SCRN PRACTICE EXAM 2025
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
What diagnosis in a patient is a contraindication in performing a lumbar puncture? -
ANSWERSAH
A neurologist has ordered a TTE. This test is best at identifying... - ANSWERventricular
thrombus
A woman with sickle cell disease is being seen for preventative stroke diagnostic
testing. What procedure would you expect to be performed? - ANSWERTranscranial
doppler
A patient is scheduled for embolization of L AVM. The goal of the treatment is... -
ANSWEROcclusion of the deep arterial feeding vessels
Pt with recent head trauma presents with pulstile tinnitus, headache, and visual
disturbances. These symptoms may indicate... - ANSWERdural 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... - ANSWERCavernous angioma
A pt underwent carotid artery endarectomy. Discharge instructions include pt taking
aspirin indefinately and PLAVIX for at least... - ANSWER30 days
Evidence based standard used to measure neurological functional improvement over
time... - ANSWERNIHSS
Sixth nerve palsy is associated with... - ANSWERaneurysm in the cavernous sinus
Third nerve palsy, sixth nerve palsy (occular), and ataxia may be associated with ... -
ANSWERbasilar artery aneurysm
Primary presentation symptoms of cerebral venous thrombosis... - ANSWERHeadache
Papilledema
Diplopia
Sixth nerve palsy (occular)
Pt has slow speech with inappropriate silences and audible inspirations. The RN
identifies this as... - ANSWERDysarthia
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
What diagnosis in a patient is a contraindication in performing a lumbar puncture? -
ANSWERSAH
A neurologist has ordered a TTE. This test is best at identifying... - ANSWERventricular
thrombus
A woman with sickle cell disease is being seen for preventative stroke diagnostic
testing. What procedure would you expect to be performed? - ANSWERTranscranial
doppler
A patient is scheduled for embolization of L AVM. The goal of the treatment is... -
ANSWEROcclusion of the deep arterial feeding vessels
Pt with recent head trauma presents with pulstile tinnitus, headache, and visual
disturbances. These symptoms may indicate... - ANSWERdural 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... - ANSWERCavernous angioma
A pt underwent carotid artery endarectomy. Discharge instructions include pt taking
aspirin indefinately and PLAVIX for at least... - ANSWER30 days
Evidence based standard used to measure neurological functional improvement over
time... - ANSWERNIHSS
Sixth nerve palsy is associated with... - ANSWERaneurysm in the cavernous sinus
Third nerve palsy, sixth nerve palsy (occular), and ataxia may be associated with ... -
ANSWERbasilar artery aneurysm
Primary presentation symptoms of cerebral venous thrombosis... - ANSWERHeadache
Papilledema
Diplopia
Sixth nerve palsy (occular)
Pt has slow speech with inappropriate silences and audible inspirations. The RN
identifies this as... - ANSWERDysarthia
