SCRN: Hyperacute stroke care: Prehospital
and Emergency Department Exam Study
Guide | Questions & Verified Answers |
2026/2027
Emergency medical services (EMS) personnel deliver a patient whose blood
pressure (BP) has risen from 188/98 enroute to 226/132 on presentation. You
double check the cuff size, position, and retake it, with same results. You can
anticipate which orders?
a. monitor and notify provider if BP exceeds 240 systolic
b. Stat continuous infusion of IV CCB, with rechecks q5 to 10 minutes
c. Stat administration of an oral ACE inhibitor, with rechecks every 5 to 10
minutes
d. Stat administration of single dose IV beta blocker, with recheck in 30 minutes -
correct answer-b. Stat continuous infusion of IV CCB, with rechecks q5 to 10
minutes
,Your patient was brought to the ED by her husband who states that when they
went to bed at 10pm, his wife seemed fine. He went to the bathroom at 2am and
she was sleeping peacefully, but when he woke up at 6 am, he found her sitting
on the side of the bed mumbling something about her arm not working right.
What is her LKW time?
a. 10pm
b. 6am
c. 2am
d. unable to determine - correct answer-a. 10pm
Dysphagia screening is essential because patients with dysphagia are at greater
risk of mortality due to
a. hypoxia secondary to severe coughing
b. dehydration secondary to inadequate fluid intake
c. heart failure secondary to tachycardia
d. pneumonia secondary to aspiration - correct answer-d. pneumonia secondary
to aspiration
You have taken a job in the emergency department (ED) of a small community
hospital that does not have neurology support. During orientation, you are shown
how to use the tele-stroke equipment. In which situation will you be using this
equipment?
a. during infusion of IV tPA to monitor vasospasm
b. for communication with the family in the waiting room that is located on
another floor
c. For remote neurology/neurosurgery evaluation and treatment
recommendation
, d. For quick electronic review of compliance with stroke guidelines - correct
answer-c. For remote neurology/neurosurgery evaluation and treatment
recommendation
The difference between an emergency medical technician (EMT) and paramedic is
a. An EMT is a volunteer, while a paramedic is a paid employee
b. a paramedic receives roughly 10 times the training hours as an EMT
c. An EMT can start IVs and give injections, while a paramedic cannot
d. A paramedic can do the prehospital severity scale scoring, while an EMT cannot
- correct answer-b. a paramedic receives roughly 10 times the training hours as
an EMT
The Golden Hour was first described in what population
a. Stroke
b. Heart failure
c. Status epilepticus
d. Trauma - correct answer-d. Trauma
Which is the goal for length of stay (LOS) in the emergency department (ED)?
a. less than 24 hours
b. between 3 and 6 hours
c. less than 3 hours
d. minimum of 1 hour - correct answer-c. less than 3 hours
Which action results in shorter time from last known to neurologic evaluation?
a. calling primary care provider (PCP) immediately
and Emergency Department Exam Study
Guide | Questions & Verified Answers |
2026/2027
Emergency medical services (EMS) personnel deliver a patient whose blood
pressure (BP) has risen from 188/98 enroute to 226/132 on presentation. You
double check the cuff size, position, and retake it, with same results. You can
anticipate which orders?
a. monitor and notify provider if BP exceeds 240 systolic
b. Stat continuous infusion of IV CCB, with rechecks q5 to 10 minutes
c. Stat administration of an oral ACE inhibitor, with rechecks every 5 to 10
minutes
d. Stat administration of single dose IV beta blocker, with recheck in 30 minutes -
correct answer-b. Stat continuous infusion of IV CCB, with rechecks q5 to 10
minutes
,Your patient was brought to the ED by her husband who states that when they
went to bed at 10pm, his wife seemed fine. He went to the bathroom at 2am and
she was sleeping peacefully, but when he woke up at 6 am, he found her sitting
on the side of the bed mumbling something about her arm not working right.
What is her LKW time?
a. 10pm
b. 6am
c. 2am
d. unable to determine - correct answer-a. 10pm
Dysphagia screening is essential because patients with dysphagia are at greater
risk of mortality due to
a. hypoxia secondary to severe coughing
b. dehydration secondary to inadequate fluid intake
c. heart failure secondary to tachycardia
d. pneumonia secondary to aspiration - correct answer-d. pneumonia secondary
to aspiration
You have taken a job in the emergency department (ED) of a small community
hospital that does not have neurology support. During orientation, you are shown
how to use the tele-stroke equipment. In which situation will you be using this
equipment?
a. during infusion of IV tPA to monitor vasospasm
b. for communication with the family in the waiting room that is located on
another floor
c. For remote neurology/neurosurgery evaluation and treatment
recommendation
, d. For quick electronic review of compliance with stroke guidelines - correct
answer-c. For remote neurology/neurosurgery evaluation and treatment
recommendation
The difference between an emergency medical technician (EMT) and paramedic is
a. An EMT is a volunteer, while a paramedic is a paid employee
b. a paramedic receives roughly 10 times the training hours as an EMT
c. An EMT can start IVs and give injections, while a paramedic cannot
d. A paramedic can do the prehospital severity scale scoring, while an EMT cannot
- correct answer-b. a paramedic receives roughly 10 times the training hours as
an EMT
The Golden Hour was first described in what population
a. Stroke
b. Heart failure
c. Status epilepticus
d. Trauma - correct answer-d. Trauma
Which is the goal for length of stay (LOS) in the emergency department (ED)?
a. less than 24 hours
b. between 3 and 6 hours
c. less than 3 hours
d. minimum of 1 hour - correct answer-c. less than 3 hours
Which action results in shorter time from last known to neurologic evaluation?
a. calling primary care provider (PCP) immediately
