NR572 Final Exam 2026 Latest Updated Questions With Answers Success Guide.
After giving IV alteplase, what should be done 24 hours prior to initiating anticoagulants or antiplatelet
agents? - (ANSWER)A follow-up CT scan of the head
Indications of lumbar puncture - (ANSWER)CSF sample for examination; pressure measurements (NPH);
reduction in CSF pressure:; -infections; -SAH; -Inflammatory conditions; -MS; -carcinomatosis; Spinal
anesthetics, antitumor agents, antibiotics; radio-opaque substance radioactive agent:; -cryptococcal
meningitis; -hydrocephalus with communication between all ventricles; -pseudotumor cerebri; -drug
administration; Imaging; -myelography; -radionuclide cisternography
Contraindications of performing LP - (ANSWER)• Increased risk of fatal cerebellar or transtentorial
herniation; • Coagulopathy; • Infection over puncture site; • Spinal block requiring sample above lesion
Common complications of lumbar puncture - (ANSWER)-Sciatic pain during needle insertion; -Slowing of
fluid removal (elevate patient head)
How is chronic meningitis diagnosed? - (ANSWER)On LP/CSF analysis or contrast MRI/CT showing
leakage into meninges. Meningeal biopsy if CSF not diagnostic.
Differentials for chronic meningitis - (ANSWER)-Partially treated suppurative meningitis; -
Paranmeningeal infection; -Mycobacterium TB; -Lyme; -Syphilis; -HIV; -HSV; -Malignancy; -SLE; -Behcet's
Indications for swallow evaluation - (ANSWER)-Hx of dysphasia; -Observed dysphasia; -Suspected
aspiration; -Decreased oral intake; -Parenteral/enteral feeding
Medicare coverage of hospice - (ANSWER)• Prognosis of six months or less if illness runs normal course;
• Falls under Medicare Part A
Three common causes of acute ischemic stroke - (ANSWER)1- Anoxic injury; 2- Thrombosis in situ; 3-
Thrombotic embolism
In ischemic stroke, what area of damage is irreversible? - (ANSWER)Tissue death at occluded artery
(infarction core)
,NR572 Final Exam 2026 Latest Updated Questions With Answers Success Guide.
Penumbra - (ANSWER)Area around infarct, salvageable if blood flow restored
Risk factors for ischemic stroke - (ANSWER)-Advanced age; -HTN
More risk factors for ischemic stroke - (ANSWER)-HLD, DM, oral contraceptives, obesity, prior TIAs,
tobacco, MI, alcohol, sedentary lifestyle, sickle cell, stimulant drugs, family hx CVA, cardiac abnormalities
Subjective signs of ischemic stroke - (ANSWER)-Decreased LOC, dysarthria, facial droop, aphasia,
diplopia, visual deficits, sensory deficits, ataxia, hemiparesis, vertigo
Critical timeline info for CVA - (ANSWER)"Last known well"
BE FAST - (ANSWER)Balance, Eyes, Face, Arms, Speech, Time
ACA - (ANSWER)Anterior cerebral artery
MCA - (ANSWER)Middle cerebral artery
PCA - (ANSWER)Posterior cerebral artery
Objective symptoms of ACA stroke - (ANSWER)-Urinary incontinence; -Speech perseveration; -
Disinhibition; -Gait apraxia; -Primitive reflexes; -Altered mental status; -Impaired judgment; -
Contralateral leg>arm weakness
Objective symptoms of MCA stroke - (ANSWER)-Gaze preference; -Agnosia; -Ipsilateral hemianopsia; -
Contralateral hemiparesis/hypesthesia
Objective symptoms of PCA stroke - (ANSWER)-Impaired memory; -Cortical blindness; -Altered mental
status; -Contralateral homonymous hemianopsia; -Visual agnosia
, NR572 Final Exam 2026 Latest Updated Questions With Answers Success Guide.
Visual agnosia - (ANSWER)Inability to recognize objects
Contralateral homonymous hemianopsia - (ANSWER)Loss of vision in contralateral visual field
Contralateral hypesthesia - (ANSWER)Decreased touch perception on one side
Agnosia - (ANSWER)Inability to recognize familiar objects
DDx for ischemic stroke - (ANSWER)-Drug toxicity; -Brain tumors; -Hypertensive encephalopathy; -
Conversion disorder
Conversion disorder - (ANSWER)Somatoform disorder with real symptoms and no physiological basis
Imaging testing for ischemic stroke - (ANSWER)-Non-con CT (preferred); -MRI brain (DWI); -CT or MR
Angio for occlusion detection
Labs for acute ischemic stroke - (ANSWER)-CBC, Coags, BMP, Cardiac biomarkers, Toxicology
Emergent treatment of ischemic stroke: outpatient - (ANSWER)-Transport to stroke center; -Secure
airway, oxygenation, perfusion
Scoring stroke - scale used - (ANSWER)NIHSS
NIHSS Stroke Scale - (ANSWER)11 items scored 0-4; max score = 42
NIHSS score > ___ = high probability of death - (ANSWER)16
NIHSS score ≤ ___ = good recovery likelihood - (ANSWER)6
After giving IV alteplase, what should be done 24 hours prior to initiating anticoagulants or antiplatelet
agents? - (ANSWER)A follow-up CT scan of the head
Indications of lumbar puncture - (ANSWER)CSF sample for examination; pressure measurements (NPH);
reduction in CSF pressure:; -infections; -SAH; -Inflammatory conditions; -MS; -carcinomatosis; Spinal
anesthetics, antitumor agents, antibiotics; radio-opaque substance radioactive agent:; -cryptococcal
meningitis; -hydrocephalus with communication between all ventricles; -pseudotumor cerebri; -drug
administration; Imaging; -myelography; -radionuclide cisternography
Contraindications of performing LP - (ANSWER)• Increased risk of fatal cerebellar or transtentorial
herniation; • Coagulopathy; • Infection over puncture site; • Spinal block requiring sample above lesion
Common complications of lumbar puncture - (ANSWER)-Sciatic pain during needle insertion; -Slowing of
fluid removal (elevate patient head)
How is chronic meningitis diagnosed? - (ANSWER)On LP/CSF analysis or contrast MRI/CT showing
leakage into meninges. Meningeal biopsy if CSF not diagnostic.
