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SCRN Exam V1 (Latest 2025/ 2026 Update) Questions & Answers| Grade A| 100% Correct (Verified Solutions)

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SCRN Exam V1 (Latest 2025/ 2026 Update) Questions & Answers| Grade A| 100% Correct (Verified Solutions) QUESTION The nurse is caring for a patient with aphasia. Which of the following strategies will the nurse use to facilitate communication with the patient? a) Speaking in complete sentences b) Speaking loudly c) Avoiding the use of hand gestures d) Establishing eye contact Answer: Establishing eye contact The following strategies should be used by the nurse to encourage communication with a patient with aphasia: face the patient and establish eye contact, speak in your usual manner and tone, use short phrases, and pause between phrases to allow the patient time to understand what is being said; limit conversation to practical and concrete matters; use gestures, pictures, objects, and writing; and as the patient uses and handles an object, say what the object is. It helps to match the words with the object or action, be consistent in using the same words and gestures each time you give instructions or ask a question, and keep extraneous noises and sounds to a minimum. Too much background noise can distract the patient or make it difficult to sort out the message being spoken. (less) QUESTION While providing information to a community group, the nurse tells them the primary initial symptoms of a hemorrhagic stroke are: a) Footdrop and external hip rotation b) Severe headache and early change in level of consciousness c) Weakness on one side of the body and difficulty with speech d) Confusion or change in mental status Answer: Severe headache and early change in level of consciousness The main presenting symptoms for ischemic stroke are numbness or weakness of the face, arm, or leg, especially on one side of the body, confusion or change in mental status, and trouble speaking or understanding speech. Severe headache, vomiting, early change in level of consciousness, and seizures are early signs of a hemorrhagic stroke. Footdrop and external hip rotation can occur if a stroke victim is not turned or positioned correctly. (less) QUESTION A client is admitted with weakness, expressive aphasia, and right hemianopia. The brain MRI reveals an infarct. The nurse understands these symptoms to be suggestive of which of the following findings? a) Left-sided cerebrovascular accident (CVA) b) Right-sided cerebrovascular accident (CVA) c) Transient ischemic attack (TIA) d) Completed Stroke Answer: Left-sided cerebrovascular accident (CVA) When the infarct is on the left side of the brain, the symptoms are likely to be on the right, and the speech is more likely to be involved. If the MRI reveals an infarct, TIA is no longer the diagnosis. There is not enough information to determine if the stroke is still evolving or is complete. QUESTION A nurse is caring for a client who has returned to his room after a carotid endarterectomy. Which action should the nurse take first? a) Take the client's blood pressure. b) Ask the client if he has a headache. c) Ask the client if he has trouble breathing. d) Place antiembolism stockings on the client. Answer: Ask the client if he has trouble breathing. The nurse should first assess the client's breathing. A complication of a carotid endarterectomy is an incisional hematoma, which could compress the trachea causing breathing difficulty for the client. Although the other measures are important actions, they aren't the nurse's top priority. QUESTION The nurse is caring for a patient with dysphagia. Which of the following interventions would be contraindicated while caring for this patient? a) Allowing ample time to eat b) Assisting the patient with meals c) Testing the gag reflex prior to offering food or fluids d) Placing food on the affected side of mouth Answer: Placing food on the affected side of mouth Interventions for dysphagia include placing food on the unaffected side of the mouth, allowing ample time to eat, assisting the patient with meals, and testing the patient's gag reflex prior to offering food or fluids. QUESTION A 64-year-old client reports symptoms consistent with a transient ischemic attack (TIA) to the physician in the emergency department. After completing ordered diagnostic tests, the physician indicates to the client what caused the symptoms that brought him to the hospital. What is the origin of the client's symptoms? a) Hypertension b) Cardiac disease c) Diabetes insipidus d) Impaired cerebral circulation Answer: Impaired cerebral circulation TIAs result from impaired blood circulation in the brain, which can be caused by atherosclerosis and arteriosclerosis, cardiac disease, or diabetes. The symptoms of a TIA are the result of impaired blood circulation in the brain, which may have been caused by cardiac disease. The symptoms of a TIA are the result of impaired blood circulation in the brain, which may have been caused by diabetes. The symptoms of a TIA are the result of impaired blood circulation in the brain, which may have been caused by hypertension. QUESTION A client is admitted to the intensive care unit (ICU) with a diagnosis of cerebrovascular accident (CVA). Which assessment by the nurse provides the most significant finding in differentiating between ischemic and hemorrhagic strokes? a) Oropharyngeal suctioning as needed. b) Kepprais ordered for treatment of focal seizures. c) A unit of fresh frozen plasma is infusing. d) Neurological checks are ordered every 2 hours. Answer: A unit of fresh frozen plasma is infusing. FFP is usedin the treatment of clotting deficiencies as seen with over dose of anticoagulants and would indicate a hemorrhagic stroke. Neuro checks ordered every 2 hours does not differentiate between types of strokes. Focal seizures can occur with any stroke and would not differentiate. Suctioning is a nursing action taken to maintain airway and does not indicate a specific type of stroke. QUESTION The nurse is caring for a patient with aphasia. Which of the following strategies will the nurse use to facilitate communication with the patient? a) Avoiding the use of hand gestures b) Establishing eye contact c) Speaking in complete sentences d) Speaking loudly Answer: Establishing eye contact

