Neuro 2

Question 1

A nurse is educating a group about stroke risk factors. Which modifiable risk factor should be emphasized?
A. Age over 65
B. Family history of stroke
C. Hypertension
D. History of transient ischemic attack (TIA)

Answer 1

Correct Answer: C. Hypertension

Rationale: Hypertension is the most significant modifiable risk factor for stroke. While age and family history are non-modifiable, controlling blood pressure greatly reduces stroke risk.

Question 2

A patient presents with slurred speech, right-sided weakness, and difficulty understanding speech. Symptoms resolve within an hour. The nurse suspects which condition?

A. Ischemic stroke
B. Transient ischemic attack (TIA)
C. Hemorrhagic stroke
D. Subarachnoid hemorrhage

Answer 2

Correct Answer: B. Transient ischemic attack (TIA)

Rationale: A TIA is a temporary episode of neurological dysfunction lasting less than an hour without causing permanent damage. It is a warning sign of an impending stroke.

Question 3

A patient with an embolic stroke is most likely to have a history of which condition?

A. Atrial fibrillation
B. Hypertension
C. Hyperlipidemia
D. Diabetes mellitus

Answer 3

Correct Answer: A. Atrial fibrillation

Rationale: Atrial fibrillation increases the risk of embolism by promoting clot formation in the heart, which can travel to the brain and cause an embolic stroke.

Question 4

A patient with a suspected stroke arrives at the emergency department. What is the nurse’s priority intervention?
A. Start IV fluids
B. Obtain a CT scan of the head
C. Administer aspirin
D. Check blood glucose levels

Answer 4

Correct Answer: B. Obtain a CT scan of the head

Rationale: A CT scan must be performed immediately to differentiate ischemic from hemorrhagic stroke, which determines treatment. Anticoagulants are contraindicated in hemorrhagic strokes.

Question 5

A nurse is preparing to administer alteplase (tPA) to a patient with an ischemic stroke. Which finding would require the nurse to withhold the medication?

A. Blood pressure of 168/90 mmHg
B. Stroke symptom onset 2.5 hours ago
C. History of atrial fibrillation
D. Recent gastrointestinal bleeding

Answer 5

Correct Answer: D. Recent gastrointestinal bleeding

Rationale: Alteplase (tPA) is contraindicated in patients with recent bleeding (GI bleed, surgery, trauma) due to the high risk of hemorrhage.

Question 6

Which symptom is most characteristic of a right-hemispheric stroke?

A. Expressive aphasia
B. Right-sided paralysis
C. Impulsive behavior
D. Impaired language comprehension

Answer 6

Correct Answer: C. Impulsive behavior

Rationale: Right hemisphere strokes often cause impulsivity, poor judgment, and lack of awareness of deficits. Language impairment is more common in left hemisphere strokes.

Question 7

A patient with increased intracranial pressure (ICP) is prescribed mannitol. What is the expected outcome?

A. Reduced cerebral edema
B. Increased blood pressure
C. Decreased urine output
D. Increased respiratory rate

Answer 7

Correct Answer: A. Reduced cerebral edema

Rationale: Mannitol is an osmotic diuretic that reduces cerebral edema by pulling fluid from the brain into circulation, increasing urine output.

Question 8

A nurse is caring for a patient recovering from a hemorrhagic stroke. Which intervention is contraindicated?

A. Administering stool softeners
B. Monitoring blood pressure
C. Administering anticoagulants
D. Elevating the head of the bed

Answer 8

Correct Answer: C. Administering anticoagulants

Rationale: Anticoagulants (e.g., heparin, warfarin, aspirin) are contraindicated in hemorrhagic strokes because they increase the risk of further bleeding.

Question 9

A nurse is assessing a patient with a left-sided stroke. Which finding is expected?

A. Right-sided hemiplegia
B. Impulsivity and poor judgment
C. Spatial-perceptual deficits
D. Left-sided neglect

Answer 9

Correct Answer: A. Right-sided hemiplegia

Rationale: The left hemisphere controls the right side of the body, so left-sided strokes cause right-sided weakness or paralysis.

Question 10

A patient with dysphagia after a stroke is at risk for aspiration. Which intervention should the nurse implement?
A. Position the patient in high-Fowler’s during meals
B. Offer thin liquids to encourage hydration
C. Encourage the patient to eat quickly to avoid fatigue
D. Allow the patient to use a straw for liquids

Answer 10

Correct Answer: A. Position the patient in high-Fowler’s during meals

Rationale: High-Fowler’s position (sitting upright) reduces the risk of aspiration. Thin liquids and straws should be avoided as they increase aspiration risk.

