SCRN Study Guide 2026
Everything you need to pass the SCRN exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.
📋 SCRN Exam Format at a Glance
📚 SCRN Topics to Study (31)
✍️ Sample SCRN Questions & Answers
1. A patient with ischemic stroke develops elevated glucose of 210 mg/dL. What is the recommended glucose management approach?
Hyperglycemia worsens stroke outcomes; AHA/ASA guidelines recommend treating glucose > 180 mg/dL and maintaining levels between 140–180 mg/dL.
2. What is the significance of nutrition in post-acute stroke care?
Optimal nutrition is crucial in post-acute stroke care because it directly supports the brain's recovery processes and the body's overall healing. Adequate nutrients are essential for neuroplasticity, reducing inflammation, and preventing complications like malnutrition, which can significantly hinder rehabilitation progress. Therefore, a well-managed nutritional plan plays a vital role in improving patient outcomes and accelerating recovery after a stroke.
3. What is a key consideration in post-acute stroke care for elderly patients?
For elderly stroke patients, post-acute care must take a holistic approach, considering not only the stroke-related deficits but also pre-existing age-related health conditions. Older adults often have comorbidities, polypharmacy, and reduced physiological reserves, which can impact recovery and require integrated management. Addressing both aspects optimizes outcomes and prevents complications in this vulnerable population.
4. A hyperacute stroke patient with known DOAC use taken within the last 48 hours presents within the tPA window. What is the appropriate action?
DOACs taken within 48 hours are a contraindication to IV tPA; mechanical thrombectomy remains an option if LVO is confirmed on imaging.
5. Which nursing intervention best prevents post-stroke shoulder-hand syndrome (complex regional pain syndrome type 1)?
Preventing joint trauma, maintaining joint mobility with gentle ROM, and proper positioning prevent the cascade that leads to shoulder-hand syndrome.
6. What is the maximum dose of IV alteplase for acute ischemic stroke treatment?
The standard dose of IV alteplase is 0.9 mg/kg with a maximum total dose of 90 mg.