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SCRNl Examl V1l (Latestl 2025/l 2026l
Update)l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)
Q:l Thel nursel isl caringl forl al patientl withl aphasia.l Whichl ofl thel followingl strategiesl
willl thel nursel usel tol facilitatel communicationl withl thel patient?


l a)l Speakingl inl completel sentences
l l b)l Speakingl loudly
l l c)l Avoidingl thel usel ofl handl gestures
l l d)l Establishingl eyel contact

Answer:
Establishingl eyel contactl

Thel followingl strategiesl shouldl bel usedl byl thel nursel tol encouragel communicationl withl
al patientl withl aphasia:l facel thel patientl andl establishl eyel contact,l speakl inl yourl usuall
mannerl andl tone,l usel shortl phrases,l andl pausel betweenl phrasesl tol allowl thel patientl
timel tol understandl whatl isl beingl said;l limitl conversationl tol practicall andl concretel
matters;l usel gestures,l pictures,l objects,l andl writing;l andl asl thel patientl usesl andl handlesl
anl object,l sayl whatl thel objectl is.l Itl helpsl tol matchl thel wordsl withl thel objectl orl
action,l bel consistentl inl usingl thel samel wordsl andl gesturesl eachl timel youl givel
instructionsl orl askl al question,l andl keepl extraneousl noisesl andl soundsl tol al minimum.l
Tool muchl backgroundl noisel canl distractl thel patientl orl makel itl difficultl tol sortl outl thel
messagel beingl spoken.l (less)



Q:l Whilel providingl informationl tol al communityl group,l thel nursel tellsl theml thel
primaryl initiall symptomsl ofl al hemorrhagicl strokel are:


l a)l Footdropl andl externall hipl rotation
l l b)l Severel headachel andl earlyl changel inl levell ofl consciousness
l l c)l Weaknessl onl onel sidel ofl thel bodyl andl difficultyl withl speech
l l d)l Confusionl orl changel inl mentall status

Answer:
Severel headachel andl earlyl changel inl levell ofl consciousnessl

,Thel mainl presentingl symptomsl forl ischemicl strokel arel numbnessl orl weaknessl ofl thel
face,l arm,l orl leg,l especiallyl onl onel sidel ofl thel body,l confusionl orl changel inl mentall
status,l andl troublel speakingl orl understandingl speech.l Severel headache,l vomiting,l earlyl
changel inl levell ofl consciousness,l andl seizuresl arel earlyl signsl ofl al hemorrhagicl stroke.l
Footdropl andl externall hipl rotationl canl occurl ifl al strokel victiml isl notl turnedl orl
positionedl correctly.l (less)



Q:l Al clientl isl admittedl withl weakness,l expressivel aphasia,l andl rightl hemianopia.l Thel
brainl MRIl revealsl anl infarct.l Thel nursel understandsl thesel symptomsl tol bel suggestivel
ofl whichl ofl thel followingl findings?


l a)l Left-sidedl cerebrovascularl accidentl (CVA)
l l b)l Right-sidedl cerebrovascularl accidentl (CVA)
l l c)l Transientl ischemicl attackl (TIA)
l l d)l Completedl Stroke

Answer:
Left-sidedl cerebrovascularl accidentl (CVA)l

Whenl thel infarctl isl onl thel leftl sidel ofl thel brain,l thel symptomsl arel likelyl tol bel onl thel
right,l andl thel speechl isl morel likelyl tol bel involved.l Ifl thel MRIl revealsl anl infarct,l TIAl
isl nol longerl thel diagnosis.l Therel isl notl enoughl informationl tol determinel ifl thel strokel
isl stilll evolvingl orl isl complete.



Q:l Al nursel isl caringl forl al clientl whol hasl returnedl tol hisl rooml afterl al carotidl
endarterectomy.l Whichl actionl shouldl thel nursel takel first?


l a)l Takel thel client'sl bloodl pressure.
l l b)l Askl thel clientl ifl hel hasl al headache.
l l c)l Askl thel clientl ifl hel hasl troublel breathing.
l l d)l Placel antiembolisml stockingsl onl thel client.

Answer:
Askl thel clientl ifl hel hasl troublel breathing.l

Thel nursel shouldl firstl assessl thel client'sl breathing.l Al complicationl ofl al carotidl
endarterectomyl isl anl incisionall hematoma,l whichl couldl compressl thel tracheal causingl

,breathingl difficultyl forl thel client.l Althoughl thel otherl measuresl arel importantl actions,l
theyl aren'tl thel nurse'sl topl priority.



