NR325 EXAM 2 MEDICAL-SURGICAL NURSING ADVANCED
CONCEPTS COMPLETE EXAM QUESTIONS WITH 100% VERIFIED
ANSWERS
Question 1
Which sided stroke has impaired speech/language aphasia, impaired
right/left discrimination, slow performance/cautious behavior,
depression/anxiety, and impaired comprehension?
A) Left-sided stroke
B) Right-sided stroke
C) Brainstem stroke
D) Cerebellar stroke
Correct Answer: A) Left-sided stroke
Explanation: Left-sided stroke affects the dominant hemisphere, which
controls language and logic. Deficits include aphasia, right-sided
weakness, slow cautious behavior, and awareness of deficits.
Depression and anxiety are common due to awareness of impairment.
Question 2
Which sided stroke has spatial perception deficits, denial/minimizing of
deficits, rapid performance/short attention span, impulsiveness,
impaired judgment, and impaired time perception?
A) Left-sided stroke
B) Right-sided stroke
,C) Brainstem stroke
D) Cerebellar stroke
Correct Answer: B) Right-sided stroke
Explanation: Right-sided stroke affects the non-dominant hemisphere,
causing left-sided neglect, anosognosia (denial of deficits), impulsivity,
poor judgment, and spatial-perceptual problems. Patients are often
unaware of their deficits, creating safety risks.
Question 3
What are the confirming diagnostic studies for stroke?
A) CT, CT angiogram, CT/MRI perfusion and diffusion imaging, MRI,
Magnetic resonance angiography (MRA)
B) Complete blood count, basic metabolic panel, liver function tests
C) Chest x-ray, electrocardiogram, echocardiogram
D) Lumbar puncture, electroencephalogram, evoked potentials
Correct Answer: A) CT, CT angiogram, CT/MRI perfusion and diffusion
imaging, MRI, Magnetic resonance angiography (MRA)
Explanation: Imaging studies are essential for diagnosing stroke type
(ischemic vs hemorrhagic), location, and extent. Non-contrast CT is first
to rule out hemorrhage. CT angiogram and MRA evaluate blood vessels.
Perfusion imaging identifies salvageable brain tissue (penumbra).
Question 4
What are the confirming laboratory studies for stroke?
A) Genetic markers, tumor markers, autoimmune panels
B) Prothrombin time, activated partial thromboplastin time, CBC
(including platelets), electrolyte panel with blood glucose, lipid profile,
renal and hepatic studies
,C) Thyroid function tests, cortisol level, ACTH stimulation test
D) Viral serologies, blood cultures, C-reactive protein
Correct Answer: B) Prothrombin time, activated partial
thromboplastin time, CBC (including platelets), electrolyte panel with
blood glucose, lipid profile, renal and hepatic studies
Explanation: Coagulation studies evaluate bleeding risk before tPA. CBC
detects anemia, infection, or thrombocytopenia. Glucose rules out
hypoglycemia mimicking stroke. Lipid profile assesses risk factors. Renal
and hepatic studies guide medication selection.
Question 5
Recombinant tissue plasminogen activator (tPA) is used to produce
localized fibrinolysis by binding to fibrin in thrombi and is the
immediate treatment for which type of stroke?
A) Hemorrhagic stroke
B) Ischemic stroke
C) Transient ischemic attack
D) Subarachnoid hemorrhage
Correct Answer: B) Ischemic stroke
Explanation: tPA is a thrombolytic agent that dissolves clots causing
ischemic stroke. It is not used for hemorrhagic stroke (would worsen
bleeding) or TIA (resolves spontaneously). tPA must be given within 3-
4.5 hours of symptom onset.
Question 6
Aspirin at a dose of 325 mg may be started within 24 to 48 hours after
the onset of which type of stroke?
A) Hemorrhagic stroke
, B) Ischemic stroke
C) Subarachnoid hemorrhage
D) Subdural hematoma
Correct Answer: B) Ischemic stroke
Explanation: Aspirin is an antiplatelet agent used for secondary
prevention after ischemic stroke. It is typically started within 24-48
hours after ruling out hemorrhage. Aspirin is contraindicated in
hemorrhagic stroke.
Question 7
Anticoagulants and platelet inhibitors are contraindicated in patients
with which type of stroke?
A) Ischemic stroke
B) Hemorrhagic stroke
C) Transient ischemic attack
D) Lacunar stroke
Correct Answer: B) Hemorrhagic stroke
Explanation: Anticoagulants and antiplatelet agents increase bleeding
risk and are contraindicated in hemorrhagic stroke where active
bleeding is present. These medications may be resumed later if the
patient has concurrent conditions requiring anticoagulation.
Question 8
The main drug therapy for patients with hemorrhagic stroke is the
management of what?
