SCRN Practice Exam Questions and Answers 2023

SCRN Practice Exam Questions and Answers 2023 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 Hunt vs Hess Score Describes severity of SAH and used as a predictor for pt prognosis CHADS2 Score Estimates stroke risk in patients with atrial fibrillation ABCD2 score Predictor of two-day risk of stroke following TIA A rare but potential complication to tPA administration = anaphalaxis Stroke patient has sodium of 128, low urine output and weight gain, the RN would expect: SIADH Syndrome of Inappropriate Secretion of Antidiuretic Hormone What is the most common cause of vertebral dissection? Trauma What is cavernous angioma? Blood vessel abnormality with clusters of tiny, abnormal, dialated vessels. Blood flow in this area is very slow. A pt underwent carotid artery endarectomy. Discharge instructions include pt taking aspirin indefinately and PLAVIX for at least... 30 days Evidence based standard used to measure neurological functional improvement over time... NIHSS Sixth nerve palsy is associated with... aneurysm in the cavernous sinus Third nerve palsy, sixth nerve palsy (occular), and ataxia may be associated with ... basilar artery aneurysm Primary presentation symptoms of cerebral venous thrombosis... Headache Papilledema Diplopia Sixth nerve palsy (occular)