NSG223/ NSG 223 Exam 4: (New 2024/ 2025
Update) Med Surg II Review| Questions and
Verified Answers| 100% Correct| A Grade –
Herzing
Question
causes of ischemic stroke
Answer:
- large artery thrombosis (plaque)
- small penetrating artery thrombosis (lacunar)
- cardiogenic embolism (A-fib pts are prone to clots, can be prevented)***
- cryptogenic (no known cause)
- other (drug use, vasospasm)
Question
What cardiac disorder places patient at high risk of stroke?
Answer:
atrial fibrillation
Question
symptoms of ischemic stroke
Answer:
- numbness or weakness of face, arm, or leg
(usually 1 side)
- confusion, change in mental status
- trouble speaking or understanding speech
- difficulty walking
- dizziness
Question
symptoms of increased cranial pressure (ICP)
Answer:
- headache
- nausea
- vomiting
- decreasing respirations**
- decreasing heartrate**
- widening pulse pressure (increasing gap between SBP and DBP, Ex: 120/70, then
130/60, then 140/50)**
- vision changes
- confusion
, Question
diagnostic tests for stroke
Answer:
- non-contrast CT (within 25 min of arrival to ER
- determines type, non-contrast because we do not want contrast leaking into the brain if pt has
hemorrhagic stroke)
- neuro exam (pupils, speech, LOC)
- 12-lead EKG (A-Fib)
- glucose level (symptoms are similar to hypoglycemia)
Question
clinical symptoms after stroke
Answer:
- motor loss
- communication loss
- visual loss
- sensory loss
- cognitive loss
Question
hemianopsia
Answer:
blindness in half the visual field in one or both eyes
Question
agnosia
Answer:
inability to recognize familiar objects by touch
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