SCRN PRACTICE EXAM QUESTIONS WITH VERIFIED
ANSWERS
A person with a stroke who seems unaware of their disability: - Answers - anosognosia
Pt presents complaining of double vision, lacks horizontal eye movements while
tracking is preserved.
What area of the brain can cause internuclear opthalmoplegia? - Answers - Brainstem
Watershed stroke is described as: - Answers - Stroke between two adjacent cerebral
arteries
Cerebrospinal fluid is produced at a rate of... - Answers - 0.3-0.4ml/min
A patient with locked-in syndrome most likely had an infarct in the... - Answers - pons
(pontine)
A lacunar infarct is indicative of an event... - Answers - in a small artery
The MOST important point to emphasize in a community education program on strokes
that will directly improve patient outcome and disability in setting of a stroke? - Answers
- Activate EMS
What is a risk factor for a spontaneous carotid dissection? - Answers - Connective
tissue disease
What is the MOST significant risk factor for stroke? - Answers - Hypertension
One fourth of all strokes occur in patients under the age of... - Answers - 75
Atrial fibrillation is associated with.. - Answers - An increased risk of stroke and mortality
What is an example of exclusion criteria for tPA administration? - Answers - Bleeding
diathesis (unusual susceptibility to bleeding, usually due to hypocoagubility)
Findings consistent with alterations in posterior cerebral circulation: - Answers - Ataxia
and visual deficits
Predictor of a two-day risk for stroke following a TIA: - Answers - ABCD2
, What sign elicited during a physical examination would be indicative of meningeal
irritation? - Answers - Kernig's Sign
The most sensitive and specific imaging technique for demonstrating acute infarction
is... - Answers - MR diffusion-weighted imaging
A patient with SAH is ordered a cerebral angiogram. This test should... - Answers -
identify the etiology of the bleed
What diagnosis in a patient is a contraindication in performing a lumbar puncture? -
Answers - SAH
A neurologist has ordered a TTE. This test is best at identifying... - Answers - ventricular
thrombus
A woman with sickle cell disease is being seen for preventative stroke diagnostic
testing. What procedure would you expect to be performed? - Answers - Transcranial
doppler
A patient is scheduled for embolization of L AVM. The goal of the treatment is... -
Answers - Occlusion of the deep arterial feeding vessels
Pt with recent head trauma presents with pulstile tinnitus, headache, and visual
disturbances. These symptoms may indicate... - Answers - dural arteriovenous fistula
MRI report describes a low flow, low pressure vascular lesion in the left temporal lobe.
The RN identifies that this is most likely... - Answers - Cavernous angioma
Pt has slow speech with inappropriate silences and audible inspirations. The RN
identifies this as... - Answers - Dysarthia
When administering mannitol IV every 3 hours, the primary nursing considerations
include... - Answers - Serum osmolality, CPP goals, and fluid balance
Primary laboratory testing/monitoring for heparin infusion: - Answers - APTT
An adverse side effect of anticonvulsant therapy = - Answers - Alteration in mentation
The estimated percentage of ischemic stroke patients that receive tPA = - Answers - 2-
7%
What is anisocoria? - Answers - Unequal size of the eyes pupils
What is apraxia? - Answers - Inability to perform purposeful actions as a result of brain
damage
ANSWERS
A person with a stroke who seems unaware of their disability: - Answers - anosognosia
Pt presents complaining of double vision, lacks horizontal eye movements while
tracking is preserved.
What area of the brain can cause internuclear opthalmoplegia? - Answers - Brainstem
Watershed stroke is described as: - Answers - Stroke between two adjacent cerebral
arteries
Cerebrospinal fluid is produced at a rate of... - Answers - 0.3-0.4ml/min
A patient with locked-in syndrome most likely had an infarct in the... - Answers - pons
(pontine)
A lacunar infarct is indicative of an event... - Answers - in a small artery
The MOST important point to emphasize in a community education program on strokes
that will directly improve patient outcome and disability in setting of a stroke? - Answers
- Activate EMS
What is a risk factor for a spontaneous carotid dissection? - Answers - Connective
tissue disease
What is the MOST significant risk factor for stroke? - Answers - Hypertension
One fourth of all strokes occur in patients under the age of... - Answers - 75
Atrial fibrillation is associated with.. - Answers - An increased risk of stroke and mortality
What is an example of exclusion criteria for tPA administration? - Answers - Bleeding
diathesis (unusual susceptibility to bleeding, usually due to hypocoagubility)
Findings consistent with alterations in posterior cerebral circulation: - Answers - Ataxia
and visual deficits
Predictor of a two-day risk for stroke following a TIA: - Answers - ABCD2
, What sign elicited during a physical examination would be indicative of meningeal
irritation? - Answers - Kernig's Sign
The most sensitive and specific imaging technique for demonstrating acute infarction
is... - Answers - MR diffusion-weighted imaging
A patient with SAH is ordered a cerebral angiogram. This test should... - Answers -
identify the etiology of the bleed
What diagnosis in a patient is a contraindication in performing a lumbar puncture? -
Answers - SAH
A neurologist has ordered a TTE. This test is best at identifying... - Answers - ventricular
thrombus
A woman with sickle cell disease is being seen for preventative stroke diagnostic
testing. What procedure would you expect to be performed? - Answers - Transcranial
doppler
A patient is scheduled for embolization of L AVM. The goal of the treatment is... -
Answers - Occlusion of the deep arterial feeding vessels
Pt with recent head trauma presents with pulstile tinnitus, headache, and visual
disturbances. These symptoms may indicate... - Answers - dural arteriovenous fistula
MRI report describes a low flow, low pressure vascular lesion in the left temporal lobe.
The RN identifies that this is most likely... - Answers - Cavernous angioma
Pt has slow speech with inappropriate silences and audible inspirations. The RN
identifies this as... - Answers - Dysarthia
When administering mannitol IV every 3 hours, the primary nursing considerations
include... - Answers - Serum osmolality, CPP goals, and fluid balance
Primary laboratory testing/monitoring for heparin infusion: - Answers - APTT
An adverse side effect of anticonvulsant therapy = - Answers - Alteration in mentation
The estimated percentage of ischemic stroke patients that receive tPA = - Answers - 2-
7%
What is anisocoria? - Answers - Unequal size of the eyes pupils
What is apraxia? - Answers - Inability to perform purposeful actions as a result of brain
damage