Differentials for chronic meningitis - (ANSWER)-Partially treated suppurative meningitis; -
Paranmeningeal infection; -Mycobacterium TB; -Lyme; -Syphilis; -HIV; -HSV; -Malignancy; -SLE; -Behcet's
Indications for swallow evaluation - (ANSWER)-Hx of dysphasia; -Observed dysphasia; -Suspected
aspiration; -Decreased oral intake; -Parenteral/enteral feeding
Medicare coverage of hospice - (ANSWER)• Prognosis of six months or less if illness runs normal course;
• Falls under Medicare Part A
Three common causes of acute ischemic stroke - (ANSWER)1- Anoxic injury; 2- Thrombosis in situ; 3-
Thrombotic embolism
In ischemic stroke, what area of damage is irreversible? - (ANSWER)Tissue death at occluded artery
(infarction core)
,NR572 Final Exam 2026 Latest Updated Questions With Answers Success Guide.
Penumbra - (ANSWER)Area around infarct, salvageable if blood flow restored
Risk factors for ischemic stroke - (ANSWER)-Advanced age; -HTN
More risk factors for ischemic stroke - (ANSWER)-HLD, DM, oral contraceptives, obesity, prior TIAs,
tobacco, MI, alcohol, sedentary lifestyle, sickle cell, stimulant drugs, family hx CVA, cardiac abnormalities
Subjective signs of ischemic stroke - (ANSWER)-Decreased LOC, dysarthria, facial droop, aphasia,
diplopia, visual deficits, sensory deficits, ataxia, hemiparesis, vertigo
Critical timeline info for CVA - (ANSWER)"Last known well"
BE FAST - (ANSWER)Balance, Eyes, Face, Arms, Speech, Time
ACA - (ANSWER)Anterior cerebral artery
MCA - (ANSWER)Middle cerebral artery
PCA - (ANSWER)Posterior cerebral artery
Objective symptoms of ACA stroke - (ANSWER)-Urinary incontinence; -Speech perseveration; -
Disinhibition; -Gait apraxia; -Primitive reflexes; -Altered mental status; -Impaired judgment; -
Contralateral leg>arm weakness
Objective symptoms of MCA stroke - (ANSWER)-Gaze preference; -Agnosia; -Ipsilateral hemianopsia; -
Contralateral hemiparesis/hypesthesia
Objective symptoms of PCA stroke - (ANSWER)-Impaired memory; -Cortical blindness; -Altered mental
status; -Contralateral homonymous hemianopsia; -Visual agnosia
, NR572 Final Exam 2026 Latest Updated Questions With Answers Success Guide.
Visual agnosia - (ANSWER)Inability to recognize objects
Contralateral homonymous hemianopsia - (ANSWER)Loss of vision in contralateral visual field
Contralateral hypesthesia - (ANSWER)Decreased touch perception on one side
Agnosia - (ANSWER)Inability to recognize familiar objects
DDx for ischemic stroke - (ANSWER)-Drug toxicity; -Brain tumors; -Hypertensive encephalopathy; -
Conversion disorder
Conversion disorder - (ANSWER)Somatoform disorder with real symptoms and no physiological basis
Imaging testing for ischemic stroke - (ANSWER)-Non-con CT (preferred); -MRI brain (DWI); -CT or MR
Angio for occlusion detection
Labs for acute ischemic stroke - (ANSWER)-CBC, Coags, BMP, Cardiac biomarkers, Toxicology
Emergent treatment of ischemic stroke: outpatient - (ANSWER)-Transport to stroke center; -Secure
airway, oxygenation, perfusion
Scoring stroke - scale used - (ANSWER)NIHSS
NIHSS Stroke Scale - (ANSWER)11 items scored 0-4; max score = 42
NIHSS score > ___ = high probability of death - (ANSWER)16
NIHSS score ≤ ___ = good recovery likelihood - (ANSWER)6
