Comprehensive Stroke Exam Preparation Guide, Exams of Nursing

Download Comprehensive Stroke Exam Preparation Guide and more Exams Nursing in PDF only on Docsity! SCRN EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS SCRN EXAM 2024/2025 WITH 100% ACCURATE SOLUTIONS A person with a stroke who seems unaware of their disability: - Precise Answer ✔✔anosognosia Pt presents complaining of double vision, lacks horizontal eye movements while tracking is preserved. What area of the brain can cause internuclear opthalmoplegia? - Precise Answer ✔✔Brainstem Watershed stroke is described as: - Precise Answer ✔✔Stroke between two adjacent cerebral arteries Cerebrospinal fluid is produced at a rate of... - Precise Answer ✔✔0.3-0.4ml/min A patient with locked-in syndrome most likely had an infarct in the... - Precise Answer ✔✔pons (pontine) A lacunar infarct is indicative of an event... - Precise Answer ✔✔in a small artery Pt with recent head trauma presents with pulstile tinnitus, headache, and visual disturbances. These symptoms may indicate... - Precise Answer ✔✔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... - Precise Answer ✔✔Cavernous angioma Pt has slow speech with inappropriate silences and audible inspirations. The RN identifies this as... - Precise Answer ✔✔Dysarthia When administering mannitol IV every 3 hours, the primary nursing considerations include... - Precise Answer ✔✔Serum osmolality, CPP goals, and fluid balance Primary laboratory testing/monitoring for heparin infusion: - Precise Answer ✔✔APTT An adverse side effect of anticonvulsant therapy = - Precise Answer ✔✔Alteration in mentation The estimated percentage of ischemic stroke patients that receive tPA = - Precise Answer ✔✔2-7% What is anisocoria? - Precise Answer ✔✔Unequal size of the eyes pupils What is apraxia? - Precise Answer ✔✔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... - Precise Answer ✔✔Basal ganglia hemorrhage Oral contraceptives may increase likelihood of stroke in women who... - Precise Answer ✔✔Smoke cigarettes Age > 35 HTN, DM, HLD Obese Prothrombin mutations, such as factor V leiden Hunt vs Hess Score - Precise Answer ✔✔Describes severity of SAH and used as a predictor for pt prognosis CHADS2 Score - Precise Answer ✔✔Estimates stroke risk in patients with atrial fibrillation ABCD2 score - Precise Answer ✔✔Predictor of two-day risk of stroke following TIA A rare but potential complication to tPA administration = - Precise Answer ✔✔anaphalaxis Stroke patient has sodium of 128, low urine output and weight gain, the RN would expect: - Precise Answer ✔✔SIADH Syndrome of Inappropriate Secretion of Antidiuretic Hormone What is the most common cause of vertebral dissection? - Precise Answer ✔✔Trauma What is cavernous angioma? - Precise Answer ✔✔Blood vessel abnormality with clusters of tiny, abnormal, dialated vessels. Blood flow in this area is very slow. A pt underwent carotid artery endarectomy. Discharge instructions include pt taking aspirin indefinately and PLAVIX for at least... - Precise Answer ✔✔30 days Evidence based standard used to measure neurological functional improvement over time... - Precise Answer ✔✔NIHSS Sixth nerve palsy is associated with... - Precise Answer ✔✔aneurysm in the cavernous sinus CN dysfunction *"Locked-in syndrome"* Diagnostic indications of Lumbar Puncture - Precise Answer ✔✔Measurement of CSF pressure Collection of CSF samples for laboratory analysis - presence of WBC may indicate meningitis, prior hemorrhage, recent seizure, leukemia or metastatic tumor Determination of blood in CSF is a confirmatory diagnosis of SAH Removals of CSF to reduce ICP What is the most sensitive and specific imaging technique for the demonstrating of acute infarction and why? - Precise Answer ✔✔MR diffusion-weighted-imaging Sensitivity 88-100%, specificity 95-100% Able to determine site, size, and age of infarction by measuring cerebral perfusion with the concentration of a tracer agent Signs and symptoms that are specific to hemorrhagic strokes? - Precise Answer ✔✔Headache 'worst headache of my life' Nausea and vomiting Decreased LOC Light intolerance Neck pain What type of stroke is nuchal rigidity associated with? - Precise Answer ✔✔Aneurysmal SAH (as well as meningeal irritation that appears 4-8 hours after aSAH) What is a dural AV fistula? - Precise Answer ✔✔A direct connection between the meningeal artery and meningeal vein or dural sinus vein Patients may experience headache, tinnitus, bruit, or cranial nerve deficits depending on the size What is tinnitus? - Precise Answer ✔✔Ringing sound in the ears What is a cavernous angioma? - Precise Answer ✔✔A hemangioma or series of adjacent capillaries with SLOW BLOOD FLOW that may occur anywhere in the CNS. Congenitally acquired, most benign Symptomatic = headache, seizure, cerebral hemorrhage What are examples of stroke mimics? - Precise Answer ✔✔Migraine headache Toxic metabolic syndrome Seizure disorder Migraine headache Degeneratve neurologica conditions (MS) CNS abcsess or tumor 1 kg = - Precise Answer ✔✔2.2 lbs