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 Right-sided paralysis.
B Impulsive behavior.
C Left visual field deficit.
D Spatial-perceptual deficits.
Question #2
A Intracerebral hemorrhage
B Cardiogenic emboli
C Arteriovenous malformation
D Cerebral aneurysm
Question #3
A Severe dementia and myoclonus
B Psychosis, disorientation, delirium, insomnia, and hallucinations
C Choreiform movement and dementia
D Tremor, rigidity, and bradykinesia
Question #4
A Vomiting and seizures
B Weakness on one side of the body and difficulty with speech
C Footdrop and external hip rotation
D Severe headache and early change in level of consciousness
Question #5
A Take the client’s blood pressure.
B Place antiembolism stockings on the client.
C Ask the client if he has trouble breathing.
D Ask the client if he has a headache.
Question #6
A Atrial fibrillation
B Arteriovenous malformation (AVM)
C Ruptured cerebral arteries
D Cerebral aneurysm
Question #7
A Administer preoperative sedation.
B Restrict fluids before surgery.
C Administer prescribed medications.
D Administer an osmotic diuretic.
Question #8
A Lack of deep tendon reflexes
B Limited attention span and forgetfulness
C Hemiplegia or hemiparesis
D Auditory agnosia
Question #9
A cardio embolic
B cryptogenic
C small, penetrating artery thrombotic
D large-artery thrombotic
Question #10
A Dyslipidemia
B Hypertension
C Smoking
D Obesity
Question #11
A Cardiogenic embolic
B Cryptogenic
C Small artery thrombotic
D Large artery thrombotic
Question #12
A After the nurse has received the discharge orders
B After the patient has passed the acute phase of the stroke
C The day before the patient is discharged
D The day the patient has the stroke
Question #13
A Altered Nutrition:Less Than Body Requirements
B Impaired Swallowing
C Risk for Fluid Volume Deficit
D Risk forElectrolyte Imbalance
Question #14
A A 60-year-old African-American man
B A 28-year-old pregnant African-American woman
C A 62-year-old Caucasian woman
D A 40-year-old Caucasian woman
Question #15
A Semi-Fowler’s
B High-Fowler’s
C Prone
D Supine
Question #16
A You seem upset, and it may be hard for you to focus on the teaching, I’ll come back later.”
B This behavior is common in clients with stroke. Which does your spouse do more often? Laugh or cry?”
C Emotional lability is common after a stroke, and it usually improves with time.”
D You sound stressed; maybe using some stress management techniques will help.”
Question #17
A Administer docusate per order.
B Permit friends to visit often.
C Elevate the head of bed 30 degrees.
D Provide a dimly lit environment.
E Ambulate the client every hour.
Question #18
A Know this is a normal finding for CVA.
B Reposition the tray and plate.
C Perform a vision field assessment.
D Assist the client with feeding.
Question #19
A Migraines often coincide with menstrual cycle.
B Tension headaches are easier to treat.
C Headaches are the most common type of reported pain.
D Cluster headaches can cause severe debilitating pain.
Question #20
A hypertension
B cardiac disease
C impaired cerebral circulation
D diabetes insipidus
Question #21
A Auditory agnosia
B Limited attention span and forgetfulness
C Visual agnosia
D Lack of deep tendon reflexes
Question #22
A Apraxia
B Agraphia
C Agnosia
D Perseveration
Question #23
A 175 mm Hg/100 mm Hg
B 190 mm Hg/120 mm Hg
C 185 mm Hg/110 mm Hg
D 170 mm Hg/105 mm Hg
Question #24
A 1 hour
B 12 hours
C 24 to 36 hours
D 3 to 6 hours
Question #25
A Administering a stool softener
B Maintaining a patent airway
C Monitoring for seizure activity
D Elevating the head of the bed to 30 degrees
Question #26
A clopidogrel.
B ticlodipine.
C dipyridamole.
D aspirin.
