SCRN Practice Exam With Questions And Answers

SCRN Practice Exam With Questions And Answers A person with a stroke who seems unaware of their disability: - Answeranosognosia Pt presents complaining of double vision, lacks horizontal eye movements while tracking is preserved. What area of the brain can cause internuclear opthalmoplegia? - AnswerBrainstem Watershed stroke is described as: - AnswerStroke between two adjacent cerebral arteries Cerebrospinal fluid is produced at a rate of... - Answer0.3-0.4ml/min A patient with loc ked-in syndrome most likely had an infarct in the... - Answerpons (pontine) A lacunar infarct is indicative of an event... - Answerin 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? - AnswerActivate EMS What is a risk factor for a spontaneous carotid dissection? - AnswerConnective tissue disease What is the MOST significant risk factor for stroke? - AnswerHypertension One fourth of all strokes occur in patients under the age of... - Answer75 Atrial fibrillation is associated with.. - AnswerAn increased risk of stroke and mortality What is an example of exclusion criteria for tPA administration? - AnswerBleeding diathesis (unusual susceptibility to bleeding, usually due to hypocoagubility) Findings consistent with alterations in posterior cerebral circulation: - AnswerAtaxia and visual deficits Predictor of a two-day risk for stroke following a TIA: - AnswerABCD2 What sign elicited during a physical examination would be indicative of meningeal irritation? - AnswerKernig's Sign The most sensitive and specific imaging technique for demonstrating acute infarction is.. . - AnswerMR diffusion-weighted imaging A patient with SAH is ordered a cerebral angiogram. This test should... - Answer identify the etiology of the bleed What diagnosis in a patient is a contraindication in performing a lumbar punct ure? - AnswerSAH A neurologist has ordered a TTE. This test is best at identifying... - Answerventricul ar thrombus A woman with sickle cell disease is being seen for preventative stroke diagnostic test ing. What procedure would you expect to be performed? - AnswerTranscranial doppler A patient is scheduled for embolization of L AVM. The goal of the treatment is. .. - AnswerOcclusion of the deep arterial feeding vessels Pt with recent head trauma presents with pulstile tinnitus, headache, and visual disturbances. These symptoms may indicate... - Answerdural 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... - AnswerCavernous angioma Pt has slow speech with inappropriate silences and audible inspirations. The RN identifies this as... - AnswerDysarthia When administering mannitol IV every 3 hours, the primary nursing considerations include... - AnswerSerum osmolality, CPP goals, and fluid balance Primary laboratory testing/monitoring for heparin infusion: - AnswerAPTT An adverse side effect of anticonvulsant therapy = - AnswerAlteration in mentation The estimated percentage of ischemic stroke patients that receive tPA = - Answer2- 7% What is anisocoria? - AnswerUnequal size of the eyes pupils What is apraxia? - AnswerInability 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... - AnswerBasal ganglia hemorrhage Oral contraceptives may increase likelihood of stroke in women who... - A nswerSmoke cigarettes Age > 35 HTN, DM, HLD Obese Prothrombin mutations, such as factor V leiden