EVOLVE ELSEVIER HESI MED SURG FINAL EXAM STUDY
GUIDE 2025/2026 COMPLETE QUESTIONS BANK AND
CORRECT DETAILED ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS <RECENT VERSION>
Communication manifestations of stoke ......ANSWER........May
experience aphasia when a stroke damages the dominant
hemisphere of the brain.
Dysarthria ......ANSWER........disturbance in the muscular control
of speech. pronunciation, articulation, and phonation. does not
affect the meaning of communication or comprehension of
language.
Affect manifestations in stroke ......ANSWER........May have
difficulty controlling their emotions. Emotional responses may be
exaggerated or unpredictable.
,age 2 of 55
Intellectual function manifestations in stroke ......ANSWER........Both
memory and judgment may be impaired as a result of stroke.
Left sided: memory problems, caution in making judgments. Right
sided: impulsive and move quickly. difficulty making
generalizations
Spatial- Perceptual Alterations with stroke ......ANSWER........Four
categories.
1. Incorrect perception of self and illness
2. Erroneous perception of self in space (neglect all input from
affected side). May not realize they can not see out of eye.
3. Agnosia: inability to recognize object by sight, touch, hearing
4. Apraxia: inability to carry out learned sequential movements
,age 3 of 55
Elimination manifestations in stroke ......ANSWER........Problems
with urinary and bowel elimination occur initially and are
temporary. Experience frequency, urgency, and incontinence.
Diagnosis ......ANSWER........confirm that it is a stroke and not
another brain lesion and identify cause of stroke
What is the primary diagnostic test used after a stroke
......ANSWER........CT
How does the CT and MRI help diagnose a stroke?
......ANSWER........able to distinguish between ischemic and
hemorrhagic and help determine size and location.
Why may cardiac tests be performed in the event of a stroke
......ANSWER........If the suspected cause of the stroke includes
emboli from the heart, diagnostic cardiac tests should be done to
determine the underlying cause.
, age 4 of 55
Goals of stroke preventeion ......ANSWER........health promotion
for a healthy lifestyle and management of modifiable risk
factors; healthy diet, weight control, regular exercise, no
smoking, limitation of alcohol, routine health assessments
What is the most common form of stroke
......ANSWER........ischemic
Embolic Stroke ......ANSWER........Embolus lodges in and occludes
cerebral artery.
S&S of embolic stroke ......ANSWER........severe, any age, less
common to have warning signs, remains conscious, headache,
Thrombotic Stroke ......ANSWER........thrombosis or narrowing of
blood vessel
most commone