerebral blood flow that most often determines the
extent of cerebral damage from a stroke is the
A. amount of cardiac output
B. O2 content of the blood
C. degree of collateral circulation
D. level of CO2 in the blood Correct Answer - C. degree of collateral
circulation
Information provided by the patient that would help differentiate a
hemorrhagic stroke from a thrombotic stroke includes
A. sensory disturbance
B. a history of hypertension
C. presence of motor weakness
D. sudden onset of severe headache Correct Answer - D. sudden onset of
severe headache
,A patient is exhibiting word finding difficulty 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. left middle cerebral
artery
The nurse explains to the patient with a stroke who is scheduled for
angiography that this test is used to determine the
A. presence of increased ICP
B. site and size of the infarction
C. patency of the cerebral blood vessels
D. presence of blood in the cerebrospinal fluid Correct Answer - C. patency
of the cerebral blood vessels
A patient experiencing TIAs is scheduled for a carotid endarterectomy. The
nurse explains that this procedure is done 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. prevent a stroke by removing
atherosclerotic plaques blocking cerebral blood flow
, For a patient who is suspected of having a stroke, one of the most important
pieces of information that the nurse can 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. time at which stroke symptoms first appeared
Bladder training in a male patient who has urinary incontinence after a stroke
includes
A. limiting fluid intake.
B. keeping a urinal in place at all times.
C. assisting the patient to stand to void.
D. catheterizing the patient every 4 hours. Correct Answer - C. assisting the
patient to stand to void
Common psychosocial reactions of the stroke patient to the stroke include
(select all that apply)
A. depression.
B. disassociation.
C. intellectualization.
D. sleep disturbances.
E. denial of severity of stroke. Correct Answer - A. depression
D. sleep disturbances
E. denial of severity of stroke
Of the following patients, the nurse recognizes that the one with the highest
risk for a stroke is a(n)
A. obese 45-yr-old Native American
B. 35-yr-old Asian American woman who smokes
C. 32-yr-old white woman taking oral contraceptives
D. 65-yr-old African American man with hypertension Correct Answer - D.
65-yr-old African American man with hypertension
The factor related to cerebral blood flow that most often determines the
extent of cerebral damage from a stroke is the
A. amount of cardiac output
B. O2 content of the blood
C. degree of collateral circulation
D. level of CO2 in the blood Correct Answer - C. degree of collateral
circulation
Information provided by the patient that would help differentiate a
hemorrhagic stroke from a thrombotic stroke includes
A. sensory disturbance
B. a history of hypertension
C. presence of motor weakness
D. sudden onset of severe headache Correct Answer - D. sudden onset of
severe headache
,A patient is exhibiting word finding difficulty 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. left middle cerebral
artery
The nurse explains to the patient with a stroke who is scheduled for
angiography that this test is used to determine the
A. presence of increased ICP
B. site and size of the infarction
C. patency of the cerebral blood vessels
D. presence of blood in the cerebrospinal fluid Correct Answer - C. patency
of the cerebral blood vessels
A patient experiencing TIAs is scheduled for a carotid endarterectomy. The
nurse explains that this procedure is done 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. prevent a stroke by removing
atherosclerotic plaques blocking cerebral blood flow
, For a patient who is suspected of having a stroke, one of the most important
pieces of information that the nurse can 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. time at which stroke symptoms first appeared
Bladder training in a male patient who has urinary incontinence after a stroke
includes
A. limiting fluid intake.
B. keeping a urinal in place at all times.
C. assisting the patient to stand to void.
D. catheterizing the patient every 4 hours. Correct Answer - C. assisting the
patient to stand to void
Common psychosocial reactions of the stroke patient to the stroke include
(select all that apply)
A. depression.
B. disassociation.
C. intellectualization.
D. sleep disturbances.
E. denial of severity of stroke. Correct Answer - A. depression
D. sleep disturbances
E. denial of severity of stroke
