Page 14 - Exhibit No. 11 Samples of teacher-made tests in the current school year

79. Nursing interventions should also be focused on promoting and maintaining patient’s
adequate oral intake post Cerebrovascular accident. Which of the following
interventions is inappropriate when doing your Focus Charting?
A. Food served should be mechanically soft or thickened
B. Use alternative methods of communication other than verbal, such as written
words, gestures, or pictures.
C. Remind the patient to chew on the unaffected side.
D. Encourage small, frequent meals and allow plenty of time to chew and swallow.

80. The nurse has instructed the family of a client with stroke (brain attack) who has
homonymous hemianopsia about measures to help the client overcome the deficit.
Which statement suggests that the family understands the measures to use when
caring for the client?
A. “We need to discourage him from wearing eyeglasses.”
B. “We need to place objects in his impaired field of vision.”
C. “We need to approach him from the impaired field of vision.”
D. “We need to remind him to turn his head to scan the lost visual field.”

81. You are assessing the coping of a client to changes in functional status after a
stroke (brain attack). Which observation indicates to the nurse that the client is
adapting most successfully?
A. Consistently uses adaptive equipment in dressing self
B. Gets angry with family if they interrupt a task
C. Experiences bouts of depression and irritability
D. Has difficulty with using modified feeding utensils

82. What is an appropriate nursing intervention to promote communication during the
patient’s rehabilitation with aphasia?
A. Use gestures, pictures, and music to stimulate patient responses.
B. Talk about activities of daily living (ADLs) that are familiar to the patient.
C. Structure statements so that the patient does not have to respond verbally.
D. Use flashcards with simple words and pictures to promote recall of language.

83. You are instructing the relative of patients regarding appropriate food for a patient
with a stroke who has mild dysphagia. Your health teaching is effective when he/she
chooses which of the following?
A. fruit juices
B. pureed meat
C. fortified milk
D. toasted bread

84. You are assessing the level of consciousness of A 64-year-old with an acute
ischemic stroke. The patient looks at you when you speak to her. When you ask her
the date, she says "blue." You note left-sided weakness when she grips your fingers.
What is her Glasgow Coma Score?
A. 14
B. 13
C. 11
D. 10

85. You are assigned to an ICU patient 24 hours status post evacuation of cerebral
hemorrhage. When you give him a sternal rub, he opens his eyes, tells you to go
away, and pushes your hand away. What is his Glasgow Coma score?
A. 15
B. 14
C. 13
D. 12