Page 1 of 40
FINAL EXAM: NR572 / NR 572 (LATEST UPDATE 2025)
ADVANCED ACUTE CARE MANAGEMENT |
QUESTIONS & ANSWERS | 100% CORRECT | GRADE
A - CHAMBERLAIN
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
,Page 2 of 40
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
,Page 3 of 40
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)
Penumbra .....ANSWER.....Area around infarct, salvageable if
blood flow restored
Risk factors for ischemic stroke .....ANSWER.....-Advanced age; -
HTN
, Page 4 of 40
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
FINAL EXAM: NR572 / NR 572 (LATEST UPDATE 2025)
ADVANCED ACUTE CARE MANAGEMENT |
QUESTIONS & ANSWERS | 100% CORRECT | GRADE
A - CHAMBERLAIN
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
,Page 2 of 40
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
,Page 3 of 40
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)
Penumbra .....ANSWER.....Area around infarct, salvageable if
blood flow restored
Risk factors for ischemic stroke .....ANSWER.....-Advanced age; -
HTN
, Page 4 of 40
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
