Examination
180 minutes
Instructions:
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2. Answer all questions.
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American Board of Neuroscience Nursing 2024-
2025
ABNN Stroke Certified Registered Nurse SCRN
Comprehensive 2nd Edition Review Questions with
Verified Solutions | 100% Pass Guaranteed |
Graded A+ |
A 67yo man with a hx of HTN, DM, HLD, and smoking
presents to the ED. CC of persistent dizziness q1week
that has become so severe he now has double vision,
N/V. His wife tells you she noticed a L facial droop and
slurring. Pt reports weakness in L arm and leg. He
denies HA or SZ. Head CT was negative for acute bleed.
Upon returning to the room he has become increasingly
obtunded and difficult to arouse. You notice he now has
a nystagmus and slightly dysconjugate gaze. His exam
appears to be worsening now with R/L extremity
weakness in addition to his L hemiparesis. What type of
stroke syndrome are you concerned he may be having?
a. Wallenberg's stroke
b. Dissection of the R internal carotid artery
c. acute basilar artery occlusion
d. Superior cerebellar artery stroke - Answer>> c
You are assessing a 35yo M who has been in a motor
vehicle crash, and during the exam you notice he has
some abnormal eye exam findings and weakness in the
R arm and leg (arm more than leg). He has droopiness
of the L eyelid and his pupils are unequal. The L pupil is
3mm in diameter and the right is 5MM. Both pupils are
round and reactive to light. Although it is a hot, humid
day, he is not sweating from the heat. What stroke
syndrome do you suspect your patient is experiencing?
a. Weber's syndrome
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b. Amaurosis fugax
c. Locked-in syndrome
d. Horner's syndrome - Answer>> d
What is a possible cause of Horner's syndrome?
a. Occlusion of the MCA
b. Dissection of the L ICA
c. Dissection of the R ICA
d. ACA stroke - Answer>> b
a patient presents with central retinal artery occlusion.
As you evaluate the neuroimaging, you recognize that
the most likely etiology is artery-to-thrombosis from
which artery?
a. Basilar artery
b. Middle cerebral artery
c. Posterior inferior cerebellar artery
d. Carotid artery - Answer>> d
A patient is admitted to the emergency department
with acute symptoms of hemiparesis, hemi-sensory
loss, gaze preference, and aphasia. Which vessel do
you suspect is involved in the stroke?
a. ACA
b. MCA
c. PCA
d. PICA - Answer>> b
What cluster of symptoms is consistent with Weber's
syndrome?
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