SCRN Practice Exam 2023 Questions and Answers

A person with a stroke who seems unaware of their disability: - Answer- anosognosia Pt presents complaining of double vision, lacks horizontal eye movements while tracking is preserved. What area of the brain can cause internuclear opthalmoplegia? - Answer- Brainstem Watershed stroke is described as: - Answer- Stroke between two adjacent cerebral arteries Cerebrospinal fluid is produced at a rate of... - Answer- 0.3-0.4ml/min A patient with locked-in syndrome most likely had an infarct in the... - Answer- pons (pontine) A lacunar infarct is indicative of an event... - Answer- 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? - Answer- Activate EMS What is a risk factor for a spontaneous carotid dissection? - Answer- Connective tissue disease What is the MOST significant risk factor for stroke? - Answer- Hypertension One fourth of all strokes occur in patients under the age of... - Answer- 75 Atrial fibrillation is associated with.. - Answer- An increased risk of stroke and mortality What is an example of exclusion criteria for tPA administration? - Answer- Bleeding diathesis (unusual susceptibility to bleeding, usually due to hypocoagubility) Findings consistent with alterations in posterior cerebral circulation: - Answer- Ataxia and visual deficits Predictor of a two-day risk for stroke following a TIA: - Answer- ABCD2 What sign elicited during a physical examination would be indicative of meningeal irritation? - Answer- Kernig's Sign The most sensitive and specific imaging technique for demonstrating acute infarction is... - Answer- MR diffusion-weighted imaging A patient with SAH is ordered a cerebral angiogram. This test should... - Answer- identify the etiology of the bleed What diagnosis in a patient is a contraindication in performing a lumbar puncture? - Answer- SAH A neurologist has ordered a TTE. This test is best at identifying... - Answer- ventricular thrombus A woman with sickle cell disease is being seen for preventative stroke diagnostic testing. What procedure would you expect to be performed? - Answer- Transcranial doppler A patient is scheduled for embolization of L AVM. The goal of the treatment is... - Answer- Occlusion of the deep arterial feeding vessels Pt with recent head trauma presents with pulstile tinnitus, headache, and visual disturbances. These symptoms may indicate... - Answer- 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... - Answer- Cavernous angioma Pt has slow speech with inappropriate silences and audible inspirations. The RN identifies this as... - Answer- Dysarthia When administering mannitol IV every 3 hours, the primary nursing considerations include... - Answer- Serum osmolality, CPP goals, and fluid balance Primary laboratory testing/monitoring for heparin infusion: - Answer- APTT An adverse side effect of anticonvulsant therapy = - Answer- Alteration in mentation The estimated percentage of ischemic stroke patients that receive tPA = - Answer- 2-7% What is anisocoria? - Answer- Unequal size of the eyes pupils What is apraxia? - Answer- Inability to perform purposeful actions as a result of brain damage