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NUR 390
NUR 390 Exam 3 Blueprint | Nursing Care of
Adult I | Questions & Answers| Grade A |
100% Correct | (NEW 2025/ 2026)
When assessing a patient who has a right frontal lobe tumor, which finding
would the nurse expect?
A. Expressive aphasia
B. Impaired judgment
C. Right-sided weakness
D. Difficulty swallowing - ANS ✓b. Impaired judgment
The frontal lobe controls intellectual activities such as judgment. Speech is
controlled in the parietal lobe. Weakness and hemiplegia occur on the
contralateral side from the tumor. Swallowing is controlled by the
brainstem.
When assessing an adult who has bacterial meningitis, the nurse obtains
the following data. Which finding requires the most immediate
intervention?
A. The patient exhibits nuchal rigidity.
B. The patient has a positive Kernig's sign.
C. The patient's temperature is 101F (38.3C).
D. The patient's blood pressure is 88/42 mm Hg. - ANS ✓d. The patient's
blood pressure is 88/42 mm Hg.
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Shock is a serious complication of meningitis, and the patient's low blood
pressure indicates the need for interventions such as fluids or
vasopressors. Nuchal rigidity and a positive Kernig's sign are expected with
bacterial meningitis. The nurse should intervene to lower the temperature,
but this is not as life threatening as the hypotension.
Which topic would the nurse anticipate teaching a patient who had a brief
episode of tinnitus, diplopia, and dysarthria with no residual effects?
A. Cerebral aneurysm clipping
B. Heparin intravenous infusion
C. Oral low-dose aspirin therapy
D. Tissue plasminogen activator (tpa) - ANS ✓c. Oral low-dose aspirin
therapy
The patient's symptoms are consistent with transient ischemic attack (TIA),
and drugs that inhibit platelet aggregation are prescribed after a TIA to
prevent a stroke. Continuous heparin infusion is not routinely used after
TIA or with acute ischemic stroke. The patient's symptoms are not
consistent with a cerebral aneurysm. Tpa is used only for acute ischemic
stroke, not for TIA.
A patient is being admitted with a possible stroke. Which information from
the nursing assessment indicates that the patient is more likely to be having
a hemorrhagic stroke than a thromboembolic stroke?
A. The patient has intermittent bouts of atrial fibrillation.
B. The patient has had brief episodes of right-sided hemiplegia.
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C. The patient has a history of treatment for infective endocarditis.
D. The patient reports that the symptoms began with a severe headache. -
ANS ✓d. The patient reports that the symptoms began with a severe
headache.
A sudden onset headache is typical of a subarachnoid hemorrhage. Atrial
fibrillation and infective endocarditis are a risk factors for thrombotic or
embolic stroke. Brief episodes of right-sided hemiplegia are consistent with
transient ischemic attack and risk for embolic stroke.
A patient being admitted with a stroke has right-sided facial drooping and
right-sided arm and leg paralysis. Which other finding would the nurse
expect?
A. Impulsive behavior
B. Right-sided neglect
C. Hyperactive left-sided tendon reflexes
D. Difficulty comprehending instructions - ANS ✓d. Difficulty
comprehending instructions
Right-sided paralysis indicates a left-brain stroke, which is also associated
with difficulty in comprehension and use of language: the left hemisphere is
dominant for language skills in right-handed persons and in most left-
handed persons. Impulsive behavior and neglect are more likely with a
right-side stroke. The left-side reflexes are likely to be intact.
The health record indicates that a patient has an occluded left posterior
cerebral artery. Which finding would the nurse anticipate?
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A. Dysphasia
B. Confusion
C. Visual deficits
D. Poor judgment - ANS ✓c. Visual deficits
Visual disturbances are expected with posterior cerebral artery occlusion.
Aphasia occurs with middle cerebral artery involvement. Cognitive deficits
and changes in judgment are more typical of anterior cerebral artery
occlusion.
Which information about clopidogrel (Plavix) will the nurse provide to the
patient who has cerebral atherosclerosis?
A. Monitor and record the blood pressure daily.
B. Call the health care provider if stools are tarry.
C. Clopidogrel will dissolve clots in the cerebral arteries.
D. Clopidogrel will reduce cerebral artery plaque formation. - ANS ✓b. Call
the health care provider if stools are tarry.
Clopidogrel inhibits platelet function and increases the risk for
gastrointestinal bleeding, so patients would be advised to notify the health
care provider about any signs of bleeding. The medication does not lower
blood pressure, decrease plaque formation, or dissolve clots.
A patient with carotid atherosclerosis asks the nurse to describe a carotid
endarterectomy. Which response by the nurse is accurate?
