CNRN Neurovascular Disorders and Stroke Nursing 2

Question 1

Vasospasm after subarachnoid hemorrhage peaks at which time frame following the initial bleed?

Accepted Answer

Days 4–14 (peak days 7–10)

Answer

Days 1–3

Answer

Days 15–21

Answer

More than 3 weeks

Question 2

Which medication regimen is standard to reduce vasospasm-related ischemia after subarachnoid hemorrhage?

Accepted Answer

Nimodipine 60 mg orally every 4 hours for 21 days

Answer

Nifedipine 10 mg orally three times daily

Answer

Verapamil IV infusion for 14 days

Answer

Amlodipine 5 mg daily for 30 days

Question 3

A patient with SAH develops delayed cerebral ischemia. The nurse implements 'Triple-H therapy.' This refers to:

Accepted Answer

Hypertension, hypervolemia, hemodilution

Answer

Hypertension, hemodilution, hyperventilation

Answer

Hypotension, hypervolemia, hyperoxia

Answer

Hyperventilation, hemodilution, hypothermia

Question 4

A patient presents with sudden onset of diplopia, dysphagia, ataxia, and ipsilateral facial numbness with contralateral body numbness. The nurse recognizes this as:

Accepted Answer

Wallenberg (lateral medullary) syndrome

Answer

Middle cerebral artery syndrome

Answer

Anterior cerebral artery syndrome

Answer

Weber syndrome

Question 5

Which stroke scale is used at the bedside by nurses to quantify stroke severity and guide acute treatment decisions?

Accepted Answer

NIH Stroke Scale (NIHSS)

Answer

Barthel Index

Answer

Modified Rankin Scale (mRS)

Answer

Hunt and Hess Scale

Question 6

A patient develops worsening headache, confusion, and right-sided weakness 24 hours after a craniotomy for AVM resection. The most likely complication is:

Accepted Answer

Normal perfusion pressure breakthrough bleeding

Answer

Normal post-operative pain

Answer

Meningitis

Answer

Hyponatremia