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Stroke Certified Registered Nurse Practice Test

ABNN-SCRN test Format | Course Contents | Course Outline | test Syllabus | test Objectives

- Anatomy- Physiology- and Pathophysiology of Stroke
- Vascular Anatomy
- Brain Structure
- Stroke Types
- Stroke Syndromes
- Associated Stroke Disorders
- etiology
- Stroke Mimics
- Neuroplasticity
- Cellular Composition and Changes
- penumbra

- Hyperacute Care
- Initial triage
- Assessments
- Diagnostic Tests
- Treatment Considerations
- Thrombolytic Therapy
- Hemorrhagic Interventions
- Ischemic Interventions
- Advanced Interventions
- thrombectomy
- surgical
- Complication Management and Education
- Medications
- Quality Stroke Metrics
- door to needle
- Patient Disposition

- Assessment and Diagnostic Tests
- Hemorrhagic Interventions
- Ischemic Interventions
- Complication Management
- Multidisciplinary Plan of Care
- Safety Measures
- Individualized Care for Activities of Daily Living
- Therapeutic Environment
- sensory
- positioning
- Psychosocial Care
- Education
- Quality Stroke Metrics
- Medications
- Early Rehabilitation and Discharge Planning

- Multidisciplinary Plan of Care
- Goals of Rehabilitation
- Levels of Rehabilitative Care
- Rehabilitation Considerations
- spasticity
- safety
- Stroke Education
- Medication Management
- Community Resources
- support groups

- Primary and Secondary Preventative Care
- Comorbidities and Stroke Risk Factors
- Prevention Measures and Social Determinants of Health
- Diagnostic Tests
- imaging
- lab work
- Medication Education and Management
- Quality Stroke Metrics
- patient education
- Community Health Education

- Correlate deficits or expected complications to site of injury
- Identify physiologic changes at the cellular level
- penumbra
- Identify stroke signs and symptoms
- typical
- atypical
- Recognize stroke syndromes
- Middle Cerebral Artery Syndrome
- Horner's Syndrome
- Wallenberg Syndrome

- Identify underlying etiology of stroke
- Identify stroke mimics
- Differentiate between stroke types
- ischemic
- hemorrhagic
- transient ischemic attack
- Collaborate with multidisciplinary team
- Assess ABCs
- Establish chief complaint
- Identify appropriate level of care
- stroke unit
- certified stroke center
- Stabilize patients for admission or transfer
- Activate an emergency stroke response
- EMS
- Rapid Response
- Code Stroke
- Implement door to treatment times
- protocol and pathways
- Collect focused medical history
- Correlate chief complaint with patient's history and signs/symptoms
- Facilitate diagnostic tests according to clinical practice guidelines
- imaging
- lab work
- Conduct neurological assessments
- NIHSS
- GCS
- patient baseline
- Differentiate between expected neurological assessment findings and emergent concerns
- Prioritize patient's needs based on comprehensive and focused assessments
- Hunt & Hess scale
- ICH score
- modified rankin scale
- Assess- monitor- communicate- treat- and document vital signs and pain
- Assess- monitor- communicate- treat- and document oxygenation and ventilation
- Assess- monitor- communicate- treat- and document hydration
- IV solutions
- oral fluid intake
- Assess- monitor- communicate- treat- and document cardiac rate and rhythm
- Assess- monitor- communicate- treat- and document blood glucose
- Assess- monitor- communicate- treat- and document intracranial pressure
- Identify indications and facilitate advanced interventions for ischemic strokes
- thrombolytics
- mechanical embolectomy
- intra-arterial thrombolysis
- hemicraniectomy

- Identify indications and facilitate advanced interventions for subarachnoid hemorrhage
- aneurysm clipping or coiling
- external ventricular drain placement
- Identify indications and facilitate advanced interventions for intracerebral hemorrhagic strokes
- surgical interventions
- Identify indications and facilitate interventions for treatment of cerebral vasospasm
- Calculate- administer- monitor- communicate- and document medications
- Identify inclusion and exclusion criteria for thrombolytic therapy per clinical practice guidelines
- Facilitate administration of thrombolytic therapy
- Manage and assess patient post-thrombolytic administration (expected vs adverse outcomes) per clinical practice guidelines
- Recognize signs of reperfusion syndrome and anticipate potential interventions
- Assess arterial access site and distal extremity post-neurointerventional radiology procedure
- Identify complications of neurointerventional radiology procedures
- hematoma
- arterial dissection
- arterial thrombosis
- pseudo-aneurysms
- bleeding

- Correct coagulopathy including use of reversal agents for anticoagulants
- Identify and manage carotid vascular abnormalities
- Monitor patient safety before- during- and after procedures
- Identify indications and post-procedural care for external ventricular drain
- Identify indications and post-operative care for surgical interventions
- decompression
- carotid endarterectomy
- Implement safety measures
- infection prevention
- fall or seizure precautions
- Assess swallowing ability- including risk of aspiration- and implement precautions
- Implement venous thromboembolism prophylaxis as indicated
- Facilitate compliance with stroke program quality indicators
- door-to-needle
- VTE prophylaxis
- Participate in quality improvement projects
- Provide nursing interventions to address activities of daily living
- early mobilization
- range of motion
- elimination

- Identify- manage- and support rehabilitation needs and goals
- spasticity
- cognition
- psychosocial
- dysphagia
- Provide a therapeutic- patient-centered environment to accommodate for patient deficits and needs
- Assess for and provide patient-centered- inclusive- and culturally sensitive care
- Facilitate care goals such as discharge planning- palliative care- and end-of-life care

