SCRN exam 2025 Questions and
Answers
A patient presents to the ED with a "wake up stroke." The SCRN knows that this
presents a therapeutic dilemma because:
A. There is an unclear time of onset
B. This is a contraindication to IV thrombolytic therapy
C. This is a contraindication to mechanical thrombectomy
D. The mechanism of action is unknown - --Answer --A
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
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,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
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,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
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, 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?
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Answers
A patient presents to the ED with a "wake up stroke." The SCRN knows that this
presents a therapeutic dilemma because:
A. There is an unclear time of onset
B. This is a contraindication to IV thrombolytic therapy
C. This is a contraindication to mechanical thrombectomy
D. The mechanism of action is unknown - --Answer --A
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
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,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
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,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
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, 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?
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