SCRN Post-acute Care 4

Question 1

A patient in subacute rehabilitation after ischemic stroke suddenly develops a severe headache, vomiting, and declining level of consciousness. The nurse suspects hemorrhagic transformation. What is the priority action?

Accepted Answer

Activate rapid response and obtain emergent CT head

Answer

New neurological deterioration after stroke requires emergent imaging to rule out hemorrhagic transformation, which demands immediate intervention.

Question 2

Which outcome measure is specifically designed to assess activity limitations in stroke survivors and is commonly used in post-acute research?

Accepted Answer

Stroke Impact Scale (SIS)

Answer

The Stroke Impact Scale is a patient-reported outcome measure assessing multiple domains of stroke recovery including strength, memory, emotion, communication, and social participation.

Question 3

A home health nurse assesses a stroke survivor 4 weeks post-discharge and finds the patient sitting alone, not participating in hobbies, and expressing hopelessness. Which intervention is the priority?

Accepted Answer

Conduct depression screening and notify the provider

Answer

Symptoms of hopelessness and social withdrawal suggest post-stroke depression, which requires formal screening and timely provider notification for treatment.

Question 4

A post-stroke patient has urinary incontinence. The nurse recognizes that which type is most common after stroke?

Accepted Answer

Urge incontinence (overactive bladder)

Answer

Urge incontinence due to disrupted cortical inhibition of detrusor activity is the most common type of urinary incontinence following stroke.

Question 5

Which patient behavior after stroke best indicates readiness for inpatient rehabilitation transfer?

Accepted Answer

Patient tolerates 3 hours of therapy per day and is medically stable

Answer

Inpatient rehabilitation requires medical stability and ability to participate in at least 3 hours of therapy per day.

(SCRN) Stroke Certified Registered Nurse Practice Test

(SCRN) Stroke Certified Registered Nurse Practice Test

SCRN Post-acute Care 4