Đề thi TBMMN tiếng Anh (CVA).

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BS Nguyên, CTUMP, 17-4-2020.

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1. Which history finding is a risk factor for CVA? 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.

1 point

a. Caucasian race.

b. Female sex.

c. Bronchial asthma.

d. Obesity.

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2. 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:

1 point

a. Cranial nerves I and II.

b. Cranial nerves III and V.

c. Cranial nerves VI and VIII.

d. Cranial nerves IX and X.

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3. Gary Jordan suffered a cerebrovascular accident that left her unable to comprehend speech and unable to speak. This type of aphasia is known as:

1 point

a. Receptive aphasia.

b. Expressive aphasia.

c. Global aphasia.

d. Conduction aphasia.

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4. A client who recently had a cerebrovascular accident requires a cane toambulate. When teaching about cane use, the rationale for holding a cane on theuninvolved side is to:

1 point

a. Prevent leaning.

b. Distribute weight away from the involved side.

c. Maintain stride length.

d. Prevent edema.

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5. Which action should take the highest priority when caring for a client with hemiparesis caused by a cerebrovascular accident (CVA)?

1 point

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.

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6. 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?

1 point

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.

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7. Which of the following objectives is most appropriate to prevent the development of diffuse osteoporosis?A 70 yr-old client with a diagnosis of leftsided cerebrovascular accident is admitted to the facility.

1 point

a. Maintaining vitamin levels.

b. Maintaining protein levels.

c. Promoting weight-bearing exercises.

d. Promoting range-of-motion (ROM) exercises.

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8. 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:

1 point

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.

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9. 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?

1 point

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.

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10. If a male client experienced a cerebrovascular accident (CVA) that damagedthe hypothalamus, the nurse would anticipate that the client has problems with:

1 point

a. Body temperature control.

b. Balance and equilibrium.

c. Visual acuity.

d. Thinking and reasoning.

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