A nurse is performing a neurological assessment on a client who has ischemic stroke affecting the left cerebral hemisphere. The nurse asks the client to name an object that the nurse points to, but the client does not respond verbally. The nurse interprets this as a sign of which of the following types of aphasia?

Expressive aphasia

Receptive aphasia

Global aphasia

Anomic aphasia

Answer and Explanation

The Correct Answer is B

Choice A reason:

This is incorrect because expressive aphasia is a type of aphasia that affects the ability to produce speech, but not to comprehend it. A client with expressive aphasia would be able to respond verbally, but with difficulty or errors.

Choice B reason:

This is the correct answer because receptive aphasia is a type of aphasia that affects the ability to comprehend speech, but not to produce it. A client with receptive aphasia would not be able to respond verbally, as they do not understand what is being asked.

Choice C reason:

This is incorrect because global aphasia is a type of aphasia that affects both the ability to produce and comprehend speech. A client with global aphasia would not be able to respond verbally or nonverbally, as they have no language function.

Choice D reason:

This is incorrect because anomic aphasia is a type of aphasia that affects the ability to recall specific words or names, but not the general ability to produce or comprehend speech. A client with anomic aphasia would be able to respond verbally, but with pauses or substitutions.

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Correct Answer is A

Explanation

Choice A reason:

This is the correct answer because epidural steroid injections are used to treat radiculopathy by reducing inflammation and edema of the nerve root, which can relieve radicular pain and improve neurological function.

Choice B reason:

This is incorrect because local anesthetic alone can provide temporary pain relief by blocking nerve conduction, but it does not address the underlying cause of radiculopathy, which is nerve root compression.

Choice C reason:

This is incorrect because steroid and local anesthetic do not have any effect on the size or shape of the disc or bone spur that is compressing the nerve root. They only reduce inflammation and pain.

Choice D reason:

This is incorrect because although epidural injections may have fewer systemic side effects than oral or intravenous medications, they still have some risks and complications, such as infection, bleeding, nerve damage, or spinal headache.

A. Atherosclerosis B. Atrial fibrillation C. Cerebral aneurysm D. Arteriovenous malformation

Correct Answer is A

Explanation

Choice A reason:

This is the correct answer because atherosclerosis is the main cause of ischemic stroke, as it leads to the formation of plaques that narrow the cerebral arteries and reduce blood flow to the brain.

Choice B reason:

This is incorrect because atrial fibrillation is a risk factor for ischemic stroke, but not the most common cause. Atrial fibrillation can cause embolic stroke, which occurs when a blood clot from the heart travels to the brain and blocks a cerebral artery.

Choice C reason:

This is incorrect because cerebral aneurysm is a cause of hemorrhagic stroke, not ischemic stroke. Cerebral aneurysm is a weak spot in a cerebral artery that can rupture and bleed into the brain.

Choice D reason:

This is incorrect because arteriovenous malformation is also a cause of hemorrhagic stroke, not ischemic stroke. Arteriovenous malformation is a congenital abnormality of the blood vessels in the brain that can leak or burst and cause bleeding.

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is reviewing the medical history of a client who has ischemic stroke. Which of the following conditions is the most common cause of ischemic stroke?

Correct Answer is A

Explanation

A nurse is teaching a client who has peripheral neuropathy about foot care. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who has a seizure disorder. The client asks the nurse how seizures occur. Which of the following responses by the nurse is appropriate?

A nurse is caring for a client who has multiple sclerosis (MS). Which of the following statements by the client indicates an understanding of this condition?

A nurse is providing education to a client who has peripheral neuropathy due to chemotherapy. The nurse should include which of the following instructions in the teaching plan?

A nurse is planning care for a client who has ischemic stroke and is at risk for cerebral edema. Which of the following interventions should the nurse include in the plan?

A nurse is administering medication to a client who has Parkinson's disease. The client asks the nurse how the medication works. Which of the following responses by the nurse is appropriate?

A client has been diagnosed with radiculopathy due to a herniated disc in the lumbar spine. The nurse should instruct the client to avoid which of the following activities? (Select all that apply.)