Wk. 13 - Stroke Practice Questions

Which of the following are modifiable risk factors for stroke? (Select all that apply) A) Smoking B) Diabetes mellitus C) Race D) Physical inactivity

A,B,D

Atrial fibrillation increases the risk of which type of stroke? A) Hemorrhagic B) Embolic ischemic C) Thrombotic ischemic D) Subarachnoid

B

Which behavioral modification is part of the AHA's Life’s Essential 8? A) Drink two glasses of wine daily B) Exercise regularly C) Sleep less than 6 hours D) Take aspirin daily regardless of health status

B

True or False: A family history of stroke is a non-modifiable risk factor.

True

Sickle cell disease primarily increases the risk for: A) Hemorrhagic stroke B) Ischemic stroke C) Only myocardial infarction D) Peripheral neuropathy

B

Controlling which condition is the most critical for stroke prevention? A) Hyperthyroidism B) Hypertension C) Asthma D) Gallstones

B

Screening for which arrhythmia is recommended for stroke prevention? A) Ventricular fibrillation B) Atrial fibrillation C) Sinus bradycardia D) Supraventricular tachycardia

B

What percentage of strokes are ischemic? A) 15% B) 25% C) 50% D) 85%

D

Which stroke subtype is commonly caused by an atherosclerotic plaque rupture? A) Embolic B) Thrombotic C) Hemorrhagic D) Subarachnoid

B

Which of the following best describes embolic stroke? A) Clot formation at the site B) Clot traveling from elsewhere C) Rupture of blood vessel D) Trauma-related injury

B

True or False: Systemic hypoperfusion can cause ischemic stroke during cardiac arrest.

True

Which cause is most commonly associated with non-traumatic intracerebral hemorrhage? A) Sickle cell disease B) Diabetes C) Hypertension D) Asthma

C

Subarachnoid hemorrhages are commonly associated with: A) Hypertensive emergencies B) Berry aneurysms C) Venous insufficiency D) Viral meningitis

B

A right brain stroke often results in: A) Aphasia B) Impulsivity and left-sided neglect C) Right-sided hemiparesis D) Fluent speech

B

Facial droop and dysarthria are signs of: A) Renal failure B) Stroke C) Hepatic encephalopathy D) COPD exacerbation

B

True or False: Sudden severe headache is a classic early sign of subarachnoid hemorrhage.

True

Homonymous hemianopia describes: A) Loss of smell B) Loss of vision in half of the visual field C) Paralysis of the arms D) Difficulty swallowing

B

Ataxia primarily affects which system? A) Visual system B) Balance and coordination C) Swallowing D) Respiratory

B

Which clinical manifestation is more common in left-brain stroke? A) Spatial-perceptual problems B) Aphasia C) Impulsivity D) Left-sided neglect

B

Patients with dysphagia are at high risk for: A) Deep vein thrombosis B) Aspiration pneumonia C) Hearing loss D) Bradycardia

B

What is the most critical first diagnostic test for a suspected stroke? A) EKG B) Non-contrast CT head C) MRI with contrast D) Carotid ultrasound

B

Blood glucose should be checked in stroke patients primarily to: A) Rule out seizure B) Confirm hypoglycemia C) Exclude hyperglycemia D) Rule out hypoglycemia mimicking stroke

D

True or False: MRI is preferred over CT scan in emergency stroke diagnosis.

False

Which lab value must be assessed before administering tPA? A) Blood urea nitrogen (BUN) B) INR/PT C) Hemoglobin A1C D) Troponin

B

Cincinnati Prehospital Stroke Scale includes all except: A) Facial droop B) Arm drift C) Abdominal pain D) Speech abnormalities

C

Alteplase (tPA) must ideally be administered within how many hours of stroke onset? A) 3 hours B) 4.5 hours C) 6 hours D) 12 hours

B

Which blood pressure goal is targeted before administering IV alteplase? A) <140/90 mmHg B) <180/110 mmHg C) <200/100 mmHg D) <120/80 mmHg

B

Which are interventions for hemorrhagic stroke? (Select all that apply) A) Osmotic diuretics B) BP control (SBP 140–160) C) Thrombolytic therapy D) Possible surgical evacuation

A,B,D

Which of the following are contraindications for thrombolytic therapy? (Select all that apply) A) Recent head trauma B) INR > 1.7 C) Controlled hypertension D) Active internal bleeding

A,B,D

True or False: Endovascular thrombectomy is performed for hemorrhagic strokes.

False

Priority nursing assessments beyond 24 hours post-stroke include: (Select all that apply) A) Glasgow Coma Scale B) Muscle strength testing C) Visual acuity D) Capillary refill time

A,B,C

A patient with dysphagia should avoid: A) Thickened liquids B) Pureed foods C) Thin liquids D) Soft foods

C

True or False: Early mobility interventions reduce complications after a stroke.

True

Antiplatelet therapy is commonly used after an ischemic stroke for: A) Preventing rebleeding B) Preventing recurrent strokes C) Lowering cholesterol D) Increasing clotting factors

B