Review Assessment: Quiz 08

  Question
0 out of 1 points  
1
A series of events leads to cerebrovascular accident or stroke, one of which triggers the
incident and the others of which follow. Which of the following triggers the incident?
Selected  c.  Interruption in oxygen supply to the brain
Answer:
Correct Answer:  b.  Sudden impairment of cerebral circulation

  Question
0 out of 1 points  
2
The physician is attending a stroke patient in the emergency department. The CT scan report
of the patient indicates a hemorrhagic stroke. Which of the following holds true for this patient?
Selected  a.  There is bleeding in the tissues of the brain.
Answer:
Correct Answer:  b.  Blood clots have obstructed the blood flow to the brain.

  Question
0 out of 1 points  
3
Mr. Davidov comes back from his morning walk feeling unwell. He complains of severe
headache. A few minutes later, he falls down on the ground and is unable to speak. His wife
calls the family doctor for help. However, before the doctor arrives, Mr. Davidov feels much
better and asks his wife for a glass of water. Based on the symptoms, identify the cause of the
stroke the patient had.
Selected  a.  Formation of blood clot within the vascular system
Answer:
Correct Answer:  c.  Temporary interruption of blood flow

  Question
0 out of 1 points  
4
Mr. Cohen is admitted to the health care center due to stroke-in-evolution. Which of the
following holds true for him?
Selected  c.  His reports show blood clot formation.
Answer:
Correct Answer:  b.  A slight neurologic deficit triggered the symptoms.

  Question
1 out of 1 points  
5
Which of the following statements describes the difference between complete stroke and
progressive stroke most appropriately?
Selected  a.  Complete stroke causes immediate maximum impairment; progressive
Answer: stroke begins with a slight deficit.
Correct a.  Complete stroke causes immediate maximum impairment;
Answer: progressive stroke begins with a slight deficit.
 Feedback A complete stroke causes a maximum neurologic impairment immediately,
: whereas a progressive stroke begins with a slight neurologic deficit.
The other options do not accurately describe the difference between a complete
stroke and a progressive stroke.
For more information on this topic, consult:
Medical-Surgical Nursing Made Incredibly Easy, 2nd Edition, page(s): 158
Pathophysiology Made Incredibly Easy, 4th Edition, page(s): 157
Pathophysiology Made Incredibly Visual, page(s): 92-94

  Question
0 out of 1 points  
6
Which of the following are causes of an ischemic stroke? Select all that apply.
Selected  a.  Obstruction of blood flow to the brain
Answers:  d.  Destruction of tissues
 e.  Edema in the affected vessels
 
Correct Answers:  a.  Obstruction of blood flow to the brain
 b.  Accumulation of amiotic fluid in the vessels

 e.  Edema in the affected vessels  

  Question
1 out of 1 points  
7
Tom is admitted to the emergency department after a stroke attack. The physician concludes
that the stroke was due to debris obstruction in the blood vessels. Which of the following is the
priority nursing action for this patient?
Selected  c.  Administer thrombolytics within 3 hours of onset of the stroke
Answer:
Correct Answer:  c.  Administer thrombolytics within 3 hours of onset of the stroke

Feedback Thrombolytics are used to treat embolic stroke and must be given within 3 hours
: of onset of stroke.
Benzodiazepines are administered if seizures occur. Anticonvulsants prevent
seizure, but this is not a priority nursing action in this case. Corticosteroids aid in
reducing cerebral edema.
For more information on this topic, consult:
Smeltzer, Suzanne C., et al., Brunner and Suddarth's Textbook of Medical-
Surgical Nursing, 12th Edition, page(s): 1196, 1900-1902
Medical-Surgical Nursing Made Incredibly Easy, 2nd Edition, page(s): 160
Pathophysiology Made Incredibly Easy, 4th Edition, page(s): 163
  Question
0 out of 1 points  
8
The nurse is taking care of Emma, a patient diagnosed with stroke. Her report lists that she is
displaying symptoms of aphasia and hemiparesis. Which of the following symptoms validates
the physician's observation? Select all that apply.
Selected  a.  Inability to speak and express herself
Answers:  c.  Numbness of the face
 
Correct Answers: a.  Inability to speak and express herself
 c.  Numbness of the face
 d.  Inability to lift her arms voluntarily
  Question
1 out of 1 points  
9
The physician suspects stroke in a patient. He is confident that the cause is a blockage.
However, the MRI and CT scans do not detect any blockage in the patient. Which assessment
test will help him pinpoint the blockage?
Selected  b.  Carotid ultrasound
Answer:
Correct Answer:  b.  Carotid ultrasound

Feedback There are a number of techniques used to assess a patient with a suspected
: stroke. Carotid ultrasound pinpoints blockage and is therefore particularly helpful
in this case.
The other options are not used to detect blockage.
For more information on this topic, consult:
Smeltzer, Suzanne C., et al., Brunner and Suddarth's Textbook of Medical-
Surgical Nursing, 12th Edition, page(s): 1899
Medical-Surgical Nursing Made Incredibly Easy, 2nd Edition, page(s): 159
Pathophysiology Made Incredibly Easy, 4th Edition, page(s): 160-162
  Question
0 out of 1 points  
10
Andrew, during a heated argument with a neighbor, suddenly gets blurred vision, goes into a
state of confusion, and is unable to speak. Before he can call anyone, he falls on the ground.
He is unable to gather himself and stand up. His wife rushes him to the health care center.
Which three of the following tasks should the nurse perform as priorities in this case? Select
all that apply.
Selected  a.  Ensure patient has a patent airway and have suction available
Answers:
 b.  Check for GI problems
 c.  Check level of consciousness
 d.  Check vital signs, breath sounds, and oxygen saturation
 e.  Provide mouth care and eye care
 
Correct Answers:  a.  Ensure patient has a patent airway and have suction available

 c.  Check level of consciousness

 d.  Check vital signs, breath sounds, and oxygen saturation
  Question
0 out of 1 points  
11
Richard is a 56-year-old male with a history of hypotension and seizure attacks. While
readying for work, he suddenly falls. He is unable to move on his own or speak properly. His
family members immediately take him to the health care center. The physician advises the
nurse to put him on ventilation. Which three of the following are priority tasks for the nurse to
perform in this case? Select all that apply.
Selected  a.  Check level of consciousness
Answers:  d.  Ensure adequate nutrition
 e.  Monitor arterial blood gases (ABGs)

 
Correct Answers:  a.  Check level of consciousness
 b.  Administer benzodiazepines
  e.  Monitor arterial blood gases (ABGs)
  Question
1 out of 1 points  
12
Which of the following is the most prominent characteristic of aphasia?
Selected  b.  Speech impairment
Answer:
Correct Answer:  b.  Speech impairment

Feedback Aphasia is the absence of or impairment of the ability to communicate through

: speech, writing, or signs because of brain dysfunction. It is considered
complete or total when both sensory and motor areas are involved.
The other symptoms are not prominent in aphasia.
For more information on this topic, consult:
Smeltzer, Suzanne C., et al., Brunner and Suddarth's Textbook of Medical-
Surgical Nursing, 12th Edition, page(s): 1897
Pathophysiology Made Incredibly Easy, 4th Edition, page(s): 161
Anatomy & Physiology Made Incredibly Easy, page(s): 80-85
Anatomy & Physiology Made Incredibly Visual, page(s): 60-62