Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 67 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A Impulsive behavior.
B Left visual field deficit.
C Right-sided paralysis.
D Spatial-perceptual deficits.
Question #2
A Arteriovenous malformation
B Cardiogenic emboli
C Cerebral aneurysm
D Intracerebral hemorrhage
Question #3
A Choreiform movement and dementia
B Tremor, rigidity, and bradykinesia
C Psychosis, disorientation, delirium, insomnia, and hallucinations
D Severe dementia and myoclonus
Question #4
A Vomiting and seizures
B Weakness on one side of the body and difficulty with speech
C Severe headache and early change in level of consciousness
D Footdrop and external hip rotation
Question #5
A Ask the client if he has trouble breathing.
B Ask the client if he has a headache.
C Take the client’s blood pressure.
D Place antiembolism stockings on the client.
Question #6
A Ruptured cerebral arteries
B Cerebral aneurysm
C Arteriovenous malformation (AVM)
D Atrial fibrillation
Question #7
A Restrict fluids before surgery.
B Administer preoperative sedation.
C Administer prescribed medications.
D Administer an osmotic diuretic.
Question #8
A Lack of deep tendon reflexes
B Auditory agnosia
C Hemiplegia or hemiparesis
D Limited attention span and forgetfulness
Question #9
A cardio embolic
B large-artery thrombotic
C cryptogenic
D small, penetrating artery thrombotic
Question #10
A Dyslipidemia
B Hypertension
C Smoking
D Obesity
Question #11
A Large artery thrombotic
B Cardiogenic embolic
C Cryptogenic
D Small artery thrombotic
Question #12
A After the patient has passed the acute phase of the stroke
B The day the patient has the stroke
C The day before the patient is discharged
D After the nurse has received the discharge orders
Question #13
A Impaired Swallowing
B Risk for Fluid Volume Deficit
C Risk forElectrolyte Imbalance
D Altered Nutrition:Less Than Body Requirements
Question #14
A A 62-year-old Caucasian woman
B A 40-year-old Caucasian woman
C A 28-year-old pregnant African-American woman
D A 60-year-old African-American man
Question #15
A High-Fowler’s
B Supine
C Semi-Fowler’s
D Prone
Question #16
A This behavior is common in clients with stroke. Which does your spouse do more often? Laugh or cry?”
B Emotional lability is common after a stroke, and it usually improves with time.”
C You sound stressed; maybe using some stress management techniques will help.”
D You seem upset, and it may be hard for you to focus on the teaching, I’ll come back later.”
Question #17
A Permit friends to visit often.
B Administer docusate per order.
C Provide a dimly lit environment.
D Ambulate the client every hour.
E Elevate the head of bed 30 degrees.
Question #18
A Assist the client with feeding.
B Reposition the tray and plate.
C Perform a vision field assessment.
D Know this is a normal finding for CVA.
Question #19
A Tension headaches are easier to treat.
B Headaches are the most common type of reported pain.
C Cluster headaches can cause severe debilitating pain.
D Migraines often coincide with menstrual cycle.
Question #20
A hypertension
B diabetes insipidus
C cardiac disease
D impaired cerebral circulation
Question #21
A Auditory agnosia
B Lack of deep tendon reflexes
C Limited attention span and forgetfulness
D Visual agnosia
Question #22
A Agraphia
B Agnosia
C Perseveration
D Apraxia
Question #23
A 190 mm Hg/120 mm Hg
B 175 mm Hg/100 mm Hg
C 170 mm Hg/105 mm Hg
D 185 mm Hg/110 mm Hg
Question #24
A 1 hour
B 24 to 36 hours
C 3 to 6 hours
D 12 hours
Question #25
A Monitoring for seizure activity
B Administering a stool softener
C Maintaining a patent airway
D Elevating the head of the bed to 30 degrees
Question #26
A aspirin.
B ticlodipine.
C dipyridamole.
D clopidogrel.
Question #27
A Smoking
B Thyroid disease
C Advanced age
D Social drinking
Question #28
A Completed Stroke
B Right-sided cerebrovascular accident (CVA)
C Left-sided cerebrovascular accident (CVA)
D Transient ischemic attack (TIA)
Question #29
A Hypertension
B Bleeding
C Headache
D Increased intracranial pressure (ICP)
Question #30
A Limited attention span and forgetfulness
B Hemiplegia or hemiparesis
C Lack of deep tendon reflexes
D Visual and auditory agnosia
Question #31
A Confusion or change in mental status
B Severe headache and early change in level of consciousness
C Weakness on one side of the body and difficulty with speech
D Footdrop and external hip rotation
Question #32
A Small artery thrombosis
B Cerebral aneurysm
C Large artery thrombosis
D Cardiogenic emboli
Question #33
A Noncontrast computed tomogram
B Carotid ultrasound study
C 12-lead electrocardiogram
D Transcranial Doppler flow study
Question #34
A Carotid endarterectomy
B Cholesterol-lowering drugs
C Anticoagulant therapy
D Monthly prothrombin levels
Question #35
A Eliminate use of bright lights when working.
