You are assisting Mr. Jones with his bath. You ask him to pull himself over so that you are able to get to his back. He tries to respond, but his speech is very slurred and he is difficult to understand, even though he was just talking with you about the football game from last night. You also notice that he is moving only his right side. What should you do?

 A. Finish Mr. Jones`s bath, and then let the nurse know.
 B. Stop and immediately let the nurse know that Mr. Jones has symptoms.
 C. Finish the bath and decide to check on him in 30 minutes and recheck his vital signs. He might have just gotten too much pain medication before the bath.
 D. Tell him how much you love football.

The MD has ordered ASA 325mg po immediately upon arrival to floor. What should you do?

 A. Administer the ASA per order. It is only one small pill.
 B. Hold the ASA until speech therapy sees the patient, but don`t call and notify the MD.
 C. Call the MD and let him/her know that the patient has not passed the dysphagia screen and must remain NPO until speech evaluation. Ask for another route for ASA (such as PR).
 D. 

You are taking care of Mrs. Smith who was admitted with a possible stroke. As you are assisting Mrs. Smith with her lunch, you notice that she is having a very hard time keeping the food in her mouth and swallowing it. Some of the food is falling out and she occasionally coughs when trying to drink liquid. What should you do?

 A. Continue to feed her. She probably always eats this way.
 B. Decide she must not be hungry, so stop feeding her, but don`t report it to the nurse.
 C. Stop feeding her and report her difficulty swallowing to the nurse immediately.
 D. Take a coffee break and come back later.

Where do you find the patient education materials for stroke?

 A. Central Supply.
 B. The Learning Center.
 C. In the CareNotes System.
 D. In the KRAMES System.

These are all possible symptoms of Ischemic Stroke except:

 A. Blurred or double vision.
 B. Trouble walking.
 C. Nasal congestion.
 D. Inability to smile.

Within what time frame after symptom onset must tPA be administered?

 A. 8 hours
 B. 2 hours
 C. 3 hours
 D. 4 hours