Practice Test Geeks(ASC) Advanced Stroke Coordinator Certification Practice Test
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Telestroke & Remote Care Flashcards

7 cards from real ASC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Telestroke & Remote Care flashcards as text

  1. A telestroke program coordinator is reviewing outcomes data and finds that 30% of telestroke consults result in tPA administration. How does this compare to typical telestroke program benchmarks?

    Answer: Consistent with reported telestroke tPA treatment rates of 20–40%

    Reported tPA administration rates in telestroke programs typically range from 20–40%, reflecting appropriate patient selection.

  2. What is the primary purpose of the National Institutes of Health Stroke Scale (NIHSS) in a telestroke consult?

    Answer: To quantify stroke severity, guide treatment decisions, and track neurological change over time

    The NIHSS provides a standardized, validated measure of stroke severity that informs tPA eligibility, prognosis, and treatment monitoring.

  3. A spoke ED nurse reports that the telestroke cart robot cannot navigate around a code blue cart blocking the hallway. What system design principle does this scenario highlight?

    Answer: Importance of workflow integration planning and dedicated telestroke equipment pathways

    Telestroke program design must account for physical workflow barriers through pre-planned equipment pathways and staff protocols.

  4. Which telestroke consent model is most commonly used in emergency acute stroke situations when the patient is unable to consent?

    Answer: Implied emergency consent with retrospective documentation

    Implied emergency consent allows telestroke consultation to proceed immediately, with documentation and family notification as soon as feasible.

  5. A quality improvement review shows that telestroke activations are taking an average of 18 minutes from ED arrival to consult initiation. What is the most effective intervention?

    Answer: Implement a stroke alert protocol that triggers telestroke activation simultaneously with CT imaging

    Parallel processing — activating telestroke and CT simultaneously — is the most evidence-based strategy to reduce door-to-consult time.

  6. What is the term for a telestroke model where patients are treated with tPA at the spoke hospital and then remain there for ongoing care rather than being transferred?

    Answer: Drip-and-stay

    Drip-and-stay describes treating the patient locally with tPA and continuing care at the spoke hospital without transfer to the hub.

  7. Under CMS telehealth billing rules, which location modifier is required when billing for a telestroke consult provided from a distant site?

    Answer: Modifier -95 (or place of service 02)

    Modifier -95 (or POS 02) is used to indicate that a service was furnished via real-time audio-visual telecommunication technology under CMS rules.