1.When taking a patient's health history, which of the following does the
nurse identify as risk factors for having a stroke? (Select all that apply.)
a) Diabetes Mellitus
b) Smoking
c) Recent weight loss
d) Asthma
e) Hypertension: a) Diabetes Mellitus
b) Smoking
e) Hypertension
Explanation: Risk factors for stroke include hypertension, smoking, and
diabetes. Obesity, not weight loss, is a risk factor for stroke. Asthma is
not a risk factor for stroke.
2.The nurse has an order to complete neurochecks every four hours.
1/
8
, Which assessments would the nurse include in the neurological
examination? (Se- lect all that apply.)
a) Range of motion
b) Level of consciousness
c) Sensory perception
d) Cranial nerves
e) Memory: b) Level of consciousness
c) Sensory perception
d) Cranial nerves
e) Memory
Explanation: Components of a neurological examination include
memory, level of consciousness, sensory perception, cranial nerves,
patterns of speech, and bilateral hand grips. Range of motion would be
appropriate for a musculoskeletal assess- ment.
3.The nurse is caring for four medical-surgical patients. Which patient
2/
8
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