SCRN Practice Exam1 Questions with Answers Latest Update 2024 Test, Exams of Health sciences

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SCRN Practice Exam1 Questions with Answers Latest

Update 2024 Test

1. A person with a stroke who seems unaware of their disability: - Correct Answer anosognosia
2. Pt presents complaining of double vision, lacks horizontal eye movements while tracking is preserved.
3. What area of the brain can cause internuclear opthalmoplegia? - Correct Answer Brainstem
4. Watershed stroke is described as: - Correct Answer Stroke between two adjacent cerebral arteries
5. Cerebrospinal fluid is produced at a rate of... - Correct Answer 0.3-0.4ml/min
6. A patient with locked-in syndrome most likely had an infarct in the... - Correct Answer pons (pontine)
7. A lacunar infarct is indicative of an event... - Correct Answer in a small artery
8. 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? - Correct Answer Activate EMS
9. What is a risk factor for a spontaneous carotid dissection? - Correct Answer Connective tissue disease
10. What is the MOST significant risk factor for stroke? - Correct Answer Hypertension
11. One fourth of all strokes occur in patients under the age of... - Correct Answer 75
12. Atrial fibrillation is associated with.. - Correct Answer An increased risk of stroke and mortality
13. What is an example of exclusion criteria for tPA administration? - Correct Answer Bleeding diathesis (unusual susceptibility to bleeding, usually due to hypocoagubility)
14. Findings consistent with alterations in posterior cerebral circulation: - Correct Answer Ataxia and visual deficits

15. Predictor of a two-day risk for stroke following a TIA: - Correct Answer ABCD
16. What sign elicited during a physical examination would be indicative of meningeal irritation? - Correct Answer Kernig's Sign
17. The most sensitive and specific imaging technique for demonstrating acute infarction is... - Correct Answer MR diffusion-weighted imaging
18. A patient with SAH is ordered a cerebral angiogram. This test should... - Correct Answer identify the etiology of the bleed
19. What diagnosis in a patient is a contraindication in performing a lumbar puncture? - Correct Answer SAH
20. A neurologist has ordered a TTE. This test is best at identifying... - Correct Answer ventricular thrombus
21. A woman with sickle cell disease is being seen for preventative stroke diagnostic testing. What procedure would you expect to be performed? - Correct Answer Transcranial doppler
22. A patient is scheduled for embolization of L AVM. The goal of the treatment is... - Correct Answer Occlusion of the deep arterial feeding vessels
23. Pt with recent head trauma presents with pulstile tinnitus, headache, and visual disturbances. These symptoms may indicate... - Correct Answer dural arteriovenous fistula
24. MRI report describes a low flow, low pressure vascular lesion in the left temporal lobe. The RN identifies that this is most likely... - Correct Answer Cavernous angioma
25. Pt has slow speech with inappropriate silences and audible inspirations. The RN identifies this as... - Correct Answer Dysarthia
26. When administering mannitol IV every 3 hours, the primary nursing considerations include... - Correct Answer Serum osmolality, CPP goals, and fluid balance
27. Primary laboratory testing/monitoring for heparin infusion: - Correct Answer APTT
28. An adverse side effect of anticonvulsant therapy = - Correct Answer Alteration in mentation

