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Neuro Test Bank Questions and Correct Answers
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<<<<< Elscores <<<<<>>>>> 20/08/2024 08:06>>>>Neuro Test Bank Questions and Correct
Answers
1. A patient has had an ischemic stroke and has been admitted to the medical unit. What
action should the nurse perform to best prevent joint deformities?
A) Place the patient in the prone position for 30 minutes/day.
B) Assist the patient in acutely flexing the thigh to promote movement.
C) Place a pillow in the axilla when there is limited external rotation.
D) Place patient's hand in pronation.
✓ ~: 1. Ans: C
Feedback:
A pillow in the axilla prevents adduction of the affected shoulder and keeps the arm away
from the chest. The prone position with a pillow under the pelvis, not flat, promotes
hyperextension of the hip joints, essential for normal gait. To promote venous return and
prevent edema, the upper thigh should not be flexed acutely. The hand is placed in slight
supination, not pronation, which is its most functional position.
2. A patient diagnosed with transient ischemic attacks (TIAs) is scheduled for a carotid
endarterectomy. The nurse explains that this procedure will be done for what purpose?
A) To decrease cerebral edema
B) To prevent seizure activity that is common following a TIA
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C) To remove atherosclerotic plaques blocking cerebral flow
D) To determine the cause of the TIA
✓ ~: 2. Ans: C
Feedback:
The main surgical procedure for select patients with TIAs is carotid endarterectomy, the
removal of an atherosclerotic plaque or thrombus from the carotid artery to prevent stroke in
patients with occlusive disease of the extracranial arteries. An endarterectomy does not
decrease cerebral edema, prevent seizure activity, or determine the cause of a TIA.
3. The nurse is discharging home a patient who suffered a stroke. He has a flaccid right arm
and leg and is experiencing problems with urinary incontinence. The nurse makes a referral
to a home health nurse because of an awareness of what common patient response to a
change in body image?
A) Denial
B) Fear
C) Depression
D) Disassociation
✓ ~: 3. Ans: C
Feedback:
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Depression is a common and serious problem in the patient who has had a stroke. It can result
from a profound disruption in his or her life and changes in total function, leaving the patient
with a loss of independence. The nurse needs to encourage the patient to verbalize feelings to
assess the effect of the stroke on self-esteem. Denial, fear, and disassociation are not the most
common patient response to a change in body image, although each can occur in some
patients.
4. When caring for a patient who had a hemorrhagic stroke, close monitoring of vital signs
and neurologic changes is imperative. What is the earliest sign of deterioration in a patient
with a hemorrhagic stroke of which the nurse should be aware?
A) Generalized pain
B) Alteration in level of consciousness (LOC)
C) Tonicclonic seizures
D) Shortness of breath
✓ ~: 4. Ans: B
Feedback:
Alteration in LOC is the earliest sign of deterioration in a patient after a hemorrhagic stroke,
such as mild drowsiness, slight slurring of speech, and sluggish papillary reaction. Sudden
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headache may occur, but generalized pain is less common. Seizures and shortness of breath
are not identified as early signs of hemorrhagic stroke.
5.The nurse is performing stroke risk screenings at a hospital open house. The nurse has
identified four patients who might be at risk for a stroke. Which patient is likely at the highest
risk for a hemorrhagic stroke?
A) White female, age 60, with history of excessive alcohol intake
B) White male, age 60, with history of uncontrolled hypertension
C) Black male, age 60, with history of diabetes
D) Black male, age 50, with history of smoking
✓ ~: 5. Ans: B
Feedback:
Uncontrolled hypertension is the primary cause of a hemorrhagic stroke. Control of
hypertension, especially in individuals over 55 years of age, clearly reduces the risk for
hemorrhagic stroke. Additional risk factors are increased age, male gender, and excessive
alcohol intake. Another high-risk group includes African Americans, where the incidence of
first stroke is almost twice that as in Caucasians.
6. A patient who just suffered a suspected ischemic stroke is brought to the ED by
ambulance. On what should the nurse's primary assessment focus?
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