Stroke test bank questions with
correct answers
During the change of shift report, a nurse is told that a patient has an occluded left posterior
cerebral artery. The nurse will anticipate that the patient may have
A. Dysphasia
B. Confusion
C. Visual deficits
D. Poor judgment - correct answer ✔✔ C. Visual disturbances are expected with posterior
cerebral artery occlusion. Aphasia occurs with middle cerebral artery involvement. Cognitive
deficits and changes in judgment are more typical of anterior cerebral artery occlusion.
A patient with a stroke experiences facial drooping on the right side and right sided arm and leg
paralysis. When admitting the patient, which clinical manifestation well the nurse expect to
find?
A. Impulsive behavior
B. Right sided neglect
C. Hyper active left-sided tendon reflexes
D. Difficulty comprehending instructions - correct answer ✔✔ D. Right sided para lysis indicates
a left brain stroke, which will lead to difficulty with comprehension and use of language. The
left-sided reflexes are likely to be intact. Impulsive behavior and neglect are more likely with a
right sided stroke
After a patient experienced a brief episode of tinnitus, diplopia, and dysarthria with no residual
effects, the nurse anticipates teaching the patient about.
A. cerebral aneurysm clipping
B. Heparin intravenous infusion
C. Oral low-dose aspirin therapy
, D. Tissue plasminogen activator - correct answer ✔✔ C. The patient's symptoms are consistent
with transient ischemic attack, and drugs that inhibit platelet aggregation are prescribed after a
TIA To prevent a stroke. Continuous heparin infusion is not routinely used after TIA or with
acute ischemic strokes. The patient's symptoms are not consistent with a cerebral aneurysm.
TPA is used only for acute ischemic strokes, not for TIA
A patient is being admitted with a possible stroke. Which information from the assessment
indicates that the nurse should consult with the healthcare provider before giving the
prescribed aspirin?
A. period the patient has dysphasia
B. The patient has atrial fibrillation
C. The patient reports that symptoms began with a severe headache
D.The patient has a history of brief episodes of right sided hemiplegia - correct answer ✔✔ C.
It's sudden onset headache is typically of a subarachnoid hemorrhage, and aspirin is
Contraindicated. Atrial fibrillation, dysphasia, and transient ischemic attack or not
contraindicated to aspirin use
When teaching about clopidogrel (Plavix), the nurse will tell the patient with cerebral
atherosclerosis
a. to monitor and record the blood pressure daily.
b. that Plavix will dissolve clots in the cerebral arteries.
c. that Plavix will reduce cerebral artery plaque formation.
d. to call the health care provider if stools are bloody or tarry. - correct answer ✔✔ d. to call the
health care provider if stools are bloody or tarry
Clopidogrel (Plavix) inhibits platelet function and increases the risk for gastrointestinal bleeding,
so patients should be advised to notify the health care provider about any signs of bleeding. The
medication does not lower blood pressure, decrease plaque formation, or dissolve clots.
A patient with atherosclerosis ask the nurse to describe a carotid endarterectomy. Which
response by the nurse is accurate
correct answers
During the change of shift report, a nurse is told that a patient has an occluded left posterior
cerebral artery. The nurse will anticipate that the patient may have
A. Dysphasia
B. Confusion
C. Visual deficits
D. Poor judgment - correct answer ✔✔ C. Visual disturbances are expected with posterior
cerebral artery occlusion. Aphasia occurs with middle cerebral artery involvement. Cognitive
deficits and changes in judgment are more typical of anterior cerebral artery occlusion.
A patient with a stroke experiences facial drooping on the right side and right sided arm and leg
paralysis. When admitting the patient, which clinical manifestation well the nurse expect to
find?
A. Impulsive behavior
B. Right sided neglect
C. Hyper active left-sided tendon reflexes
D. Difficulty comprehending instructions - correct answer ✔✔ D. Right sided para lysis indicates
a left brain stroke, which will lead to difficulty with comprehension and use of language. The
left-sided reflexes are likely to be intact. Impulsive behavior and neglect are more likely with a
right sided stroke
After a patient experienced a brief episode of tinnitus, diplopia, and dysarthria with no residual
effects, the nurse anticipates teaching the patient about.
A. cerebral aneurysm clipping
B. Heparin intravenous infusion
C. Oral low-dose aspirin therapy
, D. Tissue plasminogen activator - correct answer ✔✔ C. The patient's symptoms are consistent
with transient ischemic attack, and drugs that inhibit platelet aggregation are prescribed after a
TIA To prevent a stroke. Continuous heparin infusion is not routinely used after TIA or with
acute ischemic strokes. The patient's symptoms are not consistent with a cerebral aneurysm.
TPA is used only for acute ischemic strokes, not for TIA
A patient is being admitted with a possible stroke. Which information from the assessment
indicates that the nurse should consult with the healthcare provider before giving the
prescribed aspirin?
A. period the patient has dysphasia
B. The patient has atrial fibrillation
C. The patient reports that symptoms began with a severe headache
D.The patient has a history of brief episodes of right sided hemiplegia - correct answer ✔✔ C.
It's sudden onset headache is typically of a subarachnoid hemorrhage, and aspirin is
Contraindicated. Atrial fibrillation, dysphasia, and transient ischemic attack or not
contraindicated to aspirin use
When teaching about clopidogrel (Plavix), the nurse will tell the patient with cerebral
atherosclerosis
a. to monitor and record the blood pressure daily.
b. that Plavix will dissolve clots in the cerebral arteries.
c. that Plavix will reduce cerebral artery plaque formation.
d. to call the health care provider if stools are bloody or tarry. - correct answer ✔✔ d. to call the
health care provider if stools are bloody or tarry
Clopidogrel (Plavix) inhibits platelet function and increases the risk for gastrointestinal bleeding,
so patients should be advised to notify the health care provider about any signs of bleeding. The
medication does not lower blood pressure, decrease plaque formation, or dissolve clots.
A patient with atherosclerosis ask the nurse to describe a carotid endarterectomy. Which
response by the nurse is accurate
