ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 67 Questions
Question 1 of 5
A patient has had an ischemic stroke and has been admitted to the medical unit. What action should the nurse perform to best prevent joint deformities?
Correct Answer: C
Rationale: A pillow in the axilla prevents shoulder adduction, reducing deformity risk. Prone positioning aids hip extension, not daily for 30 minutes. Acute thigh flexion may cause edema, and hand pronation is less functional than supination.
Question 2 of 5
A patient diagnosed with transient ischemic attacks (TIAs) is scheduled for a carotid endarterectomy. The nurse explains that this procedure will be done for what purpose?
Correct Answer: C
Rationale: Carotid endarterectomy removes plaques to prevent stroke in patients with occlusive carotid disease. It does not address edema, seizures, or TIA causation.
Question 3 of 5
The nurse is discharging home a patient who suffered a stroke. He has a flaccid right arm and leg and is experiencing problems with urinary incontinence. The nurse makes a referral to a home health nurse because of an awareness of what common patient response to a change in body image?
Correct Answer: C
Rationale: Stroke often leads to depression due to loss of function and independence. Denial, fear, or disassociation may occur but are less common responses to body image changes.
Question 4 of 5
When caring for a patient who had a hemorrhagic stroke, close monitoring of vital signs and neurologic changes is imperative. What is the earliest sign of deterioration in a patient with a hemorrhagic stroke of which the nurse should be aware?
Correct Answer: B
Rationale: Altered LOC, such as drowsiness or slurred speech, is the earliest sign of deterioration in hemorrhagic stroke. Pain, seizures, and shortness of breath are not typical early signs.
Question 5 of 5
The nurse is performing stroke risk screenings at a hospital open house. The nurse has identified four patients who might be at risk for a stroke. Which patient is likely at the highest risk for a hemorrhagic stroke?
Correct Answer: B
Rationale: Uncontrolled hypertension is the primary risk factor for hemorrhagic stroke. Alcohol, diabetes, and smoking increase risk but are less significant than hypertension.