29. The estimated percentage of ischemic stroke patients that receive tPA = - Correct Answer 2-7%
30. What is anisocoria? - Correct Answer Unequal size of the eyes pupils
31. What is apraxia? - Correct Answer Inability to perform purposeful actions as a result of brain damage
32. Pt presents with BP 260/140, methamphetamine use, chronic heavy ETOH use and stroke like symptoms. The stroke is most likely a... - Correct Answer Basal ganglia hemorrhage
33. Oral contraceptives may increase likelihood of stroke in women who... - Correct Answer Smoke cigarettes Age > 35 HTN, DM, HLD Obese Prothrombin mutations, such as factor V leiden
34. Hunt vs Hess Score - Correct Answer Describes severity of SAH and used as a predictor for pt prognosis
35. CHADS2 Score - Correct Answer Estimates stroke risk in patients with atrial fibrillation
36. ABCD2 score - Correct Answer Predictor of two-day risk of stroke following TIA
37. A rare but potential complication to tPA administration = - Correct Answer anaphalaxis
38. Stroke patient has sodium of 128, low urine output and weight gain, the RN would expect: - Correct Answer SIADH Syndrome of Inappropriate Secretion of Antidiuretic Hormone
39. What is the most common cause of vertebral dissection? - Correct Answer Trauma
40. What is cavernous angioma? - Correct Answer Blood vessel abnormality with clusters of tiny, abnormal, dialated vessels. Blood flow in this area is very slow.
41. A pt underwent carotid artery endarectomy. Discharge instructions include pt taking aspirin indefinately and PLAVIX for at least... - Correct Answer 30 days
42. Evidence based standard used to measure neurological functional improvement over time... - Correct Answer NIHSS

43. Sixth nerve palsy is associated with... - Correct Answer aneurysm in the cavernous sinus
44. Third nerve palsy, sixth nerve palsy (occular), and ataxia may be associated with ... - Correct Answer basilar artery aneurysm
45. Primary presentation symptoms of cerebral venous thrombosis... - Correct Answer Headache Papilledema Diplopia Sixth nerve palsy (occular)
46. Characteristics of MCA - Correct Answer Aphasia Neglect Contralateral sensory and motor loss homonymous hemianopia conjugate eye deviation toward side of lesion anosognosia (neglect of lack of self awareness)
47. Characteristics of ACA - Correct Answer Contralateral sensory and motor deficits affecting leg more than arms with face and tongue spared Abulia - lack of concern of disinhibition Behavioral abnormalities Incontinence
48. Characteristics of PCA - Correct Answer Contralateral visual field homonymous hemianopia and visual agnosia Blindness / amnesia do not usually involve paralysis or aphasia Weber's syndrome - nerve palsy, bulbar muscle disfunction Parinaud's Syndrome - impaired gaze, nystagmus
49. Characteristics of PICA - Correct Answer Wallenberg syndrome - lateral medullary syndrome results from damage to spinothalamic tract resulting in loss of pain and temperature sensation in contralateral tounge and face Dysphagia Dysarthia Dysphonia
50. Characteristics of AICA - Correct Answer Lateral pontine syndrome results in vertigo, vomiting, nystagmus, falling toward side of lesion ipsilateral facial and hearing paralysis, nystagmus Speech difficulties Tremor Abnormal gait

51. Characteristics of Basilar Stroke - Correct Answer Coma Quadriparesis Ataxia CN dysfunction "Locked-in syndrome"
52. Diagnostic indications of Lumbar Puncture - Correct 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
53. What is the most sensitive and specific imaging technique for the demonstrating of acute infarction and why? - Correct Answer MR diffusion-weighted-imaging
54. Sensitivity 88-100%, specificity 95-100%
55. Able to determine site, size, and age of infarction by measuring cerebral perfusion with the concentration of a tracer agent
56. Signs and symptoms that are specific to hemorrhagic strokes? - Correct Answer Headache 'worst headache of my life' Nausea and vomiting Decreased LOC Light intolerance Neck pain
57. What type of stroke is nuchal rigidity associated with? - Correct Answer Aneurysmal SAH (as well as meningeal irritation that appears 4-8 hours after aSAH)
58. What is a dural AV fistula? - Correct Answer A direct connection between the meningeal artery and meningeal vein or dural sinus vein
59. Patients may experience headache, tinnitus, bruit, or cranial nerve deficits depending on the size
60. What is tinnitus? - Correct Answer Ringing sound in the ears
61. What is a cavernous angioma? - Correct 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

62. What are examples of stroke mimics? - Correct Answer Migraine headache Toxic metabolic syndrome Seizure disorder Migraine headache Degeneratve neurologica conditions (MS) CNS abcsess or tumor
63. 1 kg = - Correct Answer 2.2 lbs