SCRN TEST PAPER QUESTIONS AND
SOLUTIONS COMPLETE REVIEW MATERIAL
●● A 72 year old patient presents to the clinic with complaints of an
irregular heart rate. An ECG confirms atrial fibrillation. The SCRN
knows that the patient is at risk for what type of stroke?
A. SAH
B. ICH
C. Cardioembolic
D. Thrombotic
Answer: C
●● A 67-year-old patient presents to the ED with a stroke alert. The
SCRN knows that the goal of ischemic stroke treatment is to:
A. Prevent hemorrhagic conversion
B. Preserve the penumbra
C. Decrease cerebral perfusion pressure
D. Educate on risk factor reduction
Answer: B
●● The SCRN is assisting a patient with spatial neglect. The nurse
knows this is most likely due to a stroke affecting the:
A. Parietal lobe
,B. Occipital lobe
C. Temporal lobe
D. Basal ganglia
Answer: A
●● The SCRN examines a patient with a right gaze preference, neglect,
and left-sided weakness. The CT head shows no hemorrhage. The nurse
knows that this is most likely the result of a:
A. Left hemispheric stroke
B. Right hemispheric stroke
C. TIA
D. Complicated migraine
Answer: B
●● The SCRN responds to a stroke alert and notices the patient is
exhibiting signs of right-sided weakness and expressive aphasia. The
nurse knows this patient is exhibiting symptoms as a result of occlusion
to what cerebral blood vessel?
A. Left MCA
B. Right MCA
C. Left ACA
D. Left PCOM
Answer: A
,●● A 75-year-old man presents to the emergency department with
complaints of right arm weakness and slurred speech for 10 minutes.
Symptoms have resolved. These symptoms are most consistent with
what type of diagnosis?
A. Stroke
B. Transient ischemic attack
C. Migraine headache
D. Multiple sclerosis
Answer: B
●● A 26 year old female presents to the emergency department with
complaints of a headache with photophobia and reports she is nauseous.
CT head is negative for intracranial hemorrhage. What do you suspect is
the most likely diagnosis?
A. Ischemic stroke
B. Intracerebral hemorrhage
C. Migraine headache
D. Transient ischemic attack
Answer: C
●● An 85-year-old female presents to the ED with acute onset of left-
sided weakness with left sided facial droop that began 1 hour ago. You
suspect what type of stroke syndrome?
, A. Pure hemisensory
B. Ataxic hemiparesis
C. Mixed sensorimotor
D. Pure motor hemiparesis
Answer: D
●● A 76-year-old male with a history of hypertension, atherosclerosis,
and diabetes mellitus presents to his primary care physician with
complaints of right facial droop and dysarthria for the past few days. The
SCRN knows this is most likely what type of stroke?
A. Large vessel occlusion
B. Lacunar stroke
C. Bells palsy
D. Transient ischemic attack
Answer: B
●● When providing education to women taking oral contraceptives, the
SCRN knows that there is a risk of:
A. Subarachnoid hemorrhage
B. Intracranial hemorrhage
C. TIA
D. Cerebral venous thrombosis
Answer: D
SOLUTIONS COMPLETE REVIEW MATERIAL
●● A 72 year old patient presents to the clinic with complaints of an
irregular heart rate. An ECG confirms atrial fibrillation. The SCRN
knows that the patient is at risk for what type of stroke?
A. SAH
B. ICH
C. Cardioembolic
D. Thrombotic
Answer: C
●● A 67-year-old patient presents to the ED with a stroke alert. The
SCRN knows that the goal of ischemic stroke treatment is to:
A. Prevent hemorrhagic conversion
B. Preserve the penumbra
C. Decrease cerebral perfusion pressure
D. Educate on risk factor reduction
Answer: B
●● The SCRN is assisting a patient with spatial neglect. The nurse
knows this is most likely due to a stroke affecting the:
A. Parietal lobe
,B. Occipital lobe
C. Temporal lobe
D. Basal ganglia
Answer: A
●● The SCRN examines a patient with a right gaze preference, neglect,
and left-sided weakness. The CT head shows no hemorrhage. The nurse
knows that this is most likely the result of a:
A. Left hemispheric stroke
B. Right hemispheric stroke
C. TIA
D. Complicated migraine
Answer: B
●● The SCRN responds to a stroke alert and notices the patient is
exhibiting signs of right-sided weakness and expressive aphasia. The
nurse knows this patient is exhibiting symptoms as a result of occlusion
to what cerebral blood vessel?
A. Left MCA
B. Right MCA
C. Left ACA
D. Left PCOM
Answer: A
,●● A 75-year-old man presents to the emergency department with
complaints of right arm weakness and slurred speech for 10 minutes.
Symptoms have resolved. These symptoms are most consistent with
what type of diagnosis?
A. Stroke
B. Transient ischemic attack
C. Migraine headache
D. Multiple sclerosis
Answer: B
●● A 26 year old female presents to the emergency department with
complaints of a headache with photophobia and reports she is nauseous.
CT head is negative for intracranial hemorrhage. What do you suspect is
the most likely diagnosis?
A. Ischemic stroke
B. Intracerebral hemorrhage
C. Migraine headache
D. Transient ischemic attack
Answer: C
●● An 85-year-old female presents to the ED with acute onset of left-
sided weakness with left sided facial droop that began 1 hour ago. You
suspect what type of stroke syndrome?
, A. Pure hemisensory
B. Ataxic hemiparesis
C. Mixed sensorimotor
D. Pure motor hemiparesis
Answer: D
●● A 76-year-old male with a history of hypertension, atherosclerosis,
and diabetes mellitus presents to his primary care physician with
complaints of right facial droop and dysarthria for the past few days. The
SCRN knows this is most likely what type of stroke?
A. Large vessel occlusion
B. Lacunar stroke
C. Bells palsy
D. Transient ischemic attack
Answer: B
●● When providing education to women taking oral contraceptives, the
SCRN knows that there is a risk of:
A. Subarachnoid hemorrhage
B. Intracranial hemorrhage
C. TIA
D. Cerebral venous thrombosis
Answer: D
