NCLEX practice questions- STROKE (3 reviews) Students also studied Terms in this set (21) George Brown College Nursing Save
Stroke Questions: NCLEX Style
10 terms superCandace32 Preview NCLEX med surg stroke 36 terms Shauna_Wiberg Preview Myasthenia Gravis (MG) 10 terms lovebugk3Preview Guillain 12 terms SM 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?ischemic embolism Which patient below is at most risk for a hemorrhagic stroke?A 88 year old male with uncontrolled hypertension and a history of brain aneurysm repair 2 years ago.You're educating a patient about transient ischemic attacks (TIAs). Select all the options that are incorrect about this condition -TIAs produce signs and symptoms that can last for several weeks to months.-TIAs don't require medical treatment 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?temporal 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?balance impairment 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?occipital lobe
A patient has right side brain damage from a stroke.Select all the signs and symptoms that occur with this
type of stroke:
-confusion on date time and place -unilateral neglect -impulsiveness -short attention span 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:
-aphasia -impaired math skills -issues with seeing on the right side -depression and anger -agraphia 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?smoking obesity sedentary lifestyle You're 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?receptive -Wernicke's area You're patient has expressive aphasia. Select all the ways to effectively communicate with this patient?ask questions that require a simple response use communication board 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:
dysarthria 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?the pt is unable to wink or move his arm to scratch his skin 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:
agraphia 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:
hemianopia A patient who has hemianopia is at risk for injury. What can you educate the patient to perform regularly to prevent injury?scanning the room from side to side frequently 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:
severe stroke symptoms
In order for tissue plasminogen activator (tPA) to be most effective in the treatment of stroke, it must be administered?
- hours after the onset of stroke symptoms
Which patients are NOT a candidate for tissue plasminogen activator (tPA) for the treatment of stroke?-a pt whose blood pressure is 200/110 -a pt who received heparin 24 hours ago You're assisting a patient who has right side hemiparesis
and dysphagia with eating. It is very important to:
check for pouching of food in the right cheek 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?remind the pt to use and touch both sides of the body daily