MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
CEREBROVASCULAR 3. Which disturbance results in
ACCIDENT loss of half of the visual field?
1. The nurse is caring for a A. Anisocoria
patient with a history of
transient ischemic attacks B. Homonymous hemianopsia
(TIAs) and moderate carotid C. Nystagmus
stenosis who has undergone a
carotid endarterectomy. D. Diplopia
Which of the following
postoperative findings would 4. A client with a
cause the nurse the most cerebrovascular accident
concern? (CVA) is having difficulty
with eating food on the plate.
A. Blood pressure (BP): 128/86 Which is the best nursing
mm Hg action to be taken?
B. Neck pain: 3/10 (0 to 10 pain A. Reposition the tray and plate.
scale)
B. Perform a vision field
C. Mild neck edema assessment.
D. Difficulty swallowing C. Know this is a normal finding
for CVA.
2. An emergency department
nurse is interviewing a client D. Assist the client with feeding.
with signs of an ischemic
stroke that began 2 hours ago. 5. A client is hospitalized when
The client reports that she they present to the
had a cholecystectomy 6 Emergency Department with
weeks ago and is taking right-sided weakness. Within
digoxin, coumadin, and 6 hours of being admitted,
labetelol. This client is not the neurologic deficits had
eligible for thrombolytic resolved and the client was
therapy for which of the back to their presymptomatic
following reasons? state. The nurse caring for
the client knows that the
A. She is not within the treatment probable cause of the
time window. neurologic deficit was what?
B. She had surgery 6 weeks ago. A. Cerebral aneurysm
C. She is taking digoxin. B. Transient ischemic attack
D. She is taking coumadin. C. Left-sided stroke
D. Right-sided stroke
MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
, MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
6. Which of the following terms A. speak loudly and articulate
refer to the failure to clearly.
recognize familiar objects
perceived by the senses? B. allow time for the client to
respond.
A. Agnosia
C. give the client a writing pad.
B. Perseveration
D. use short, simple sentences.
C. Apraxia
9. The nurse is providing
D. Agraphia information about strokes to
a community group. Which
7. During a class on stroke, a of the following would the
junior nursing student asks nurse identify as the primary
what the clinical initial symptoms of an
manifestations of stroke are. ischemic stroke?
What would be the
instructor's best answer? A. Footdrop and external hip
rotation
A. "Clinical manifestations of a
stroke depend on the area of B. Vomiting and seizures
the cortex, the affected
hemisphere, the degree of C. Severe headache and early
blockage, and the availability change in level of
of collateral circulation." consciousness
B. "Clinical manifestations of a D. Weakness on one side of the
stroke generally include body and difficulty with speech
aphasia, one-sided flaccidity, 10. Which of the following insults
and trouble swallowing." or abnormalities can cause an
C. "Clinical manifestations of a ischemic stroke?
stroke depend on how quickly A. Arteriovenous malformation
the clot can be dissolved."
B. Intracerebral aneurysm rupture
D. "Clinical manifestations of a
stroke are highly variable, C. Cocaine use
depending on the
cardiovascular health of the D. Trauma
client."
11. A nurse is working with a
8. When communicating with a student nurse who is caring
client who has sensory for a client with an acute
(receptive) aphasia, the nurse bleeding cerebral aneurysm.
should: Which action by the student
nurse requires further
intervention?
MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
, MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
A. Maintaining the client in a 14. A client is admitted with
quiet environment weakness, expressive aphasia,
and right hemianopia. The
B. Keeping the client in one brain MRI reveals an infarct.
position to decrease bleeding The nurse understands these
C. Positioning the client to prevent symptoms to be suggestive of
airway obstruction which of the following
findings?
D. Administering I.V. fluid as
ordered and monitoring the A. Left-sided cerebrovascular
client for signs of fluid volume accident (CVA)
excess B. Right-sided cerebrovascular
12. The nurse is caring for a accident (CVA)
patient with aphasia. Which C. Transient ischemic attack (TIA)
of the following strategies will
the nurse use to facilitate D. Completed Stroke
communication with the
patient? 15. A nurse is caring for a client
who has returned to his room
A. Speaking in complete sentences after a carotid
endarterectomy. Which
B. Speaking loudly action should the nurse take
C. Avoiding the use of hand first?
gestures A. Take the client's blood pressure.
D. Establishing eye contact B. Ask the client if he has a
13. While providing information headache.
to a community group, the C. Ask the client if he has trouble
nurse tells them the primary breathing.
initial symptoms of a
hemorrhagic stroke are: D. Place antiembolism stockings
on the client.
A. Footdrop and external hip
rotation 16. The nurse is caring for a
patient with dysphagia.
B. Severe headache and early Which of the following
change in level of interventions would be
consciousness contraindicated while caring
C. Weakness on one side of the for this patient?
body and difficulty with speech A. Allowing ample time to eat
D. Confusion or change in mental B. Assisting the patient with meals
status
MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
CEREBROVASCULAR 3. Which disturbance results in
ACCIDENT loss of half of the visual field?
