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Exam (elaborations)

SCRN Exam Review (2025–2026) | 200+ Q&A on Stroke Syndromes, Neuroanatomy, Imaging, Acute Care | Stroke Certified RN

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This comprehensive study guide contains over 200 fully answered and verified questions for the SCRN (Stroke Certified Registered Nurse) Exam, designed for the 2025–2026 testing period. It offers in-depth coverage of all critical topics tested on the SCRN certification, including stroke pathophysiology, vascular anatomy, neuroimaging, treatment algorithms, assessment tools, and post-acute stroke care. Each question is paired with a concise explanation, helping nurses reinforce key concepts and prepare confidently for exam success. Core topics include strokes by arterial territory (e.g., PCA, MCA, ACA, PICA), syndromes such as Wallenberg, Weber, Parinaud, Locked-in, and Lacunar, as well as stroke mimics and TIAs. Learners will also review advanced neuro concepts such as penumbra vs infarct, ICH, SAH, and AVMs, tPA criteria and dosing, endovascular therapy, neurological scales (NIHSS, mRS, Hunt & Hess, Fisher, FOUR, GCS), seizure precautions, neuroanatomy, and ICU-level stroke management protocols. This study set supports SCRN exam readiness for RNs, nurse practitioners, and healthcare providers in acute care, neurology, ICU, and stroke units. It is also useful for clinical educators and NP students specializing in neurovascular nursing. This resource is ideal for: Stroke Unit and Neuro ICU Nurses SCRN Certification Candidates Critical Care and ED Nurses Nurse Educators and Clinical Instructors NP Students in Neurology or Acute Care Programs Rehab Nurses and Coordinators in Stroke Recovery Units Keywords: SCRN exam, stroke syndromes, neurovascular anatomy, brainstem stroke, cerebral artery, NIHSS, ischemic stroke, hemorrhagic stroke, AVM, SAH, tPA guidelines, neuroimaging, CT perfusion, ICP management, Locked-in syndrome, stroke risk factors, aneurysm rupture, acute stroke care, stroke assessment scales, cerebral vasospasm, post-acute stroke, thrombolytic therapy

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Uploaded on
October 9, 2025
Number of pages
48
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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  • scrn

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SCRN EXAM REVIEW 2025/2026 EXAM
QUESTIONS AND ANSWERS | 100%
PASS



Posterior Cerebral Artery (PCA) - 🧠 ANSWER ✔✔Arises from basilar.

Supplies Occipital Lobe , Midbrain, Thalamus, Pineal Gland, Choroid

Plexus, and Corpus Callosum


Symptoms of PCA Stroke - 🧠 ANSWER ✔✔-Contralateral Visual Field

Homonymous hemianopia

-Visual Agnosia (unable to interpret/recognize visual information)

- Weber's Syndrome (3rd nerve palsy + contralateral hemiplegia)

-Parinaud's Syndrome (Impaired upwards gaze, convergence-retraction

nystagmus, primary conjugate downward gaze)

,Anterior Inferior Cerebellar Artery (AICA) - 🧠 ANSWER ✔✔Feeds anterior

inferior parts of the cerebellum


Symptoms of AICA Stroke - 🧠 ANSWER ✔✔Lateral Pontine Syndrome:

vertigo, vomiting, nystagmus, falling towards the side of the lesion,

ipsilateral loss of sensation to the face, ipsilateral facial paralysis, ipsilateral

hearing loss


Posterior Inferior Cerebellar Artery (PICA) - 🧠 ANSWER ✔✔Feeds

cerebellum, superior section of the medulla,. Choroid plexus and fourth

ventricle


Symptoms of PICA Stroke - 🧠 ANSWER ✔✔Wallenburg Syndrome (lateral

Medullary Syndrome): Loss of pain and temperature sensation in the

contralateral trunk and ipsilateral face


Basilar Artery - 🧠 ANSWER ✔✔An artery, formed by the fusion of the

vertebral arteries, that supplies blood to the brainstem (medulla and pons)

and to the posterior cerebral arteries.


Symptoms of Basilar Artery Stoke - 🧠 ANSWER ✔✔Coma, quadriparesis,

ataxia, dysarthria, CN dysfunction and visual deficits, Locked in Syndrome,

Intranuclear Opthalmoplegia, gaze paresis, Millard Gulber Syndrome CN VI

,VII damage (diplopia facial weakness, loss of corneal reflex), Nausea,

vomiting, diplopia, gaze palsy, dysarthria,. vertigo, tinnitus, hemiparesis,

and quadriplegia.


Anterior Cerebral Artery (ACA) - 🧠 ANSWER ✔✔Feeds the media portion of

the frontal and parietal lobes as well as the corpus callosum


Symptoms of ACA Stroke - 🧠 ANSWER ✔✔Contralateral motor/sensory

deficits impacting legs > arms


Middle Cerebral Artery (MCA) - 🧠 ANSWER ✔✔Feeds majority of the

frontal, parietal, and temporal lobes, basal ganglia, internal capsule. It is

divided M1 - M4


Symptoms of MCA Stroke - 🧠 ANSWER ✔✔-Aphasia if dominant

hemisphere

-Neglect if non-dominant hemisphere

-Contralateral motor/sensory loss of face/arm/leg with Arms > Legs

-Anosognosia: neglect or lack of self awareness


Venous Vascular Anatomy - 🧠 ANSWER ✔✔Venous channels enter into

venous sinuses located in the Dura matter.


COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED

, Superior Sagittal Sinus - 🧠 ANSWER ✔✔Travels posteriorly between the

cerebral hemispheres towards the occiput


Straight Sinus - 🧠 ANSWER ✔✔Travels along the tentorium, draining blood

from the superior cerebellar veins.


Transverse Sinus - 🧠 ANSWER ✔✔Travels along the base of the occiput

laterally and forwardly


Sigmoid Sinus - 🧠 ANSWER ✔✔Begins beneath the temporal bone and

travels to the jugular foramen where it becomes the internal jugular veins


Stroke Pathophysiology - 🧠 ANSWER ✔✔Arterial blood flow to the brain

tissue fails to meet metabolic demands resulting in cell damage or death.

ISCHEMIA FIRST THEN INFARCT.


Penumbra - 🧠 ANSWER ✔✔Zone surrounding the core infarct, damaged by

ischemia but not yet infarcted




---- functionally silent yet metabolically active


Hypoxia leading to Necrotic Pathway - 🧠 ANSWER ✔✔Cell energy failure

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