Cerebro Vascular Accident (CVA) Quiz
Do you know what Cerebrovascular accident (CVA) means? This "Cerebro Vascular Accident Quiz" will test your memory regarding this. Generally, it is a medical term used for a stroke. A stroke occurs when blood flow is lost to a part of your brain due to a blockage or the rupture of a blood vessel. There are vital signs of a stroke that you should be aware of and watch out for and increase the chances of survival for a patient. Take this stroke quiz and learn more about it.
- 1.
A white female client is admitted to an acute care facility with a diagnosis of cerebrovascular accident (CVA). Her history reveals bronchial asthma, exogenous obesity, and iron deficiency anemia. Which history finding is a risk factor for CVA?
- A.
Caucasian race
- B.
Female sex
- C.
Obesity
- D.
Bronchial asthma
Correct Answer
C. ObesityExplanation
Obesity is a risk factor for CVA.Rate this question:
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- 2.
If a male client experienced a cerebrovascular accident (CVA) that damaged the hypothalamus, the nurse would anticipate that the client has problems with:
- A.
Body temperature control.
- B.
Balance and equilibrium.
- C.
Visual acuity.
- D.
Thinking and reasoning.
Correct Answer
A. Body temperature control.Explanation
The body’s thermostat is located in the hypothalamus; therefore, injury to that area can cause problems of body temperature control.Rate this question:
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- 3.
The nurse is caring for a male client diagnosed with a cerebral aneurysm who reports a severe headache. Which action should the nurse perform?
- A.
Sit with the client for a few minutes.
- B.
Administer an analgesic.
- C.
Inform the nurse manager.
- D.
Call the physician immediately.
Correct Answer
D. Call the pHysician immediately.Explanation
The headache may be an indication that the aneurysm is leaking.Rate this question:
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- 4.
During recovery from a cerebrovascular accident (CVA), a female client is given nothing by mouth, to help prevent aspiration. To determine when the client is ready for a liquid diet, the nurse assesses the client’s swallowing ability once each shift. This assessment evaluates:
- A.
Cranial nerves I and II.
- B.
Cranial nerves III and V.
- C.
Cranial nerves VI and VIII.
- D.
Cranial nerves IX and X.
Correct Answer
D. Cranial nerves IX and X.Explanation
Swallowing is a motor function of cranial nerves IX and X.Rate this question:
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- 5.
Gary Jordan suffered a cerebrovascular accident that left her unable to comprehend speech and unable to speak. This type of aphasia is known as:
- A.
Receptive aphasia
- B.
Expressive aphasia
- C.
Global aphasia
- D.
Conduction aphasia
Correct Answer
C. Global apHasiaExplanation
Global aphasia occurs when all language functions are affected.Rate this question:
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- 6.
After a cerebrovascular accident, a 75 yr old client is admitted to the health care facility. The client has left-sided weakness and an absent gag reflex. He’s incontinent and has a tarry stool. His blood pressure is 90/50 mm Hg, and his hemoglobin is 10 g/dl. Which of the following is a priority for this client?
- A.
Checking stools for occult blood
- B.
Performing range-of-motion exercises to the left side
- C.
Keeping skin clean and dry
- D.
Elevating the head of the bed to 30 degrees
Correct Answer
D. Elevating the head of the bed to 30 degreesExplanation
Because the client’s gag reflex is absent, elevating the head of the bed to 30 degrees helps minimize the client’s risk of aspiration.Rate this question:
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- 7.
A client who recently had a cerebrovascular accident requires a cane to ambulate. When teaching about cane use, the rationale for holding a cane on the uninvolved side is to:
- A.
Prevent leaning
- B.
Distribute weight away from the involved side
- C.
Maintain stride length
- D.
Prevent edema
Correct Answer
B. Distribute weight away from the involved sideExplanation
Holding a cane on the uninvolved side distributes weight away from the involved side.Rate this question:
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- 8.
A 52 yr-old married man with two adolescent children is beginning rehabilitation following a cerebrovascular accident. As the nurse is planning the client’s care, the nurse should recognize that his condition will affect:
- A.
Only himself
- B.
Only his wife and children
- C.
Him and his entire family
- D.
No one, if he has complete recovery
Correct Answer
C. Him and his entire familyExplanation
According to family theory, any change in a family member, such as illness, produces role changes in all family members and affects the entire family, even if the client eventually recovers completely.Rate this question:
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- 9.
Which action should take the highest priority when caring for a client with hemiparesis caused by a cerebrovascular accident (CVA)?
- A.
Perform passive range-of-motion (ROM) exercises.
- B.
Place the client on the affected side.
- C.
Use hand rolls or pillows for support.
- D.
Apply antiembolism stockings
Correct Answer
C. Use hand rolls or pillows for support.Explanation
Supporting the affected limb with hand rolls or pillows is crucial to prevent contractures and maintain proper alignment. It helps to maintain the joint's functional position and prevents complications related to immobility, such as pressure ulcers or joint contractures. This support is essential for the client's comfort and long-term mobility.Rate this question:
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- 10.
