GNRS 588 EXAM 5 PART 2 QUESTIONS
WITH 100% CORRECT ANSWERS |
LATEST VERSION 2025/2026.
TIA - ANS TIA symptoms resolve within 24 hours with no lasting damage; a stroke causes
lasting neurologic deficits.
Biggest risk factor for ischemic stroke - ANS Uncontrolled hypertension.
Purpose of a non-contrast CT in suspected stroke - ANS To differentiate between ischemic
and hemorrhagic stroke quickly.
NIHSS - ANS The National Institutes of Health Stroke Scale scores stroke severity—higher
scores indicate worse outcomes.
Permissive hypertension in stroke care - ANS Allowing elevated BP to maintain cerebral
perfusion after ischemic stroke, avoiding rapid drops.
Signs of subarachnoid hemorrhage (SAH) - ANS Sudden severe headache, photophobia, neck
stiffness, nausea/vomiting.
Triple H therapy - ANS To prevent vasospasm post-SAH: Hypertension, Hypervolemia,
Hemodilution.
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, Med used to prevent vasospasm after SAH - ANS Nimodipine (a calcium channel blocker).
Most common cause of intracerebral hemorrhage (ICH) - ANS Uncontrolled hypertension.
First sign of increasing ICP - ANS Decreased level of consciousness (LOC).
Agnosia - ANS Inability to recognize familiar objects; caused by nondominant hemisphere
damage.
Global aphasia - ANS Inability to understand or produce speech, from dominant hemisphere
stroke.
Difference between expressive and receptive aphasia - ANS Expressive = can't speak well;
Receptive = can't understand speech.
Locked-in syndrome - ANS Awake and aware but cannot move or speak due to paralysis; may
communicate with eyes.
Thiamine given before glucose in comatose patients - ANS To prevent Wernicke
encephalopathy, which can be worsened by glucose in thiamine-deficient states.
Key diagnostic test for Guillain-Barré Syndrome (GBS) - ANS Lumbar puncture — shows
elevated protein with normal WBCs (albuminocytologic dissociation).
Treatment for Guillain-Barré Syndrome - ANS IVIG or plasmapheresis — steroids are NOT
effective.
Priority nursing assessment for GBS - ANS Respiratory status — monitor for paralysis of
respiratory muscles.
2 | Page @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
WITH 100% CORRECT ANSWERS |
LATEST VERSION 2025/2026.
TIA - ANS TIA symptoms resolve within 24 hours with no lasting damage; a stroke causes
lasting neurologic deficits.
Biggest risk factor for ischemic stroke - ANS Uncontrolled hypertension.
Purpose of a non-contrast CT in suspected stroke - ANS To differentiate between ischemic
and hemorrhagic stroke quickly.
NIHSS - ANS The National Institutes of Health Stroke Scale scores stroke severity—higher
scores indicate worse outcomes.
Permissive hypertension in stroke care - ANS Allowing elevated BP to maintain cerebral
perfusion after ischemic stroke, avoiding rapid drops.
Signs of subarachnoid hemorrhage (SAH) - ANS Sudden severe headache, photophobia, neck
stiffness, nausea/vomiting.
Triple H therapy - ANS To prevent vasospasm post-SAH: Hypertension, Hypervolemia,
Hemodilution.
1 | Page @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, Med used to prevent vasospasm after SAH - ANS Nimodipine (a calcium channel blocker).
Most common cause of intracerebral hemorrhage (ICH) - ANS Uncontrolled hypertension.
First sign of increasing ICP - ANS Decreased level of consciousness (LOC).
Agnosia - ANS Inability to recognize familiar objects; caused by nondominant hemisphere
damage.
Global aphasia - ANS Inability to understand or produce speech, from dominant hemisphere
stroke.
Difference between expressive and receptive aphasia - ANS Expressive = can't speak well;
Receptive = can't understand speech.
Locked-in syndrome - ANS Awake and aware but cannot move or speak due to paralysis; may
communicate with eyes.
Thiamine given before glucose in comatose patients - ANS To prevent Wernicke
encephalopathy, which can be worsened by glucose in thiamine-deficient states.
Key diagnostic test for Guillain-Barré Syndrome (GBS) - ANS Lumbar puncture — shows
elevated protein with normal WBCs (albuminocytologic dissociation).
Treatment for Guillain-Barré Syndrome - ANS IVIG or plasmapheresis — steroids are NOT
effective.
Priority nursing assessment for GBS - ANS Respiratory status — monitor for paralysis of
respiratory muscles.
2 | Page @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
