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Quizzes > Quizzes for Business > Healthcare

Nurse Stroke Education Assessment Quiz

Enhance Stroke Patient Teaching Expertise Today

Difficulty: Moderate
Questions: 20
Learning OutcomesStudy Material
Colorful paper art depicting a quiz on Nurse Stroke Education Assessment

Ready to sharpen your stroke nursing assessment skills? This free practice quiz covers patient education, risk factor evaluation, and acute stroke care protocols in 15 multiple-choice questions. It's ideal for nurses and healthcare students aiming to improve patient education and stroke management expertise. Feel free to adjust any question in our editor to match your learning needs. Explore more Stroke Awareness Quiz, dive into Health Education Knowledge Assessment, or browse all quizzes for further practice.

Which of the following is the most characteristic early sign of an acute stroke?
Generalized swelling of extremities
Blurred vision that improves with rest
Chest pain and tightness
Sudden unilateral numbness or weakness
Sudden unilateral numbness or weakness indicates neurologic damage in one cerebral hemisphere typical of stroke. Chest pain and swelling are unrelated to brain ischemia, and blurred vision that improves with rest suggests ocular issues rather than stroke.
What does the acronym FAST stand for in stroke recognition?
Face tingling, Atrial fibrillation, Speech difficulty, Thrombosis
Frequency, Arrhythmia, Stenosis, Temperature
Face drooping, Arm weakness, Speech difficulty, Time to call emergency services
Face drooping, Aphasia, Seizures, Tone change
FAST stands for Face drooping, Arm weakness, Speech difficulty, and Time to call emergency services. This acronym helps bystanders quickly recognize stroke signs and act promptly to reduce brain damage.
Slurred or garbled speech and difficulty understanding speech are signs of which stroke-related condition?
Ataxia
Aphasia
Myopathy
Dyspnea
Aphasia refers to impairment in language production or comprehension due to brain injury, often seen in stroke patients. Ataxia, myopathy, and dyspnea involve coordination, muscle issues, and breathing but do not specifically describe speech deficits.
A sudden, severe headache with no known cause is most indicative of which type of stroke?
Hemorrhagic stroke
Transient ischemic attack
Ischemic stroke
Lacunar infarction
A sudden, severe headache with no obvious cause typically indicates intracranial bleeding associated with hemorrhagic stroke. Ischemic strokes and TIAs often have milder symptoms and less intense pain at onset.
Facial drooping on one side of the face during a stroke assessment indicates impairment of which cranial nerve?
Trigeminal nerve (V)
Glossopharyngeal nerve (IX)
Facial nerve (VII)
Accessory nerve (XI)
The facial nerve (cranial nerve VII) controls the muscles of facial expression, and its impairment causes drooping on one side of the face. Other cranial nerves listed innervate different structures such as mastication (V) or shoulder muscles (XI), making them incorrect.
Which modifiable risk factor contributes most significantly to both ischemic and hemorrhagic stroke?
Advanced age
Gender (male)
Hypertension
Family history of stroke
Hypertension is the most significant modifiable risk factor for both ischemic and hemorrhagic strokes because high arterial pressure damages vessel walls. Family history and age are non-modifiable, while gender plays a smaller role in overall risk.
A patient with atrial fibrillation has an increased risk of stroke primarily due to the formation of:
Vasospasm
In situ thrombosis
Carotid plaque
Cardiac emboli
Atrial fibrillation leads to turbulent blood flow and stasis in the atria, resulting in formation of clots (emboli) that can travel to cerebral arteries. Carotid plaque and in situ thrombosis may cause strokes but are not the primary mechanisms in AF.
Before administering tissue plasminogen activator (tPA), which diagnostic test must be performed to rule out hemorrhage?
Chest X-ray
Echocardiogram
MRI of the spine
Non-contrast head CT scan
A non-contrast head CT scan quickly differentiates between ischemic and hemorrhagic stroke, which is crucial before administering tPA. MRI and other imaging modalities take longer or are less available in the acute setting.
What is the recommended time window for administering IV tPA in eligible acute ischemic stroke patients?
Within 1 hour of hospital arrival
Within 4.5 hours of symptom onset
Within 24 hours of symptom onset
Within 12 hours of symptom onset
Guidelines recommend administering IV tPA within 4.5 hours of symptom onset to maximize benefits and minimize risks such as hemorrhage. Extending beyond this window increases the chance of complications and decreases efficacy.
When teaching a patient about primary stroke prevention, which lifestyle modification has the greatest impact?
Wearing compression stockings
Periodic fasting
