HESI REVIEW NUR 301 EXAM 2026 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST |BRAND NEW VERSION|JUST
RELEASED!!
What does act "FAST" mean in the case of a stroke?
Facial drooping
Arm weakness
Slurred speech
Time is tissue
Clinical Manifestations of RIGHT-sided brain damage
-paralyzed __ side
-__ sided neglect
-__ deficits
-tends to __ or __ problems
-__ performance, __ attention span
-__, impaired judgement
-paralyzed LEFT side
-LEFT sided neglect
-SPATIAL-PERCEPTUAL deficits
-tends to DENY or MINIMIZE problems
-RAPID performance, SLOW attention span
-IMPULSIVE, impaired judgement
1|Page
,Clinical Manifestations of LEFT sided brain damage
-paralyzed __ side
-impaired speech/language __
-impaired right/left __
-__ performance, __
-aware of deficits, __, __ (psychological disorders that develop)
-impaired comprehension related to __ and __
-paralyzed RIGHT side
-impaired speech/language APHASIA
-impaired right/left DISCRIMINATION
-SLOW performance, CAUTIOUS
-aware of deficits, DEPRESSION, ANXIETY (psychological disorders that develop)
-impaired comprehension related to LANGUAGE and MATH
What occurs first in a stroke patient?
Hyporeflexia or Hyperreflexia
Spasticity or Flaccidity
Hyporeflexia progresses to hyperreflexia
Flaccidity then spasticity
Aphasia
Receptive-
Expressive-
Global-
Receptive- inability to understand
Expressive- inability to produce language
Global-total inability to communicate
Which type of aphasia?
-nonfluent, damage to frontal lobe, short phrases, understands speech, easily frustrated
2|Page
,Broca's aphasia
Which type of aphasia?
-fluent, left temporal lobe damage, long sentences with no meaning, usually have difficulty
understanding speech, are unaware
Wernicke's aphasia
Which type of aphasia?
-nonfluent, extensive damage to language area, severe communication difficulties
Global aphasia
What is the MOST IMPORTANT thing we need to know from a patient who is experiencing a
stroke?
TIME in onset of symptoms
Management of __
-elevate HOB
-maintain head/neck alignment
-avoid hip flexion
-managing hyperthermia
-prevent seizures
-pain management
-avoid hypovolemia
-avoid constipation
-cerebrospinal fluid drainage
Management of intracranial pressure
Initial Tx of Hemorrhagic stroke
-manage __-maintain BP with systolic less than __
-surgical intervention includes evacuation of hematoma larger than __
-__ or __ aneurysms to prevent re-bleeding
3|Page
, -manage HYPERTENSION-maintain BP with systolic less than <160mmHg
-surgical intervention includes evacuation of hematoma larger than >3cm
-CLIPPING or COILING aneurysms to prevent re-bleeding
What is permissive hypertension? When does it occur?
Permissive hypertension may be a protective response to maintain cerebral perfusion
-elevated BP common immediately after a stroke
How long do you have to initiate tPA therapy after sings/symptoms of a stroke have occurred ?
Within 3.5-4 hours of onset of clinical manifestations
Stroke Medications
__: prevent thrombin clot from forming
-have NO affect on already formed clots, but can prevent new clots from forming or prevent the
extension of an already-formed clot or thrombus
__: inhibit platelet aggregation
__: lyses formed clots
ANTI-COAGULANTS: prevent thrombin clot from forming
-have NO affect on already formed clots, but can prevent new clots from forming or prevent the
extension of an already-formed clot or thrombus
ANTI-PLATELETS: inhibit platelet aggregation
THROMBOLYTICS/FIBRINOLYTICS: lyses formed clots
What class of medications includes
ORAL agents: Warfarin, Xarelto, Pradaxa
PARENTERAL agents: Heparin, Lovenox
Anti-coagulants
What class of medications includes aspirin and Plavix?
