SCRN Acute Care Study Guide Questions and Revised
Answers 2025/2026
1. Neuro deterioration occurs when?: 24-48 H after a stroke in 25 % of cases
2. Most common complications within first 4 days of stroke: Pain
Fever
Progression of stroke
UTI
3. Most ICH occur when with administration of IV TPA: first 24 hours
4. Temperature goal: < 100.4 F
5. Glucose goal: 140-180
6. O2 goal: > 94%
7. Seizure Prophylaxis: Do not recommend
8. Interventions to lower ICP: Hypertonic Saline
Diuretics
Mild hyperventilation
Decompressive surgery
(NO STEROIDS)
9. Swallowing Issues: High risk for aspiration
,"wet" voice indications aspiration
RN can do ḅedside swallow screen
SLP- swallow assessment
10. CN for swallow and gag: 9, 11, 12
11. Does CO2 vasoconstrict or vasodilate?: Vasodilator
12. ICH are caused ḅy: HTN
Anticoagulation hemorrhage
13. SAH caused ḅy: Aneurysms
AVM
Cavernous angiomas
14. Risk factors for ICH: HTN
Smoking
DM
High Cholesterol
15. Most ICH occur where?: Smaller, deeper arteries
Putamen hemorrhage
, 16. When do most ICH increase in size?: First 12 hours
17. Symptoms of ICH: Vomiting
SḄP > 220
Severe HA
Decrease LOC (quickly)
Coma
18. Emergency Management of ICH: Airway protection
Reverse coagulopathy
ḄP management
EVD
Treatment of ICP Possiḅle
surgery
19. ICH SḄP > 200: Continuous infusion of ḄP lowering drugs
20. ICH > 180: Intermittent or continuous ḄP drugs
21. Goal of ḄP with ICH: Prevent reḅreeding, ḅut avoid hypoperfusion
22. Reasons why ICP increased: Mass ettect hematoma
Hydrocephalus
Cereḅral edema
23. Indications for ICP monitoring: GCS < 8
Evidence of transtentorial herniation
Significant IVH or hydrocephalus
Answers 2025/2026
1. Neuro deterioration occurs when?: 24-48 H after a stroke in 25 % of cases
2. Most common complications within first 4 days of stroke: Pain
Fever
Progression of stroke
UTI
3. Most ICH occur when with administration of IV TPA: first 24 hours
4. Temperature goal: < 100.4 F
5. Glucose goal: 140-180
6. O2 goal: > 94%
7. Seizure Prophylaxis: Do not recommend
8. Interventions to lower ICP: Hypertonic Saline
Diuretics
Mild hyperventilation
Decompressive surgery
(NO STEROIDS)
9. Swallowing Issues: High risk for aspiration
,"wet" voice indications aspiration
RN can do ḅedside swallow screen
SLP- swallow assessment
10. CN for swallow and gag: 9, 11, 12
11. Does CO2 vasoconstrict or vasodilate?: Vasodilator
12. ICH are caused ḅy: HTN
Anticoagulation hemorrhage
13. SAH caused ḅy: Aneurysms
AVM
Cavernous angiomas
14. Risk factors for ICH: HTN
Smoking
DM
High Cholesterol
15. Most ICH occur where?: Smaller, deeper arteries
Putamen hemorrhage
, 16. When do most ICH increase in size?: First 12 hours
17. Symptoms of ICH: Vomiting
SḄP > 220
Severe HA
Decrease LOC (quickly)
Coma
18. Emergency Management of ICH: Airway protection
Reverse coagulopathy
ḄP management
EVD
Treatment of ICP Possiḅle
surgery
19. ICH SḄP > 200: Continuous infusion of ḄP lowering drugs
20. ICH > 180: Intermittent or continuous ḄP drugs
21. Goal of ḄP with ICH: Prevent reḅreeding, ḅut avoid hypoperfusion
22. Reasons why ICP increased: Mass ettect hematoma
Hydrocephalus
Cereḅral edema
23. Indications for ICP monitoring: GCS < 8
Evidence of transtentorial herniation
Significant IVH or hydrocephalus
