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Hesi Case Study on Evolve for Medical Surgical Strokes Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
Which type of stroke is caused by a blood clot blocking a cerebral artery?✔✔Ischemic stroke
Which type of stroke is caused by bleeding into the brain tissue?✔✔Hemorrhagic stroke
Which symptom is most commonly reported at stroke onset?✔✔Sudden numbness or weakness of the face, arm, or leg, especially on one side
Which cranial nerve assessment is essential in stroke patients?✔✔Facial nerve function and symmetry
Which assessment finding suggests a left-sided stroke?✔✔Right-sided weakness and aphasia 1 / 4
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Which assessment finding suggests a right-sided stroke?✔✔Left-sided neglect and spatial-perceptual deficits
Which imaging study is first-line for diagnosing acute stroke?✔✔CT scan of the head without contrast
What is the primary goal of treatment in acute ischemic stroke?✔✔Restore cerebral blood flow
Which medication is commonly used to dissolve clots in ischemic stroke?✔✔Tissue plasminogen activator (tPA)
Which nursing intervention is priority immediately after administering tPA?✔✔Monitor for signs of bleeding and neurological changes
Which vital sign change may indicate increased intracranial pressure after a stroke?✔✔Bradycardia with hypertension and irregular respirations (Cushing’s triad) 2 / 4
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Which position is recommended to reduce intracranial pressure in stroke patients?✔✔Head of bed elevated 30 degrees
Which lab test is crucial before giving tPA?✔✔Coagulation profile (PT/INR, aPTT)
Which symptom suggests hemorrhagic stroke rather than ischemic stroke?✔✔Sudden severe headache and vomiting
Which nursing intervention is important to prevent aspiration in stroke patients?✔✔Assess swallowing and provide modified diet if needed
Which long-term complication is common after a stroke?✔✔Hemiparesis
Which assessment finding indicates neglect syndrome in right-sided stroke?✔✔Patient ignores the left side of the body 3 / 4
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Which speech problem may result from left-sided stroke?✔✔Aphasia (expressive or receptive)
Which emotional change is common after stroke?✔✔Depression or emotional lability
Which rehabilitation intervention improves mobility after a stroke?✔✔Physical therapy with range-of-motion exercises
Which nursing action prevents contractures in a stroke patient?✔✔Perform passive and active range-of-motion exercises
Which urinary problem is common in early stroke recovery?✔✔Urinary incontinence
Which skin problem should the nurse monitor in immobile stroke patients?✔✔Pressure ulcers
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