TMC LATEST EXAM WITH 300 REAL EXAM
QUESTIONS AND CORRECT ANSWERS/ TMC EXAM
2025 PREP TEST BANK WITH CORRECT VERIFIED
ANSWERS(BRAND NEW!)
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 (tPA). - ..ANSWER...✓✓
ANS: C
The patient's symptoms are consistent with transient
ischemic attack (TIA), 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 stroke. The patient's
symptoms are not consistent with a cerebral aneurysm.
tPA is used only for acute ischemic stroke, 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 health care provider before giving
the prescribed aspirin?
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a. 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. - ..ANSWER...✓✓ ANS: C
A sudden onset headache is typical of a subarachnoid
hemorrhage, and aspirin is contraindicated. Atrial
fibrillation, dysphasia, and transient ischemic attack are
not contraindications to aspirin use.
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 will the
nurse expect to find?
a. Impulsive behavior
b. Right-sided neglect
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c. Hyperactive left-sided tendon reflexes
d. Difficulty comprehending instructions - ..ANSWER...✓✓
ANS: D
Right-sided paralysis indicates a left-brain stroke, which
will lead to difficulty with comprehension and use of
language. The left-side reflexes are likely to be intact.
Impulsive behavior and neglect are more likely with a
right-side stroke.
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. - ..ANSWER...✓✓ ANS: 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.
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When teaching about clopidogrel (Plavix), the nurse will
tell the patient with cerebral atherosclerosis
a. to monitor and record the blood pressure daily.
b. to call the health care provider if stools are tarry.
c. that clopidogrel will dissolve clots in the cerebral
arteries.
d. that clopidogrel will reduce cerebral artery plaque
formation. - ..ANSWER...✓✓ ANS: B
Clopidogrel 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 carotid atherosclerosis asks the nurse to
describe a carotid endarterectomy. Which response by
the nurse is accurate?
a. "The obstructing plaque is surgically removed from
inside an artery in the neck."
b. "The diseased portion of the artery in the brain is
replaced with a synthetic graft."
c. "A wire is threaded through an artery in the leg to the
clots in the carotid artery, and the clots are removed."