Medical Surgical Exam 2b
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1.A nurse is caring for a client who who has had a stroke involving the right hemisphere. Which of the
following alterations in function should the nurse expect?
A. Difficulty reading
B. Inability to recognize his family members
C. Right hemiparesis
D. Aphasia
,Answer: B. Inability to recognize his family members
2.A nurse is teaching about risk factors of developing a stroke with a group of older adult clients. Which
of the following nonmodifiable risk factors should the nurse include in the teaching?
A. History of smoking
B. Obesity
C. History of hypertension
D. Race
Answer: D. Race
3.A nurse in a long-term care facility is caring for an older adult client who had a stroke 4 weeks ago and
who is unable to move independently. The nurse should monitor for which of the following
complications of immobility?
A. A reddened area over the sacrum
B. Stiffness in the lower extremities
C. Difficulty moving the upper extremities
D. Difficulty hearing some types of sounds
Answer: A. A reddened area over the sacrum
4.A nurse is instructing a client's family members about feeding safety for a client who has dysphagia
following a stroke. Which of the following instructions should the nurse include?
A. Encourage brief exercise before meals to promote appetite.
B. Place food in the affected side of the mouth.
C. Encourage the client to take small bites.
D. Place the client with the head reclined back to facilitate swallowing.
, Answer: C. Encourage the client to take small bites.
5.A nurse caring for a client who had a right-sided stroke and is exhibiting homonymous hemianopsia
when eating. Which of the following actions should the nurse take?
A. Provide a nonskid mat to alleviate plate movement.
B. Encourage the client to use his right hand when feeding himself.
C. Remind the client to look for food on the left side of the tray.
D. Encourage the use of the wide grip utensils.
Answer: C. Remind the client to look for food on the left side of the tray.
6.A nursing is caring for a client who has aphasia following a stroke. A family member asks the nurse
how she should communicate with the client. Which of the following responses by the nurse is
appropriate?
A. "Incorporate nonverbal cues in the conversation."
B. "Ask multiple choice questions as part of the conversation."
C. "Use a higher-pitched tone of voice when speaking."
D. "Use simple, child-like statements when speaking."
Answer: A. "Incorporate nonverbal cues in the conversation."
7.A nurse is caring for a client who had a stroke involving the right cerebral hemisphere. The nurse
should monitor for which of the following findings?
A. Poor impulse control
B. Unable to discriminate words and letters
C. Deficits in the right visual field
Comprehensive Questions
(Frequently Tested) with Verified
Answers Graded A+
Professional Academic Assistance Services
Services Offered
• Proctored Exam Assistance
• Online Class Management (Full Course Support)
• Exam Preparation & Study Materials
• Assignments and Coursework Support
• Essay and Research Paper Writing
• Discussion Posts & Responses
• Editing and Proofreading
• Confidential Academic Consultation
Helping Students Achieve Academic Excellence
1.A nurse is caring for a client who who has had a stroke involving the right hemisphere. Which of the
following alterations in function should the nurse expect?
A. Difficulty reading
B. Inability to recognize his family members
C. Right hemiparesis
D. Aphasia
,Answer: B. Inability to recognize his family members
2.A nurse is teaching about risk factors of developing a stroke with a group of older adult clients. Which
of the following nonmodifiable risk factors should the nurse include in the teaching?
A. History of smoking
B. Obesity
C. History of hypertension
D. Race
Answer: D. Race
3.A nurse in a long-term care facility is caring for an older adult client who had a stroke 4 weeks ago and
who is unable to move independently. The nurse should monitor for which of the following
complications of immobility?
A. A reddened area over the sacrum
B. Stiffness in the lower extremities
C. Difficulty moving the upper extremities
D. Difficulty hearing some types of sounds
Answer: A. A reddened area over the sacrum
4.A nurse is instructing a client's family members about feeding safety for a client who has dysphagia
following a stroke. Which of the following instructions should the nurse include?
A. Encourage brief exercise before meals to promote appetite.
B. Place food in the affected side of the mouth.
C. Encourage the client to take small bites.
D. Place the client with the head reclined back to facilitate swallowing.
, Answer: C. Encourage the client to take small bites.
5.A nurse caring for a client who had a right-sided stroke and is exhibiting homonymous hemianopsia
when eating. Which of the following actions should the nurse take?
A. Provide a nonskid mat to alleviate plate movement.
B. Encourage the client to use his right hand when feeding himself.
C. Remind the client to look for food on the left side of the tray.
D. Encourage the use of the wide grip utensils.
Answer: C. Remind the client to look for food on the left side of the tray.
6.A nursing is caring for a client who has aphasia following a stroke. A family member asks the nurse
how she should communicate with the client. Which of the following responses by the nurse is
appropriate?
A. "Incorporate nonverbal cues in the conversation."
B. "Ask multiple choice questions as part of the conversation."
C. "Use a higher-pitched tone of voice when speaking."
D. "Use simple, child-like statements when speaking."
Answer: A. "Incorporate nonverbal cues in the conversation."
7.A nurse is caring for a client who had a stroke involving the right cerebral hemisphere. The nurse
should monitor for which of the following findings?
A. Poor impulse control
B. Unable to discriminate words and letters
C. Deficits in the right visual field
