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

Question # 47

A 73-year-old patient is evaluated in the emergency department for acute stroke symptoms starting 2 hours ago. The patient has a history of a major bleeding duodenal ulcer treated 3 years ago, with no active gastrointestinal symptoms. Non-contrast head CT is negative for hemorrhage. How should the SCRN nurse evaluate this prior history regarding intravenous alteplase eligibility?

Options:

It represents a relative contraindication (exclusion criterion) that requires clinical judgment, but remote, healed ulcers do not automatically bar treatment if active bleeding is absent.

It is an absolute contraindication that permanently disqualifies the patient from ever receiving thrombolytic therapy.

It requires an immediate exploratory laparotomy before alteplase can be administered.

It has no relevance and can be completely disregarded during hyperacute screening.

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