Routine chest physiotherapy
Blood pressure control
Blood pressure control reduces stress on arterial walls and prevents vessel rupture or occlusion, making it the most impactful lifestyle change for stroke prevention. Other measures like compression stockings do not address underlying vascular risk.
Effective patient education strategies for stroke risk reduction best include:
Emphasizing rare complications
Providing complex medical journals
Encouraging trial-and-error medication dosing
Using simple language and visual aids
Using simple language and visual aids helps ensure patients understand complex medical information and adhere to preventive recommendations. Complex texts or focusing on rare complications often overwhelm patients and reduce engagement.
In acute stroke care, maintaining blood pressure below which threshold is necessary before administering tPA?
185/110 mmHg
140/80 mmHg
200/120 mmHg
160/90 mmHg
Before giving tPA, blood pressure must be controlled to below 185/110 mmHg to lower the risk of hemorrhagic transformation. Pressors or antihypertensives are used to safely achieve this target.
Why is a swallowing assessment critical before initiating oral intake in a stroke patient?
To reduce risk of aspiration pneumonia
To measure calorie needs
To evaluate renal function
To assess metabolic rate
Swallowing assessments detect dysphagia, which can lead to aspiration of food or liquids into the lungs and subsequent pneumonia. Assessing swallowing function before oral intake is therefore critical in stroke care.
Early mobilization in stroke rehabilitation primarily aims to:
Promote hyperglycemia
Increase diastolic blood pressure
Induce deep vein thrombosis
Prevent muscle atrophy and joint contractures
Early mobilization helps maintain muscle strength, joint mobility, and overall functional status, reducing the risks of atrophy and contractures. Prolonged immobility increases complications such as deep vein thrombosis and pressure injuries.
Which risk factor evaluation finding suggests a higher priority for anticoagulation therapy for stroke prevention?
Controlled hypothyroidism
Atrial fibrillation with high CHA2DS2-VASc score
Controlled hyperlipidemia
Mild obesity
The CHA2DS2-VASc score predicts stroke risk in patients with atrial fibrillation and guides the need for anticoagulation therapy. Controlled hyperlipidemia and mild obesity pose lower immediate stroke prevention priorities in this context.
When using the NIH Stroke Scale, failure to respond to visual threat without visual field loss is assessed under which impairment?
Facial palsy
Dysarthria
Ataxia
Extinction and inattention (neglect)
Extinction and inattention assess the patient's ability to perceive simultaneous stimuli on both sides, identifying neglect which is common in right hemisphere strokes. Facial palsy, dysarthria, and ataxia test different neurologic functions.
A patient exhibits sudden involuntary emotional outbursts of crying after a stroke. This phenomenon is known as:
Expressive aphasia
Pseudobulbar affect
Alexithymia
Dysphoria
Pseudobulbar affect is characterized by sudden, uncontrollable episodes of crying or laughing that are disproportionate to the patient's emotional state. This condition results from disruption of neural pathways that regulate emotional expression after stroke.
To develop a culturally sensitive stroke prevention plan, the nurse should first:
Assess the patient's health beliefs and language preferences
Provide standard dietary guidelines without modification
Refer to generic pamphlets only
Suggest medications without discussion
Assessing health beliefs and language preferences ensures that educational materials are culturally relevant and understandable. Without this step, teaching may not resonate with the patient or may be misinterpreted.
Evaluating antiplatelet therapy protocols in post-ischemic stroke care focuses on which primary mechanism?
Inhibition of platelet aggregation
Vasoconstriction
Fibrinolysis enhancement
Anticoagulation via antithrombin III
Antiplatelet therapy works by inhibiting platelet aggregation, thereby reducing the likelihood of thrombus formation on arterial walls after ischemic stroke. Anticoagulants, fibrinolytics, and vasoconstrictors have different mechanisms and are not the focus of antiplatelet protocols.
Constraint-induced movement therapy in stroke rehabilitation primarily operates on which principle?
Immobilizing both limbs to reduce spasticity
Encouraging use of the affected limb by restricting the unaffected limb
Applying electrical stimulation to unaffected limb
Administering high-dose steroids
Constraint-induced movement therapy promotes neuroplasticity by forcing use of the affected limb and discouraging compensation with the unaffected side. This approach enhances motor function recovery in post-stroke rehabilitation.
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Learning Outcomes

