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1. A patient is admitted with uncontrolled atrial fibrillation. The patient’s medication history includes vitamin D supplements and calcium. What type of stroke is this patient at MOST risk for?
Antworten
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A. Ischemic thrombosis
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B. Ischemic embolism
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C. Hemorrhagic
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D. Ischemic stenosis
Frage 2
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2. Which patient below is at most risk for a hemorrhagic stroke?
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A. A 65 year old male patient with carotid stenosis.
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B. A 89 year old female with atherosclerosis.
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C. A 88 year old male with uncontrolled hypertension and a history of brain aneurysm repair 2 years ago.
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D. A 55 year old female with atrial flutter.
Frage 3
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3. You’re educating a patient about transient ischemic attacks (TIAs). Select all the options that are incorrect about this condition:
Antworten
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A. TIAs are caused by a temporary decrease in blood flow to the brain.
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B. TIAs produce signs and symptoms that can last for several weeks to months.
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C. A TIAs is a warning sign that an impending stroke may occur.
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D. TIAs don’t require medical treatment.
Frage 4
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4. A patient who suffered a stroke one month ago is experiencing hearing problems along with issues learning and showing emotion. On the MRI what lobe in the brain do you expect to be affected?
Antworten
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A. Frontal lobe
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B. Occipital lobe
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C. Parietal lobe
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D. Temporal
Frage 5
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5. A patient’s MRI imaging shows damage to the cerebellum a week after the patient suffered a stroke. What assessment findings would correlate with this MRI finding?
Frage 6
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6. A patient is demonstrating signs and symptoms of stroke. The patient reports loss of vision. What area of the brain do you suspect is affected based on this finding?
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A. Brain stem
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B. Hippocampus
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C. Parietal lobe
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D. Occipital lobe
Frage 7
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7. A patient has right side brain damage from a stroke. Select all the signs and symptoms that occurs with this type of stroke:
Frage 8
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8. You’re educating a group of nursing students about left side brain damage. Select all the signs and symptoms noted with this type of stroke:
Frage 9
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9. During discharge teaching for a patient who experienced a mild stroke, you are providing details on how to eliminate risk factors for experiencing another stroke. Which risk factors below for stroke are modifiable?
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A. Smoking
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B. Family history
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C. Advanced age
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D. Obesity
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E. Sedentary lifestyle
Frage 10
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10. Your patient who had a stroke has issues with understanding speech. What type of aphasia is this patient experiencing and what area of the brain is affected?
Antworten
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A. Expressive; Wernicke’s area
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B. Receptive, Broca’s area
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C. Expressive; hippocampus
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D. Receptive; Wernicke’s area
Frage 11
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11. Your patient has expressive aphasia. Select all the ways to effectively communicate with this patient?
Antworten
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A. Fill in the words for the patient they can’t say.
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B. Don’t repeat questions.
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C. Ask questions that require a simple response.
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D. Use a communication board.
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E. Discourage the patient from using words.
Frage 12
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12. While conversing with a patient who had a stroke six months ago, you note their speech is hard to understand and slurred. This is known as:
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A. Dysarthria
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B. Apraxia
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C. Alexia
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D. Dysphagia
Frage 13
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13. You’re reading the physician’s history and physical assessment report. You note the physician wrote that the patient has apraxia. What assessment finding in your morning assessment correlates with this condition?
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A. The patient is unable to read.
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B. The patient has limited vision in half of the visual field.
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C. The patient is unable to wink or move his arm to scratch his skin.
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D. The patient doesn’t recognize a pencil or television.
Frage 14
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14. You need to obtain informed consent from a patient for a procedure. The patient experienced a stroke three months ago. The patient is unable to sign the consent form because he can’t write. This is known as what:
Antworten
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A. Agraphia
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B. Alexia
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C. Hemianopia
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D. Apraxia
Frage 15
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15. You’re assessing your patient’s pupil size and vision after a stroke. The patient says they can only see half of the objects in the room. You document this finding as:
Antworten
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A. Hemianopia
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B. Opticopsia
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C. Alexia
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D. Dysoptic
Frage 16
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16. A patient who has hemianopia is at risk for injury. What can you educate the patient to perform regularly to prevent injury?
Antworten
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A. Wearing anti-embolism stockings daily
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B. Consume soft foods and tuck in chin while swallowing
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C. Scanning the room from side to side frequently
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D. Muscle training
Frage 17
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17. You receive a patient who is suspected of experiencing a stroke from EMS. You conduct a stroke assessment with the NIH Stroke Scale. The patient scores a 40. According to the scale, the result is:
Frage 18
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18. In order for tissue plasminogen activator (tPA) to be most effective in the treatment of stroke, it must be administered?
Antworten
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A. 6 hours after the onset of stroke symptoms
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B. 3 hours before the onset of stroke symptoms
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C. 3 hours after the onset of stroke symptoms
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D. 12 hours before the onset of stroke symptoms
Frage 19
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19. Which patients are NOT a candidate for tissue plasminogen activator (tPA) for the treatment of stroke?
Antworten
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A. A patient with a CT scan that is negative.
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B. A patient whose blood pressure is 200/110.
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C. A patient who is showing signs and symptoms of ischemic stroke.
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D. A patient who received Heparin 24 hours ago.
Frage 20
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20. You’re assisting a patient who has right side hemiparesis and dysphagia with eating. It is very important to:
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A. Keep the head of bed less than 30′.
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B. Check for pouching of food in the right cheek.
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C. Prevent aspiration by thinning the liquids.
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D. Have the patient extend the neck upward away from the chest while eating.
Frage 21
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21. A patient has experienced right side brain damage. You note the patient is experiencing neglect syndrome. What nursing intervention will you include in the patient’s plan of care?
Antworten
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A. Remind the patient to use and touch both sides of the body daily.
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B. Offer the patient a soft mechanical diet with honey thick liquids.
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C. Ask direct questions that require one word responses.
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D. Offer the bedpan and bedside commode every 2 hours.