A client is admitted to the critical care unit with a subdural hematoma. When assessing the client’s best motor response on GCS, which movement would receive the lowest score?

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Question 1 of 5

A client is admitted to the critical care unit with a subdural hematoma. When assessing the client’s best motor response on GCS, which movement would receive the lowest score?

Correct Answer: A

Rationale: GCS motor: 2 = abnormal extension (A), 3 = decorticate, 4 = withdrawal, 5 = localizing. Lowest score is A.

Question 2 of 5

The nurse plans care for a client with ICP receiving 3% NaCl. Which assessment is implemented?

Correct Answer: D

Rationale: 3% NaCl affects electrolytes and BP (D) to monitor hypernatremia/fluid status.

Question 3 of 5

Which risk factors for stroke are important for community education? EXCEPT (SATA)

Correct Answer: A

Rationale: Modifiable risks: OCPs (B), sedentary lifestyle (C), HTN (E); hair dye irrelevant.

Question 4 of 5

A client had a TIA leading to stroke. What’s the purpose of carotid endarterectomy/angioplasty?

Correct Answer: B

Rationale: These procedures (B) prevent strokes by relieving stenosis.

Question 5 of 5

A client post-hemorrhagic stroke has BP 90/50. Priority action?

Correct Answer: C

Rationale: Hypotension (C) needs immediate provider attention.

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