SCRN Study Questions
A 30y lady with a PMH of DM, migraines with aura, HTN, and tobacco use needs statistics of
start control alternative. As a stroke-licensed nurse, the safest option for the pt to apply is
oral contraceptives in preference to non-estrogen contraceptives, which includes an IUD. T
or F?
A. True
b. False - ANS-b
A 53y menopausal girl affords to the sanatorium, informing her PCP "I decide upon no longer
to take hormone therapy. I apprehend it can boom my probabilities of having a stroke."
Which life-style counseling should the nurse advise to lessen her symptoms?
A. Exercising inside the evening earlier than bed
b. Sleep in a cooler room
c. Restrict alcohol consumption
d. A and c
e. B and c - ANS-e
A 55y male pt gives to the ED with grievance of surprising onset of dizziness, N/V, and
walking like he is drunk. Which of the subsequent stroke areas do you watched from those
signs?
A. Ischemic stroke within the basal ganglia
b. Ischemic stroke inside the frontal lobe
c. Ischemic stroke inside the midbrain
d. Ischemic stroke in the cerebellum - ANS-d
a 58y M has a showed SAH with intraventricular hemorrhage. Neurosurgery has been
consulted to area an EVD on the bedside. While you're awaiting this to be located, what
nursing interventions are you able to put into effect for ICP manage? (choose all)
a. Maintain HOB at 30 ranges
b. Administer sedation to hold the patient down and heavily sedated
c. Try to hyperventilate the pt
d. Hold straight body alignment with head and neck midline
e. Manage ache via administering ache meds as needed
f. Keep BP purpose with management of as-wanted meds - ANS-a, d, e, f
A 58y M affected person affords to the ED with the "worst HA of his existence" and has
started to grow to be extra somnolent and harassed. What is the first-line imaging you are
watching for for a pt with a suspected bleed and elevated ICP?
A. MRI brain stroke protocol
, c. Conventional angiogram because you already know it's far a ruptured aneurysm
c. Head CT with out comparison
d. Head CT angiogram - ANS-c
A 67yo guy with a hx of HTN, DM, HLD, and smoking gives to the ED. CC of chronic
dizziness q1week that has emerge as so severe he now has double imaginative and
prescient, N/V. His spouse tells you she observed a L facial slump and slurring. Pt reviews
weak spot in L arm and leg. He denies HA or SZ. Head CT turned into negative for acute
bleed. Upon returning to the room he has emerge as an increasing number of obtunded and
tough to arouse. You notice he now has a nystagmus and slightly dysconjugate gaze. His
examination appears to be worsening now with R/L extremity weak spot further to his L
hemiparesis. What kind of stroke syndrome are you worried he can be having?
A. Wallenberg's stroke
b. Dissection of the R internal carotid artery
c. Acute basilar artery occlusion
d. Superior cerebellar artery stroke - ANS-c
A 69yo pt with a hbA1c of 6.Three% and a BMI of 30 desires education before discharge.
Which of the following statements by means of the affected person desires correcting?*
a. "it's miles vital for me to increase intake of culmination, greens, and grains at the same
time as restricting saturated fats, salt consumption, and alcohol consumption"
b. "with my cutting-edge BMI, I might don't forget reducing my caloric intake with the aid of
500-1000 cals/day"
c. "my currect hbA1c classifies me as pre-diabetic"
d. "if I have strict manage of my bg, it's going to decrease my probabilities of having a
stroke" - ANS-d
A 79y pt with acute ischemic stroke is prescribed levetiracetam 500mg BID for seizure
prophylaxis. Pt does now not have a hx of epilepsy. How have to the nurse present this
affected person to the crew throughout morning rounds?
A. Recommend that the dosage be increased due to the fact seizure is a common facet
impact for older adults after ischemic stroke
b. Record that the affected person has not had a seizure, therefor the dosage of 500mg BID
is effective
c. Endorse that levetiracetam be discontinued due to the fact there's no evidence for habitual
seizure prophylaxis after stroke
d. Recommend that non-stop electroencephalographic monitoring be initiated in case of a
subclinical seizure - ANS-c
A cerebral angiogram is used for what purpose all through remedy of an SAH?
