SCRN PRACTICE EXAM QUESTIONS
AND ANSWERS 100% CORRECT.
A person with a stroke who seems unaware of their disability: - ANSWERanosognosia
Pt presents complaining of double vision, lacks horizontal eye movements while
tracking is preserved.
What area of the brain can cause internuclear opthalmoplegia? - ANSWERBrainstem
Watershed stroke is described as: - ANSWERStroke between two adjacent cerebral
arteries
Cerebrospinal fluid is produced at a rate of... - ANSWER0.3-0.4ml/min
A patient with locked-in syndrome most likely had an infarct in the... - ANSWERpons
(pontine)
A lacunar infarct is indicative of an event... - ANSWERin 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? -
ANSWERActivate EMS
What is a risk factor for a spontaneous carotid dissection? - ANSWERConnective tissue
disease
What is the MOST significant risk factor for stroke? - ANSWERHypertension
One fourth of all strokes occur in patients under the age of... - ANSWER75
Atrial fibrillation is associated with.. - ANSWERAn increased risk of stroke and mortality
What is an example of exclusion criteria for tPA administration? - ANSWERBleeding
diathesis (unusual susceptibility to bleeding, usually due to hypocoagubility)
Findings consistent with alterations in posterior cerebral circulation: - ANSWERAtaxia
and visual deficits
Predictor of a two-day risk for stroke following a TIA: - ANSWERABCD2
What sign elicited during a physical examination would be indicative of meningeal
irritation? - ANSWERKernig's Sign
, The most sensitive and specific imaging technique for demonstrating acute infarction
is... - ANSWERMR diffusion-weighted imaging
A patient with SAH is ordered a cerebral angiogram. This test should... -
ANSWERidentify the etiology of the bleed
Oral contraceptives may increase likelihood of stroke in women who... -
ANSWERSmoke cigarettes
Age > 35
HTN, DM, HLD
Obese
Prothrombin mutations, such as factor V leiden
Hunt vs Hess Score - ANSWERDescribes severity of SAH and used as a predictor for
pt prognosis
CHADS2 Score - ANSWEREstimates stroke risk in patients with atrial fibrillation
ABCD2 score - ANSWERPredictor of two-day risk of stroke following TIA
A rare but potential complication to tPA administration = - ANSWERanaphalaxis
Stroke patient has sodium of 128, low urine output and weight gain, the RN would
expect: - ANSWERSIADH
Syndrome of Inappropriate Secretion of Antidiuretic Hormone
MRI report describes a low flow, low pressure vascular lesion in the left temporal lobe.
The RN identifies that this is most likely... - ANSWERCavernous angioma
Pt has slow speech with inappropriate silences and audible inspirations. The RN
identifies this as... - ANSWERDysarthia
When administering mannitol IV every 3 hours, the primary nursing considerations
include... - ANSWERSerum osmolality, CPP goals, and fluid balance
Primary laboratory testing/monitoring for heparin infusion: - ANSWERAPTT
An adverse side effect of anticonvulsant therapy = - ANSWERAlteration in mentation
The estimated percentage of ischemic stroke patients that receive tPA = - ANSWER2-
7%
What is anisocoria? - ANSWERUnequal size of the eyes pupils
What is apraxia? - ANSWERInability to perform purposeful actions as a result of brain
damage
AND ANSWERS 100% CORRECT.
A person with a stroke who seems unaware of their disability: - ANSWERanosognosia
Pt presents complaining of double vision, lacks horizontal eye movements while
tracking is preserved.
What area of the brain can cause internuclear opthalmoplegia? - ANSWERBrainstem
Watershed stroke is described as: - ANSWERStroke between two adjacent cerebral
arteries
Cerebrospinal fluid is produced at a rate of... - ANSWER0.3-0.4ml/min
A patient with locked-in syndrome most likely had an infarct in the... - ANSWERpons
(pontine)
A lacunar infarct is indicative of an event... - ANSWERin 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? -
ANSWERActivate EMS
What is a risk factor for a spontaneous carotid dissection? - ANSWERConnective tissue
disease
What is the MOST significant risk factor for stroke? - ANSWERHypertension
One fourth of all strokes occur in patients under the age of... - ANSWER75
Atrial fibrillation is associated with.. - ANSWERAn increased risk of stroke and mortality
What is an example of exclusion criteria for tPA administration? - ANSWERBleeding
diathesis (unusual susceptibility to bleeding, usually due to hypocoagubility)
Findings consistent with alterations in posterior cerebral circulation: - ANSWERAtaxia
and visual deficits
Predictor of a two-day risk for stroke following a TIA: - ANSWERABCD2
What sign elicited during a physical examination would be indicative of meningeal
irritation? - ANSWERKernig's Sign
, The most sensitive and specific imaging technique for demonstrating acute infarction
is... - ANSWERMR diffusion-weighted imaging
A patient with SAH is ordered a cerebral angiogram. This test should... -
ANSWERidentify the etiology of the bleed
Oral contraceptives may increase likelihood of stroke in women who... -
ANSWERSmoke cigarettes
Age > 35
HTN, DM, HLD
Obese
Prothrombin mutations, such as factor V leiden
Hunt vs Hess Score - ANSWERDescribes severity of SAH and used as a predictor for
pt prognosis
CHADS2 Score - ANSWEREstimates stroke risk in patients with atrial fibrillation
ABCD2 score - ANSWERPredictor of two-day risk of stroke following TIA
A rare but potential complication to tPA administration = - ANSWERanaphalaxis
Stroke patient has sodium of 128, low urine output and weight gain, the RN would
expect: - ANSWERSIADH
Syndrome of Inappropriate Secretion of Antidiuretic Hormone
MRI report describes a low flow, low pressure vascular lesion in the left temporal lobe.
The RN identifies that this is most likely... - ANSWERCavernous angioma
Pt has slow speech with inappropriate silences and audible inspirations. The RN
identifies this as... - ANSWERDysarthia
When administering mannitol IV every 3 hours, the primary nursing considerations
include... - ANSWERSerum osmolality, CPP goals, and fluid balance
Primary laboratory testing/monitoring for heparin infusion: - ANSWERAPTT
An adverse side effect of anticonvulsant therapy = - ANSWERAlteration in mentation
The estimated percentage of ischemic stroke patients that receive tPA = - ANSWER2-
7%
What is anisocoria? - ANSWERUnequal size of the eyes pupils
What is apraxia? - ANSWERInability to perform purposeful actions as a result of brain
damage
