AM
ISCHEMIC STROKE NCLEX STYLE QUESTIONS(NR 341
N.R.) EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
2025/2026
A patient is admitted to A: CT scan-
the hospital with a left
hemiplegia. To A CT scan is the most commonly used
determine the size and diagnostic test to determine the size and
location and to location of the lesion and to differentiate a
ascertain whether a thrombotic stroke from a hemorrhagic stroke.
stroke is ischemic or Positron emission tomography (PET) will show
hemorrhagic, the the metabolic activity of the
nurse brain and provide a depiction of the extent of
anticipates that the tissue damage after a stroke. Lumbar
health care provider punctures are not performed routinely
will request a because of the chance of increased
intracranial pressure causing herniation.
a. CT scan Cerebral arteriograms are invasive and may
b. lumbar puncture dislodge an embolism or cause further
c. cerebral arteriogram hemorrhage; they are performed only when no
d. positron emission other test can provide the needed
tomography (PET) information
1/
8
, 8/17/25, 8:05
AM
The priority intervention D: Maintenance of respiratory function
in the emergency with a patent airway and oxygen
department for the administration-
patient with a stroke is
the first priority in acute management of the
a. intravenous fluid patient with a stroke is preservation of life.
replacement Because the patient with a stroke may be
b. administration of unconscious or have a reduced gag reflex, it
osmotic diuretics to is most important to maintain a patent airway
reduce cerebral for the patient and provide oxygen if
edema respiratory effort is impaired. IV fluid
c. initiation of replacement, treatment with osmotic diuretics,
hypothermia to and perhaps hypothermia may be used for
decrease the oxygen further treatment.
needs of the brain
d. maintenance of
respiratory function with
a patent airway and
oxygen administration
2/
8