SCRN Practice Exam With Questions And Answers
2026/2027 Updated.
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
Pt has slow speech with inappropriate silences and audible inspirations. The RN identifies this
as... - AnswerDysarthia
When administering mannitol IV every 3 hours, the primary nursing considerations include... -
AnswerSerum osmolality, CPP goals, and fluid balance
Primary laboratory testing/monitoring for heparin infusion: - AnswerAPTT
An adverse side effect of anticonvulsant therapy = - AnswerAlteration in mentation
The estimated percentage of ischemic stroke patients that receive tPA = - Answer2-7%
What is anisocoria? - AnswerUnequal size of the eyes pupils
What is apraxia? - AnswerInability 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... - AnswerBasal ganglia hemorrhage
Oral contraceptives may increase likelihood of stroke in women who... - AnswerSmoke
cigarettes
Age > 35
HTN, DM, HLD
Obese
Prothrombin mutations, such as factor V leiden
Hunt vs Hess Score - AnswerDescribes severity of SAH and used as a predictor for pt prognosis
CHADS2 Score - AnswerEstimates stroke risk in patients with atrial fibrillation
ABCD2 score - AnswerPredictor of two-day risk of stroke following TIA
A rare but potential complication to tPA administration = - Answeranaphalaxis
2026/2027 Updated.
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
Pt has slow speech with inappropriate silences and audible inspirations. The RN identifies this
as... - AnswerDysarthia
When administering mannitol IV every 3 hours, the primary nursing considerations include... -
AnswerSerum osmolality, CPP goals, and fluid balance
Primary laboratory testing/monitoring for heparin infusion: - AnswerAPTT
An adverse side effect of anticonvulsant therapy = - AnswerAlteration in mentation
The estimated percentage of ischemic stroke patients that receive tPA = - Answer2-7%
What is anisocoria? - AnswerUnequal size of the eyes pupils
What is apraxia? - AnswerInability 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... - AnswerBasal ganglia hemorrhage
Oral contraceptives may increase likelihood of stroke in women who... - AnswerSmoke
cigarettes
Age > 35
HTN, DM, HLD
Obese
Prothrombin mutations, such as factor V leiden
Hunt vs Hess Score - AnswerDescribes severity of SAH and used as a predictor for pt prognosis
CHADS2 Score - AnswerEstimates stroke risk in patients with atrial fibrillation
ABCD2 score - AnswerPredictor of two-day risk of stroke following TIA
A rare but potential complication to tPA administration = - Answeranaphalaxis