  1. Identify common signs and symptoms of stroke for accurate patient assessment
  2. Apply risk factor evaluation techniques to develop preventive education plans
  3. Demonstrate effective patient education strategies for stroke management
  4. Analyse acute stroke care protocols to support optimal nursing interventions
  5. Evaluate rehabilitation principles to guide post-stroke patient teaching
  6. Master communication methods to educate patients and families on stroke prevention

Cheat Sheet

  1. Recognize the FAST signs of stroke - Facial drooping, Arm weakness, Speech difficulties, and Time to call emergency services are the key FAST indicators. Spotting these signs quickly can mean the difference between a speedy recovery and long-term damage. Stay alert and be ready to act! Read the latest stroke guidelines
  2. Understand modifiable risk factors - High blood pressure, smoking, diabetes, and obesity all crank up your stroke risk. By targeting these factors - through diet, exercise, or quitting cigarettes - you can dramatically lower your chances of having a stroke. Knowledge is power when it comes to prevention! Learn how to manage risk factors
  3. Utilize the NIH Stroke Scale (NIHSS) - This standardized tool breaks down stroke severity into bite-sized scores, guiding doctors to the right interventions fast. The more familiar you are with each component, the quicker you can help assess patients. Practice makes perfect when seconds matter. Explore the NIHSS details
  4. Implement effective patient education strategies - Clear, jargon-free explanations paired with visuals can turn confusion into confidence for patients and families. Interactive learning - like quizzes or demo videos - boosts engagement and retention. A well-informed patient is an empowered patient! See patient education tips
  5. Apply acute stroke care protocols - Thrombolytic therapy within 3 to 4.5 hours of symptom onset can be a game-changer for ischemic stroke patients. Knowing the exact steps and timing ensures you're ready to act in a heartbeat. Time is brain - literally! Review acute care protocols
  6. Emphasize the importance of rehabilitation - Post-stroke rehab focuses on rebuilding strength, mobility, and day-to-day independence. Tailored therapy plans - like physical, occupational, and speech therapy - help patients reclaim their lives. Celebrate every small victory along the journey! Discover rehab strategies
  7. Master communication techniques for patient education - Simple words, vivid visuals, and hands-on demos turn complex concepts into "aha!" moments. Checking for understanding with teach-back methods ensures your message sticks. Great communication builds trust and better outcomes! Find communication best practices
  8. Recognize non-modifiable risk factors - Age, gender, ethnicity, and family history can't be changed, but knowing who's at higher risk helps you tailor prevention and monitoring. Early identification means extra vigilance and personalized care plans. Awareness is your first line of defense! Identify high-risk groups
  9. Educate on lifestyle modifications - Encourage patients to get moving, eat colorful fruits and veggies, and kick bad habits like smoking to the curb. Small, sustainable changes add up to big stroke-risk reductions over time. Empower your learners to take control of their health! Browse lifestyle tips
  10. Stay updated on stroke guidelines - Stroke research and recommendations evolve fast - make it a habit to check for new protocols and evidence every few months. Continuous learning shows up in better patient care and sharper clinical skills. Keep your toolkit fresh! Update your knowledge
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