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Exam (elaborations)

SCRN Practice Exam questions and answers latest top score.

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SCRN Practice Exam questions and answers latest top score. A person with a stroke who seems unaware of their disability: - correct gnosia Pt presents complaining of double vision, lacks horizontal eye movements while tracking is preserved. What area of the brain can cause internuclear opthalmoplegia? - correct answers.Brainstem Watershed stroke is described as: - correct answers.Stroke between two adjacent cerebral arteries Cerebrospinal fluid is produced at a rate of... - correct answers.0.3-0.4ml/min A patient with locked-in syndrome most likely had an infarct in the... - correct (pontine) A lacunar infarct is indicative of an event... - correct 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? - correct answers.Activate EMS What is a risk factor for a spontaneous carotid dissection? - correct answers.Connective tissue disease What is the MOST significant risk factor for stroke? - correct answers.Hypertension One fourth of all strokes occur in patients under the age of... - correct answers.75 Atrial fibrillation is associated with.. - correct answers.An increased risk of stroke and mortality What is an example of exclusion criteria for tPA administration? - correct answers.Bleeding diathesis (unusual susceptibility to bleeding, usually due to hypocoagubility) Findings consistent with alterations in posterior cerebral circulation: - correct answers.Ataxia and visual deficits Predictor of a two-day risk for stroke following a TIA: - correct answers.ABCD2 What sign elicited during a physical examination would be indicative of meningeal irritation? - correct answers.Kernig's Sign The most sensitive and specific imaging technique for demonstrating acute infarction is... - correct answers.MR diffusion-weighted imaging A patient with SAH is ordered a cerebral angiogram. This test should... - correct ify the etiology of the bleed What diagnosis in a patient is a contraindication in performing a lumbar puncture? - correct answers.SAH A neurologist has ordered a TTE. This test is best at identifying... - correct icular thrombus A woman with sickle cell disease is being seen for preventative stroke diagnostic testing. What procedure would you expect to be performed? - correct answers.Transcranial doppler A patient is scheduled for embolization of L AVM. The goal of the treatment is... - correct 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... - correct 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... - correct answers.Cavernous angioma Pt has slow speech with inappropriate silences and audible inspirations. The RN identifies this as... - correct answers.Dysarthia When administering mannitol IV every 3 hours, the primary nursing considerations include... - correct answers.Serum osmolality, CPP goals, and fluid balance Primary laboratory testing/monitoring for heparin infusion: - correct answers.APTT An adverse side effect of anticonvulsant therapy = - correct answers.Alteration in mentation The estimated percentage of ischemic stroke patients that receive tPA = - correct answers.2-7% What is anisocoria? - correct answers.Unequal size of the eyes pupils What is apraxia? - correct answers.Inability to perform purposeful actions as a result of brain damage Pt presents with BP 260/140, methamphetamine use, chronic heavy ETOH use and stroke like symptoms. The stroke is most likely a... - correct answers.Basal ganglia hemorrhage Oral contraceptives may increase likelihood of stroke in women who... - correct answers.Smoke cigarettes Age > 35 HTN, DM, HLD Obese Prothrombin mutations, such as factor V leiden Hunt vs Hess Score - correct answers.Describes severity of SAH and used as a predictor for pt prognosis CHADS2 Score - correct answers.Estimates stroke risk in patients with atrial fibrillation ABCD2 score - correct answers.Predictor of two-day risk of stroke following TIA A rare but potential complication to tPA administration = - correct alaxis Stroke patient has sodium of 128, low urine output and weight gain, the RN would expect: - correct answers.SIADH Syndrome of Inappropriate Secretion of Antidiuretic Hormone What is the most common cause of vertebral dissection? - correct answers.Trauma What is cavernous angioma? - correct answers.Blood vessel abnormality with clusters of tiny, abnormal, dialated vessels. Blood flow in this area is very slow. A pt underwent carotid artery endarectomy. Discharge instructions include pt taking aspirin indefinately and PLAVIX for at least... - correct answers.30 days Evidence based standard used to measure neurological functional improvement over time... - correct answers.NIHSS Sixth nerve palsy is associated with... - correct ysm in the cavernous sinus Third nerve palsy, sixth nerve palsy (occular), and ataxia may be associated with ... - correct ar artery aneurysm Primary presentation symptoms of cerebral venous thrombosis... - correct answers.Headache Papilledema Diplopia Sixth nerve palsy (occular) Characteristics of MCA - correct answers.Aphasia Neglect

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