SCRN Post-acute Care 5

Question 1

A stroke patient with homonymous hemianopia is being discharged home. Which safety teaching is most important?

Accepted Answer

Scan toward the blind side when walking and in traffic

Answer

Teaching the patient to consciously scan toward the affected visual field compensates for the deficit and is the highest-priority safety strategy.

Question 2

A post-stroke patient in a skilled nursing facility refuses morning care and says 'there's no point.' The nurse's best first response is:

Accepted Answer

Sit with the patient, use open-ended questions, and explore the statement

Answer

A therapeutic communication approach — sitting with the patient and exploring hopeless statements — assesses for suicidality and depression before escalating.

Question 3

When educating a family about stroke recurrence risk, the nurse correctly states that the highest risk period for a second stroke after a TIA or minor stroke is:

Accepted Answer

Within the first 90 days

Answer

The risk of stroke after TIA or minor stroke is highest in the first 90 days, with the greatest risk in the first 48 hours.

Question 4

A patient 6 weeks post-stroke has right-sided hemiplegia and is learning to dress independently. The occupational therapist recommends dressing the affected side first. Why?

Accepted Answer

It is easier to thread the affected arm/leg through clothing before mobility is limited

Answer

Dressing the affected side first allows easier garment placement when range of motion is less impaired by surrounding fabric.

Question 5

Which post-stroke complication is the leading cause of death in the first month after stroke?

Accepted Answer

Aspiration pneumonia

Answer

Aspiration pneumonia is the most common cause of death in the early post-stroke period due to dysphagia and impaired protective reflexes.

(SCRN) Stroke Certified Registered Nurse Practice Test

(SCRN) Stroke Certified Registered Nurse Practice Test

SCRN Post-acute Care 5