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NRSG 357 Practice Questions/iClickers Exam 1: Qs & As
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NRSG 357 Practice Questions/iClickers Exam 1: Qs & As
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NRSG 357 Practice Questions/iClickers Exam 1: Qs & AsAs one of your clinical assignments, you are assisting an RN with health
screening at a health fair. Which person is at greatest risk for experiencing a
stroke?
a. a 62. y-o black male with hypertension who is 35 pounds overweight
b. a 42-y-o black female with diabetes who has smoked for 30 years
c. a 58-y-o white male salesman who has a total cholesterol level of 285
mg/dL
d. a 46-y-o white female with hypertension and oral contraceptive use for 10
years Right Ans - a
- has 5 risk factors: age, black, male, hypertension, and overweight
You're educating a patient about transient ischemic attacks (TIAs). Select all
the options that are incorrect about this condition:
a. TIAs are caused by a temporary decrease in blood flow to the brain
b. TIAs produce signs and symptoms that can last for several weeks to months
c. A TIA is an impending warning sign that a stroke may occur
d. TIAs don't require medical treatment Right Ans - b, d
Which stroke risk factor for a 48-y-o male patient in the clinic is most
important for the nurse to address?
a. the patient's usual BP is 170/94
b. the patient works at a desk and relaxes by watching TV
c. the patient is 25 pounds above the ideal weight
d. the patient drinks a glass of red wine with dinner daily Right Ans - a
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 a prescribed dose of aspirin?
a. the patient has a history of brief episodes of right-sided hemiplegia
b. the patient has dysphasia
c. the patient reports that symptoms began with a severe headache
d. the patient has a.fib Right Ans - c
a sudden onset headache is typical of hemorrhagic stroke, and aspirin is
contraindicated
,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?
a. ischemic thrombosis
b. ischemic embolism
c. hemorrhagic
d. ischemic stenosis Right Ans - b
if a patient is in uncontrolled a-fib they are at risk for clot formation
What will the nurse tell the patient who has has cerebral atherosclerosis
about taking clopidogrel (Plavix)?
a. clopidogrel will dissolve clots in the cerebral arteries
b. clopidogrel will reduce cerebral artery plaque formation
c. call the health provider if stools are tarry
d. monitor and record the blood pressure daily Right Ans - c
antiplatelet drug: increased risk of GI bleeding
A patient with left-sided weakness that started 60 minutes earlier is admitted
to the emergency department and diagnostic tests are ordered. Which test
should be done first?
a. MRI
b. 12-lead electrocardiogram (ECG)
c. CBC
d. CT Right Ans - D
A patient arrives in the emergency department with hemiparesis and
dysarthria that started 2 hours previously. Helath records show a history of
several TIAs. What should the nurse anticipate for the patient?
a. intravenous heparin drip administration
b. tissue plasminogen actovator (tPA) infusion
c. surgical endarterectomy
d. transluminal angioplasty Right Ans - b
Daniel is diagnosed with a thrombotic stroke. Over the next 72 hours, you plan
care with the knowledge that he:
a. is ready for aggressive rehabilitation
b. will show gradual improvement of the initial neurologic deficits
, c. may show signs of deteriorating neurologic function as cerebral edema
increases
d. should not be turned or exercised to prevent extension of the thrombus and
increased neurologic deficits Right Ans - c
ischemic stroke symptoms may progress in the first 72 hours as infarction and
cerebral edema increase
Which information about the patient who had a subarachnoid hemorrhage is
most important to communicate to the health care provider?
a. the patient reports a stiff neck
b. the cerebrospinal fluid (CSF) report shows RBCs
c. the patient reports a severe and unrelenting headache
d. the patient's BP is 90/50 Right Ans - d
other answers are typical clinical manifestations for subarachnoid
hemorrhage
A patient being admitted with a stroke has right-sided facial drooping and
right-sided arm and leg paralysis. Which finding should the nurse expect?
a. hyperactive left-sided tendon reflexes
b. right-sided neglect
c. impulsive behavior
d. difficulty comprehending instructions Right Ans - d
left-sided stroke: difficulty with comprehension and use of language
A patient with carotid atherosclerosis asks the nurse to describe a carotid
endarterectomy. Which response by the nurse is accurate?
a. "The diseased portion of the artery is replaced with a synthetic graft."
b. The obstructing plaque is surgically removed from inside an artery in the
neck."
c. "The wire is threaded through an artery in the leg to the clots in the carotid
artery, and clots are removed."
d. "A catheter with a deflated balloon is positioned at the narrow area, and the
balloon flattens the plaque." Right Ans - b
a: arterial graft
c: MERCI
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