1.

Which action should take the highest priority when caring for a client with
hemiparesis caused by a Cerebrovascular Accident :-
a) Place the Client On the affected side
b) Apply Antiembolism stockings
c) Perform passive Range of Motion(ROM) Exercises
d) Use Handrolls or pillow for support
2. The nurse is formulating A teaching Plan for a client who has Just
Experienced A Transient ischemic Attack(TIA) which fact should the
nurse include in the teaching plan :-
a) TIA may be a warning that the Client may have Cerebrovascular Accident
b) The most common symptom of TIA is the inability to speak
c) TIA symptoms may last 24 to 48 hours
d) Most Clients have residual effects after having a TIA
3. A 70 year old client with a diagnosis of left side Cerebrovascular Accident
Is admitted To the Facility to prevent the development of Diffuse
osteoporosis, Which of the following objective is most appropriate:-
a) Maintaining Vitamin levels
b) Promoting ROM Exercises
c) Promoting Weight bearing Exercises
d) Maintaining Protein Levels
4. A male client who has suffered a Cerebrovascular Accident is too weak to
move on his own, to help the client avoid pressure ulcers the nurse
should:-
a) Turn him frequently
b) Reduce the client’s fluid Intake
c) Perform Passive ROM exercises
d) Encourage the client to use a footboard
5. Which of the following is most likely associated with a Cerebrovascular
Accident Resulting from congenital heart Disease :-
a) Cardiomyopathy
b) Polycythemia
c) Endocarditis
d) Low blood pressure
6. A white female client is admitted to an Acute care facility with a diagnosis
of Cerebrovascular Accident, her history reveals Bronchial Asthma,
exogenous obesity and iron deficiency Anemia, which history finding is a
risk factor for Cerebrovascular Accident:-
a) Caucasian race
b) Obesity
 c) Female sex
d) Bronchial Asthma
7. Ms. Kelly has had a Cerebrovascular Accident and has severe right sided
weakness, she has been taught to walk with a Can, the nurse is evaluating
her use of the cane prior to discharge, which of the following reflects the
correct use of cane
a) Holding the cane in her left hand ms Kelly move the cane forward
first then her right leg and finally her left leg.
b) Holding the cane in her right hand Ms Kelly moves the cane and
her right leg forward, then moves her left leg forward
c) Holding the cane in her right hand Ms. Kelly Moves the hand
forward first then her left leg and finally her Right leg.
d) Holding the cane in her left hand Ms. Kelly moves the cane and
her left leg forward then moves her right leg forward.
8. If a male client experienced a Cerebrovascular Accident that damaged the
hypothalamus, the nurse would anticipate that the client has problems
with:-
a) Body temperature control .
b) Visual Acuity.
c) Balance and equilibrium
d) Thinking and reasoning.
9. A nurse is caring for A 2 year old child after corrective surgery for
Tetralogy of Fallot, the mother reports that the child has suddenly begun
seizing, the nurse recognises this problem is probably due to :-
a) Metabolic Alkalosis
b) Medication reaction
c) Post-operative Meningitis
d) A Cerebrovascular Accident
10. The nurse is caring for a male client diagnosed with a Cerebral aneurysm
who reports a severe headache, which action should the nurse perform:-
a) Sit with the client for a few minutes
b) Inform the nurse manager
c) Administer the analegesic
d) Call the physician immediately
11. During recovery from the Cerebrovascular Accident a female client is
given nothing by mouth to help prevent aspiration to determine when the
client is ready for a liquid diet the nurse assesses the Client’s swallowing
ability once each shift this assessment evaluates :-
a) Cranial nerves 1st and 2nd
b) Cranial nerves 3rd and 5th
c) Cranial nerves 6th and 7th
 d) Cranial nerves 9th and 10th
12. The client hws had a right sided Cerebrovascular Accident, in transferring
the client from the wheel chair to bed in what position should a client be
placed to facilitate safe tranfer:-
a) Weakened L side of the client away from the bed
b) Weakened R- side of the client away from the bed
c) Weakened L side of the client next to bed.
d) Weakened R-side of the client next to bed.
13. Gary jordan suffered a Cerebrovascular Accident that left her unable to
comprehend speech and unable to speak , this type of aphasia is known
as :-
a) Receptive aphasia
b) Conduction aphasia
c) Expressive aphasia
d) Global aphasia
14. After a Cerebrovascular Accident a 75th old year client is admitted to the
health care facility, the client has left sided weakness and an absent gag