Question 11

A nurse is educating a patient about modifiable stroke risk factors. Which statement indicates the patient understands the teaching?
A. “I can’t do anything about my stroke risk.”
B. “I will monitor my blood pressure regularly.”
C. “I should avoid taking my cholesterol medication.”
D. “I don’t need to stop smoking since I feel fine.”

Answer 11

Correct Answer: B. “I will monitor my blood pressure regularly.”

Rationale: Hypertension is a major modifiable risk factor for stroke. Blood pressure control is essential for stroke prevention.

Question 12

A patient is receiving IV fluids after a stroke. Which IV solution should be avoided?

A. 0.9% Normal Saline
B. Lactated Ringer’s
C. Dextrose 5% in water (D5W)
D. 0.45% Normal Saline

Answer 12

Correct Answer: C. Dextrose 5% in water (D5W)

Rationale: D5W is a hypotonic solution that can worsen cerebral edema and increase intracranial pressure (ICP). Isotonic fluids (e.g., NS, LR) are preferred.

Question 13

A nurse is assessing a patient with a stroke affecting the cerebellum. Which symptom is expected?
A. Difficulty swallowing
B. Impaired balance and coordination
C. Expressive aphasia
D. Hemiplegia

Answer 13

Correct Answer: B. Impaired balance and coordination

Rationale: The cerebellum controls balance and coordination, so damage results in ataxia, dizziness, and difficulty walking

Question 14

A patient with a stroke is experiencing unilateral neglect. What is the best nursing intervention?
A. Encourage the patient to ignore the affected side
B. Place objects on the affected side to encourage use
C. Avoid touching the affected side
D. Turn the patient’s head toward the unaffected side

Answer 14

Correct Answer: B. Place objects on the affected side to encourage use

Rationale: Unilateral neglect causes the patient to ignore one side of the body. Placing objects on the affected side encourages awareness and use.

Question 15

A nurse is assessing a patient with a suspected hemorrhagic stroke. Which symptom is most indicative of this condition?
A. Sudden, severe headache
B. Gradual onset of unilateral weakness
C. Numbness and tingling in the extremities
D. Transient loss of consciousness

Answer 15

Correct Answer: A. Sudden, severe headache

Rationale: A sudden, severe headache (“thunderclap headache”) is a hallmark sign of hemorrhagic stroke, caused by intracranial bleeding and increased intracranial pressure (ICP).

Question 16

A patient with increased intracranial pressure (ICP) is placed in a semi-Fowler’s position. What is the rationale for this intervention?
A. It increases cerebral blood flow
B. It prevents aspiration pneumonia
C. It promotes venous drainage from the brain
D. It decreases the risk of brain herniation

Answer 16

Correct Answer: C. It promotes venous drainage from the brain

Rationale: Elevating the head of the bed (HOB) to 25-30 degrees helps reduce ICP by promoting venous drainage, preventing further brain swelling.

Question 17

A nurse is preparing to administer tissue plasminogen activator (tPA) for a patient with an ischemic stroke. Which factor is a contraindication?
A. Blood pressure of 170/90 mmHg
B. Onset of stroke symptoms 2.5 hours ago
C. History of peptic ulcer disease
D. Active gastrointestinal (GI) bleeding

Answer 17

Correct Answer: D. Active gastrointestinal (GI) bleeding

Rationale: tPA is contraindicated in patients with active bleeding, recent surgery, or a history of intracranial hemorrhage due to the risk of excessive bleeding.

Question 18

A patient with a stroke has difficulty understanding spoken and written language but can speak fluently. This condition is known as:
A. Broca’s aphasia
B. Wernicke’s aphasia
C. Dysarthria
D. Global aphasia

Answer 18

Correct Answer: B. Wernicke’s aphasia

Rationale: Wernicke’s aphasia (receptive aphasia) affects language comprehension but allows fluent speech that lacks meaning. Broca’s aphasia impairs speech production but preserves comprehension.

Question 19

A patient with a history of stroke is experiencing neglect of their left side. Which nursing intervention is most appropriate?
A. Encourage the patient to look toward the left side
B. Place the call light and personal items on the right side
C. Approach the patient from the right side
D. Avoid turning the patient’s head to the left

Answer 19

Correct Answer: A. Encourage the patient to look toward the left side

Rationale: Unilateral neglect occurs when a patient ignores one side of the body. Encouraging scanning the affected side helps improve awareness and function.

