SCRN Acute Care 5

Question 1

A stroke patient with dysphagia fails a bedside swallow screen. Which nutritional strategy is most appropriate for the short term?

Accepted Answer

Nasogastric (NG) tube feeding

Answer

Nasogastric tube feeding is the first-line enteral route for short-term nutritional support in stroke patients who fail dysphagia screening.

Question 2

A patient with acute ischemic stroke has a serum sodium of 126 mEq/L on day 3. The most likely cause in the stroke population is:

Accepted Answer

Syndrome of inappropriate antidiuretic hormone secretion (SIADH)

Answer

SIADH is the most common cause of hyponatremia following stroke due to inappropriate ADH release from hypothalamic disruption.

Question 3

Which assessment finding indicates successful reperfusion after mechanical thrombectomy?

Accepted Answer

Improvement in neurological deficits and TICI 2b/3 reperfusion on angiogram

Answer

Successful reperfusion is defined angiographically as TICI grade 2b or 3 and clinically as improvement in neurological deficits.

Question 4

A patient admitted with ischemic stroke has an LDL of 145 mg/dL. Per current stroke guidelines, what medication should be started during the acute hospitalization?

Accepted Answer

High-intensity statin therapy

Answer

High-intensity statin therapy reduces recurrent stroke and cardiovascular events and should be initiated during acute hospitalization regardless of baseline LDL.

Question 5

During the first 24 hours after IV alteplase, a patient's blood pressure must be maintained below which threshold?

Accepted Answer

180/105 mmHg

Answer

After alteplase administration, blood pressure must be kept below 180/105 mmHg for at least 24 hours to minimize the risk of hemorrhagic transformation.

(SCRN) Stroke Certified Registered Nurse Practice Test

(SCRN) Stroke Certified Registered Nurse Practice Test

SCRN Acute Care 5