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Stroke questions Medsurge, Study notes of Nursing

Stroke questions - Medsurge Course: Nursing Leadership ATI key (e.g RN 01) University: New Professions Technical Institute

Typology: Study notes

2023/2024

Available from 03/29/2024

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م 8:29 2024/ 3/ 29
Stroke questions - Medsurge
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StrokePracticeQuestions
(Asterisks*** indicate correct response)
1.Apersonpresentingwithaleft extremitylower weaknessmost likely involveswhich
vascularterritory?
a.theanteriorcerebralartery***
b.themiddlecerebralartery
c.theposteriorcerebralartery
d.thebasilarartery
2.Therighthemisphereismostcommonlythedominanthemisphere responsible for
communication.
a.true
b.false***
3.The complication ofdiabetes insipidus aftera stroke is due to injuryof which ofthe
following?
a.thehypothalamus***
b.thethalamus
c.thesubstantianigra
d.themidbrain
4.Whichofthe tofollowingtypesofstrokeismost likely develophydrocephalus?
a.alacunarstroke
b.asubarachnoidhemorrhage***
c.a cardioembolic stroke
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Stroke  Practice  Questions 

 **(Asterisks*****  indicatecorrectresponse)

1.  Apersonpresentingwithaleftlowerextremityweaknessmostlikelyinvolveswhichvascularterritory?a.  theanteriorcerebral  **artery*****  b.  themiddlecerebralarteryc.  theposteriorcerebralarteryd.  thebasilarartery   2.  Therighthemisphereismostcommonlythedominanthemisphereresponsibleforcommunication.   a.  true   b.  **false*****   3.  Thecomplicationofdiabetesinsipidusafterastrokeisduetoinjuryofwhichofthefollowing?   a.  the  **hypothalamus*****   b.  thethalamus   c.  thesubstantianigra   d.  themidbrain   4.  Whichofthefollowingtypesofstrokeismostlikelytodevelophydrocephalus?   a.  alacunarstroke   b.  asubarachnoid  **hemorrhage*****   c.  acardioembolicstroke

 d.  athromboticstroke

5.  WhereisthemostcommonareainthebrainforobstructionoftheCSFflowtooccur,resultinginnoncommunicatinghydrocephalus?   a.  lateralventricles   b.  foramenofMonro   c.  arachnoidvilli   d.aqueductof  **Sylvius*****   6.  Thegagandswallowreflexesarecommonlyassessedpriortoadministeringoralfluidsfollowingastroke.Wheredothecranialnervesoriginatethatcontrolthegagandswallowreflexes?   a.  thecerebralcortex   b.  themidbrain   c.  thepons   d.  the  **medulla*****   7.  Baseduponthecoremeasures,patientsinatrialfibrillation(AF)shouldhavewhichofthefollowingorderedbythetimeofdischarge?   a.  anticoagulation  **therapy*****   b.  antiplatelettherapy   c.  abetaantagonist   d.  acalciumchannelblocker   8.  Whichofthefollowingisanonmodifiableriskofastroke?   a.  hypertension   b.  dyslipidemia

a.  Treatifgreaterthan250mg/dl   b.  Between140180  **mg/dl*****   c.Maintainlessthan130mg/dl   d.  Between80120mg/dl  

13.  Whichofthefollowingtypesofstrokesisanischemicstrokecausedbychronichypertension?   a.  aMoyamoyastroke   b.  acerebralvenousthrombosisstroke   c.  awatershedstroke   d.  alacunar  **stroke*****   14.  Whichofthefollowingisthemostcommoncauseofanintracerebralhemorrhage(ICH)?   a.  anticoagulationtherapy   b.  **hypertension*****   c.  aneurysmrupture   d.  anarteriovenousmalformation(AVM)rupture   15.  Whichofthefollowingisadifferencebetweenacomprehensiveandaprimarystrokecenter?   a.  MRI/MRAcapabilities   b.neurocriticalcare  **units*****   c.  contractswithacutestrokereadyhospitals(ASRHs)   d.  lowkeyqualitystrokecaremeasurementaretracked

16.  Whichofthefollowingsystemsaremostlikelytousetelemedicineandteleradiologytoassistwiththeircareofstrokepatients?   a.  acutestrokereadyhospitals(ASRHs)   b.  primarystrokecenters(PSC)   c.comprehensivestrokecenters  **(CSC)*****   d.  nonprofithospitals17.Whichofthefollowingisafalsestatement?a.  Subluxationoftheshoulderisaresultofparalyzedmusclesnotabletosupportthejoint.   b.Thepatientshouldbemovedupinbedusingthearmsto  **pull.*****   c.  Shouldersubluxationcausesshoulderpain.   d.  Donotpositionpatientonthesideoftheaffectedshoulder.   18.  Whenpositioningastrokepatient,whichofthefollowingisatruestatement?   a.  Allowthepatienttoleantowardthepreferredside   b.  Goodpositioningisimportanttopreventcontracturesand  **swelling.*****   c.  Neverpositionthepatientonhisorheraffectedside   d.  Familiesshouldnotbeallowedtoassistinpositioningthepatient.   19.  Whichofthefollowinginterventionsmayimprovememoryfollowing  astroke?   a.  Useofpictureandcommunicationboards   b.  Useofmemory  **books*****   c.  Encouragethepatienttoreadandrepeatinformation