Question 20

A nurse is monitoring a patient for complications of increased intracranial pressure (ICP). Which finding requires immediate intervention?

A. Widening pulse pressure and irregular respirations
B. Decreased deep tendon reflexes
C. Glasgow Coma Scale (GCS) score of 14
D. Pupils equal and reactive to light

Answer 20

Correct Answer: A. Widening pulse pressure and irregular respirations

Rationale: Widening pulse pressure, irregular respirations (Cheyne-Stokes), and bradycardia are signs of Cushing’s triad, indicating brainstem herniation, which is a medical emergency.

Question 21

A patient with a suspected embolic stroke is admitted to the emergency department. Which diagnostic test should be performed first?
A. Magnetic resonance angiography (MRA)
B. Non-contrast computed tomography (CT) scan
C. Transcranial Doppler ultrasonography
D. Cerebral angiography

Answer 21

Correct Answer: B. Non-contrast computed tomography (CT) scan

Rationale: A non-contrast CT scan is the first-line imaging test for stroke to differentiate between ischemic and hemorrhagic stroke, guiding treatment decisions.

Question 22

A nurse is providing discharge teaching to a patient who had a stroke. Which statement by the patient requires further teaching?
A. “I should monitor my blood pressure regularly.”
B. “I will continue my smoking cessation plan.”
C. “I don’t need to take my blood thinners if I feel fine.”
D. “I will follow a low-fat, low-sodium diet.”

Answer 22

Correct Answer: C. “I don’t need to take my blood thinners if I feel fine.”

Rationale: Anticoagulants and antiplatelets (e.g., aspirin, warfarin) must be taken consistently to prevent another stroke, even if the patient feels fine.

Question 23

A patient is diagnosed with a stroke affecting the middle cerebral artery (MCA). Which symptom is most likely?

A. Loss of coordination and balance
B. Visual field deficits and hemiparesis
C. Difficulty swallowing and speaking
D. Complete loss of sensation in lower limbs

Answer 23

Correct Answer: B. Visual field deficits and hemiparesis

Rationale: MCA strokes commonly cause contralateral hemiparesis, sensory deficits, and visual disturbances. The MCA supplies a large portion of the brain.

Question 24

A patient with a subarachnoid hemorrhage is at high risk for vasospasm. Which intervention is most appropriate?

A. Administer calcium channel blockers
B. Lower the head of the bed to improve perfusion
C. Increase IV fluids to induce hypertension
D. Withhold pain medications to monitor for neurologic changes

Answer 24

Correct Answer: A. Administer calcium channel blockers

Rationale: Nimodipine (a calcium channel blocker) is commonly used to prevent cerebral vasospasm, which can lead to secondary ischemia after a subarachnoid hemorrhage

Question 25

A patient with increased intracranial pressure (ICP) is receiving mannitol therapy. Which finding requires immediate intervention? A. Increased urine output B. Serum sodium level of 140 mEq/L C. Crackles in the lungs and dyspnea D. Decreased intracranial pressure on monitoring

Answer 25

Correct Answer: C. Crackles in the lungs and dyspnea Rationale: Crackles and dyspnea suggest pulmonary edema, a serious complication of mannitol therapy due to fluid shifts. Immediate intervention is needed to prevent respiratory distress.

Question 26

A nurse is planning care for a patient in the acute phase of a stroke. Which intervention is most important to prevent aspiration? A. Keep the patient in a supine position B. Perform a swallowing assessment before oral intake C. Offer thin liquids to encourage hydration D. Encourage the patient to eat quickly to prevent fatigue

Answer 26

Correct Answer: B. Perform a swallowing assessment before oral intake Rationale: Dysphagia (swallowing difficulty) is common after a stroke and increases the risk of aspiration pneumonia. A swallowing assessment (by speech therapy) should be done before the patient eats or drinks.

Question 27

A patient is prescribed warfarin after an ischemic stroke. Which statement by the patient indicates a need for further teaching? A. "I will have my INR checked regularly." B. "I will eat a consistent amount of leafy green vegetables." C. "I can take ibuprofen for headaches if needed." D. "I will report any unusual bruising or bleeding to my provider."

Answer 27

Correct Answer: C. "I can take ibuprofen for headaches if needed." Rationale: NSAIDs (like ibuprofen) increase bleeding risk when taken with warfarin. Patients should use acetaminophen (Tylenol) instead and notify their provider before taking any new medications.

