3/15/2021 NCM116 Module 3 Cerebrovascular disease Quiz

NCM116 Module 3 Cerebrovascular disease

Quiz
Multiple Choice: Select the best answer.

1. . It is classically defined as the ability of the brain to maintain constant cerebral blood flow
despite changes in systemic arterial pressure. *
(1 Point)

Cerebral ischemia

Cerebral hypoxia

Laminar necrosis

Cerebral autoregulation

2. Most patients with hemorrhagic strokes are placed in bed in which position? *
(1 Point)

High-Fowler’s

Semi-Fowler’s (head of bed at 15 to 30 degrees)

Supine

Prone

3. Ischemic, hemorrhagic strokes are caused by; *

(1 Point)

Moving blood clot that travels from its origin to the brain.

An occlusion of the smaller penetrating branches of large cerebral arteries

An interruption of blood flow in a cerebral vessel and strokes are caused by bleeding into brain tissue.

Complex tangle of abnormal arteries and veins linked by one or more fistulas.

4. The initial diagnostic test for a stroke, usually performed in the emergency department, is a: *
(1 Point)

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3/15/2021 NCM116 Module 3 Cerebrovascular disease Quiz

noncontrast computed tomogram.

carotid ultrasound study.

12-lead electrocardiogram.

transcranial Doppler flow study.

5. Manifestations of brain tumors are focal disturbances in brain function and increased
intracranial pressure (ICP). What causes the focal disturbances manifested by brain tumors? *
(1 Point)

Brain edema and disturbances in blood flow

Tumor infiltration and increased blood pressure

Brain compression and decreased ICP

Tumor infiltration and decreased ICP

6. The most common cause of cerebrovascular disease is: *

(1 Point)

embolism.

hypertensive changes.

arteriosclerosis.

vasospasm.

7. The most common motor dysfunction of a stroke is: *

(1 Point)

hemiplegia.

diplopia.

dysphagia.

ataxia.

8. The degree of neurologic damage that occurs with an ischemic stroke depends on the: *
(1 Point)

location of the lesion.

size of the area of inadequate perfusion.

amount of collateral blood flow.

combination of the above factors.

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3/15/2021 NCM116 Module 3 Cerebrovascular disease Quiz

9. The nurse knows that symptoms associated with a transient ischemic attack (TIA), usually a
precursor of a future stroke, usually subside in: *
(1 Point)

24 to 36 hours.

12 hours.

1 hour.

3 to 6 hours.

10. It refers to short serpiginous segments of necrosis that occur within and parallel to the
cerebral cortex, in areas supplied by the penetrating arteries during an ischemic event. *
(1 Point)

Cerebral edema

Emboli

Hypoxia

Laminar necrosis

11. The majority of ischemic strokes have what type of origin? *

(1 Point)

Large artery thrombotic

Cryptogenic

Small artery thrombotic

Cardiogenic embolic

12. A classic diagnostic system of hemorrhagic stroke is the patient’s compliant of: *
(1 Point)

dizziness and tinnitus.

severe headache.

double vision.

numbness of an arm or leg.

13. The most common cause of intracerebral hemorrhage is: *

(1 Point)

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3/15/2021 NCM116 Module 3 Cerebrovascular disease Quiz

Kidney failure

Obesity

Hypertension

Diabetes mellitus

14. Eighty percent of hemorrhagic strokes are primarily caused by: *

(1 Point)

a cerebral thrombus.

an embolus.

a brain tumor.

uncontrolled hypertension.

15. Brain death is the term used when irreversible loss of function of the entire brain occurs. A
clinical examination must be done and repeated at least 6 hours later with the same findings
for brain death to be declared. What is not assessed in the clinical examination for brain death? *
(1 Point)

Respiratory effort

Responsiveness

Electrocardiographic (ECG) findings

Blink reflex

16. The etiology of an ischemic stroke would include a(an): *

(1 Point)

cerebral aneurysm.

arteriovenous malformation.

cardiogenic emboli.

intracerebral hemorrhage.

17. The most common side effect of t-PA is: *

(1 Point)

an allergic reaction.

a second stroke in 6 to 12 hours.

severe vomiting.

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3/15/2021 NCM116 Module 3 Cerebrovascular disease Quiz

bleeding.

18. The specific manifestations of stroke or TIA are determined by the ________ that is
affected by the area of brain tissue that is supplied by that vessel and by the adequacy of the
collateral circulation. *
(1 Point)

Cerebral artery

Arteriovenous malformation

Carotid artery

Basilar artery

19. It represents a displacement of brain tissue under the falx cerebri or through the tentorial
notch or incisura of the tentorium cerebelli. *
(1 Point)

Laminar necrosis

Brain herniation

Cytotoxic edema

Cerebral hypoxia

20. A stroke victim is experiencing memory loss and impaired learning capacity. The nurse knows
that brain damage has most likely occurred in which lobe? *
(1 Point)

Parietal

Temporal

Frontal

Occipital

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