SCRN Post-acute Care 3

Question 1

A stroke patient in home health has a Barthel Index score of 60. What does this indicate?

Accepted Answer

Moderate dependence requiring significant assistance

Answer

A Barthel Index score of 60 out of 100 reflects moderate dependence, meaning the patient requires significant assistance with many ADLs.

Question 2

Which post-stroke complication is most commonly associated with shoulder pain in the hemiplegic upper extremity?

Accepted Answer

Glenohumeral subluxation

Answer

Glenohumeral subluxation, caused by loss of muscle tone supporting the shoulder joint, is the most common cause of hemiplegic shoulder pain.

Question 3

A nurse is educating a post-stroke patient on secondary prevention. Which lifestyle modification has the greatest evidence for stroke risk reduction?

Accepted Answer

Blood pressure control

Answer

Hypertension is the single most modifiable risk factor for stroke recurrence, making blood pressure control the highest-priority secondary prevention measure.

Question 4

A post-stroke patient in outpatient rehab has spasticity limiting elbow extension. Botulinum toxin is administered. What is the expected onset of effect?

Accepted Answer

Within 3–7 days

Answer

Botulinum toxin typically begins reducing spasticity within 3–7 days, with peak effect at 4–6 weeks.

Question 5

Which factor most strongly predicts a successful return to driving after stroke?

Accepted Answer

Absence of visual field defects and adequate cognitive function

Answer

Intact visual fields and adequate cognitive function — especially attention and processing speed — are the strongest predictors of safe return to driving.

(SCRN) Stroke Certified Registered Nurse Practice Test

(SCRN) Stroke Certified Registered Nurse Practice Test

SCRN Post-acute Care 3