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Medical-Surgical Nursing

Review Questions

Medical-Surgical NursingReview Questions

Review Questions

1 .
In the FAST or BE-FAST algorithm for detecting stroke, what does the A stand for?
  1. arm
  2. aphasia
  3. alertness
  4. ataxia
2 .
The circle of Willis receives blood supply from which vessels? Select all that apply.
  1. internal carotid arteries
  2. internal jugular arteries
  3. vertebral arteries
  4. meninges
3 .
You receive a report from the emergency department that you are getting an admission who had a middle cerebral artery (MCA) stroke. You think about the common deficits seen with this type of stroke. What interventions might you prepare to implement? Select all that apply.
  1. Make sure an antiemetic is prescribed r/t nausea and vomiting.
  2. Ensure a bed/chair alarm is present to promote safety r/t hemiplegia.
  3. Decrease risk for aspiration by providing thickened fluids r/t dysphagia.
  4. Prepare for the patient to be intubated r/t respiratory distress.
  5. Get a paper and pen ready for communication r/t aphasia.
4 .
A family member of a patient who had a stroke reports that the patient suddenly began to act impulsively, could not reason through simple problems, and experienced personality changes. What area of the brain does the nurse assume has been affected based upon the patient’s presentation?
  1. cerebellum
  2. pons
  3. frontal lobe
  4. parietal lobe
5 .
What drug classification is used to treat ischemic stroke by dissolving the clot to restore perfusion?
  1. thrombolytic
  2. antiplatelet aggregators
  3. anticoagulant
  4. lipid lowering
6 .
What test(s) can be used for initial stroke diagnosis? Select all that apply.
  1. CT/CTA
  2. MRI/MRA
  3. X-ray
  4. ultrasound
  5. carotid artery angiogram
7 .
What is a risk factor for ischemic stroke?
  1. atrial fibrillation
  2. recent respiratory infection
  3. illicit drug use
  4. assigned male at birth
8 .
What nursing intervention ordered by the provider would best help prepare a patient for administration of tPA?
  1. providing a 1L fluid bolus
  2. administering anticoagulants
  3. inserting two large-bore IVs
  4. maintaining the patient’s NPO status
9 .
What statements would the nurse identify as measures of evaluation to decrease the risk of complications in the immediate care of the patient suspected of having an ischemic stroke? Select all that apply.
  1. Patient remained NPO until swallow could be evaluated.
  2. Patient maintained proper body alignment to facilitate cerebral perfusion.
  3. Stroke symptoms resolved.
  4. Patient was educated on ischemic stroke risk factors.
10 .
What patients are at increased risk for hemorrhagic stroke? Select all that apply.
  1. an 88-year-old male
  2. a 30-year-old pregnant person
  3. a 35-year-old with testicular cancer
  4. a 62-year-old experiencing homelessness
  5. a 45-year-old who uses methamphetamines daily
11 .
What does a CT angiography show that a regular head CT would not?
  1. location of the hemorrhage
  2. volume of the hemorrhage
  3. vascular malformations
  4. active hematoma expansion
12 .
What nursing interventions should the nurse plan to implement for a patient with a hemorrhagic stroke? Select all that apply
  1. perform neurological assessments regularly to identify changes
  2. administer all medications through an NGT to reduce aspiration risk
  3. maintain bedrest to reduce fall risk
  4. assess vital signs daily to monitor for hypotension
13 .
A nurse is assessing a patient who recently had a hemorrhagic stroke. What finding would be the most positive outcome for maintaining patient safety?
  1. The patient’s blood pressure has remained stable.
  2. The patient’s GCS score has increased.
  3. The patient can verbalize four stroke risk factors.
  4. The patient has not experienced a fall.
14 .
A patient who had what surgery after a hemorrhagic stroke will likely require a helmet to protect the brain?
  1. ventriculostomy
  2. aneurysm coiling
  3. decompressive craniectomy
  4. hematoma evacuation via stereotactic aspiration
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