NRNP 6560 FINAL EXAM| NEWEST
UPDATE > 2025/ 2026 QUESTIONS
WITH VERIFIED ANSWERS
hemorrhagic stroke symptoms - correct answer -Impaired LOC, headache, nausea/vomiting,
mobility, speech patterns, one sided weakness, blood pressure, respiratory status, pulse rate
risk factors for hemorrhagic stroke - correct answer -HTN, cerebral amyloid angiopathy, anticoag
or thrombolytic use, street drugs, heavy alcohol use, hematologic disorders, OTC
stimulants/energy drinks
leading cause of ICH in >60 y.o. - correct answer -cerebral amyloid angiopathy
subarachnoid hemorrhage - correct answer -"Worst headache of my life"
Hunt and Hess Scale - correct answer -predictor of mortality presenting with subarachnoid
hemorrhage
1- no symptoms
2- CN palsy, HA, nuchal rigidity
3- mild focal deficit, lethargy, confusion
4- stupor, moderate/severe hemiparesis
,5- deep coma
Fisher Grade - correct answer -Predicts vasospasm risk d/t SAH based on CT scan
1 - no hemorrhage
4 - SAH with IPH and IVH
intracerebral hemorrhage - correct answer -AIS and ICH
basal ganglia hemorrhage - correct answer -Contralateral hemiparesis and hemisensory loss
ipsilateral Homonymous hemianopsia
ipsilateral Gaze palsy
decreased LOC
Thalamic hemorrhage - correct answer -downward deviation of the eyes
pupils pinpoint with positive reaction
coma
flaccid quadriplegia
Cerebellar hemorrhage - correct answer -NO HEMIPARESIS
facial weakness, ataxia, nystagmus, occipital headache, neck stiffness
ipsilateral horizontal conjugate gaze paresis
, pupils PERRLA
inability to walk
vertigo and dysarthria
formula for estimating ICH hematoma volume - correct answer -ABC/2
(AxBxC)/2
A=longest axis
B=longest axis perpendicular to A
C=# of slices x slice thickness
management of ICH/SAH - correct answer -avoid ketamine
succinylcholine can cause transient ICP increase
rocuronium is a neuromuscular blocking agent
BP control SBP <140
Cerebral perfusion pressure (MAP-ICP)
correction of coagulopathy (if INR >4)
check INR q 3-6 hr for first 24 hr
External ventricular drain placement (GCS <9)
goal ICP <20 and a CPP >60
strict bed rest
cardiac monitoring
no straining
seizures
cerebral edema (mannitol)
UPDATE > 2025/ 2026 QUESTIONS
WITH VERIFIED ANSWERS
hemorrhagic stroke symptoms - correct answer -Impaired LOC, headache, nausea/vomiting,
mobility, speech patterns, one sided weakness, blood pressure, respiratory status, pulse rate
risk factors for hemorrhagic stroke - correct answer -HTN, cerebral amyloid angiopathy, anticoag
or thrombolytic use, street drugs, heavy alcohol use, hematologic disorders, OTC
stimulants/energy drinks
leading cause of ICH in >60 y.o. - correct answer -cerebral amyloid angiopathy
subarachnoid hemorrhage - correct answer -"Worst headache of my life"
Hunt and Hess Scale - correct answer -predictor of mortality presenting with subarachnoid
hemorrhage
1- no symptoms
2- CN palsy, HA, nuchal rigidity
3- mild focal deficit, lethargy, confusion
4- stupor, moderate/severe hemiparesis
,5- deep coma
Fisher Grade - correct answer -Predicts vasospasm risk d/t SAH based on CT scan
1 - no hemorrhage
4 - SAH with IPH and IVH
intracerebral hemorrhage - correct answer -AIS and ICH
basal ganglia hemorrhage - correct answer -Contralateral hemiparesis and hemisensory loss
ipsilateral Homonymous hemianopsia
ipsilateral Gaze palsy
decreased LOC
Thalamic hemorrhage - correct answer -downward deviation of the eyes
pupils pinpoint with positive reaction
coma
flaccid quadriplegia
Cerebellar hemorrhage - correct answer -NO HEMIPARESIS
facial weakness, ataxia, nystagmus, occipital headache, neck stiffness
ipsilateral horizontal conjugate gaze paresis
, pupils PERRLA
inability to walk
vertigo and dysarthria
formula for estimating ICH hematoma volume - correct answer -ABC/2
(AxBxC)/2
A=longest axis
B=longest axis perpendicular to A
C=# of slices x slice thickness
management of ICH/SAH - correct answer -avoid ketamine
succinylcholine can cause transient ICP increase
rocuronium is a neuromuscular blocking agent
BP control SBP <140
Cerebral perfusion pressure (MAP-ICP)
correction of coagulopathy (if INR >4)
check INR q 3-6 hr for first 24 hr
External ventricular drain placement (GCS <9)
goal ICP <20 and a CPP >60
strict bed rest
cardiac monitoring
no straining
seizures
cerebral edema (mannitol)
