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
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
