ACNP 807- Questions and Answers
A patient in the ICU is on the ventilator but is tolerating it well. The patient has an FIO2 of 60%,
a PEEP of 15, and is oxygenating well. What action should the APRN take? Correct Ans-Start
decreasing the PEEP
A patient in the neuro ICU is experiencing a new onset seizure with stiffening and jerking of
arms and legs. What type of seizure would the APRN suspect? Correct Ans-Tonic-clonic
A patient presents to the ER with suspected ischemic stroke and is experiencing contralateral
weakness that is greater in the lower extremities than the upper and confusion. The APRN knows
that what brain artery is affected? Correct Ans-Anterior cerebral artery
A patient presents to the ER with a suspected ischemic stroke and is experiencing ataxia, vertigo,
and spatial disorientation. The APRN knows that what brain artery is affected? Correct Ans-
Posterior cerebral artery
A patient presents to the ER with a suspected ischemic stroke and is experiencing hemianopia,
neglect, visual deviation, and hemiplegia. The APRN knows that what brain artery is affected?
Correct Ans-Middle cerebral artery
A patient presents to the ER with a suspected ischemic stroke and is experiencing unilateral limb
weakness, cranial nerve 7 findings, positive Babinski sign, and dizziness. The APRN knows that
what brain artery is affected? Correct Ans-Basilar artery
, What artery in the brain is the most common site for ischemic stroke? Correct Ans-Middle
cerebral artery
What artery in the brain is the most common site for an ischemic stroke? Correct Ans-Middle
cerebral artery
A patient presents to the ER with a suspected stroke and is experiencing an ipsilateral conjugate
gaze, ataxia, vertigo, and slurred speech. What location of the brain would the APRN suspect to
be affected? Correct Ans-Cerebellum
What is the normal range for intracranial pressure? Correct Ans-10-15 mmHg
What is the goal ICP and CPP for a patient with a hemorrhagic stroke? Correct Ans-ICP less
than 20 mmHg
CPP greater than 60 mmHg
For a patient that has new onset symptoms of an ischemic stroke that started 3 hours ago, what
must their blood pressure be prior to tPA administration? Correct Ans-SBP less than 185
mmHg
DBP less than 110 mmHg
pFor a patient that is receiving tPA for an ischemic stroke, what must their blood pressure be
maintained at during and after tPA administration? Correct Ans-SBP less than 180 mmHg
DBP less than 105 mmHg
A patient in the ICU is on the ventilator but is tolerating it well. The patient has an FIO2 of 60%,
a PEEP of 15, and is oxygenating well. What action should the APRN take? Correct Ans-Start
decreasing the PEEP
A patient in the neuro ICU is experiencing a new onset seizure with stiffening and jerking of
arms and legs. What type of seizure would the APRN suspect? Correct Ans-Tonic-clonic
A patient presents to the ER with suspected ischemic stroke and is experiencing contralateral
weakness that is greater in the lower extremities than the upper and confusion. The APRN knows
that what brain artery is affected? Correct Ans-Anterior cerebral artery
A patient presents to the ER with a suspected ischemic stroke and is experiencing ataxia, vertigo,
and spatial disorientation. The APRN knows that what brain artery is affected? Correct Ans-
Posterior cerebral artery
A patient presents to the ER with a suspected ischemic stroke and is experiencing hemianopia,
neglect, visual deviation, and hemiplegia. The APRN knows that what brain artery is affected?
Correct Ans-Middle cerebral artery
A patient presents to the ER with a suspected ischemic stroke and is experiencing unilateral limb
weakness, cranial nerve 7 findings, positive Babinski sign, and dizziness. The APRN knows that
what brain artery is affected? Correct Ans-Basilar artery
, What artery in the brain is the most common site for ischemic stroke? Correct Ans-Middle
cerebral artery
What artery in the brain is the most common site for an ischemic stroke? Correct Ans-Middle
cerebral artery
A patient presents to the ER with a suspected stroke and is experiencing an ipsilateral conjugate
gaze, ataxia, vertigo, and slurred speech. What location of the brain would the APRN suspect to
be affected? Correct Ans-Cerebellum
What is the normal range for intracranial pressure? Correct Ans-10-15 mmHg
What is the goal ICP and CPP for a patient with a hemorrhagic stroke? Correct Ans-ICP less
than 20 mmHg
CPP greater than 60 mmHg
For a patient that has new onset symptoms of an ischemic stroke that started 3 hours ago, what
must their blood pressure be prior to tPA administration? Correct Ans-SBP less than 185
mmHg
DBP less than 110 mmHg
pFor a patient that is receiving tPA for an ischemic stroke, what must their blood pressure be
maintained at during and after tPA administration? Correct Ans-SBP less than 180 mmHg
DBP less than 105 mmHg