reflex, he is incontinent and has a tarry stool, his blood pressure is 90/50
mm of hg and his hemoglobin is 10g/dl, which of the following is a
priority for this patient:-
a) Elevating the head of the bed to 30 degrees.
b) Keeping skin clean and dry.
c) Performing ROM exercises to the left side.
d) Checking stools for occult blood.
15. A client who recently had a Cerebrovascular Accident requires a cane to
ambulate, when teaching about cane use, the rationale for holding a cane
on the uninvolved side is to:-
a) Maintain stride length
b) Prevent edema
c) Prevent leaning
d) Distribute weight away from the involved side
16. A 52 year old married man with 2 adolescent children is beginning a
rehabilitation following a Cerebrovascular Accident, as the nurse is
planning the client’s care, the nurse should recognise that his condition
will affect:-
a) Only himself
b) Only his wife and children
c) No one if he has complete recovery
d) Him and his entire family
17. Which of the following is a Non-modifiable risk of a stroke:-
a) Hypertension
 b) Dyslipidemia
c) Diabetes
d) Age
18. Which of the following types of stroke is an ischemic stroke caused by
chronic hypertension:-
a) A moya moya stroke
b) A Cerebral venous thrombosis
c) A watershed stroke
d) A lacunar stroke
19. When positioning a stroke patient, which of the following is a true
Statement:-
a) Allow the patient to lean towards the preferred side.
b) Good positioning is important to prevent contracture and
swelling.
c) Shoulder subluxation cause.
d) Do not position the patient on the side of effected shoulder.
20. Which of the following interventions may improve memory following a
stroke:-
a) Use of picture and communication boards.
b) Use of memory books.
c) Encourage the patient to read and repeat information.
d) Do not remind the patient but allow the patient to use their own
memory to remember Events.
21. Which of the following are tools used by the EMS providers to assess for a
potential stroke:-
a) The cincinnating scale.
b) The glasgow coma scale.
c) The NIH stroke scale.
d) The Framingham scale.
22. An aspirin is recommended within 24 to 48 hours of an ischemic stroke,
how long is the antiplatelet effect of an aspirin:6
a) 03 hours
b) 12 hours
c) 24 hours
d) 7 days
23. Purple toe syndrome is complication of which medication commonly
administered after stroke:-
a) Heparin
b) Clopidogrel (plavix)
c) Aspirin
d) Warfarin
24. What is another name for stroke:-
a) Heart attack
b) Cerebrovascular Accident
c) Myocardial infarction
d) None of the above
25. What is the expected outcome of thrombolytic drug therapy:-
a) Dissolve emboli.
b) Prevention of hemorrhage.
c) Vasoconstriction.
d) Increased vascular permeability.
26. Regular oral hygiene is an essential intervention for the client who has had
a stroke, which of the following nursing measures is inappropriate when
providing oral hygiene:-
a) Keeping portable suctioning equipment at the bedside.
b) Opening the client’s mouth with a padded tongue blade .
c) Cleaning the client’s mouth and teeth with a toothbrush.
d) Placing the client on the back with a small pillow under the bed.
27. The nurse is formulating a teaching plan for a client who has just
Experienced a transient ischemic attack (TIA) which fact should the nurse
include in the teaching plan:-
a) TIA may be a warning that the client may have Cerebrovascular
Accident.
b) Most clients have residual effect after having a TIA.
c) TIA symptoms may last 24 to 48 hours.
d) The most common symptom of TIA is the inability to speak.
28. During the first 24 hours after thrombolytic therapy for ischemic stroke
the primary goal is to control the client’s :-
a) Respiration
b) Pulse
c) Blood pressure
d) Temperature
29. Which client would the nurse identify as being most at risk for
experiencing a Cerebrovascular Accident:-
a) A 39 year old pregnant female.
b) A 67 year old caucasian male.
c) A 55 year old African-American male.
d) An 84 year old Japanese female.
30. A 78 year old client is admitted to the emergency department with
numbness and weakness of the left arm and slurred speech, which nursing
intervention is priority:-
 a) Prepare to administer recombinant tissue plasminogen activator (rt-
PA).
b) Notify the speech pathologist for an emergency consult.
c) Discuss the precipitating factors that caused the symptoms.
d) Schedule for a stat CT scan of the head.

Answer key

S.no/ Answ S.no/ Answ

Q.no er Q.no er
1 d 16 d
2 a 17 d
3 c 18 d
4 a 19 b
5 b 20 b
6 b 21 a
7 a 22 d
8 a 23 d
9 d 24 b
10 d 25 a
11 d 26 d
12 a 27 a
13 d 28 c
14 a 29 c
15 d 30 d