ROTATIONAL EXAM

MEDICAL (NEUROSCIENCE) WARD

Name:Bondad Shehada Date of Rotation:

Group: Area:

Multiple Choice: Select the best Answer:

1. The nurse has instructed the family of a client with CVA who has Homonymous hemianopsia
about measures to help the patient overcome the deficit. The nurse determines that the family
understand the measures to use if they stated to
A. Place objects in the client’s impaired field of vision
B. Approach the client in the impaired field of vision
C. Remind the client to turn the head to scan the visual field
D. Discourage the client from wearing eyeglasses
2. A nursing student is caring for a patient with CVA who is experiencing unilateral neglect. The
nurse would intervene if the student planned to use which of the following strategies to help the
patient adapt in the deficit?
A. Move the commode and chair to the affected side
B. Place the bedside article on the affected side
C. Approach the patient from the unaffected side
D. Tell the client to scan the environment
3. The nurse is trying to communicate with a patient with CVA and aphasia. Which of the
following actions by the nurse would be least helpful to the patient.
A. Speaking with the patient with slower rate
B. Completing the sentence that the patient cannot finish
C. Looking directly to the patient during attempt to speech
D. Allowing for plenty of time for the patient to respond
4. These can be experienced by a patient with left CVA except?
A. Affected control on the right side of the body
B. Deficit on making judgment call, music and arts awareness
C. Trouble in formulating word and comprehending them
D. Aware of their limits, experience depression and frustration
5. Some modifiable risk factors of CVA except?
A. Smoking
B. Obesity
C. Hypertension
D. Familial history
6. The most common focal neurologic sign of a TIA is the sudden onset of
A) paralysis.
B) imbalance.
C) unilateral weakness/numbness. .
D) transient monocular blindness
7. Most individuals with stroke have recoverable penumbral tissue for at least how long after the
onset of symptoms?

A) 30 minutes
B) 1 hour
C) 2 hours
D) 3 hours
8. An ischemic stroke in the right anterior hemisphere would cause which of the following
neurologic deficits?

A) Ataxia
B) Aphasia
C) Left field visual neglect
D) Nystagmus
9. The most common cause of embolic stroke is

A) valvular thrombi.
B) atrial fibrillation
C) myocardial infarction.
D) congestive heart failure.
10 . Which of the following has the most evidence as a risk factor for ischemic stroke?

A) Hypercoagulability
B) Metabolic syndrome
C) Hypertension
D) Sleep-disordered breathing
11. Which of the following is NOT recommended as part of the initial evaluation (in the
emergency department) of an individual with suspected stroke?
A) Oxygen saturation
B) Urine culture
C) Determination of electrolyte levels
D) Computed tomography of the brain
12. Which of the following clinical signs suggests subarachnoid hemorrhage rather than ischemic
stroke?

A) Severe headache
B) Ptosis or miosis
C) Fever and cardiac murmur
D) Elevated erythrocyte sedimentation rate
13. Which of the following statements regarding stroke centers is TRUE?
 A) A stroke system of care improves acute and post-acute care but has no effect on EMS.
B) There is no formal certification process for designating an institution as a comprehensive
stroke center.
C) No states have policies mandating direct routing of individuals with suspected stroke to a
primary stroke center.
D) Individuals with stroke are more likely to receive thrombolytic therapy at a primary or
comprehensive stroke center.
14. The most common serious medical complication of rt-PA is

A) Angioedema
B) Anaphylaxis
C) secondary brain hemorrhage
D) myocardial rupture
15. The diagnosic study of choice for deep vein thrombosis is

A) Doppler ultrasound
B) Echocardiography
C) D-dimer test
D) Well's prediction model.
16. Chronic pain after stroke most commonly involves a

A) hip.
B) hand.
C) shoulder.
D) lower extremity.
17. The cognitive function that shows the most improvement by six months after stroke is

A) visual memory
B) Calculation
C) Language
D) abstract reasoning.
18. A stroke survivor who interprets figurative speech literally has

A) dysarthria
B) apraxia of speech
C) receptive aphasia
D) expressive aphasia.
19. Which of the following statements regarding psychologic issues in stroke patients is TRUE?

A) Symptoms of post-stroke depression are obvious.

B) Depression occurs in 15% of patients after stroke.
 C) Generalized anxiety disorder often coexists with post-stroke depression.
D) Post-stroke depression does not respond well to selective serotonin reuptake inhibitors.
20. Increasing safety during activities of daily living is a major goal of which type of exercise?

A) Aerobic
B) Strength training
C) Flexibility/stretching
D) Neuromuscular
21. The risk for recurrent stroke is highest during the first

A) 3 months.
B) 6 months.
C) 12 months.
D) 18 months.
22. Which of the following hypertensive agents most significantly reduces the risk of recurrent
ischemic stroke?

A) Beta blocker alone

B) Angiotensin receptor blocker (ARB) alone
C) Diuretic alone or combined with an ACE inhibitor
D) Angiotensin converting enzyme (ACE) inhibitor alone

Frontal Lobe 23.. Broca’s area is located in what lobe of the brain?
Computed tomography (CT) 24. This diagnostic test is used to rule-out hemorrhagic stroke
Magnetic resonance imaging (MRI) 25. This diagnostic test is used to show what lobes of the brain
is affected