Which type of headache would the nurse suspect when the headaches are unilateral and throbbing, preceded by a premonitory symptom of photophobia, and associated with a family history?

Cluster

Tension-type

Frontal-type

Migraine

Answer and Explanation

The Correct Answer is D

A: "Cluster." Cluster headaches are characterized by severe, unilateral pain, often described as sharp or burning rather than throbbing. They typically occur in cyclical patterns or clusters and are often accompanied by autonomic symptoms, such as nasal congestion or tearing, rather than photophobia.
B: "Tension-type." Tension-type headaches are generally bilateral and described as a dull, pressing, or tightening sensation rather than throbbing. They are not usually associated with photophobia or a family history of migraines, making this option less likely.
C: "Frontal-type." Frontal-type headaches can occur in the forehead area but do not have a specific classification as a primary headache type. They may be associated with sinus issues or tension but do not fit the description of unilateral, throbbing pain with photophobia or family history.
D: "Migraine." Migraines are typically unilateral and throbbing, often preceded by premonitory symptoms such as photophobia or aura. The association with family history suggests a genetic predisposition to migraines, further supporting this diagnosis.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Hypertension. Hypertension is the most significant modifiable risk factor for stroke. Chronic high blood pressure can cause damage to blood vessels, increase the risk of atherosclerosis, and lead to clot formation or vessel rupture. Stroke risk can be reduced by controlling blood pressure through lifestyle changes and medication.
B. Parent who has cardiovascular disease. A family history of cardiovascular disease is a nonmodifiable risk factor since genetics cannot be changed. While having a parent with heart disease increases the client’s risk, this factor itself cannot be altered.
C. Client’s age. Advancing age is a nonmodifiable risk factor for stroke, as the risk of stroke increases significantly after age 55. However, age itself cannot be changed or controlled to reduce risk.
D. History of sickle cell disease. Sickle cell disease is a genetic blood disorder, making it a nonmodifiable risk factor. While stroke risk can be reduced in sickle cell patients through proper management (e.g., blood transfusions, hydroxyurea therapy), the disease itself cannot be modified.

A. Poor impulse control B. Unable to discriminate words and letters C. Motor retardation D. Deficits in the right visual field

Correct Answer is A

Explanation

A. Poor impulse control. A stroke in the right cerebral hemisphere affects judgment, attention, and impulse control. Clients often display poor safety awareness, impulsivity, and difficulty recognizing deficits (anosognosia), increasing the risk of falls and injury.
B. Unable to discriminate words and letters. This symptom is associated with left hemisphere strokes, which affect language centers such as Broca’s and Wernicke’s areas. Clients with left-sided strokes may experience aphasia, difficulty reading, and problems with word recognition, which are not typical of right hemisphere strokes.
C. Motor retardation. Right hemisphere strokes typically cause left-sided hemiparesis or hemiplegia but do not necessarily result in motor retardation (slowness of movement). Instead, lack of awareness of deficits is more common, leading to neglect of the affected side.
D. Deficits in the right visual field. Right hemisphere strokes cause left visual field deficits (left homonymous hemianopia). Right visual field deficits occur with left hemisphere strokes. Clients may also experience left-sided neglect, where they fail to recognize or respond to stimuli on their affected side.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which type of headache would the nurse suspect when the headaches are unilateral and throbbing, preceded by a premonitory symptom of photophobia, and associated with a family history?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the electronic medical record of a middle-aged client who was admitted following a stroke. Which of the following findings should the nurse identify as a modifiable risk factor for stroke?

Correct Answer is A

Explanation

A nurse is caring for a client who had a stroke involving the right cerebral hemisphere. The nurse should monitor for which of the following findings?

Correct Answer is A

Explanation

After determining that the patient has a tension-type headache, which patient statement supports the nurse's finding?

A nurse is teaching a client who is newly diagnosed with Alzheimer's disease and their family about newly prescribed medications for Alzheimer's disease. Which statement by the client indicates the teaching was effective?

A nurse is teaching about risk factors for developing a stroke with a group of older adult clients. Which of the following nonmodifiable risk factors should the nurse include?

A hospitalized patient with a history of cluster headache awakens during the night with a severe stabbing headache. Which action should the nurse take first?

A nurse is caring for a client who has a seizure disorder. Exhibits A nurse is caring for a client who has a seizure disorder. (Select all that apply.)

A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve III?

When obtaining a health history and physical assessment for a 36-yr-old female patient with possible multiple sclerosis (MS), the nurse should