SCRN Practice Exam Questions and Answers 2024

A person with a stroke who seems unaware of their disability: - anosognosia Pt presents complaining of double vision, lacks horizontal eye movements while tracking is preserved. What area of the brain can cause internuclear opthalmoplegia? - Brainstem Watershed stroke is described as: - Stroke between two adjacent cerebral arteries Cerebrospinal fluid is produced at a rate of... - 0.3-0.4ml/min A patient with locked-in syndrome most likely had an infarct in the... - pons (pontine) A lacunar infarct is indicative of an event... - in a small artery The MOST important point to emphasize in a community education program on strokes that will directly improve patient outcome and disability in setting of a stroke? - Activate EMS What is a risk factor for a spontaneous carotid dissection? - Connective tissue disease What is the MOST significant risk factor for stroke? - Hypertension One fourth of all strokes occur in patients under the age of... - 75 Atrial fibrillation is associated with.. - An increased risk of stroke and mortality What is an example of exclusion criteria for tPA administration? - Bleeding diathesis (unusual susceptibility to bleeding, usually due to hypocoagubility) Findings consistent with alterations in posterior cerebral circulation: - Ataxia and visual deficits Predictor of a two-day risk for stroke following a TIA: - ABCD2 What sign elicited during a physical examination would be indicative of meningeal irritation? - Kernig's Sign The most sensitive and specific imaging technique for demonstrating acute infarction is... - MR diffusion-weighted imaging A patient with SAH is ordered a cerebral angiogram. This test should... - identify the etiology of the bleed What diagnosis in a patient is a contraindication in performing a lumbar puncture? - SAH A neurologist has ordered a TTE. This test is best at identifying... - ventricular thrombus A woman with sickle cell disease is being seen for preventative stroke diagnostic testing. What procedure would you expect to be performed? - Transcranial doppler A patient is scheduled for embolization of L AVM. The goal of the treatment is... - Occlusion of the deep arterial feeding vessels Pt with recent head trauma presents with pulstile tinnitus, headache, and visual disturbances. These symptoms may indicate... - dural arteriovenous fistula MRI report describes a low flow, low pressure vascular lesion in the left temporal lobe. The RN identifies that this is most likely... - Cavernous angioma Pt has slow speech with inappropriate silences and audible inspirations. The RN identifies this as... - Dysarthia When administering mannitol IV every 3 hours, the primary nursing considerations include... - Serum osmolality, CPP goals, and fluid balance Primary laboratory testing/monitoring for heparin infusion: - APTT