A. "The diseased portion of the artery is replaced with a synthetic graft."
NUR 390
NUR 390
NUR 390 Exam 3 Blueprint | Nursing Care of
Adult I | Questions & Answers| Grade A |
100% Correct | (NEW 2025/ 2026)
When assessing a patient who has a right frontal lobe tumor, which finding
would the nurse expect?
A. Expressive aphasia
B. Impaired judgment
C. Right-sided weakness
D. Difficulty swallowing - ANS ✓b. Impaired judgment
The frontal lobe controls intellectual activities such as judgment. Speech is
controlled in the parietal lobe. Weakness and hemiplegia occur on the
contralateral side from the tumor. Swallowing is controlled by the
brainstem.
When assessing an adult who has bacterial meningitis, the nurse obtains
the following data. Which finding requires the most immediate
intervention?
A. The patient exhibits nuchal rigidity.
B. The patient has a positive Kernig's sign.
C. The patient's temperature is 101F (38.3C).
D. The patient's blood pressure is 88/42 mm Hg. - ANS ✓d. The patient's
blood pressure is 88/42 mm Hg.
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Shock is a serious complication of meningitis, and the patient's low blood
pressure indicates the need for interventions such as fluids or
vasopressors. Nuchal rigidity and a positive Kernig's sign are expected with
bacterial meningitis. The nurse should intervene to lower the temperature,
but this is not as life threatening as the hypotension.
Which topic would the nurse anticipate teaching a patient who had a brief
episode of tinnitus, diplopia, and dysarthria with no residual effects?
A. Cerebral aneurysm clipping
B. Heparin intravenous infusion
C. Oral low-dose aspirin therapy
D. Tissue plasminogen activator (tpa) - ANS ✓c. Oral low-dose aspirin
therapy
The patient's symptoms are consistent with transient ischemic attack (TIA),
and drugs that inhibit platelet aggregation are prescribed after a TIA to
prevent a stroke. Continuous heparin infusion is not routinely used after
TIA or with acute ischemic stroke. The patient's symptoms are not
consistent with a cerebral aneurysm. Tpa is used only for acute ischemic
stroke, not for TIA.
A patient is being admitted with a possible stroke. Which information from
the nursing assessment indicates that the patient is more likely to be having
a hemorrhagic stroke than a thromboembolic stroke?
A. The patient has intermittent bouts of atrial fibrillation.
B. The patient has had brief episodes of right-sided hemiplegia.
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C. The patient has a history of treatment for infective endocarditis.
D. The patient reports that the symptoms began with a severe headache. -
ANS ✓d. The patient reports that the symptoms began with a severe
headache.
A sudden onset headache is typical of a subarachnoid hemorrhage. Atrial
fibrillation and infective endocarditis are a risk factors for thrombotic or
embolic stroke. Brief episodes of right-sided hemiplegia are consistent with
transient ischemic attack and risk for embolic stroke.
A patient being admitted with a stroke has right-sided facial drooping and
right-sided arm and leg paralysis. Which other finding would the nurse
expect?
A. Impulsive behavior
B. Right-sided neglect
C. Hyperactive left-sided tendon reflexes
D. Difficulty comprehending instructions - ANS ✓d. Difficulty
comprehending instructions
Right-sided paralysis indicates a left-brain stroke, which is also associated
with difficulty in comprehension and use of language: the left hemisphere is
dominant for language skills in right-handed persons and in most left-
handed persons. Impulsive behavior and neglect are more likely with a
right-side stroke. The left-side reflexes are likely to be intact.
The health record indicates that a patient has an occluded left posterior
cerebral artery. Which finding would the nurse anticipate?
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A. Dysphasia
B. Confusion
C. Visual deficits
D. Poor judgment - ANS ✓c. Visual deficits
Visual disturbances are expected with posterior cerebral artery occlusion.
Aphasia occurs with middle cerebral artery involvement. Cognitive deficits
and changes in judgment are more typical of anterior cerebral artery
occlusion.
Which information about clopidogrel (Plavix) will the nurse provide to the
patient who has cerebral atherosclerosis?
A. Monitor and record the blood pressure daily.
B. Call the health care provider if stools are tarry.
C. Clopidogrel will dissolve clots in the cerebral arteries.
D. Clopidogrel will reduce cerebral artery plaque formation. - ANS ✓b. Call
the health care provider if stools are tarry.
Clopidogrel inhibits platelet function and increases the risk for
gastrointestinal bleeding, so patients would be advised to notify the health
care provider about any signs of bleeding. The medication does not lower
blood pressure, decrease plaque formation, or dissolve clots.
A patient with carotid atherosclerosis asks the nurse to describe a carotid
endarterectomy. Which response by the nurse is accurate?
A. "The diseased portion of the artery is replaced with a synthetic graft."
NUR 390
