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SCRN Practice Exam 2023/59 Questions and Answers

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SCRN Practice Exam 2023/59 Questions and Answers

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  • June 30, 2023
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  • 2022/2023
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SCRN Practice Exam 2023/59
Questions and Answers
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

-An adverse side effect of anticonvulsant therapy = - -Alteration in mentation

-The estimated percentage of ischemic stroke patients that receive tPA = - -2-7%

-What is anisocoria? - -Unequal size of the eyes pupils

-What is apraxia? - -Inability to perform purposeful actions as a result of brain damage

-Pt presents with BP 260/140, methamphetamine use, chronic heavy ETOH use and
stroke like symptoms. The stroke is most likely a... - -Basal ganglia hemorrhage

-Oral contraceptives may increase likelihood of stroke in women who... - -Smoke
cigarettes
Age > 35
HTN, DM, HLD
Obese
Prothrombin mutations, such as factor V leiden

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