A) Hyperglycemia
B) Hypertension
CONCEPTS COMPLETE EXAM QUESTIONS WITH 100% VERIFIED
ANSWERS
Question 1
Which sided stroke has impaired speech/language aphasia, impaired
right/left discrimination, slow performance/cautious behavior,
depression/anxiety, and impaired comprehension?
A) Left-sided stroke
B) Right-sided stroke
C) Brainstem stroke
D) Cerebellar stroke
Correct Answer: A) Left-sided stroke
Explanation: Left-sided stroke affects the dominant hemisphere, which
controls language and logic. Deficits include aphasia, right-sided
weakness, slow cautious behavior, and awareness of deficits.
Depression and anxiety are common due to awareness of impairment.
Question 2
Which sided stroke has spatial perception deficits, denial/minimizing of
deficits, rapid performance/short attention span, impulsiveness,
impaired judgment, and impaired time perception?
A) Left-sided stroke
B) Right-sided stroke
,C) Brainstem stroke
D) Cerebellar stroke
Correct Answer: B) Right-sided stroke
Explanation: Right-sided stroke affects the non-dominant hemisphere,
causing left-sided neglect, anosognosia (denial of deficits), impulsivity,
poor judgment, and spatial-perceptual problems. Patients are often
unaware of their deficits, creating safety risks.
Question 3
What are the confirming diagnostic studies for stroke?
A) CT, CT angiogram, CT/MRI perfusion and diffusion imaging, MRI,
Magnetic resonance angiography (MRA)
B) Complete blood count, basic metabolic panel, liver function tests
C) Chest x-ray, electrocardiogram, echocardiogram
D) Lumbar puncture, electroencephalogram, evoked potentials
Correct Answer: A) CT, CT angiogram, CT/MRI perfusion and diffusion
imaging, MRI, Magnetic resonance angiography (MRA)
Explanation: Imaging studies are essential for diagnosing stroke type
(ischemic vs hemorrhagic), location, and extent. Non-contrast CT is first
to rule out hemorrhage. CT angiogram and MRA evaluate blood vessels.
Perfusion imaging identifies salvageable brain tissue (penumbra).
Question 4
What are the confirming laboratory studies for stroke?
A) Genetic markers, tumor markers, autoimmune panels
B) Prothrombin time, activated partial thromboplastin time, CBC
(including platelets), electrolyte panel with blood glucose, lipid profile,
renal and hepatic studies
,C) Thyroid function tests, cortisol level, ACTH stimulation test
D) Viral serologies, blood cultures, C-reactive protein
Correct Answer: B) Prothrombin time, activated partial
thromboplastin time, CBC (including platelets), electrolyte panel with
blood glucose, lipid profile, renal and hepatic studies
Explanation: Coagulation studies evaluate bleeding risk before tPA. CBC
detects anemia, infection, or thrombocytopenia. Glucose rules out
hypoglycemia mimicking stroke. Lipid profile assesses risk factors. Renal
and hepatic studies guide medication selection.
Question 5
Recombinant tissue plasminogen activator (tPA) is used to produce
localized fibrinolysis by binding to fibrin in thrombi and is the
immediate treatment for which type of stroke?
A) Hemorrhagic stroke
B) Ischemic stroke
C) Transient ischemic attack
D) Subarachnoid hemorrhage
Correct Answer: B) Ischemic stroke
Explanation: tPA is a thrombolytic agent that dissolves clots causing
ischemic stroke. It is not used for hemorrhagic stroke (would worsen
bleeding) or TIA (resolves spontaneously). tPA must be given within 3-
4.5 hours of symptom onset.
Question 6
Aspirin at a dose of 325 mg may be started within 24 to 48 hours after
the onset of which type of stroke?
A) Hemorrhagic stroke
, B) Ischemic stroke
C) Subarachnoid hemorrhage
D) Subdural hematoma
Correct Answer: B) Ischemic stroke
Explanation: Aspirin is an antiplatelet agent used for secondary
prevention after ischemic stroke. It is typically started within 24-48
hours after ruling out hemorrhage. Aspirin is contraindicated in
hemorrhagic stroke.
Question 7
Anticoagulants and platelet inhibitors are contraindicated in patients
with which type of stroke?
A) Ischemic stroke
B) Hemorrhagic stroke
C) Transient ischemic attack
D) Lacunar stroke
Correct Answer: B) Hemorrhagic stroke
Explanation: Anticoagulants and antiplatelet agents increase bleeding
risk and are contraindicated in hemorrhagic stroke where active
bleeding is present. These medications may be resumed later if the
patient has concurrent conditions requiring anticoagulation.
Question 8
The main drug therapy for patients with hemorrhagic stroke is the
management of what?
A) Hyperglycemia
B) Hypertension