1. The nurse is caring for a A. Anisocoria
patient with a history of
transient ischemic attacks B. Homonymous hemianopsia
(TIAs) and moderate carotid C. Nystagmus
stenosis who has undergone a
carotid endarterectomy. D. Diplopia
Which of the following
postoperative findings would 4. A client with a
cause the nurse the most cerebrovascular accident
concern? (CVA) is having difficulty
with eating food on the plate.
A. Blood pressure (BP): 128/86 Which is the best nursing
mm Hg action to be taken?
B. Neck pain: 3/10 (0 to 10 pain A. Reposition the tray and plate.
scale)
B. Perform a vision field
C. Mild neck edema assessment.
D. Difficulty swallowing C. Know this is a normal finding
for CVA.
2. An emergency department
nurse is interviewing a client D. Assist the client with feeding.
with signs of an ischemic
stroke that began 2 hours ago. 5. A client is hospitalized when
The client reports that she they present to the
had a cholecystectomy 6 Emergency Department with
weeks ago and is taking right-sided weakness. Within
digoxin, coumadin, and 6 hours of being admitted,
labetelol. This client is not the neurologic deficits had
eligible for thrombolytic resolved and the client was
therapy for which of the back to their presymptomatic
following reasons? state. The nurse caring for
the client knows that the
A. She is not within the treatment probable cause of the
time window. neurologic deficit was what?
B. She had surgery 6 weeks ago. A. Cerebral aneurysm
C. She is taking digoxin. B. Transient ischemic attack
D. She is taking coumadin. C. Left-sided stroke
D. Right-sided stroke
MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
, MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
6. Which of the following terms A. speak loudly and articulate
refer to the failure to clearly.
recognize familiar objects
perceived by the senses? B. allow time for the client to
respond.
A. Agnosia
C. give the client a writing pad.
B. Perseveration
D. use short, simple sentences.
C. Apraxia
9. The nurse is providing
D. Agraphia information about strokes to
a community group. Which
7. During a class on stroke, a of the following would the
junior nursing student asks nurse identify as the primary
what the clinical initial symptoms of an
manifestations of stroke are. ischemic stroke?
What would be the
instructor's best answer? A. Footdrop and external hip
rotation
A. "Clinical manifestations of a
stroke depend on the area of B. Vomiting and seizures
the cortex, the affected
hemisphere, the degree of C. Severe headache and early
blockage, and the availability change in level of
of collateral circulation." consciousness
B. "Clinical manifestations of a D. Weakness on one side of the
stroke generally include body and difficulty with speech
aphasia, one-sided flaccidity, 10. Which of the following insults
and trouble swallowing." or abnormalities can cause an
C. "Clinical manifestations of a ischemic stroke?
stroke depend on how quickly A. Arteriovenous malformation
the clot can be dissolved."
B. Intracerebral aneurysm rupture
D. "Clinical manifestations of a
stroke are highly variable, C. Cocaine use
depending on the
cardiovascular health of the D. Trauma
client."
11. A nurse is working with a
8. When communicating with a student nurse who is caring
client who has sensory for a client with an acute
(receptive) aphasia, the nurse bleeding cerebral aneurysm.
should: Which action by the student
nurse requires further
intervention?
MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
, MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
A. Maintaining the client in a 14. A client is admitted with
quiet environment weakness, expressive aphasia,
and right hemianopia. The
B. Keeping the client in one brain MRI reveals an infarct.
position to decrease bleeding The nurse understands these
C. Positioning the client to prevent symptoms to be suggestive of
airway obstruction which of the following
findings?
D. Administering I.V. fluid as
ordered and monitoring the A. Left-sided cerebrovascular
client for signs of fluid volume accident (CVA)
excess B. Right-sided cerebrovascular
12. The nurse is caring for a accident (CVA)
patient with aphasia. Which C. Transient ischemic attack (TIA)
of the following strategies will
the nurse use to facilitate D. Completed Stroke
communication with the
patient? 15. A nurse is caring for a client
who has returned to his room
A. Speaking in complete sentences after a carotid
endarterectomy. Which
B. Speaking loudly action should the nurse take
C. Avoiding the use of hand first?
gestures A. Take the client's blood pressure.
D. Establishing eye contact B. Ask the client if he has a
13. While providing information headache.
to a community group, the C. Ask the client if he has trouble
nurse tells them the primary breathing.
initial symptoms of a
hemorrhagic stroke are: D. Place antiembolism stockings
on the client.
A. Footdrop and external hip
rotation 16. The nurse is caring for a
patient with dysphagia.
B. Severe headache and early Which of the following
change in level of interventions would be
consciousness contraindicated while caring
C. Weakness on one side of the for this patient?
body and difficulty with speech A. Allowing ample time to eat
D. Confusion or change in mental B. Assisting the patient with meals
status
MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
