2024 HESI RN EXIT CASE STUDY: STROKE
COMPLETE WITH NGN QUESTIONS AND
ANSWERS VERIFIED / A+ GRADE
Which additional clinical manifestation(s) should the RN expect...
-A cardiac bruit
-Elevated blood pressure
-Drooling
Which assessment finding warrants immediate intervention by the RN? ...
-Mrs. Jackson only responds to painful stimuli
-Mrs. has a positive Babinski's reflex bilaterlly
-Mrs.'s pupils are reacting unequally, and she is experiencing sensitivity to light
Which clinical manifestation further supports this assessment?
Global aphasia
Which intervention should the RN implement when preparing Mrs. and her daughter...
Explain to the daughter that her mother will have to remain still throughout the ct scan
Which data warrants immediate intervention by the nurse concerning...
right hip replacement
Which is the best response by the rn?
"Your mother has had a stroke, and the blood supply to the brain has been compromised"
How should the rn respond?
"I know this is scary for you. Would you like to sit and talk?"
Mrs. weighs 145 Ibs. How many mg of enoxaparin will the nurse administer in each dose?
66
With a diagnosis of a brain attack (stroke), which priority intervention...
Keep the head of the bed elevated
Which finding would require immediate intervention by the rn?
Mrs.'s cardiac output is less than 4 L/min
Which nursing interventions would be priority at this time?
-Monitor level of consciousness
-Strictly monitor intake and output
-Monitor capillary refill every 2-4 hrs
-Contact physician
How should the rn respond to Gail?
COMPLETE WITH NGN QUESTIONS AND
ANSWERS VERIFIED / A+ GRADE
Which additional clinical manifestation(s) should the RN expect...
-A cardiac bruit
-Elevated blood pressure
-Drooling
Which assessment finding warrants immediate intervention by the RN? ...
-Mrs. Jackson only responds to painful stimuli
-Mrs. has a positive Babinski's reflex bilaterlly
-Mrs.'s pupils are reacting unequally, and she is experiencing sensitivity to light
Which clinical manifestation further supports this assessment?
Global aphasia
Which intervention should the RN implement when preparing Mrs. and her daughter...
Explain to the daughter that her mother will have to remain still throughout the ct scan
Which data warrants immediate intervention by the nurse concerning...
right hip replacement
Which is the best response by the rn?
"Your mother has had a stroke, and the blood supply to the brain has been compromised"
How should the rn respond?
"I know this is scary for you. Would you like to sit and talk?"
Mrs. weighs 145 Ibs. How many mg of enoxaparin will the nurse administer in each dose?
66
With a diagnosis of a brain attack (stroke), which priority intervention...
Keep the head of the bed elevated
Which finding would require immediate intervention by the rn?
Mrs.'s cardiac output is less than 4 L/min
Which nursing interventions would be priority at this time?
-Monitor level of consciousness
-Strictly monitor intake and output
-Monitor capillary refill every 2-4 hrs
-Contact physician
How should the rn respond to Gail?
