SCRN EXAM REVIEW QUESTIONS| SCRN EXAM
STUDY GUIDE QUESTIONS WITH CORRECT
ANSWERS LATEST UPDATE TESTED AND
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The SCRN examines a patient with a right gaze preference, neglect, and left-
sided weakness. The CT head shows no hemorrhage. The nurse knows that this
is most likely the result of a:
A. Left hemispheric stroke
B. Right hemispheric stroke
C. TIA
D. Complicated migraine --CORRECT ANSWER--B
The SCRN responds to a stroke alert and notices the patient is exhibiting signs
of right-sided weakness and expressive aphasia. The nurse knows this patient is
exhibiting symptoms as a result of occlusion to what cerebral blood vessel?
A. Left MCA
B. Right MCA
C. Left ACA
D. Left PCOM --CORRECT ANSWER--A
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A 75-year-old man presents to the emergency department with complaints of
right arm weakness and slurred speech for 10 minutes. Symptoms have
resolved. These symptoms are most consistent with what type of diagnosis?
A. Stroke
B. Transient ischemic attack
C. Migraine headache
D. Multiple sclerosis --CORRECT ANSWER--B
A 26 year old female presents to the emergency department with complaints of
a headache with photophobia and reports she is nauseous. CT head is negative
for intracranial hemorrhage. What do you suspect is the most likely diagnosis?
A. Ischemic stroke
B. Intracerebral hemorrhage
C. Migraine headache
D. Transient ischemic attack --CORRECT ANSWER--C
An 85-year-old female presents to the ED with acute onset of left-sided
weakness with left sided facial droop that began 1 hour ago. You suspect what
type of stroke syndrome?
A. Pure hemisensory
B. Ataxic hemiparesis
C. Mixed sensorimotor
D. Pure motor hemiparesis --CORRECT ANSWER--D
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A patient presents to the ED with a "wake up stroke." The SCRN knows that
this presents a therapeutic dilemma because:
A. There is an unclear time of onset
B. This is a contraindication to IV thrombolytic therapy
C. This is a contraindication to mechanical thrombectomy
D. The mechanism of action is unknown --CORRECT ANSWER--A
A 72 year old patient presents to the clinic with complaints of an irregular heart
rate. An ECG confirms atrial fibrillation. The SCRN knows that the patient is at
risk for what type of stroke?
A. SAH
B. ICH
C. Cardioembolic
D. Thrombotic --CORRECT ANSWER--C
A 67-year-old patient presents to the ED with a stroke alert. The SCRN knows
that the goal of ischemic stroke treatment is to:
A. Prevent hemorrhagic conversion
B. Preserve the penumbra
C. Decrease cerebral perfusion pressure
D. Educate on risk factor reduction --CORRECT ANSWER--B
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The SCRN is assisting a patient with spatial neglect. The nurse knows this is
most likely due to a stroke affecting the:
A. Parietal lobe
B. Occipital lobe
C. Temporal lobe
D. Basal ganglia --CORRECT ANSWER--A
A 76-year-old male with a history of hypertension, atherosclerosis, and diabetes
mellitus presents to his primary care physician with complaints of right facial
droop and dysarthria for the past few days. The SCRN knows this is most likely
what type of stroke?
A. Large vessel occlusion
B. Lacunar stroke
C. Bells palsy
D. Transient ischemic attack --CORRECT ANSWER--B
When providing education to women taking oral contraceptives, the SCRN
knows that there is a risk of:
A. Subarachnoid hemorrhage
B. Intracranial hemorrhage
C. TIA
D. Cerebral venous thrombosis --CORRECT ANSWER--D