Stroke

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?

2. Which patient below is at most risk for a hemorrhagic stroke?

3. You’re educating a patient about transient ischemic attacks (TIAs). Select all the options that are incorrect about this condition:

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?

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?

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?

7. A patient has right side brain damage from a stroke. Select all the signs and symptoms that occurs with this type of stroke:

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:

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?

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?

11. Your patient has expressive aphasia. Select all the ways to effectively communicate with this patient?

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:

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?

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:

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:

16. A patient who has hemianopia is at risk for injury. What can you educate the patient to perform regularly to prevent injury?

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:

18. In order for tissue plasminogen activator (tPA) to be most effective in the treatment of stroke, it must be administered?

19. Which patients are NOT a candidate for tissue plasminogen activator (tPA) for the treatment of stroke?

20. You’re assisting a patient who has right side hemiparesis and dysphagia with eating. It is very important to:

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?