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HESI RN Exit Case Study – Stroke, Exams of Nursing

Western Governors University (WGU)Nursing

Comprehensive HESI RN Exit Case Study on Stroke with verified questions and answers. Covers stroke clinical manifestations, Glasgow Coma Scale changes, Babinski reflex, therapeutic interventions, enoxaparin dosage, impaired swallowing, dysphagia management, modifiable risk factors, and rehabilitation strategies. Includes nursing diagnoses, delegation tasks, communication techniques, and priority interventions for stroke patients. Perfect for nursing students preparing for HESI exams, NCLEX review, and med-surg practice. Keywords: HESI stroke case study, NCLEX prep, nursing interventions, stroke symptoms, dysphagia, risk factors, rehabilitation.

Typology: Exams

2025/2026

Available from 03/27/2026

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HESI RN EXIT CASE STUDY - STROKE
1. Which additional clinical manifestations should the nurse expect to
find if Mr. Jones' symptoms have been caused by a stroke? (select all that
apply)
Answer: -acarotid bruit
-elevated blood pressure
-hyporeflexic deep tendon reflexes
2. Which assessment findings warrant immediate intervention by the
nurse? (select all that apply)
Answer: -Mr. Jones' Glasgow Coma Scale (GCS) score changes from12 to 9
-Mr. Jones has a positive Babinski's reflex bilaterally
-Mr. Jones is unable to verbalize responses to the nurse's questions
3. What clinical manifestations further support this assessment?
(select allthat apply)
Answer: -visual field deficit on the left side
-spatial-perceptual deficits
-paresthesia on the left side
-increased distractibility
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HESI RN EXIT CASE STUDY - STROKE

  1. Which additional clinical manifestations should the nurse expect to find if Mr. Jones' symptoms have been caused by a stroke? (select all that apply) Answer: -acarotid bruit -elevated blood pressure -hyporeflexic deep tendon reflexes
  2. Which assessment findings warrant immediate intervention by the nurse? (select all that apply) Answer: -Mr. Jones' Glasgow Coma Scale (GCS) score changes from 12 to 9 -Mr. Jones has a positive Babinski's reflex bilaterally -Mr. Jones is unable to verbalize responses to the nurse's questions
  3. What clinical manifestations further support this assessment? (select allthat apply) Answer: -visual field deficit on the left side -spatial-perceptual deficits -paresthesia on the left side -increased distractibility
  1. Which intervention should the nurse implement when preparing Mr. Jonesand his son for this procedure? Answer: Explain that the procedure requires the client tolie completely still.
  2. Which data warrants immediate intervention by the nurse concerting thisdiagnostic test? Answer: Left hip replacement
  3. Which explanation by the nurse is the most therapeutic response? Answer: Your father has had a stroke, and the blood supply to the brain has been compromised.
  4. How should the nurse respond? Answer: I know this is scary for you. Would you like tosit and talk?
  5. How many mg of enoxaparin will the nurse administer in each dose? Answer: 77
  6. With a diagnosis of stroke, which priority intervention should the nurseinclude in Mr. Jones' plan of care? (select all that apply)

-Monitor capillary refill every 2 to 4 hours -Monitor pulse oximetry

  1. How should the nurse respond to Barry? Answer: He is not a candidate because oftherapeutic time constraints related to this medication.
  2. Which nursing diagnosis has the highest priority? Answer: Impaired swallowing
  3. Which nursing intervention should the nurse implement to address Mr.Jones' self-care deficit? Answer: Use plate guards when Mr. Jones is eating.
  4. Which conditions are considered a modifiable risk factor for a stroke?(select all that apply) Answer: -high cholesterol levels -diet -lifestyle -history of atrial fibrillation
  5. Which statement is warranted in this situation? Answer: I should let you know thatsmoking is a strong risk factor for a

stroke.

  1. Which nursing intervention would the nurse implement to address this condition? Answer: Place the objects Mr. Jones needs for activities of daily living on theright side of the table.
  2. Which intervention should the nurse implement when addressing this condition? Answer: Instruct Mr. Jones to clasp the left hand with the right hand and raiseboth hands above the head.
  3. How should the nurse respond? Answer: That procedure is only done with smallstrokes, not like the one your dad had.
  4. Which nursing care task should the nurse delegate to the UAP? (select allthat apply) Answer: -take Mr. Jones' vital signs -give Mr. Jones a bed bath and change the bed linens -measure Mr. Jones' intake and output each shift (I&O) 21. Which written documentation should the nurse put in the client's record?-
  1. Which intervention should the nurse perform prior to beginning a feed-ing? Answer: Elevate the head of the bed 30 to 40 degrees.
  2. At what rate would the nurse set the infusion pump? Answer: 75
  3. Which intervention should the nurse implement first? Answer: Continue to stay atMr. Jones' bedside and hold Barry's hand.
  4. How should the nurse respond? Answer: I am sorry, but I am unable to give you anyinformation.
  5. What actions should the nurse implement? (select all that apply) Answer: -obtainthe necessary permits and notify the regional organ donor center -Explain that Mr. Jones can only be a tissue donor, not an organ donor
  6. Which action would be most important for the nurse to take in this situa-tion? Answer: Have a clergy come to pray.
  7. How should the nurse respond? Answer: You seem really confused about what to do.Would you like to talk about it?