Free SCRN Practice Test Questions | Stroke Certified Registered Nurse (SCRN) Examination

Question # 18

A 74-year-old patient is brought to the emergency department with acute stroke symptoms. The exact time of symptom onset is established as 4 hours ago. Non-contrast head CT is negative for hemorrhage. The patient has a baseline National Institutes of Health Stroke Scale (NIHSS) score of 16 and CT angiography confirms an occlusion of the left proximal middle cerebral artery (M1 segment). What is the most appropriate management strategy?

Options:

Administer intravenous alteplase immediately and concurrently coordinate emergency transfer or preparation for endovascular thrombectomy (EVT).

Withhold all reperfusion therapies because the patient is past 3 hours.

Wait 24 hours to observe natural clot lysis before performing any intervention.

Administer high-dose oral antiplatelet therapy and admit to general floor.

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Name	Stroke Certified Registered Nurse (SCRN) Examination
Code	SCRN
Vendor	Nursing
Certification	American Board of Neuroscience Nursing (ABNN)