Emergency Nursing

Stroke and Neurologic Emergencies Practice Questions

20 free Stroke and Neurologic Emergencies practice questions for the NCLEX Exam, each with the correct answer and a detailed explanation. Open any question below, or take the full set as an interactive quiz.

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All Stroke and Neurologic Emergencies questions

20 questions
  1. Q1. What is the nurse's first action when a patient arrives in the ED with sudden right facial droop, right arm weakness, and speech difficulty?
  2. Q2. What assessment should NOT delay imaging in the initial evaluation of a suspected acute stroke patient?
  3. Q3. For an ischemic stroke patient eligible for thrombolysis, what is a key early nursing intervention?
  4. Q4. Which finding is most likely indicated by a haemorrhagic stroke (intracerebral hemorrhage)?
  5. Q5. What principle does the nurse monitor for in stroke care, reflecting that "time is brain"?
  6. Q6. What is the correct statement about the NIH Stroke Scale (NIHSS)?
  7. Q7. Which vital sign change in a stroke patient should raise immediate concern for neurologic deterioration?
  8. Q8. To prevent aspiration pneumonia in a stroke patient, what is a vital nursing intervention?
  9. Q9. In the initial evaluation of a suspected acute ischemic stroke patient, which lab test is anticipated as part of the evaluation?
  10. Q10. For a patient with atrial fibrillation post-stroke, which treatment may be indicated for future stroke prevention?
  11. Q11. In a hemorrhagic stroke patient, which complications are directly related to increased intracranial pressure?
  12. Q12. What positioning strategy is recommended to prevent shoulder subluxation in a post-stroke patient with right-sided hemiplegia?
  13. Q13. Which sign alerts the nurse to acute spinal cord compression as a neurologic emergency besides stroke?
  14. Q14. Why is it important to monitor and treat fever aggressively in the acute phase of stroke nursing care?
  15. Q15. Why should mobilization and rehabilitation begin as soon as feasible in stroke care?
  16. Q16. When a patient with suspected stroke has a blood glucose of 42 mg/dL on arrival, what should the nurse recognize?
  17. Q17. What is an essential nursing action post-administration of thrombolytic therapy (tPA) in a patient undergoing acute ischemic stroke?
  18. Q18. What is a common nursing diagnosis for the stroke patient related to impaired communication?
  19. Q19. What is a key nursing intervention for a patient in the ICU with left-sided neglect post-stroke?
  20. Q20. For a patient with a large vessel occlusion stroke beyond the thrombolysis window but within 24 hours of last known well, what advanced treatment can the ED nu…