c.Dischargingpatientsonstatin  **medication*****   d.  GIprophylaxis

24.  WhichofthefollowingaretoolsusedbytheEMSproviderstoassessforapotentialstroke?   a.theCincinnati  **Scale*****   b.  theGlasgowComaScale   c.  theNIHStrokeScale   d.  theFraminghamScale   25.  Anischemicstrokepatientweighting100kgshouldreceiveatotalof90mgofIVrtPA.   a.  **true*****   b.  false26.  Currentlywhichofthefollowingmechanicaldeviceshasthehighestrecommendations?   a.  MERCIretrieval   b.Penumbradevice   c.  EKOScatheter   d.  TREVO  **stent*****   27.  Whichoftherecommendedtreatmentafteradiagnosisofheparininducedthrombocytopenia(HIT)?   a.  Stopheparinandadministerwarfarin(Coumadin)   b.  Stopheparinandadministeradirectthrombininhibitor   c.  Stopheparinandevaluatetheneedforanticoagulation  **therapy*****  d.  Changeanticoagulationtherapyfromunfractionatedheparintolowmolecularweightheparin(LMWH)

28.  Anaspirinisarecommendedwithin2448hoursofanischemicstroke.Howlongistheantiplateleteffectofanaspirin?   a.  3hours   b.  12hours   c.  24hours   d.  7  **days*****   29.  Purpletoesyndromeisacomplicationofwhichmedicationcommonlyadministeredafterstroke?   a.  heparin   b.clopidogrel(Plavix)   c.aspirin   d.warfarin  **(Coumadin)*****   30.  Whichofthefollowingmedicationsmaybeusedtodecreasecerebraledemaandtreatanincreasedintracranialpressure?   a.  Hypertonic  **saline*****   b.  Transexamicacid(TXA)   c.  AminocaproicAcid(Amicar)   d.  lacosamide(Vimpat)   31.  Whichofthefollowingbestdefinessecondarystrokeprevention?   a.Thepatienthasnothadapreviousstroke.   b.Thepatienthashadacardiovascularevent,butnotastroke.

a.  10minutes   b.  25  **minutes*****   c.  45minutes   d.  60minutes  

36.  PerfusionCTandMRImaybeconsideredforaselecti onofpatientsforacuteperfusionbeyondtimewindowforIVfibrinolysis.   a.  **true*****   b.  false   37.  WhichofthefollowingisanadvantageofastandardMRI?   a.  Youcanidentifyischemicstrokewithin30minutes.   b.  Youcandifferentiatereversiblefromirreversibleinjury.   c.  Youcanavoidionizing  **radiation.*****   d.  Youcanidentifyahemorrhagicstroke.   38.  AnoncontractCTscanwillnotdemonstrateanischemicstrokeearly,butwhichofthefollowingsignsmayindicatealargevesselobstructiononCTscan?   a.  ahyperdensevessel  **sign*****   b.  ahydrocephalus   c.aneffacementofcisterns   d.atranstentorialshift   39.  Whenastrokepatientispositionedontheirbackwhichofthefollowingisrecommendedfortheaffectedleg?

a.  Keeplegcrossedovertheunaffectedleg.   b.  Keeplegsaparttoencouragehipstoturnout   c.  Placeapillowonaffectedbuttocktorelaxthe  **leg*****   d.Keepkneebentandfootonthebed.

40.  Whichofthefollowingisarecommendedinterventiontoassistthepoststrokepatientinpreventingincontinence?    a.  Limitfluidintake   b.  Encourageuseofbedpaninsteadofambulatingtothebathroom   c.  Provideregulartoiletingtopromote  **continence*****   d.  Placeindwellingurinarycatheter41.  ApatientpresenttotheEDwiththe“worstheadacheoftheirlife.”Itisassociatedwithfocalneurologicaldeficits.Whatisthemostlikelycauseoftheheadache?   a.  athromboticstroke   b.  acardioembolicstroke   c.anintracerebralhemorrhage   d.asubarachnoid  **hemorrhage*****   42.  ApatientpresentswithahemorrhagicstrokeduetoanticoagulationtherapywithavitaminKantagonist.HisINRis3.2.Whichofthefollowingisappropriateforinitialreversalofthebleedingdisorder?   a.  Administerprotaminesulfate   b.  AdministerFFPandvitamin  **K*****   c.  Initiatehemodialysis   d.  AdministerrecombinantFactorVIIa(NovoSeven)  