Q:l Thel nursel isl caringl forl al patientl withl dysphagia.l Whichl ofl thel followingl
interventionsl wouldl bel contraindicatedl whilel caringl forl thisl patient?


l a)l Allowingl amplel timel tol eat
l l b)l Assistingl thel patientl withl meals
l l c)l Testingl thel gagl reflexl priorl tol offeringl foodl orl fluids
l l d)l Placingl foodl onl thel affectedl sidel ofl mouth

Answer:
Placingl foodl onl thel affectedl sidel ofl mouthl

Interventionsl forl dysphagial includel placingl foodl onl thel unaffectedl sidel ofl thel mouth,l
allowingl amplel timel tol eat,l assistingl thel patientl withl meals,l andl testingl thel patient'sl
gagl reflexl priorl tol offeringl foodl orl fluids.



Q:l Al 64-year-oldl clientl reportsl symptomsl consistentl withl al transientl ischemicl attackl
(TIA)l tol thel physicianl inl thel emergencyl department.l Afterl completingl orderedl
diagnosticl tests,l thel physicianl indicatesl tol thel clientl whatl causedl thel symptomsl thatl
broughtl himl tol thel hospital.l Whatl isl thel originl ofl thel client'sl symptoms?


l a)l Hypertension
l l b)l Cardiacl disease
l l c)l Diabetesl insipidus
l l d)l Impairedl cerebrall circulation

Answer:
Impairedl cerebrall circulationl

TIAsl resultl froml impairedl bloodl circulationl inl thel brain,l whichl canl bel causedl byl
atherosclerosisl andl arteriosclerosis,l cardiacl disease,l orl diabetes.l Thel symptomsl ofl al TIAl
arel thel resultl ofl impairedl bloodl circulationl inl thel brain,l whichl mayl havel beenl causedl
byl cardiacl disease.l Thel symptomsl ofl al TIAl arel thel resultl ofl impairedl bloodl circulationl
inl thel brain,l whichl mayl havel beenl causedl byl diabetes.l Thel symptomsl ofl al TIAl arel
thel resultl ofl impairedl bloodl circulationl inl thel brain,l whichl mayl havel beenl causedl byl
hypertension.

, Q:l Al clientl isl admittedl tol thel intensivel carel unitl (ICU)l withl al diagnosisl ofl
cerebrovascularl accidentl (CVA).l Whichl assessmentl byl thel nursel providesl thel mostl
significantl findingl inl differentiatingl betweenl ischemicl andl hemorrhagicl strokes?


l a)l Oropharyngeall suctioningl asl needed.
l l b)l Keppraisl orderedl forl treatmentl ofl focall seizures.
l l c)l Al unitl ofl freshl frozenl plasmal isl infusing.
l l d)l Neurologicall checksl arel orderedl everyl 2l hours.

Answer:
Al unitl ofl freshl frozenl plasmal isl infusing.l

FFPl isl usedinl thel treatmentl ofl clottingl deficienciesl asl seenl withl overl dosel ofl
anticoagulantsl andl wouldl indicatel al hemorrhagicl stroke.l Neurol checksl orderedl everyl 2l
hoursl doesl notl differentiatel betweenl typesl ofl strokes.l Focall seizuresl canl occurl withl anyl
strokel andl wouldl notl differentiate.l Suctioningl isl al nursingl actionl takenl tol maintainl
airwayl andl doesl notl indicatel al specificl typel ofl stroke.



Q:l Thel nursel isl caringl forl al patientl withl aphasia.l Whichl ofl thel followingl strategiesl
willl thel nursel usel tol facilitatel communicationl withl thel patient?


l a)l Avoidingl thel usel ofl handl gestures
l l b)l Establishingl eyel contact
l l c)l Speakingl inl completel sentences
l l d)l Speakingl loudly

Answer:
Establishingl eyel contactl

Thel followingl strategiesl shouldl bel usedl byl thel nursel tol encouragel communicationl withl
al patientl withl aphasia:l facel thel patientl andl establishl eyel contact,l speakl inl yourl usuall
mannerl andl tone,l usel shortl phrases,l andl pausel betweenl phrasesl tol allowl thel patientl
timel tol understandl whatl isl beingl said;l limitl conversationl tol practicall andl concretel
matters;l usel gestures,l pictures,l objects,l andl writing;l andl asl thel patientl usesl andl handlesl
anl object,l sayl whatl thel objectl is.l Itl helpsl tol matchl thel wordsl withl thel objectl orl
action,l bel consistentl inl usingl thel samel wordsl andl gesturesl eachl timel youl givel
instructionsl orl askl al question,l andl keepl extraneousl noisesl andl soundsl tol al minimum.l

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