Question #27
A Smoking
B Social drinking
C Thyroid disease
D Advanced age
Question #28
A Left-sided cerebrovascular accident (CVA)
B Right-sided cerebrovascular accident (CVA)
C Completed Stroke
D Transient ischemic attack (TIA)
Question #29
A Hypertension
B Headache
C Bleeding
D Increased intracranial pressure (ICP)
Question #30
A Limited attention span and forgetfulness
B Visual and auditory agnosia
C Hemiplegia or hemiparesis
D Lack of deep tendon reflexes
Question #31
A Footdrop and external hip rotation
B Weakness on one side of the body and difficulty with speech
C Severe headache and early change in level of consciousness
D Confusion or change in mental status
Question #32
A Large artery thrombosis
B Small artery thrombosis
C Cerebral aneurysm
D Cardiogenic emboli
Question #33
A 12-lead electrocardiogram
B Noncontrast computed tomogram
C Carotid ultrasound study
D Transcranial Doppler flow study
Question #34
A Carotid endarterectomy
B Monthly prothrombin levels
C Cholesterol-lowering drugs
D Anticoagulant therapy
Question #35
A Perform stretching exercises and frequent position change.
B Apply cool or warm cloth to head or eyes.
C Avoid certain foods.
D Eliminate use of bright lights when working.
Question #36
A Use of tripod cane.
B Remove throw rugs and electrical cords from home environment.
C Need for support group due to decreased self image related to restricted mobility.
D Leg exercises to strengthen muscle weakness.
Question #37
A Intracranial pressure is increased by a space-occupying bleed.
B A ruptured intracranial aneurysm must quickly be repaired.
C Thrombolytic therapy has a time window of only 3 hours.
D A ruptured arteriovenous malformation will cause deficits until it is stopped.
Question #38
A Agraphia
B Apraxia
C Agnosia
D Perseveration
Question #39
A Speak at all
B Comprehend spoken words
C Form words that are understandable
D Form words that are understandable or comprehend spoken words
Question #40
A Contact the appropriate agencies so that they can provide care after discharge.
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 Suggest that the family members speak with the physician about their concerns.
Question #41
A Elevated blood pressure
B Decreased heart rate
C Increased urine output
D Decreased level of consciousness (LOC)
Question #42
A Place food on the affected side of the mouth
B Allow ample time to eat.
C Test the gag reflex before offering food or fluids
D Assist the client with meals.
Question #43
A Diphenhydramine (Benadryl)
B Heparin
C Pregabalin (Lyrica)
D Lioresal (Baclofen)
Question #44
A bruit
B atherosclerotic plaque
C diplopia
D TIA
Question #45
A It is caused by a large-artery thrombosis.
B One of the main presenting symptoms is numbness or weakness of the face
C Functional recovery usually plateaus at 6 months.
D Main presenting symptom is an “exploding headache.”
Question #46
A Cerebral aneurysm
B Right-sided stroke
C Transient ischemic attack
D Left-sided stroke
Question #47
A Take medication only when migraine is intense
B Take medication only during the morning when it’s calm and quiet.
C Take medication just before going to bed at night
D Take medication as soon as symptoms of the migraine begin.
Question #48
A Ischemic stroke
B Systolic blood pressure less than or equal to 185 mm Hg
C Age 18 years or older
D Intracranial hemorrhage
Question #49
A Sit with the client for a few minutes
B Administer an analgesic.
C Call the physician immediately.
D Inform the nurse manager.
Question #50
A Temporal
B Frontal
C Occipital
D Parietal
Question #51
A Respiration of 22
B Heart rate of 100
C Systolic pressure of 180 mm Hg
D Diastolic pressure of 110 mm Hg
Question #52
A Numbness of an arm or leg
B Double vision
C Severe headache
D Dizziness and tinnitus
Question #53
A Transcranial Doppler studies
B Electrocardiography
C Carotid Doppler
D Noncontrast computed tomography
Question #54
A after 1 week
B immediately
C in 2 to 3 days
D upon transfer to a rehabilitation unit
Question #55
A Every hour
B Every 30 minutes
C Every 45 minutes
D Every 15 minutes
Question #56
A Always serve hot or tepid foods.
B Provide thickened commercial beverages and fortified cooked cereals.
C Include dry or crisp foods and chewy meats.
D Provide a high-fat diet.
Question #57
A Agraphia
B Perseveration
C Apraxia
D Agnosia
Question #58
A 8.3 mg
B 7.5 mg
C 10 mg
D 6.3 mg
Question #59
A Scotoma
B Homonymous hemianopsia
C Diplopia
D Nystagmus
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 home care nurse
B physical therapist
C chaplin
D spouse
Question #62
A Obesity
B Advanced age
C Atrial fibrillation
D Hypertension