SCRN EXAM V1 LATEST QUESTIONS AND ANSWERS GRADE A

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SCRN EXAM V1 LATEST

QUESTIONS AND ANSWERS

GRADE A

• A nurse is communicating with a client who has aphasia after having a stroke.

Which action should the nurse take?

• Speak in a loud voice to ensure they hear the words
• Face the client and establish eye contact
• Turn on the television to provide a calming background
• Speak in long, descriptive sentences to provide full context

Correct Answer: B) Face the client and establish eye contact

• A nurse is planning care for a client who experienced a stroke in the right

hemisphere of his brain. What should the nurse do?

• Provide close supervision because of the client's impulsiveness and poor

judgment

• Place the wheelchair on the client's affected left side to encourage use
• Anticipate severe aphasia and provide a picture board
• Encourage independent ambulation to build confidence

Correct Answer: A) Provide close supervision because of the client's

impulsiveness and poor judgment

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• Which statement reflects nursing management of the client with expressive

aphasia?

• Speak slowly and clearly to assist the client in forming sounds
• Speak in complex sentences to challenge cognitive abilities
• Frequently reorient the client to time, place, and situation
• Encourage the client to repeat sounds of the alphabet

Correct Answer: D) Encourage the client to repeat sounds of the alphabet

• A client with a neurological disorder has difficulty swallowing. The nurse

should take special care with the client's diet because of a potential risk of imbalanced nutrition. Which measure may be taken by the nurse to ensure that the client's diet allows for easy swallowing?

• Help the client sit upright when eating and feed slowly
• Place the client in a supine position to prevent choking
• Provide large bites of food to stimulate the swallowing reflex
• Offer thin liquids exclusively to ease passage

Correct Answer: A) Help the client sit upright when eating and feed slowly

• A 67yo man with a hx of HTN, DM, HLD, and smoking presents to the ED.

CC of persistent dizziness q1week that has become so severe he now has double vision, N/V. His wife tells you she noticed a L facial droop and slurring. Pt reports weakness in L arm and leg. He denies HA or SZ. Head CT was negative for acute bleed. Upon returning to the room he has become increasingly obtunded and difficult to arouse. You notice he now has a nystagmus and slightly dysconjugate gaze. His exam appears to be worsening. Which of the following is the most likely diagnosis?

• Anterior cerebral artery infarction
• Middle cerebral artery infarction
• Basilar artery thrombosis/Posterior circulation stroke

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• Lacunar infarct

Correct Answer: C) Basilar artery thrombosis/Posterior circulation stroke

• You are assessing a 35yo M who has been in a motor vehicle crash, and

during the exam you notice he has some abnormal eye exam findings and weakness in the R arm and leg (arm more than leg). He has droopiness of the L eyelid and his pupils are unequal. The L pupil is 3mm in diameter and the right is 5MM. Both pupils are round and reactive to light. Although it is a hot, humid day, he is not sweating from the heat. What stroke syndrome do you suspect your patient is experiencing?

• Weber's syndrome
• Wallenberg's syndrome
• Parinaud's syndrome
• Horner's syndrome secondary to carotid dissection

Correct Answer: D) Horner's syndrome secondary to carotid dissection

• What is a possible cause of Horner's syndrome?
• Occlusion of the MCA
• Dissection of the L ICA
• Dissection of the R ICA
• ACA stroke

Correct Answer: B) Dissection of the L ICA

• A patient presents with central retinal artery occlusion. As you evaluate the

neuroimaging, you recognize that the most likely etiology is artery-to- thrombosis from which artery?

• Basilar artery
• Middle cerebral artery

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• Posterior inferior cerebellar artery
• Carotid artery

Correct Answer: D) Carotid artery

• A patient is admitted to the emergency department with acute symptoms of

hemiparesis, hemi-sensory loss, gaze preference, and aphasia. Which vessel do you suspect is involved in the stroke?

A) ACA

B) MCA

C) PCA

D) PICA

Correct Answer: B) MCA

• What cluster of symptoms is consistent with Weber's syndrome?
• Ipsilateral cranial nerve 3 palsy, contralateral hemiparesis
• Ipsilateral cranial nerve 4 and 6 palsy, contralateral hemiparesis
• Contralateral cranial nerve 4 and 6 palsy, ipsilateral hemiparesis
• Ipsilateral cranial nerve 5 palsy, ipsilateral ataxia

Correct Answer: A) Ipsilateral cranial nerve 3 palsy, contralateral hemiparesis

• A patient is admitted with symptoms consistent with Weber's syndrome. If

the stroke is ischemic, which arteries would you suspect might have caused the stroke?

• Carotid artery
• Middle cerebral artery
• Posterior cerebral artery
• Basilar artery