Critical Care Nursing: Diagnosis And Management Midterm Exam Questions And Correct
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Multiple Choices
During a CVA there is a lack of oxygen to the cerebral tissues or:
A. aneurysm.
B. ischemia.
C. infarction.
D. embolus. - ✓✓ ANS- B
All of the following are risk factors for a CVA EXCEPT:
A. increasing age.
B. atherosclerosis.
C. black race.
D. middle-aged women. - ✓✓ ANS- D
Atherosclerosis is a common etiology of CVAs due to the formation of:
A. thrombi.
B. emboli.
C. clots.
D. all of the above. - ✓✓ ANS- D
Individuals suffering from atrial fibrillation are more prone to CVAs due to an increase in:
A. aneurysms.
B. blood pressure.
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C. thrombi.
D. none of the above. - ✓✓ ANS- C
A brief episode of neurological dysfunction caused by ischemia of the brain lasting less than one hour is a/an:
A. TIA (transient ischemic attack).
B. aneurysm.
C. embolus.
D. fibrillation. - ✓✓ ANS- A
The MOST common type of CVA is:
A. thrombotic.
B. embolic.
C. intracerebral hemorrhage.
D. subarachnoid hemorrhage. - ✓✓ ANS- A
The central zone of ischemia of a CVA is the:
A. penumbra.
B. core.
C. medulla.
D. subarachnoid. - ✓✓ ANS- B
All of the following are factors leading to a hemorrhagic CVA EXCEPT:
A. substance abuse.
B. hypertension.
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C. atrial fibrillation.
D. aneurysm. - ✓✓ ANS- C
Which area of the brain has pressure placed on it during a subarachnoid hemorrhage?
A. Cerebrum
B. Cerebellum
C. Pons
D. Medulla - ✓✓ ANS- B
What is the major difference between the signs and symptoms of a thrombotic and an embolic CVA?
A. Embolic strokes have a more abrupt onset
B. Thrombotic strokes have a more abrupt onset
C. Embolic strokes tend to cause unconsciousness more often
D. Thrombotic strokes tend to cause unconsciousness more often - ✓✓ ANS- A
The pupils of CVA patients are often:
A. equal and dilated.
B. equal and constricted.
C. unequal and dilated.
D. unequal and constricted. - ✓✓ ANS- C
A specific sign of a subarachnoid CVA is:
A. headache.
B. papillary malalignment.
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C. hypertension.
D. neck pain. - ✓✓ ANS- D
Which of the following sexually transmitted diseases can be prevented through immunization?
a.Chlamydia
b.Gonorrhea
c.Hepatitis B
d.Herpes - ✓✓Correct Ans- C
Which of the following provides the best explanation as to why people do not immediately seek medical
treatment when they first become ill with HIV?
a.They are afraid to get tested for fear results will be positive.
b.They avoid the problem (maybe it will go away).
c.They don't recognize their symptoms as possibly being due to HIV.
d.It is too expensive to get an HIV test. - ✓✓Correct Ans- C
A client was clearly very relieved when an HIV test came back negative. "Thank goodness. I've had sex
several times without a condom, and when one of my friends said he was sick, I think I panicked." Which of
the following would be most important to emphasize to the client immediately?
a.Abstinence is the only way to be certain you are HIV-free.
b.Sex should be restricted to one partner.
c.The test could be wrong and the client might still have an HIV infection.
d.The test would not cover any recent infection, so if the client has had recent unprotected sex, the test should be
repeated in 3 months. - ✓✓Correct Ans- D
A student asks the nurse at the student health clinic how AIDS is diagnosed. Which of the following
statements would be the best response by the nurse?
a."A diagnosis of AIDS is made when a screening test called an enzyme-linked immunosorbent assay (ELISA) is
confirmed by the Western blot test."
b."A diagnosis of AIDS is made when antibodies to HIV are detected about 6 weeks to 3 months following possible
exposure."
c."A diagnosis of AIDS is made when antibodies to HIV reach peak levels of 1000/ml of blood."