Question 28

A patient recovering from a stroke has right-sided weakness and difficulty dressing. What is the most appropriate nursing intervention? A. Encourage the patient to dress their weak side first B. Have the nurse dress the patient completely C. Place all clothing on the left side of the bed D. Advise the patient to avoid dressing until full mobility returns

Answer 28

Correct Answer: A. Encourage the patient to dress their weak side first Rationale: Dressing the affected (weak) side first promotes independence and adaptive function by minimizing strain on the stronger side.

Question 29

A nurse is caring for a patient with a left-sided stroke. Which expected symptom should be included in discharge teaching? A. Impaired judgment and impulsivity B. Difficulty with speech and language C. Left-sided neglect D. Short attention span and memory loss

Answer 29

Correct Answer: B. Difficulty with speech and language Rationale: Left-hemispheric strokes typically cause aphasia (language impairment) and speech difficulties because the left hemisphere controls language processing.

Question 30

A patient with a hemorrhagic stroke is receiving nimodipine. What is the primary reason for this medication? A. Prevent seizures B. Lower blood pressure rapidly C. Reduce cerebral vasospasm D. Promote clot formation

Answer 30

Correct Answer: C. Reduce cerebral vasospasm Rationale: Nimodipine (a calcium channel blocker) is given after subarachnoid hemorrhage to prevent vasospasm, which can lead to secondary ischemic injury.

Question 31

A patient recovering from a stroke is experiencing unilateral neglect. What should the nurse include in the care plan? A. Approach the patient from the unaffected side B. Place objects on the affected side to encourage use C. Avoid placing stimuli on the affected side D. Use a restraint to prevent injury from the neglected limb

Answer 31

Correct Answer: B. Place objects on the affected side to encourage use Rationale: Patients with unilateral neglect ignore one side of their body. Placing objects on the affected side encourages awareness and engagement, promoting recovery

Question 32

A nurse is teaching a patient with chronic hypertension about stroke prevention. Which statement indicates understanding? A. "I should stop taking my blood pressure medication once I feel better." B. "I need to avoid all exercise to prevent blood pressure spikes." C. "I should reduce my salt intake and monitor my blood pressure regularly." D. "My risk of stroke is low as long as I don’t have symptoms."

Answer 32

Correct Answer: C. "I should reduce my salt intake and monitor my blood pressure regularly." Rationale: Hypertension is the biggest modifiable risk factor for stroke. Patients should monitor BP, limit sodium intake, and continue medications as prescribed.

Question 33

A patient with a history of stroke is prescribed aspirin and clopidogrel. What is the primary purpose of these medications? A. Reduce blood pressure B. Prevent platelet aggregation C. Lower cholesterol levels D. Dissolve existing clots

Answer 33

Correct Answer: B. Prevent platelet aggregation Rationale: Aspirin and clopidogrel (Plavix) are antiplatelet agents that prevent platelet aggregation, reducing the risk of stroke recurrence. They do not dissolve existing clots.

Question 34

A patient with an ischemic stroke has new-onset confusion and decreased responsiveness. What is the nurse’s priority action? A. Assess blood glucose levels B. Perform a swallowing assessment C. Lower the head of the bed D. Reorient the patient to time and place

Answer 34

Correct Answer: A. Assess blood glucose levels Rationale: Hypoglycemia and hyperglycemia can mimic or worsen stroke symptoms. Checking blood glucose is a priority to rule out metabolic causes of confusion.

Question 35

A nurse is planning discharge teaching for a stroke patient with dysphagia. Which instruction should be included? A. "Eat quickly to reduce fatigue during meals." B. "Drink water with every bite of food to aid swallowing." C. "Sit upright at a 90-degree angle while eating." D. "Use a straw for drinking liquids to prevent aspiration."

Answer 35

Correct Answer: C. "Sit upright at a 90-degree angle while eating." Rationale: Patients with dysphagia should eat in an upright position to prevent aspiration. Thin liquids and straws should be avoided as they increase aspiration risk.

Question 36

A patient who had a stroke has residual left-sided weakness and is starting rehabilitation. Which goal should be prioritized? A. Regaining full strength within two weeks B. Preventing complications and maximizing function C. Avoiding the use of assistive devices D. Completing all tasks independently without help

Answer 36

Correct Answer: B. Preventing complications and maximizing function Rationale: Stroke rehabilitation focuses on preventing complications (e.g., contractures, pressure injuries) and maximizing independence, even if full function is not regained.

