When your desires are strong enough you will appear to possess superhuman

powers to achieve.
~ Napoleon Hill

5. What is a priority nursing assessment in the first 24 hours after

admission of the client with a thrombotic stroke?
1. Cholesterol level

Topics

2. Pupil size and pupillary response

Included topics in this practice quiz are:

Hemorrhagic Stroke

Increased Intracranial Pressure

Right-sided paralysis

Thrombotic Stroke

Transient Ischemic Attack

3. Bowel sounds
4. Echocardiogram
6. What is the expected outcome of thrombolytic drug therapy?
1. Increased vascular permeability.
2. Vasoconstriction.
3. Dissolved emboli.

1. Regular oral hygiene is an essential intervention for the client who has

4. Prevention of hemorrhage

had a stroke. Which of the following nursing measures is inappropriate

7. The client diagnosed with atrial fibrillation has experienced a transient

when providing oral hygiene?

ischemic attack (TIA). Which medication would the nurse anticipate being

1. Placing the client on the back with a small pillow under the head.

ordered for the client on discharge?

2. Keeping portable suctioning equipment at the bedside.

1. An oral anticoagulant medication.

3. Opening the clients mouth with a padded tongue blade.

2. A beta-blocker medication.

4. Cleaning the clients mouth and teeth with a toothbrush.

3. An anti-hyperuricemic medication.

2. A 78-year-old client is admitted to the emergency department with

4. A thrombolytic medication.

numbness and weakness of the left arm and slurred speech. Which nursing

8. Which client would the nurse identify as being most at risk for

intervention is a priority?

experiencing a CVA?

1. Prepare to administer recombinant tissue plasminogen activator (rt-PA).

1. A 55-year-old African American male.

2. Discuss the precipitating factors that caused the symptoms.

2. An 84-year-old Japanese female.

3. Schedule for A STAT computer tomography (CT) scan of the head.

3. A 67-year-old Caucasian male.

4. Notify the speech pathologist for an emergency consult.

4. A 39-year-old pregnant female.

3. A client arrives in the emergency department with an

9. Which assessment data would indicate to the nurse that the client would

ischemic stroke and receives tissue plasminogen activator (t-PA)

be at risk for a hemorrhagic stroke?

administration. Which is the priority nursing assessment?

1. A blood glucose level of 480 mg/dl.

1. Current medications.

2. A right-sided carotid bruit.

2. Complete physical and history.

3. A blood pressure of 220/120 mmHg.

3. Time of onset of current stroke.

4. The presence of bronchogenic carcinoma.

4. Upcoming surgical procedures.

10. The nurse and unlicensed assistive personnel (UAP) are caring for a

4. During the first 24 hours after thrombolytic therapy for ischemic stroke,

client with right-sided paralysis. Which action by the UAP requires the

the primary goal is to control the clients:

nurse to intervene?

1. Pulse

1. The assistant places a gait belt around the clients waist prior to ambulating.

2. Respirations

2. The assistant places the client on the back with the clients head to the side.

3. Blood pressure

3. The assistant places her hand under the clients right axilla to help him/her

4. Temperature

move up in bed.
4. The assistant praises the client for attempting to perform ADLs independently.