SCRN HYPERACUTE STROKE CARE QUESTIONS & ANSWERS 2026-2027 | ESSE… EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
SCRN Hyperacute Stroke
Care Questions & Answers
2026-2027 | Essential
Certification Review
Verified Answers Exam Ready With Rationales
45 QUESTIONS
DOCUMENT OVERVIEW
This document provides 45 questions with their correct answers and explanations, focusing on hyperacute
stroke care. It is an essential certification review for healthcare professionals. Students can use this
resource for comprehensive study and preparation for certification exams in stroke management.
CONTENTS
Initial Assessment & Pre-hospital Q1–Q6
Stroke Syndromes & Classification Q7–Q25
Stroke Scales & Grading Q26–Q28
Acute Stroke Treatments Q29–Q35
Supportive Care & Hemorrhagic Stroke Management Q36–Q45
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 45
Communicate effectively with pre-hospital personnel.
CORRECT ANSWER
When stroke victim activates EMS the time to imaging , neuro exam, ED MD evaluation is shorter. This should be
emphasized in the community. The greatest time delay is from symptom onset to ED arrival.
EMS alerts the hospital, advance notification by EMS has shown to increase the use of TpA
Q2 QUESTION 2 OF 45
EMS evaluation primary goals
CORRECT ANSWER
Obtain last seen normal
Obtain blood glucose
Q3 QUESTION 3 OF 45
ABCD score
CORRECT ANSWER
A: age B: blood C: clinical features D: Duration of TIA symptoms
Q4 QUESTION 4 OF 45
Establish ABC's
CORRECT ANSWER
Airway -Breathing: O2 for SpO2< 94%
Circulation: ECG, BP assessment & IV/Labs (√BG)
D (Neuro): NIHSS or Canadian Neurological Scale (CNS), Neuro Exam & Neuro MD
Page 2
, Q5 QUESTION 5 OF 45
Glasgow Coma Scale
CORRECT ANSWER
The Glasgow Coma Scale (GCS) was devised in the early 1970s. The GCS is not a true SAH grading scale, but is
rather a standardized method for evaluating the level of consciousness in a number of neurologic conditions
including SAH. The GCS assigns points based on three parameters of neurologic function:
●Eye opening (spontaneous = 4, response to verbal command = 3, response to pain = 2, no eye opening = 1)
●Best verbal response (oriented = 5, confused = 4, inappropriate words = 3, incomprehensible sounds = 2, no
verbal response = 1)
●Best motor response (obeys commands = 6, localizing response to pain = 5, withdrawal response to pain = 4,
flexion to pain = 3, extension to pain = 2, no motor response = 1)
Q6 QUESTION 6 OF 45
ABCD2 score
CORRECT ANSWER
A simple assessment called the ABCD2 score (ie, ABCD squared, for Age, Blood pressure, Clinical features,
Duration of symptoms, and Diabetes) may be used to identify patients at high risk of ischemic stroke in the first
seven days after TIA. The ABCD2 score is tallied as follows:
●Age (≥60 years = 1 point)
●Blood pressure elevation when first assessed after TIA (systolic ≥140 mmHg or diastolic ≥90 mmHg = 1 point)
●Clinical features (unilateral weakness = 2 points; isolated speech disturbance = 1 point; other = 0 points)
●Duration of TIA symptoms (≥60 minutes = 2 points; 10 to 59 minutes = 1 point; <10 minutes = 0 points)
●Diabetes (present = 1 point)
Score 6 to 7: High two-day stroke risk
Score 4 to 5: Moderate two-day stroke risk
Score 0 to 3: Low two-day stroke risk
Q7 QUESTION 7 OF 45
Page 3
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
SCRN Hyperacute Stroke
Care Questions & Answers
2026-2027 | Essential
Certification Review
Verified Answers Exam Ready With Rationales
45 QUESTIONS
DOCUMENT OVERVIEW
This document provides 45 questions with their correct answers and explanations, focusing on hyperacute
stroke care. It is an essential certification review for healthcare professionals. Students can use this
resource for comprehensive study and preparation for certification exams in stroke management.
CONTENTS
Initial Assessment & Pre-hospital Q1–Q6
Stroke Syndromes & Classification Q7–Q25
Stroke Scales & Grading Q26–Q28
Acute Stroke Treatments Q29–Q35
Supportive Care & Hemorrhagic Stroke Management Q36–Q45
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 45
Communicate effectively with pre-hospital personnel.
CORRECT ANSWER
When stroke victim activates EMS the time to imaging , neuro exam, ED MD evaluation is shorter. This should be
emphasized in the community. The greatest time delay is from symptom onset to ED arrival.
EMS alerts the hospital, advance notification by EMS has shown to increase the use of TpA
Q2 QUESTION 2 OF 45
EMS evaluation primary goals
CORRECT ANSWER
Obtain last seen normal
Obtain blood glucose
Q3 QUESTION 3 OF 45
ABCD score
CORRECT ANSWER
A: age B: blood C: clinical features D: Duration of TIA symptoms
Q4 QUESTION 4 OF 45
Establish ABC's
CORRECT ANSWER
Airway -Breathing: O2 for SpO2< 94%
Circulation: ECG, BP assessment & IV/Labs (√BG)
D (Neuro): NIHSS or Canadian Neurological Scale (CNS), Neuro Exam & Neuro MD
Page 2
, Q5 QUESTION 5 OF 45
Glasgow Coma Scale
CORRECT ANSWER
The Glasgow Coma Scale (GCS) was devised in the early 1970s. The GCS is not a true SAH grading scale, but is
rather a standardized method for evaluating the level of consciousness in a number of neurologic conditions
including SAH. The GCS assigns points based on three parameters of neurologic function:
●Eye opening (spontaneous = 4, response to verbal command = 3, response to pain = 2, no eye opening = 1)
●Best verbal response (oriented = 5, confused = 4, inappropriate words = 3, incomprehensible sounds = 2, no
verbal response = 1)
●Best motor response (obeys commands = 6, localizing response to pain = 5, withdrawal response to pain = 4,
flexion to pain = 3, extension to pain = 2, no motor response = 1)
Q6 QUESTION 6 OF 45
ABCD2 score
CORRECT ANSWER
A simple assessment called the ABCD2 score (ie, ABCD squared, for Age, Blood pressure, Clinical features,
Duration of symptoms, and Diabetes) may be used to identify patients at high risk of ischemic stroke in the first
seven days after TIA. The ABCD2 score is tallied as follows:
●Age (≥60 years = 1 point)
●Blood pressure elevation when first assessed after TIA (systolic ≥140 mmHg or diastolic ≥90 mmHg = 1 point)
●Clinical features (unilateral weakness = 2 points; isolated speech disturbance = 1 point; other = 0 points)
●Duration of TIA symptoms (≥60 minutes = 2 points; 10 to 59 minutes = 1 point; <10 minutes = 0 points)
●Diabetes (present = 1 point)
Score 6 to 7: High two-day stroke risk
Score 4 to 5: Moderate two-day stroke risk
Score 0 to 3: Low two-day stroke risk
Q7 QUESTION 7 OF 45
Page 3
