Stroke Certified Registered Nurse Exam 2025/2026
Practice test with 150 Recent Test Questions and Correct
Answers/ SCRN Exam Prep Latest (new!)
Question:1
What is the most common blunt mechanism of injury that causes traumatic brain
injury?..ANSWER..Motor vehicle collision (MVC)
Question:2
What it is it called when a brain injury occurs without any direct impact to the
head itself?..ANSWER..Indirect Head Injury
Question:3
Following a direct impact to the head, an injury to the brain occurs on the
opposite side of the impact. What is this type of injury called?..ANSWER..Contre-
coup injury
Question:4
What is the mechanism of injury that is most likely to cause a contre-coup
injury?..ANSWER..A direct impact to the lateral side of the skull is most likely to
cause a contre-coup injury.
1|Page
,Question:5
What patient population is most likely to present with a chronic subdural
hematoma (SDH)?..ANSWER..Elderly patients are more likely to present with
chronic SDH. Other patient populations include alcoholics and dementia
patients.
Question:6
What is the anatomical difference in the pediatric population that makes them
more likely to experience a brain injury with a trauma?..ANSWER..The head is
larger in the pediatric population in proportion to the rest of the body.
Question:7
What is the triad of symptoms typically seen in shaken baby syndrome
(SBS)?..ANSWER..Subdural hematoma, retinal hemorrhage and cerebral edema
are typically seen in babies who have SBS. The retinal hemorrhages have a
characteristic pattern and may be used to assist with the diagnosis of shaken
baby syndrome (SBS).
Question:8
What is an area of the brain parenchyma with hemorrhage following a traumatic
brain injury (TBI) called?..ANSWER..A Contusion. A Contusion is the area of
parenchymal hemorrhage that results from acceleration / deceleration and
blunt impact.
Question:9
An Epidural Hematoma (EDH) most commonly is caused by a laceration of
what?..ANSWER..Epidural Hematomas (EDH) are most commonly caused by
laceration of an artery. The most common artery involved in EDH is the middle
meningeal artery.
2|Page
, Question:10
A patient with a ventriculostomy is presenting with an increased ICP reading of 19
mmHg. The nurse should prioritize which of the following
interventions?..ANSWER..Increase HOB to 30-45 degrees
Question:11
A patient with a TBI should be placed in what position to lower
ICP?..ANSWER..Elevate the HOB to 30 degrees To facilitate venous drainage.
Question:12
Following a depressed skull fracture, the patient helps fever and elevated white
blood cell count. What would be the potential complication of a depressed skull
fracture?..ANSWER..Meningitis
Question:13
Which cranial nerve may be injured by a basilar skull fracture if the patient
presents with asymmetrical facial expressions?..ANSWER..Cranial nerve seven.
Cranial nerve injuries can be associated with basilar skull fractures. Cranial
nerve one is the olfactory or sense of smell and can be affected if the cribiform
plate is fractured. The facial nerve cranial nerve seven is more commonly
damaged with middle fossa and temporal bone injuries.
Question:14
What is the odontoid?..ANSWER..The odontoid It's also called the dens. It is the
bony structure of C2 that comes up anteriorly into the ring of C1 and allows for
rotational movement of the neck. Fractures of the odontoid are classified into
several types based on where the fracture occurred on the bone.
3|Page
Practice test with 150 Recent Test Questions and Correct
Answers/ SCRN Exam Prep Latest (new!)
Question:1
What is the most common blunt mechanism of injury that causes traumatic brain
injury?..ANSWER..Motor vehicle collision (MVC)
Question:2
What it is it called when a brain injury occurs without any direct impact to the
head itself?..ANSWER..Indirect Head Injury
Question:3
Following a direct impact to the head, an injury to the brain occurs on the
opposite side of the impact. What is this type of injury called?..ANSWER..Contre-
coup injury
Question:4
What is the mechanism of injury that is most likely to cause a contre-coup
injury?..ANSWER..A direct impact to the lateral side of the skull is most likely to
cause a contre-coup injury.
1|Page
,Question:5
What patient population is most likely to present with a chronic subdural
hematoma (SDH)?..ANSWER..Elderly patients are more likely to present with
chronic SDH. Other patient populations include alcoholics and dementia
patients.
Question:6
What is the anatomical difference in the pediatric population that makes them
more likely to experience a brain injury with a trauma?..ANSWER..The head is
larger in the pediatric population in proportion to the rest of the body.
Question:7
What is the triad of symptoms typically seen in shaken baby syndrome
(SBS)?..ANSWER..Subdural hematoma, retinal hemorrhage and cerebral edema
are typically seen in babies who have SBS. The retinal hemorrhages have a
characteristic pattern and may be used to assist with the diagnosis of shaken
baby syndrome (SBS).
Question:8
What is an area of the brain parenchyma with hemorrhage following a traumatic
brain injury (TBI) called?..ANSWER..A Contusion. A Contusion is the area of
parenchymal hemorrhage that results from acceleration / deceleration and
blunt impact.
Question:9
An Epidural Hematoma (EDH) most commonly is caused by a laceration of
what?..ANSWER..Epidural Hematomas (EDH) are most commonly caused by
laceration of an artery. The most common artery involved in EDH is the middle
meningeal artery.
2|Page
, Question:10
A patient with a ventriculostomy is presenting with an increased ICP reading of 19
mmHg. The nurse should prioritize which of the following
interventions?..ANSWER..Increase HOB to 30-45 degrees
Question:11
A patient with a TBI should be placed in what position to lower
ICP?..ANSWER..Elevate the HOB to 30 degrees To facilitate venous drainage.
Question:12
Following a depressed skull fracture, the patient helps fever and elevated white
blood cell count. What would be the potential complication of a depressed skull
fracture?..ANSWER..Meningitis
Question:13
Which cranial nerve may be injured by a basilar skull fracture if the patient
presents with asymmetrical facial expressions?..ANSWER..Cranial nerve seven.
Cranial nerve injuries can be associated with basilar skull fractures. Cranial
nerve one is the olfactory or sense of smell and can be affected if the cribiform
plate is fractured. The facial nerve cranial nerve seven is more commonly
damaged with middle fossa and temporal bone injuries.
Question:14
What is the odontoid?..ANSWER..The odontoid It's also called the dens. It is the
bony structure of C2 that comes up anteriorly into the ring of C1 and allows for
rotational movement of the neck. Fractures of the odontoid are classified into
several types based on where the fracture occurred on the bone.
3|Page