Question 37

A nurse is monitoring a patient taking warfarin after a stroke. Which finding requires immediate intervention? A. INR of 2.5 B. Bruising on the arms C. Sudden onset of confusion and headache D. Mild gum bleeding when brushing teeth

Answer 37

Correct Answer: C. Sudden onset of confusion and headache Rationale: Sudden confusion and headache may indicate intracranial bleeding, a serious complication of anticoagulant therapy. This requires immediate medical evaluation.

Question 38

A nurse is providing education to a patient with a history of stroke about warning signs of a transient ischemic attack (TIA). Which statement by the patient indicates a need for further teaching? A. “A TIA increases my risk of having a stroke.” B. “My symptoms may resolve within an hour.” C. “If my symptoms go away, I don’t need to go to the hospital.” D. “I need to take my blood pressure medications as prescribed.”

Answer 38

Correct Answer: C. "If my symptoms go away, I don’t need to go to the hospital." Rationale: A TIA is a warning sign of a future stroke and requires immediate medical evaluation to prevent long-term damage. Ignoring symptoms can be life-threatening.

Question 39

A nurse is caring for a patient with a stroke who has new-onset urinary incontinence. Which intervention is most appropriate? A. Insert an indwelling catheter B. Implement a scheduled toileting program C. Restrict fluid intake D. Encourage the patient to use adult diapers

Answer 39

Correct Answer: B. Implement a scheduled toileting program Rationale: Bladder training through a scheduled toileting program helps patients regain bladder control. Indwelling catheters increase infection risk and should be avoided unless necessary.

Question 40

A patient with a stroke is prescribed atorvastatin. The patient asks why they need this medication. What is the best response by the nurse? A. “It helps prevent blood clots from forming.” B. “It will lower your blood pressure.” C. “It reduces cholesterol, which can help prevent another stroke.” D. “It will dissolve any existing plaque in your arteries.”

Answer 40

Correct Answer: C. "It reduces cholesterol, which can help prevent another stroke." Rationale: Statins (e.g., atorvastatin) lower LDL cholesterol and reduce the risk of future strokes by preventing atherosclerosis progression.

Question 41

A patient recovering from a stroke has difficulty swallowing. Which action should the nurse take first? A. Start the patient on a soft mechanical diet B. Perform a bedside swallowing assessment C. Insert a nasogastric tube for feeding D. Encourage the patient to drink thickened liquids

Answer 41

Correct Answer: B. Perform a bedside swallowing assessment Rationale: A swallowing assessment should be performed first to determine the safest diet. Starting a diet without an assessment increases the risk of aspiration pneumonia.

Question 42

A patient with a history of stroke reports sudden severe pain and redness in the left leg. What is the nurse’s priority action? A. Assess the affected limb for warmth and pulses B. Apply warm compresses to the affected leg C. Elevate the leg and apply compression stockings D. Encourage the patient to ambulate

Answer 42

Correct Answer: A. Assess the affected limb for warmth and pulses Rationale: Sudden severe pain and redness could indicate deep vein thrombosis (DVT), a common complication after stroke. Assessing pulses and warmth helps determine perfusion and clot risk.

Question 43

A patient who had a stroke is experiencing difficulty speaking but can understand language. This condition is known as: A. Dysarthria B. Broca’s aphasia C. Wernicke’s aphasia D. Global aphasia

Answer 43

Correct Answer: B. Broca’s aphasia Rationale: Broca’s aphasia (expressive aphasia) affects speech production but preserves comprehension. Wernicke’s aphasia affects language comprehension.

Question 44

A nurse is preparing a patient for a carotid endarterectomy. What is the purpose of this procedure? A. Remove plaque from the carotid artery to restore blood flow B. Place a stent in a coronary artery to prevent a heart attack C. Remove a blood clot from the brain D. Break down an embolism in the lungs

Answer 44

Correct Answer: A. Remove plaque from the carotid artery to restore blood flow Rationale: A carotid endarterectomy removes plaque buildup in the carotid arteries to prevent future strokes by improving blood flow to the brain.

Question 45

A nurse is educating a patient about post-stroke rehabilitation. Which statement indicates the patient understands the teaching? A. “I will likely return to my normal activities within a week.” B. “It is normal to feel depressed or frustrated during recovery.” C. “I don’t need therapy since my symptoms have improved.” D. “Once I recover, I won’t need to worry about another stroke.”