B Apply cool or warm cloth to head or eyes.
C Perform stretching exercises and frequent position change.
D Avoid certain foods.
Question #36
A Need for support group due to decreased self image related to restricted mobility.
B Remove throw rugs and electrical cords from home environment.
C Leg exercises to strengthen muscle weakness.
D Use of tripod cane.
Question #37
A Intracranial pressure is increased by a space-occupying bleed.
B A ruptured intracranial aneurysm must quickly be repaired.
C A ruptured arteriovenous malformation will cause deficits until it is stopped.
D Thrombolytic therapy has a time window of only 3 hours.
Question #38
A Agraphia
B Agnosia
C Perseveration
D Apraxia
Question #39
A Form words that are understandable or comprehend spoken words
B Comprehend spoken words
C Speak at all
D Form words that are understandable
Question #40
A Suggest that the family members speak with the physician about their concerns.
B Inform the case manager of the family’s concern and provide information about the client’s current clinical status so appropriate resources can be provided after discharge.
C The nurse should do nothing because she is responsible only for inpatient care
D Contact the appropriate agencies so that they can provide care after discharge.
Question #41
A Increased urine output
B Decreased heart rate
C Decreased level of consciousness (LOC)
D Elevated blood pressure
Question #42
A Test the gag reflex before offering food or fluids
B Allow ample time to eat.
C Place food on the affected side of the mouth
D Assist the client with meals.
Question #43
A Diphenhydramine (Benadryl)
B Lioresal (Baclofen)
C Heparin
D Pregabalin (Lyrica)
Question #44
A diplopia
B bruit
C atherosclerotic plaque
D TIA
Question #45
A Functional recovery usually plateaus at 6 months.
B One of the main presenting symptoms is numbness or weakness of the face
C Main presenting symptom is an “exploding headache.”
D It is caused by a large-artery thrombosis.
Question #46
A Transient ischemic attack
B Right-sided stroke
C Cerebral aneurysm
D Left-sided stroke
Question #47
A Take medication just before going to bed at night
B Take medication only when migraine is intense
C Take medication only during the morning when it’s calm and quiet.
D Take medication as soon as symptoms of the migraine begin.
Question #48
A Intracranial hemorrhage
B Age 18 years or older
C Systolic blood pressure less than or equal to 185 mm Hg
D Ischemic stroke
Question #49
A Call the physician immediately.
B Administer an analgesic.
C Sit with the client for a few minutes
D Inform the nurse manager.
Question #50
A Temporal
B Occipital
C Frontal
D Parietal
Question #51
A Systolic pressure of 180 mm Hg
B Respiration of 22
C Diastolic pressure of 110 mm Hg
D Heart rate of 100
Question #52
A Double vision
B Numbness of an arm or leg
C Severe headache
D Dizziness and tinnitus
Question #53
A Carotid Doppler
B Electrocardiography
C Noncontrast computed tomography
D Transcranial Doppler studies
Question #54
A immediately
B upon transfer to a rehabilitation unit
C in 2 to 3 days
D after 1 week
Question #55
A Every 15 minutes
B Every 45 minutes
C Every hour
D Every 30 minutes
Question #56
A Always serve hot or tepid foods.
B Provide a high-fat diet.
C Include dry or crisp foods and chewy meats.
D Provide thickened commercial beverages and fortified cooked cereals.
Question #57
A Agraphia
B Perseveration
C Apraxia
D Agnosia
Question #58
A 8.3 mg
B 10 mg
C 7.5 mg
D 6.3 mg
Question #59
A Diplopia
B Nystagmus
C Homonymous hemianopsia
D Scotoma
Question #60
A A TIA is an insidious, often chronic episode of neurologic impairment.
B When symptoms cease, the client will return to presymptomatic state.
C Two thirds of people that experience a TIA will go on to develop a stroke
D Symptoms of a TIA may linger for up to a week.
Question #61
A spouse
B home care nurse
C chaplin
D physical therapist
Question #62
A Hypertension
B Atrial fibrillation
C Obesity
D Advanced age