Anti-platelets
4|Page
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST |BRAND NEW VERSION|JUST
RELEASED!!
What does act "FAST" mean in the case of a stroke?
Facial drooping
Arm weakness
Slurred speech
Time is tissue
Clinical Manifestations of RIGHT-sided brain damage
-paralyzed __ side
-__ sided neglect
-__ deficits
-tends to __ or __ problems
-__ performance, __ attention span
-__, impaired judgement
-paralyzed LEFT side
-LEFT sided neglect
-SPATIAL-PERCEPTUAL deficits
-tends to DENY or MINIMIZE problems
-RAPID performance, SLOW attention span
-IMPULSIVE, impaired judgement
1|Page
,Clinical Manifestations of LEFT sided brain damage
-paralyzed __ side
-impaired speech/language __
-impaired right/left __
-__ performance, __
-aware of deficits, __, __ (psychological disorders that develop)
-impaired comprehension related to __ and __
-paralyzed RIGHT side
-impaired speech/language APHASIA
-impaired right/left DISCRIMINATION
-SLOW performance, CAUTIOUS
-aware of deficits, DEPRESSION, ANXIETY (psychological disorders that develop)
-impaired comprehension related to LANGUAGE and MATH
What occurs first in a stroke patient?
Hyporeflexia or Hyperreflexia
Spasticity or Flaccidity
Hyporeflexia progresses to hyperreflexia
Flaccidity then spasticity
Aphasia
Receptive-
Expressive-
Global-
Receptive- inability to understand
Expressive- inability to produce language
Global-total inability to communicate
Which type of aphasia?
-nonfluent, damage to frontal lobe, short phrases, understands speech, easily frustrated
2|Page
,Broca's aphasia
Which type of aphasia?
-fluent, left temporal lobe damage, long sentences with no meaning, usually have difficulty
understanding speech, are unaware
Wernicke's aphasia
Which type of aphasia?
-nonfluent, extensive damage to language area, severe communication difficulties
Global aphasia
What is the MOST IMPORTANT thing we need to know from a patient who is experiencing a
stroke?
TIME in onset of symptoms
Management of __
-elevate HOB
-maintain head/neck alignment
-avoid hip flexion
-managing hyperthermia
-prevent seizures
-pain management
-avoid hypovolemia
-avoid constipation
-cerebrospinal fluid drainage
Management of intracranial pressure
Initial Tx of Hemorrhagic stroke
-manage __-maintain BP with systolic less than __
-surgical intervention includes evacuation of hematoma larger than __
-__ or __ aneurysms to prevent re-bleeding
3|Page
, -manage HYPERTENSION-maintain BP with systolic less than <160mmHg
-surgical intervention includes evacuation of hematoma larger than >3cm
-CLIPPING or COILING aneurysms to prevent re-bleeding
What is permissive hypertension? When does it occur?
Permissive hypertension may be a protective response to maintain cerebral perfusion
-elevated BP common immediately after a stroke
How long do you have to initiate tPA therapy after sings/symptoms of a stroke have occurred ?
Within 3.5-4 hours of onset of clinical manifestations
Stroke Medications
__: prevent thrombin clot from forming
-have NO affect on already formed clots, but can prevent new clots from forming or prevent the
extension of an already-formed clot or thrombus
__: inhibit platelet aggregation
__: lyses formed clots
ANTI-COAGULANTS: prevent thrombin clot from forming
-have NO affect on already formed clots, but can prevent new clots from forming or prevent the
extension of an already-formed clot or thrombus
ANTI-PLATELETS: inhibit platelet aggregation
THROMBOLYTICS/FIBRINOLYTICS: lyses formed clots
What class of medications includes
ORAL agents: Warfarin, Xarelto, Pradaxa
PARENTERAL agents: Heparin, Lovenox
Anti-coagulants
What class of medications includes aspirin and Plavix?
Anti-platelets
4|Page
