Nclex-Rn Practice Questions-Neurological Disorders-Cerebrovascular Accident
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Question 1 |
The nurse is assessing the client experiencing a left-sided cerebrovascular accident (CVA). Which clinical manifestations would the nurse expect the client to exhibit?
A | Hemiparesis of the left arm and apraxia. |
B | Paralysis of the right side of the body and aphasia. |
C | Inability to recognize and use familiar objects. |
D | Impulsive behavior and hostility toward family. |
Question 2 |
The HCP has discussed a carotid endarterectomy with the client who has experienced two transient ischemic attacks (TIAs). The client tells the nurse, “I really don’t understand why I need this procedure, and I don’t want to have it.” Which scientific rationale would support the nurse’s response?
A | This surgery is indicated for clients with symptoms of a TIA due to carotid artery stenosis. |
B | This surgical procedure will ensure the client does not have a cerebrovascular accident. |
C | This surgery will remove all atherosclerotic plaque from the carotid arteries. |
D | This surgical procedure will increase the elasticity of the carotid arterial wall. |
Question 3 |
The client diagnosed with a right-sided CVA is admitted to the rehabilitation unit. Which intervention should be included in the nursing care plan?
A | Turn and reposition the client every shift. |
B | Place a small pillow under the client’s left shoulder. |
C | Have the client perform quadriceps exercises three times a day. |
D | Instruct the client to hold fingers in a fist. |
Question 4 |
The nurse is planning care for the client experiencing dysphagia secondary to a CVA. Which intervention should be included in the plan of care?
A | Evaluate the client during mealtime. |
B | Position the client in a semi-Fowler position. |
C | Administer oxygen during meals. |
D | Refer the client to a physical therapist. |
Question 5 |
The nurse and a UAP are caring for a client with right-sided paralysis. Which action by the UAP requires the nurse to intervene?
A | The UAP places the gait belt under the client’s axilla prior to ambulating. |
B | The UAP places the client on the abdomen with the client’s head to the side. |
C | The UAP uses a lift sheet when moving the client up in the bed. |
D | The UAP praises the client for attempting to perform activities of daily life (ADLs) independently. |
Question 6 |
The client diagnosed with chronic atrial fibrillation has experienced a transient TIA. Which discharge instruction should the nurse implement?
A | Keep nitroglycerin tablets in a dark-colored bottle. |
B | Check the radial pulse prior to all medications. |
C | Obtain International Normalized Ratio (INR) routinely. |
D | Take over-the-counter vitamin K tablets daily. |
Question 7 |
The client diagnosed with a CVA has hemiparesis. Which problem would be priority for the client?
A | Impaired skin integrity. |
B | Fluid volume overload. |
C | High risk for aspiration. |
D | High risk for injury. |
Question 8 |
The nurse has received the morning shift report. Which client should the nurse assess first?
A | The client who is complaining of a headache at a 3 on a scale of 1—10. |
B | The client who has an apical pulse of 56 and a blood pressure of 210/116. |
C | The client who is reporting not having a bowel movement in 3 days. |
D | The client who is angry because the call light was not answered for 1 hour. |
Question 9 |
Which client would the nurse identify as being least at risk for experiencing a CVA?
A | A 55-year-old African-American male who is obese. |
B | A 73-year-old Japanese female who has essential hypertension. |
C | A 67-year-old Caucasian male whose cholesterol level is below 200 mg/dL. |
D | A 39-year-old female who is taking oral contraceptives. |
Question 10 |
The 88-year-old client is admitted to the ED with numbness and weakness of the left arm and slurred speech. The computed tomography (CT) scan was negative for bleeding. Which nursing intervention is priority?
A | Prepare to administer tissue plasminogen activator (TPA). |
B | Discuss the precipitating factors that caused the symptoms. |
C | Determine the exact time the symptoms occurred. |
D | Notify the speech pathologist for an emergency consult. |
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