NIHSS Scoring
A patient has complete left arm paralysis but can move other limbs. The NIHSS motor arm score for the LUE would be what?
A. (1)
B. (7)
C. UN
D. (4)
D. (4)
What imaging is required first when a patient develops focal neurologic deficits or “the worst headache of my life”
A. CTA- head and neck
B. MRI - brain without contract
C. NC-CT head
D. TCD
C. NC-CT head
After TNK administration, your patient develops tongue swelling, what do you suspect?
A. Hemorrhage of the brain
B. Kidney Failure
C. Angioedema
D. Pulmonary embolism
C. Angioedema
A nurse reports on COPD exacerbation patient, suddenly lost vision while eating lunch and only ate food on the left side of their plate. What is your next step?
A. Call Neurosurgery STAT
B. Activate stroke alert
C. Document in your note
D. Order STAT MRI to rule out stroke
B. Activate stroke alert
This NIHSS section evaluates comprehension, naming and repetition.
A. Dysarthria
B. Best Language assessment
C. Extinction and Inattention
B. Best Language assessment
A CT shows a basal ganglia hemorrhage. What do you suspect the etiology is?
A. Smoking
B. Migraines
C. Hypertension
D. Hyperlipidemia
C. Hypertension
Understanding clinical practice guidelines from the American Heart Association, what are the preferred BP guidelines for the patient with hemorrhagic stroke?
A. SBP 130-150 mmHg
B. SBP <160 mmHg
C. SBP <130 mmHg
D. SBP 180/ DBP 105
A. SBP 130-150 mmHg
What is the frequency of monitoring VS (BP) and Neuro checks for the post TNK ischemic stroke patient in the acute phase?
A. Q30 min x 8 hours then Q1 hr x 16 hours
B. Q15 min x 4 hours then Q4 hr x 20 hours
C. Q15 min x 2 hours, Q30 min x 6 hours then Q1 hr x 16 hours
D. Q1hr x 24 hours
C. Q15 min x 2 hours, Q30 min x 6 hours then Q1 hr x 16 hours
300: What item in the NIHSS cannot be scored if the patient has notable weakness in an extremity?
A. Best Language
B. Inattention
C. Ataxia
D. Extinction
C. Ataxia
What is best practice for head of bed position to help reduce ICP?
A. Trendelenburg
B. HOB elevation 30 degrees
C. HOB flat supine
D. HOB elevation 90 degrees
B. HOB elevation 30 degrees
What is the ischemic cerebellar stroke most at risk for?
A. Hydrocephalus and Hemorrhagic conversion
B. Pituitary enlargement
C. AFIB in addition with STEMI
D. Cerebral edema and Herniation. Monitor in ICU for 72-96 hours
D. Cerebral edema and Herniation. Monitor in ICU for 72-96 hours
This term defines the last moment the patient was known to be neurologically normal.
A. Last known normal
B. Symptom onset
C. BEFAST
A. Last known normal