AH2 Exam 2025 With 100% Correct
Answers
A nurse is providing discharge teaching to the family of a client who has a new diagnosis of a
seizure disorder. The nurse should instruct the client's family to take which of the following
actions first in the event of a seizure? - CORRECT ANSWER✔✔protect the child's head
A nurse is assessing a client who sustained a recent head injury. Which of the following findings
should the nurse recognize as a manifestation of increased ICP? - CORRECT
ANSWER✔✔widened pulse pressure
A nurse is providing teaching about degeneration complications to the partner of a client who
has a diagnosis of Parkinson's disease. Which of the following manifestations id the priority? -
CORRECT ANSWER✔✔dysphagia
A nurse responds to a call from the AP that a client had a seizure and is unconscious. Which of
the following assessments is the nurse priority? - CORRECT ANSWER✔✔check air patency
A nurse is caring for a client who has a traumatic brain injury and assumes a decerebrate
posture in response to noxious stimuli. Which of the following reactions should the nurse
anticipate when drawing a blood sample? - CORRECT ANSWER✔✔The client rigidly extends his
arms
A nurse is assessing a client who has a high thoracic spinal cord injury. The nurse should identify
which of the following findings as a manifestations of autonomic dysreflexia - CORRECT
ANSWER✔✔report of a headache
,A nurse is caring for a client who begins to have generalized tonic-clonic seizure while lying in
bed. Which of the following actions should the nurse take? - CORRECT ANSWER✔✔turn the
client onto a side
What is a stroke? - CORRECT ANSWER✔✔"brain attack"
ischemia or hemorrhage in the brain that results to cell death
this is a neuro emergency
what are risk factors for stroke? - CORRECT ANSWER✔✔hypertension!!, alcohol, gender, age,
family history, a fib
what does a stroke result in? - CORRECT ANSWER✔✔impaired speech, mobility, respiratory
functions, swallowing, gag reflex, and self-care
What are the 2 biggest modifiable risk factors in a stroke? - CORRECT ANSWER✔✔hypertension
and Afib
BE FAST - CORRECT ANSWER✔✔B: balance change
E: eye changes (blurred vision, seeing spots)
F: face (facial drooping, drooling, tounge asymmetry)
A: arms (weakness, drifting, may be full or partial paralysis)
S: speech (difficulty forming words-dysarthria, slurred speech)
T: time to call 911 and time of stroke
What do you give for ischemic stroke only? - CORRECT ANSWER✔✔TPA/clot buster
before giving TPA what do you need to rule out? - CORRECT ANSWER✔✔hemorrhagic stroke
with a CT scan
, when does TPA have to be administered? and what do you need to ask the pt before
administering? - CORRECT ANSWER✔✔within 3-4.5 hours of symptoms onset
ask pt if has had any blood thinners, need to TIME stroke
what are the two types of strokes? - CORRECT ANSWER✔✔ischemic and hemorrhagic
what is an ischemic stroke? - CORRECT ANSWER✔✔lack of blood flow
give TPA
what is a hemorrhagic stoke? - CORRECT ANSWER✔✔happens suddenly
bleed in brain
DO NOT give TPA
biggest symptoms:
"I have the worst headache of my life"
what are the 2 types of ischemic strokes? - CORRECT ANSWER✔✔thrombotic and embolic
What is an embolic stroke? - CORRECT ANSWER✔✔happens suddenly
clot that moves
biggest risk factor: AFIB
What is a thrombotic stroke? - CORRECT ANSWER✔✔more symptoms over a long period of
time
clot that is stationary in the artery
what is a left sided stroke? - CORRECT ANSWER✔✔pt will have slow performance
Answers
A nurse is providing discharge teaching to the family of a client who has a new diagnosis of a
seizure disorder. The nurse should instruct the client's family to take which of the following
actions first in the event of a seizure? - CORRECT ANSWER✔✔protect the child's head
A nurse is assessing a client who sustained a recent head injury. Which of the following findings
should the nurse recognize as a manifestation of increased ICP? - CORRECT
ANSWER✔✔widened pulse pressure
A nurse is providing teaching about degeneration complications to the partner of a client who
has a diagnosis of Parkinson's disease. Which of the following manifestations id the priority? -
CORRECT ANSWER✔✔dysphagia
A nurse responds to a call from the AP that a client had a seizure and is unconscious. Which of
the following assessments is the nurse priority? - CORRECT ANSWER✔✔check air patency
A nurse is caring for a client who has a traumatic brain injury and assumes a decerebrate
posture in response to noxious stimuli. Which of the following reactions should the nurse
anticipate when drawing a blood sample? - CORRECT ANSWER✔✔The client rigidly extends his
arms
A nurse is assessing a client who has a high thoracic spinal cord injury. The nurse should identify
which of the following findings as a manifestations of autonomic dysreflexia - CORRECT
ANSWER✔✔report of a headache
,A nurse is caring for a client who begins to have generalized tonic-clonic seizure while lying in
bed. Which of the following actions should the nurse take? - CORRECT ANSWER✔✔turn the
client onto a side
What is a stroke? - CORRECT ANSWER✔✔"brain attack"
ischemia or hemorrhage in the brain that results to cell death
this is a neuro emergency
what are risk factors for stroke? - CORRECT ANSWER✔✔hypertension!!, alcohol, gender, age,
family history, a fib
what does a stroke result in? - CORRECT ANSWER✔✔impaired speech, mobility, respiratory
functions, swallowing, gag reflex, and self-care
What are the 2 biggest modifiable risk factors in a stroke? - CORRECT ANSWER✔✔hypertension
and Afib
BE FAST - CORRECT ANSWER✔✔B: balance change
E: eye changes (blurred vision, seeing spots)
F: face (facial drooping, drooling, tounge asymmetry)
A: arms (weakness, drifting, may be full or partial paralysis)
S: speech (difficulty forming words-dysarthria, slurred speech)
T: time to call 911 and time of stroke
What do you give for ischemic stroke only? - CORRECT ANSWER✔✔TPA/clot buster
before giving TPA what do you need to rule out? - CORRECT ANSWER✔✔hemorrhagic stroke
with a CT scan
, when does TPA have to be administered? and what do you need to ask the pt before
administering? - CORRECT ANSWER✔✔within 3-4.5 hours of symptoms onset
ask pt if has had any blood thinners, need to TIME stroke
what are the two types of strokes? - CORRECT ANSWER✔✔ischemic and hemorrhagic
what is an ischemic stroke? - CORRECT ANSWER✔✔lack of blood flow
give TPA
what is a hemorrhagic stoke? - CORRECT ANSWER✔✔happens suddenly
bleed in brain
DO NOT give TPA
biggest symptoms:
"I have the worst headache of my life"
what are the 2 types of ischemic strokes? - CORRECT ANSWER✔✔thrombotic and embolic
What is an embolic stroke? - CORRECT ANSWER✔✔happens suddenly
clot that moves
biggest risk factor: AFIB
What is a thrombotic stroke? - CORRECT ANSWER✔✔more symptoms over a long period of
time
clot that is stationary in the artery
what is a left sided stroke? - CORRECT ANSWER✔✔pt will have slow performance
