Ch 57: Stroke
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Lewis 10th Edition/CH 57:Stroke/2025| complete exam test questions and verified
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1
1. After a patient experienced a brief ANS: C
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episode of tinnitus, diplopia, and The patient's symptoms
dysarthria with no residual effects, the are consistent with
nurse anticipates teaching the patient transient ischemic attack
about (TIA), and drugs that
inhibit platelet
a. cerebral aneurysm clipping. aggregation are
b. heparin intravenous infusion. prescribed after a TIA to
c. oral low-dose aspirin therapy. prevent stroke.
d. tissue plasminogen activator (tPA). Continuous heparin
infusion is not routinely
TERM
used after TIA or with
acute ischemic stroke.
The patient's symptoms
are not consistent with a
cerebral aneurysm. tPA
is used only for acute
ischemic stroke, not for
TIA.
REF: 1353
, DEFINITION
2
2. A 68-year-old patient is being ANS: C
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admitted with a possible stroke. Which A sudden onset
information from the assessment headache is typical of a
indicates that the nurse should consult subarachnoid
with the health care provider before hemorrhage, and aspirin
giving the prescribed aspirin? is contraindicated. Atrial
fibrillation, dysphasia,
a. The patient has dysphasia. and transient ischemic
b. The patient has atrial fibrillation. attack (TIA) are not
c. The patient reports that symptoms contraindications to
began with a severe headache. aspirin use, so the nurse
d. The patient has a history of brief can administer the
episodes of right-sided hemiplegia. aspirin.
TERM
REF: 1348
DEFINITION
3
3. A 73-year-old patient with a stroke ANS: D
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experiences facial drooping on the Right-sided paralysis
right side and right-sided arm and leg indicates a left-brain
paralysis. When admitting the patient, stroke, which will lead
which clinical manifestation will the to difficulty with
nurse expect to find? comprehension and use
of language. The left-
a. Impulsive behavior side reflexes are likely
b. Right-sided neglect to be intact. Impulsive
, c. Hyperactive left-sided tendon behavior and neglect
reflexes are more likely with a
d. Difficulty comprehending right-side stroke.
instructions
REF: 1350
TERM
DEFINITION
4
4. During the change of shift report a ANS: C
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nurse is told that a patient has an Visual disturbances are
occluded left posterior cerebral artery. expected with posterior
The nurse will anticipate that the cerebral artery
patient may have occlusion. Aphasia
occurs with middle
a. dysphasia. cerebral artery
b. confusion. involvement. Cognitive
c. visual deficits. deficits and changes in
d. poor judgment. judgment are more
typical of anterior
TERM
cerebral artery
occlusion.
REF: 1350
DEFINITION
5
5. When teaching about clopidogrel ANS: B
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(Plavix), the nurse will tell the patient Clopidogrel inhibits
with cerebral atherosclerosis platelet function and
increases the risk for