Answer 45

Correct Answer: B. "It is normal to feel depressed or frustrated during recovery." Rationale: Emotional changes like depression and frustration are common after a stroke. Ongoing rehabilitation is essential to maximize recovery and prevent complications.

Question 46

A patient with a stroke is experiencing difficulty maintaining balance when walking. What is the most appropriate nursing intervention? A. Encourage the patient to walk independently B. Use a gait belt and assistive devices during ambulation C. Advise the patient to avoid walking to prevent falls D. Place restraints on the patient for safety

Answer 46

Correct Answer: B. Use a gait belt and assistive devices during ambulation Rationale: Gait belts and assistive devices (e.g., walkers, canes) promote safe ambulation and prevent falls in stroke patients with balance difficulties.

Question 47

A patient recovering from a stroke is being discharged home. Which caregiver instruction is most important? A. “Encourage the patient to eat large meals to prevent weight loss.” B. “Only allow the patient to perform activities independently.” C. “Monitor for signs of depression and seek support if needed.” D. “Avoid using mobility aids to promote faster recovery.”

Answer 47

Correct Answer: C. "Monitor for signs of depression and seek support if needed." Rationale: Depression is common after a stroke and can impact recovery and quality of life. Caregivers should monitor for mood changes and seek support if necessary.

Question 48

. A patient is receiving alteplase (tPA) for an ischemic stroke. Which assessment finding requires immediate action? A. Mild headache B. Blood pressure of 160/90 mmHg C. New onset of confusion and restlessness D. Bruising at the IV insertion site

Answer 48

Correct Answer: C. New onset of confusion and restlessness Rationale: New confusion and restlessness could indicate intracranial bleeding, a serious complication of tPA therapy. This requires immediate medical attention.

Question 49

A nurse is assessing a patient with increased intracranial pressure (ICP). Which finding indicates worsening ICP? A. Increasing drowsiness and sluggish pupil reactions B. Blood pressure of 120/80 mmHg C. Glasgow Coma Scale (GCS) score of 15 D. Equal and reactive pupils

Answer 49

Correct Answer: A. Increasing drowsiness and sluggish pupil reactions Rationale: Worsening ICP causes decreased level of consciousness (LOC), sluggish pupil reactions, and Cushing’s triad (hypertension, bradycardia, and irregular respirations).

Question 50

A nurse is caring for a patient who had an ischemic stroke and is receiving IV alteplase (tPA). Which assessment finding is most concerning? A. Mild headache and nausea B. Systolic blood pressure of 180 mmHg C. Bruising around the IV insertion site D. Facial droop and right-sided weakness

Answer 50

Correct Answer: B. Systolic blood pressure of 180 mmHg Rationale: Hypertension increases the risk of intracranial bleeding in patients receiving tPA. BP must be controlled (below 180/105 mmHg) to prevent hemorrhagic transformation.

Question 51

A patient who had a stroke is prescribed clopidogrel (Plavix). What instruction should the nurse include? A. "Take this medication with food to prevent nausea." B. "You may experience occasional bruising and gum bleeding." C. "This medication will dissolve any existing blood clots." D. "Stop taking this medication if you feel dizzy or weak."

Answer 51

Correct Answer: B. "You may experience occasional bruising and gum bleeding." Rationale: Clopidogrel is an antiplatelet medication that reduces clot formation but does not dissolve existing clots. Minor bruising and gum bleeding are expected but should be monitored for excessive bleeding.

Question 52

A nurse is preparing to discharge a patient who had a stroke and is at risk for falls. Which statement by the caregiver indicates appropriate home modifications? A. "I will place rugs in the hallways to prevent slipping." B. "We will install grab bars in the bathroom and remove clutter." C. "I will keep the house dimly lit at night to help them sleep." D. "I’ll encourage them to move around without assistance to build strength."

Answer 52

Correct Answer: B. "We will install grab bars in the bathroom and remove clutter." Rationale: Grab bars and clutter-free environments reduce fall risk in stroke patients with balance issues, unilateral weakness, or visual impairments.

Question 53

A patient with a history of stroke is being educated about secondary stroke prevention. Which statement by the patient requires further teaching? A. "I should monitor my blood pressure regularly." B. "I need to quit smoking to lower my stroke risk." C. "I should stop taking my aspirin if I feel fine." D. "I will follow a heart-healthy diet and exercise regularly."

Answer 53

Correct Answer: C. "I should stop taking my aspirin if I feel fine." Rationale: Aspirin is essential for stroke prevention and should not be stopped without consulting a healthcare provider. Stroke risk remains even if the patient feels fine.