1. A 58-year-old male patient with a history of hypertension and diabetes
presents with a sudden onset of right-sided weakness and aphasia. Which
of the following is the most likely diagnosis?
A. Hemorrhagic stroke
B. Ischemic stroke
C. Transient ischemic attack
D. Hypoglycemic episode
Answer: B. Ischemic stroke
Rationale: The sudden onset of unilateral weakness and aphasia is
highly suggestive of an ischemic stroke, particularly in a patient with risk
factors such as hypertension and diabetes.
2. A nurse is assessing a patient with a suspected subarachnoid
hemorrhage. Which of the following symptoms is most indicative of this
condition?
A. Gradual onset of headache
B. Thunderclap headache
C. Photophobia
D. Neck stiffness
Answer: B. Thunderclap headache
Rationale: A thunderclap headache is a classic symptom of subarachnoid
hemorrhage and is often described as "the worst headache of my life."
3. When performing a neurological assessment on a patient with a
traumatic brain injury, which of the following findings would indicate
increased intracranial pressure (ICP)?
A. Bradycardia
B. Hypertension
C. Irregular respirations
D. All of the above
Answer: D. All of the above
Rationale: The combination of bradycardia, hypertension, and irregular
respirations, known as Cushing's triad, is a sign of increased ICP.
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