A. Compare blood glide in the mind
b. Are expecting vasospasm occurance
c. Discover bleed etiology
d. Expect the want of cranioplasty - ANS-c
A 30y lady with a PMH of DM, migraines with aura, HTN, and tobacco use needs statistics of
start control alternative. As a stroke-licensed nurse, the safest option for the pt to apply is
oral contraceptives in preference to non-estrogen contraceptives, which includes an IUD. T
or F?
A. True
b. False - ANS-b
A 53y menopausal girl affords to the sanatorium, informing her PCP "I decide upon no longer
to take hormone therapy. I apprehend it can boom my probabilities of having a stroke."
Which life-style counseling should the nurse advise to lessen her symptoms?
A. Exercising inside the evening earlier than bed
b. Sleep in a cooler room
c. Restrict alcohol consumption
d. A and c
e. B and c - ANS-e
A 55y male pt gives to the ED with grievance of surprising onset of dizziness, N/V, and
walking like he is drunk. Which of the subsequent stroke areas do you watched from those
signs?
A. Ischemic stroke within the basal ganglia
b. Ischemic stroke inside the frontal lobe
c. Ischemic stroke inside the midbrain
d. Ischemic stroke in the cerebellum - ANS-d
a 58y M has a showed SAH with intraventricular hemorrhage. Neurosurgery has been
consulted to area an EVD on the bedside. While you're awaiting this to be located, what
nursing interventions are you able to put into effect for ICP manage? (choose all)
a. Maintain HOB at 30 ranges
b. Administer sedation to hold the patient down and heavily sedated
c. Try to hyperventilate the pt
d. Hold straight body alignment with head and neck midline
e. Manage ache via administering ache meds as needed
f. Keep BP purpose with management of as-wanted meds - ANS-a, d, e, f
A 58y M affected person affords to the ED with the "worst HA of his existence" and has
started to grow to be extra somnolent and harassed. What is the first-line imaging you are
watching for for a pt with a suspected bleed and elevated ICP?
A. MRI brain stroke protocol
, c. Conventional angiogram because you already know it's far a ruptured aneurysm
c. Head CT with out comparison
d. Head CT angiogram - ANS-c
A 67yo guy with a hx of HTN, DM, HLD, and smoking gives to the ED. CC of chronic
dizziness q1week that has emerge as so severe he now has double imaginative and
prescient, N/V. His spouse tells you she observed a L facial slump and slurring. Pt reviews
weak spot in L arm and leg. He denies HA or SZ. Head CT turned into negative for acute
bleed. Upon returning to the room he has emerge as an increasing number of obtunded and
tough to arouse. You notice he now has a nystagmus and slightly dysconjugate gaze. His
examination appears to be worsening now with R/L extremity weak spot further to his L
hemiparesis. What kind of stroke syndrome are you worried he can be having?
A. Wallenberg's stroke
b. Dissection of the R internal carotid artery
c. Acute basilar artery occlusion
d. Superior cerebellar artery stroke - ANS-c
A 69yo pt with a hbA1c of 6.Three% and a BMI of 30 desires education before discharge.
Which of the following statements by means of the affected person desires correcting?*
a. "it's miles vital for me to increase intake of culmination, greens, and grains at the same
time as restricting saturated fats, salt consumption, and alcohol consumption"
b. "with my cutting-edge BMI, I might don't forget reducing my caloric intake with the aid of
500-1000 cals/day"
c. "my currect hbA1c classifies me as pre-diabetic"
d. "if I have strict manage of my bg, it's going to decrease my probabilities of having a
stroke" - ANS-d
A 79y pt with acute ischemic stroke is prescribed levetiracetam 500mg BID for seizure
prophylaxis. Pt does now not have a hx of epilepsy. How have to the nurse present this
affected person to the crew throughout morning rounds?
A. Recommend that the dosage be increased due to the fact seizure is a common facet
impact for older adults after ischemic stroke
b. Record that the affected person has not had a seizure, therefor the dosage of 500mg BID
is effective
c. Endorse that levetiracetam be discontinued due to the fact there's no evidence for habitual
seizure prophylaxis after stroke
d. Recommend that non-stop electroencephalographic monitoring be initiated in case of a
subclinical seizure - ANS-c
A cerebral angiogram is used for what purpose all through remedy of an SAH?
A. Compare blood glide in the mind
b. Are expecting vasospasm occurance
c. Discover bleed etiology
d. Expect the want of cranioplasty - ANS-c