- Collaborate with care team on nutritional needs
- specialty diets
- fluid consistency
- alternate forms of nutrition
- Create and maintain a patient-centered and multidisciplinary plan of care
- Facilitate the discharge planning process
- Incorporate patient-specific transfer techniques and assistive devices
- Identify and educate on patient-specific comorbidities and stroke risk factors
- Assess family and/or caregiver dynamics as it impacts care outcomes
- Recognize psychosocial impact of stroke on patient outcomes
- poststroke depression

- Assess barriers and social determinants of health as it impacts care
- Support the spiritual/emotional needs of patient- family- and caregivers
- Provide and reinforce stroke education to patients- family- and caregivers- including risk factors- symptoms- and activation of EMS
- Provide education on primary and secondary preventions and the importance of provider follow-up
- Provide education about medications and medication management to patients- family- and caregivers
- Provide stroke education to the community including community outreach programs
- Identify patient-centered community resources
- support groups
- financial support
- Collaborate with care team for patient referrals

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ABNN-SCRN
ABNN Stroke Certified Registered Nurse
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Question: 1
A cerebral angiogram is ordered for a patient with subarachnoid hemorrhage
(SAH). This test is primarily used to:
A. Assess the presence of a ringing sound in the ears
B. Identify signs of previous infarction
C. Identify the etiology of the bleed
D. Evaluate the velocity of the blood
Answer: C
Explanation: A cerebral angiogram is a diagnostic test that uses X-rays and
contrast dye to visualize the blood vessels in the brain. In the case of
subarachnoid hemorrhage (SAH), it can help identify the source or cause of the
bleeding, which is the etiology of the bleed.
Question: 2
A patient with stroke presents with contralateral weakness affecting the lower
face and body but sparing the upper limb. This pattern of weakness is known
as:
A. Monoparesis
B. Paraparesis
C. Hemiparesis
D. Quadriparesis
Answer: B
Explanation: Paraparesis refers to weakness affecting the lower extremities. In
the context of stroke, if the weakness is contralateral (on the opposite side) and
specifically involves the lower face and body but spares the upper limb, it is
called contralateral paraparesis.
Question: 3
Which of the following brain structures is responsible for regulating vital
functions such as breathing and heart rate?
A. Thalamus
B. Cerebellum
C. Medulla oblongata
D. Hypothalamus
Answer: C
Explanation: The medulla oblongata is located at the base of the brainstem and
plays a crucial role in regulating essential functions like breathing, heart rate,
and blood pressure.
Question: 4
Which term is used to describe conditions that can present with stroke-like
symptoms but are not caused by an genuine blockage or hemorrhage in the brain?
A. Embolic strokes
B. Transient ischemic attacks
C. Lacunar infarctions
D. Stroke mimics
Answer: D
Explanation: Stroke mimics are conditions that can mimic stroke symptoms but
are not caused by a true vascular event in the brain. These conditions may
include migraines, seizures, metabolic disorders, or other non-vascular causes.
Question: 5
Which of the following is an associated stroke disorder related to the etiology
of stroke?
A. Bell's palsy
B. Atherosclerosis
C. Migraine with aura
D. Temporal arteritis
Answer: B
Explanation: Atherosclerosis, the buildup of fatty plaques in the arteries, is an
associated stroke disorder as it can lead to the narrowing or blockage of blood
vessels supplying the brain, increasing the risk of stroke.
Question: 6
A patient presents with sudden weakness on one side of the body, slurred
speech, and confusion. These symptoms are most consistent with which type of
stroke?
A. Transient ischemic attack (TIA)
B. Hemorrhagic stroke
C. Ischemic stroke
D. Lacunar stroke
Answer: C
Explanation: The symptoms described, including sudden weakness on one side
of the body, slurred speech, and confusion, are indicative of an ischemic stroke,
which occurs when a blood clot blocks a blood vessel in the brain.
Question: 7
Which cellular component is commonly associated with the concept of the
"penumbra" in stroke?
A. Endothelial cells
B. Astrocytes
C. Microglia
D. Neurons
Answer: D
Explanation: The penumbra refers to the region of brain tissue surrounding the
core ischemic area in an acute ischemic stroke. It consists of neurons that are at
risk of irreversible damage but still potentially salvageable if blood flow is
restored promptly.
Question: 8
Which term refers to the brain's ability to reorganize and form new neural
connections after a stroke?
A. Neuroplasticity
B. Synaptogenesis
C. Neurogenesis
D. Myelination
Answer: A
Explanation: Neuroplasticity refers to the brain's ability to reorganize its
structure and function by forming new neural connections and pathways. It
plays a crucial role in post-stroke recovery and rehabilitation.
Question: 9
What is the primary goal of initial triage in the management of acute stroke?
A. Determine the stroke subtype
B. Administer thrombolytic therapy
C. Evaluate the patient's functional status
D. Identify patients eligible for time-sensitive interventions
Answer: D
Explanation: The primary goal of initial triage in acute stroke management is to
identify patients who may be eligible for time-sensitive interventions, such as
thrombolytic therapy or mechanical thrombectomy, to Boost outcomes.
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Stroke Certified Registered Nurse Practice Test

ABNN-SCRN test Format | Course Contents | Course Outline | test Syllabus | test Objectives

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