The nurse is formulating a teaching plan for a client who has just experienced a transient ischemic attack (TIA). Which fact should the nurse include in the teaching plan?
- A.
TIA symptoms may last 24 to 48 hours.
- B.
Most clients have residual effects after having a TIA.
- C.
TIA may be a warning that the client may have cerebrovascular accident (CVA)
- D.
The most common symptom of TIA is the inability to speak.
Correct Answer
C. TIA may be a warning that the client may have cerebrovascular accident (CVA)Explanation
TIA may be a warning that the client will experience a CVA, or stroke, in the near future.Rate this question:
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- 11.
A 70 yr-old client with a diagnosis of leftsided cerebrovascular accident is admitted to the facility. To prevent the development of diffuse osteoporosis, which of the following objectives is most appropriate?
- A.
Maintaining protein levels.
- B.
Maintaining vitamin levels.
- C.
Promoting weight-bearing exercises
- D.
Promoting range-of-motion (ROM) exercises
Correct Answer
C. Promoting weight-bearing exercisesExplanation
When the mechanical stressors of weight bearing are absent, diffuse osteoporosis can occur.Rate this question:
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- 12.
A male client who has suffered a cerebrovascular accident (CVA) is too weak to move on his own. To help the client avoid pressure ulcers, the nurse should:
- A.
Turn him frequently.
- B.
Perform passive range-of-motion (ROM) exercises.
- C.
Reduce the client’s fluid intake.
- D.
Encourage the client to use a footboard.
Correct Answer
A. Turn him frequently.Explanation
The most important intervention to prevent pressure ulcers is frequent position changes, which relieve pressure on the skin and underlying tissues.Rate this question:
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- 13.
Which of the following is most likely associated with a cerebrovascular accident (CVA) resulting from congenital heart disease?
- A.
Polycythemia
- B.
Cardiomyopathy
- C.
Endocarditis
- D.
Low blood pressure
Correct Answer
A. PolycythemiaExplanation
The child with congenital heart disease develops polycythemia resulting from an inadequate mechanism to compensate for decreased oxygen saturationRate this question:
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- 14.
Ms. Kelly. has had a CVA (cerebrovascular accident) and has severe right-sided weakness. She has been taught to walk with a cane. The nurse is evaluating her use of the cane prior to discharge. Which of the following reflects correct use of the cane?
- A.
Holding the cane in her left hand, Ms. Kelly. moves the cane forward first, then her right leg, and finally her left leg
- B.
Holding the cane in her right hand, Ms. Kelly. moves the cane forward first, then her left leg, and finally her right leg
- C.
Holding the cane in her right hand, Ms. Kelly. moves the cane and her right leg forward, then moves her left leg forward.
- D.
Holding the cane in her left hand, Ms. Kelly. moves the cane and her left leg forward, then moves her right leg forward
Correct Answer
A. Holding the cane in her left hand, Ms. Kelly. moves the cane forward first, then her right leg, and finally her left legExplanation
When a person with weakness on one side uses a cane, there should always be two points of contact with the floor.Rate this question:
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- 15.
Mr. Mendoza who has suffered a cerebrovascular accident (CVA) is too weak to move on his own. To help the client avoid pressure ulcers, Nurse Celia should:
- A.
Turn him frequently.
- B.
Perform passive range-of-motion (ROM) exercises.
- C.
Reduce the client's fluid intake.
- D.
Encourage the client to use a footboard.
Correct Answer
A. Turn him frequently.Explanation
The most important intervention to prevent pressure ulcers is frequent position changes.Rate this question:
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- 16.
A nurse is caring for a 2 year-old child after corrective surgery for Tetralogy of Fallot. The mother reports that the child has suddenly begun seizing. The nurse recognizes this problem is probably due to
- A.
A cerebral vascular accident
- B.
Postoperative meningitis
- C.
Medication reaction
- D.
Metabolic alkalosis
Correct Answer
A. A cerebral vascular accidentExplanation
Polycythemia occurs as a physiological reaction to chronic hypoxemia which commonly occurs in clients with Tetralogy of Fallot.Rate this question:
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- 17.
The client has had a right-sided cerebrovascular accident. In transferring the client from the wheelchair to bed, in what position should a client be placed to facilitate safe transfer?
- A.
Weakened (L) side of the cient next to bed.
- B.
Weakened (R) side of the client next to bed.
- C.
Weakened (L) side of the client away from bed.
- D.
Weakened (R) side of the cient away from bed.
Correct Answer
C. Weakened (L) side of the client away from bed.Explanation
With a right-sided cerebrovascular accident the client would have left-sided hemiplegia or weakness.Rate this question:
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Current Version
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Oct 06, 2023Quiz Edited by
ProProfs Editorial Team -
Feb 12, 2013Quiz Created by
RNpedia.com
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