Page 13 - Exhibit No. 11 Samples of teacher-made tests in the current school year

A. Hemorrhagic stroke commonly occur even the patient is at rest, for it is not
activity-dependent.
B. Hemorrhagic stroke may only occur within the brain substance.
C. Hemorrhagic stroke is associated with greater morbidity and mortality
D. Early t-PA administration is associated with better patient’s outcome

72. A 49 years old client is admitted to the emergency department with numbness and
weakness of the left arm and slurred speech. Which nursing intervention is a
priority?
A. Administer recombinant tissue plasminogen activator (rt-PA).
B. Notify the speech pathologist for an emergency consultation.
C. Prepare to administer 10 units Humulin R in D50%/50ml IV bolus.
D. Schedule for STAT computer tomography (CT) scan of the head.

73. The following conditions are causal mechanism of Hemorrhagic stroke, except one:
A. Hypertension.
B. Head trauma
C. Aneurysm
D. Arteriovenous malformation
E. None of the above

74. During the first 24 hours after thrombolytic therapy for ischemic stroke. the primary
goal is to control the client’s:
A. Pulse
B. Respirations
C. Blood pressure
D. Temperature

75. What is a priority nursing assessment in the first 24 hours after admission of the
client with a thrombotic stroke?
A. Cholesterol level
B. Pupil size and pupillary response
C. Bowel sounds
D. Echocardiogram

76. Which assessment data would indicate to the nurse that the client would be at risk
for a hemorrhagic stroke?
A. Consistent Atrial fibrillation on ECG reading
B. A blood glucose level of 480 mg/dl.
C. A right-sided carotid bruit.
D. A blood pressure of 220/120 mmHg.

77. You're assessing your patient's pupil size and vision after a stroke. The patient says
they can only see half of the objects in the room. You document this finding as
.
A. Hemianopia
B. Opticopsia
C. Dyslexia
D. Aphasia

78. You are assigned to a patient who has right side hemiparesis and dysphagia with
eating. Which of the following intervention is necessary to prevent further
complication?
A. Keep the head of bed less than 30 degrees
B. Check for pouching of food in the right cheek.
C. Prevent aspiration by thinning the liquids.
D. Have the patient extend the neck upward away from the chest while eating.