Cerebro Vascular Accident (CVA)

15 Questions | Total Attempts: 2543

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Cerebro Vascular Accident (CVA)

A stroke occurs when blood flow to a part of your brain is stopped either by a blockage or the rupture of a blood vessel. There are important signs of a stroke that you should be aware of and watch out for and increase the chances of survival for a patient. Take this Cerebro Vascular Accident quiz and learn more.


Questions and Answers
  • 1. 
    A white female client is admitted to an acute care facility with a diagnosis of cerebrovascular accident (CVA). Her history reveals bronchial asthma, exogenous obesity, and iron deficiency anemia. Which history finding is a risk factor for CVA?  
    • A. 

      Caucasian race

    • B. 

      Female sex

    • C. 

      Obesity

    • D. 

      Bronchial asthma

  • 2. 
    If a male client experienced a cerebrovascular accident (CVA) that damaged the hypothalamus, the nurse would anticipate that the client has problems with:
    • A. 

      body temperature control.

    • B. 

      Balance and equilibrium.

    • C. 

      Visual acuity.

    • D. 

      thinking and reasoning.

  • 3. 
    The nurse is caring for a male client diagnosed with a cerebral aneurysm who reports a severe headache. Which action should the nurse perform?
    • A. 

      Sit with the client for a few minutes.

    • B. 

      Administer an analgesic.

    • C. 

      Inform the nurse manager.

    • D. 

      Call the physician immediately.

  • 4. 
    During recovery from a cerebrovascular accident (CVA), a female client is given nothing by mouth, to help prevent aspiration. To determine when the client is ready for a liquid diet, the nurse assesses the client’s swallowing ability once each shift. This assessment evaluates:
    • A. 

      cranial nerves I and II.

    • B. 

      cranial nerves III and V.

    • C. 

      cranial nerves VI and VIII.

    • D. 

      cranial nerves IX and X.

  • 5. 
    Gary Jordan suffered a cerebrovascular accident that left her unable to comprehend speech and unable to speak. This type of aphasia is known as:
    • A. 

      Receptive aphasia

    • B. 

      Expressive aphasia

    • C. 

      Global aphasia

    • D. 

      Conduction aphasia

  • 6. 
    After a cerebrovascular accident, a 75 yr old client is admitted to the health care facility. The client has left-sided weakness and an absent gag reflex. He’s incontinent and has a tarry stool. His blood pressure is 90/50 mm Hg, and his hemoglobin is 10 g/dl. Which of the following is a priority for this client?  
    • A. 

      checking stools for occult blood

    • B. 

      performing range-of-motion exercises to the left side

    • C. 

      keeping skin clean and dry

    • D. 

      elevating the head of the bed to 30 degrees

  • 7. 
    A client who recently had a cerebrovascular accident requires a cane to ambulate. When teaching about cane use, the rationale for holding a cane on the uninvolved side is to:  
    • A. 

      Prevent leaning

    • B. 

      Distribute weight away from the involved side

    • C. 

      Maintain stride length

    • D. 

      Prevent edema

  • 8. 
    A 52 yr-old married man with two adolescent children is beginning rehabilitation following a cerebrovascular accident. As the nurse is planning the client’s care, the nurse should recognize that his condition will affect:  
    • A. 

      only himself

    • B. 

      Only his wife and children

    • C. 

      Him and his entire family

    • D. 

      No one, if he has complete recovery

  • 9. 
    Which action should take the highest priority when caring for a client with hemiparesis caused by a cerebrovascular accident (CVA)?
    • A. 

      Perform passive range-of-motion (ROM) exercises.

    • B. 

      Place the client on the affected side.

    • C. 

      Use hand rolls or pillows for support.

    • D. 

      Apply antiembolism stockings

  • 10. 
    The nurse is formulating a teaching plan for a client who has just experienced a transient ischemic attack (TIA). Which fact should the nurse include in the teaching plan?  
    • A. 

      TIA symptoms may last 24 to 48 hours.

    • B. 

      Most clients have residual effects after having a TIA.

    • C. 

      TIA may be a warning that the client may have cerebrovascular accident (CVA)

    • D. 

      The most common symptom of TIA is the inability to speak.

  • 11. 
    A 70 yr-old client with a diagnosis of leftsided cerebrovascular accident is admitted to the facility. To prevent the development of diffuse osteoporosis, which of the following objectives is most appropriate?  
    • A. 

      Maintaining protein levels.

    • B. 

      Maintaining vitamin levels.

    • C. 

      Promoting weight-bearing exercises

    • D. 

      Promoting range-of-motion (ROM) exercises

  • 12. 
    A male client who has suffered a cerebrovascular accident (CVA) is too weak to move on his own. To help the client avoid pressure ulcers, the nurse should:
    • A. 

      Turn him frequently.

    • B. 

      Perform passive range-of-motion (ROM) exercises.

    • C. 

      reduce the client’s fluid intake.

    • D. 

      Encourage the client to use a footboard.

  • 13. 
    Which of the following is most likely associated with a cerebrovascular accident (CVA) resulting from congenital heart disease?
    • A. 

      Polycythemia

    • B. 

      Cardiomyopathy

    • C. 

      Endocarditis

    • D. 

      Low blood pressure

  • 14. 
    Ms. Kelly. has had a CVA (cerebrovascular accident) and has severe right-sided weakness. She has been taught to walk with a cane. The nurse is evaluating her use of the cane prior to discharge. Which of the following reflects correct use of the cane?
    • A. 

      Holding the cane in her left hand, Ms. Kelly. moves the cane forward first, then her right leg, and finally her left leg

    • B. 

      Holding the cane in her right hand, Ms. Kelly. moves the cane forward first, then her left leg, and finally her right leg

    • C. 

      Holding the cane in her right hand, Ms. Kelly. moves the cane and her right leg forward, then moves her left leg forward.

    • D. 

      Holding the cane in her left hand, Ms. Kelly. moves the cane and her left leg forward, then moves her right leg forward

  • 15. 
    Mr. Mendoza who has suffered a cerebrovascular accident (CVA) is too weak to move on his own. To help the client avoid pressure ulcers, Nurse Celia should:
    • A. 

      Turn him frequently.

    • B. 

      Perform passive range-of-motion (ROM) exercises.

    • C. 

      Reduce the client's fluid intake.

    • D. 

      Encourage the client to use a footboard.

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