CVA Nclex Practice Exam
CVA NCLEX PRACTICE EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS |ALREADY GRADED A+(NEWEST
VERSION!)
A patient diagnosed with a hemorrhagic stroke presents with a sudden, severe
headache. What other signs should the nurse monitor for? (Select all that apply)
A) Hemiparesis
B) Seizures
C) Hypertension
D) Nuchal rigidity
E) Dysphagia
B) Seizures, C) Hypertension, D) Nuchal rigidity.
Rationale: Hemorrhagic stroke can cause seizures, high blood pressure, and
nuchal rigidity due to meningeal irritation. Hemiparesis and dysphagia are more
common with ischemic strokes.
A patient has been prescribed warfarin for stroke prevention. Which laboratory
test will the nurse monitor to evaluate the therapeutic effect of this medication?
A) Prothrombin Time (PT)
B) Partial Thromboplastin Time (PTT)
C) Platelet count
D) Hemoglobin
A) Prothrombin Time (PT).
Rationale: Warfarin therapy is monitored by PT and INR. PTT is monitored for
heparin.
A patient recovering from a left hemispheric stroke demonstrates difficulty
understanding written text. This is an example of:
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, CVA Nclex Practice Exam
A) Receptive aphasia
B) Expressive aphasia
C) Dysarthria
D) Hemianopsia
A) Receptive aphasia.
Rationale: Receptive aphasia (Wernicke's aphasia) refers to difficulty
understanding written or spoken language, commonly seen in left hemispheric
strokes.
A patient presents with symptoms of a Transient Ischemic Attack (TIA). Which
diagnostic test is most important to perform first?
A) Carotid Doppler
B) Cerebral angiography
C) Echocardiogram
D) Non-contrast head CT
D) Non-contrast head CT.
Rationale: A head CT is essential to rule out a stroke or hemorrhage. TIAs are brief
and may not show significant findings on imaging, but ruling out other causes is
crucial.
The nurse is assessing a patient's readiness for discharge after a stroke. Which
finding would indicate that the patient is ready for discharge?
A) Able to feed themselves with minimal assistance
B) Inconsistent bladder control
C) Expresses frustration with their inability to walk
D) Requires assistance with all activities of daily living (ADLs)
A) Able to feed themselves with minimal assistance.
Rationale: Functional independence in some ADLs, such as feeding, indicates
readiness for discharge with outpatient therapy or home care.
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, CVA Nclex Practice Exam
Which of the following interventions is appropriate for a patient with dysphagia
post-stroke? (Select all that apply)
A) Encourage use of straws for fluid intake
B) Tuck chin to chest while swallowing
C) Perform a swallow test before feeding
D) Provide crushed medications with thickened liquids
B) Tuck chin to chest while swallowing
C) Perform a swallow test before feeding
D) Provide crushed medications with thickened liquids.
Rationale: Swallow precautions include tucking the chin to chest while
swallowing, performing a swallow test before feeding, and using thickened liquids
to reduce aspiration risk.
A patient is being evaluated for eligibility for fibrinolytic therapy after an ischemic
stroke. Which of the following would exclude the patient from receiving this
therapy?
A) Blood pressure of 175/100 mmHg
B) NIHSS score of 10
C) Age of 82 years old
D) Symptom onset 2 hours ago
C) Age of 82 years old.
Rationale: Patients older than 80 years are excluded from receiving fibrinolytic
therapy if the stroke occurred within the 3–4.5 hour window. Elevated blood
pressure may be controlled to administer fibrinolytics.
A patient presents with homonymous hemianopsia after a stroke. Which of the
following nursing interventions is most appropriate?
A) Teach the patient to scan the environment.
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CVA NCLEX PRACTICE EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS |ALREADY GRADED A+(NEWEST
VERSION!)
A patient diagnosed with a hemorrhagic stroke presents with a sudden, severe
headache. What other signs should the nurse monitor for? (Select all that apply)
A) Hemiparesis
B) Seizures
C) Hypertension
D) Nuchal rigidity
E) Dysphagia
B) Seizures, C) Hypertension, D) Nuchal rigidity.
Rationale: Hemorrhagic stroke can cause seizures, high blood pressure, and
nuchal rigidity due to meningeal irritation. Hemiparesis and dysphagia are more
common with ischemic strokes.
A patient has been prescribed warfarin for stroke prevention. Which laboratory
test will the nurse monitor to evaluate the therapeutic effect of this medication?
A) Prothrombin Time (PT)
B) Partial Thromboplastin Time (PTT)
C) Platelet count
D) Hemoglobin
A) Prothrombin Time (PT).
Rationale: Warfarin therapy is monitored by PT and INR. PTT is monitored for
heparin.
A patient recovering from a left hemispheric stroke demonstrates difficulty
understanding written text. This is an example of:
1|Page
, CVA Nclex Practice Exam
A) Receptive aphasia
B) Expressive aphasia
C) Dysarthria
D) Hemianopsia
A) Receptive aphasia.
Rationale: Receptive aphasia (Wernicke's aphasia) refers to difficulty
understanding written or spoken language, commonly seen in left hemispheric
strokes.
A patient presents with symptoms of a Transient Ischemic Attack (TIA). Which
diagnostic test is most important to perform first?
A) Carotid Doppler
B) Cerebral angiography
C) Echocardiogram
D) Non-contrast head CT
D) Non-contrast head CT.
Rationale: A head CT is essential to rule out a stroke or hemorrhage. TIAs are brief
and may not show significant findings on imaging, but ruling out other causes is
crucial.
The nurse is assessing a patient's readiness for discharge after a stroke. Which
finding would indicate that the patient is ready for discharge?
A) Able to feed themselves with minimal assistance
B) Inconsistent bladder control
C) Expresses frustration with their inability to walk
D) Requires assistance with all activities of daily living (ADLs)
A) Able to feed themselves with minimal assistance.
Rationale: Functional independence in some ADLs, such as feeding, indicates
readiness for discharge with outpatient therapy or home care.
2|Page
, CVA Nclex Practice Exam
Which of the following interventions is appropriate for a patient with dysphagia
post-stroke? (Select all that apply)
A) Encourage use of straws for fluid intake
B) Tuck chin to chest while swallowing
C) Perform a swallow test before feeding
D) Provide crushed medications with thickened liquids
B) Tuck chin to chest while swallowing
C) Perform a swallow test before feeding
D) Provide crushed medications with thickened liquids.
Rationale: Swallow precautions include tucking the chin to chest while
swallowing, performing a swallow test before feeding, and using thickened liquids
to reduce aspiration risk.
A patient is being evaluated for eligibility for fibrinolytic therapy after an ischemic
stroke. Which of the following would exclude the patient from receiving this
therapy?
A) Blood pressure of 175/100 mmHg
B) NIHSS score of 10
C) Age of 82 years old
D) Symptom onset 2 hours ago
C) Age of 82 years old.
Rationale: Patients older than 80 years are excluded from receiving fibrinolytic
therapy if the stroke occurred within the 3–4.5 hour window. Elevated blood
pressure may be controlled to administer fibrinolytics.
A patient presents with homonymous hemianopsia after a stroke. Which of the
following nursing interventions is most appropriate?
A) Teach the patient to scan the environment.
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