SCRNl Examl V2l (Latestl 2025/l 2026l Update)l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)
Q:l Al clientl wasl diagnosedl withl al thromboticl strokel ofl thel vertebrall artery.l Whichl assessmentl doesl thel nursel expectl tol make?
Stupor
Globall aphasia
Contralaterall paralysis
Dysphagia
Answer:
Dysphagia
Dysphagial isl thel clinicall manifestationl thatl isl associatedl withl al strokel thatl affectsl thel vertebrall artery.l Thel otherl clinicall manifestationsl arel seenl withl internall carotidl andl middlel cerebrall arteryl involvement.
Q:l Anl adultl clientl hadl al strokel involvingl thel internall carotidl arteryl ofl thel dominantl hemisphere.l Thel nursel shouldl anticipatel thatl thel clientl willl havel difficultyl withl whichl function?
Speaking
Stayingl alert
Retainingl urine
Swallowing
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Answer:
Speaking
Clinicall manifestationsl ofl al strokel involvingl thel internall carotidl arteryl includel contralaterall paralysisl ofl facel andl limbs,l contralaterall sensoryl deficitsl ofl facel andl limbs,l aphasia,l apraxia,l agnosia,l unilaterall neglect,l andl homonymousl hemianopia.l Difficultyl swallowing,l drowsiness,l andl urinel retentionl arel notl expectedl inl thisl typel ofl stroke.
Q:l Thel nursel isl caringl forl al clientl recoveringl froml al strokel inl thel rehabilitationl setting.l Whichl isl thel goall ofl carel duringl thisl stage?
Minimizingl brainl injury
Dispatchingl rapidl emergencyl medicall servicesl (EMS)
Diagnosingl thel typel andl causel ofl stroke
Improvingl musclel strengthl andl coordination
Answer:
Improvingl musclel strengthl andl coordination
Duringl thel rehabilitationl treatmentl stagel ofl stroke,l thel focusl isl onl clientl safetyl andl improvementl ofl musclel strengthl andl coordination.l Prioritiesl duringl thel treatmentl stagel ofl acutel carel immediatelyl followingl al strokel includel rapidl EMSl dispatch,l diagnosingl thel typel andl causel ofl stroke,l andl otherl interventionsl tol minimizel brainl injuryl andl maximizel clientl recovery.
Q:l Thel nursel onl thel strokel rehabilitationl unitl isl planningl carel forl al clientl whol isl experiencingl visionl andl equilibriuml deficits,l alteredl proprioception,l hemianopia,l andl neglectl syndrome.l Whichl nursingl therapyl isl thel mostl importantl tol include?
Maintainingl fluid,l oxygen,l andl nutritionall status
Providingl reassurancel andl support
Developingl anl alternatel meansl ofl communicating 2 / 3
Providingl behaviorall andl cognitivel therapyl whenl thel conditionl stabilizes
Answer:
Providingl reassurancel andl support
Thel clientl withl sensory-perceptuall deficitsl needsl reassurancel andl support.l Therel isl nol indicationl thatl thel clientl cannotl maintainl fluid,l oxygen,l andl nutritionall status,l cannotl communicatel well,l orl hasl cognitivel orl behaviorall changes.
Q:l Thel nursel taughtl al groupl ofl clientsl recoveringl froml al strokel howl tol performl activel range-of-motionl exercises.l Whichl clientl requiresl furtherl teaching?
Thel clientl performingl flexion,l extension,l andl hyperextensionl ofl thel hipsl bilaterally
Thel clientl withl right-sidedl paralysisl flexingl andl extendingl onlyl thel leftl knee
Thel clientl performingl extensionl andl hyperextensionl ofl thel neck
Thel clientl withl left-sidedl paralysisl usingl thel rightl arml tol helpl flexl andl extendl thel leftl wrist
Answer:
Thel clientl withl right-sidedl paralysisl flexingl andl extendingl onlyl thel leftl knee
Thel clientl canl usel thel leftl sidel tol helpl flexl andl extendl thel rightl knee.l Bothl sidesl shouldl bel exercised.l Alll thel otherl range-of-motionl exercisesl arel appropriate.
Q:l Thel nursel isl reviewingl interventionsl aimedl atl maintainingl cerebrall perfusionl inl al clientl whol hadl al thromboticl stroke.l Whichl interventionl shouldl thel nursel question?
Encouragingl activel range-of-motionl exercises
Placingl thel clientl inl al side-lyingl position
Monitoringl mentall statusl andl levell ofl consciousness
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