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The purpose of my capstone project is to raise awareness and educate nurses more on strokes since it is one of the leading causes of death in the US. I have done research that shows nurses need more education dealing with them. I will provide a pre quiz, education that goes over important information we as nurses need to know and then a post quiz! Thank you for participating! I ask when you do the quiz that you do not look up any information so I can run the statistics to see on my own if we need more education :)!

Please provide your name
How many years have you been a nurse? 
0-5
5-10
10-15
15-20
20+
What area of nursing are you working currently
Do you agree to not to look up the answers, work together or ask someone?
Yes
No
What can mimic a stroke or stroke symptoms
Hypercalcemia
Hypoglycemia
Hypotension
Hyperkalemia
A negative CT scan rules out a stroke
True
False
When a patient is showing symptoms of a stroke what is done first
MRI
CT
Take a blood sugar
Call a code stroke
What test is done to rule out any bleeding and shows an old stroke
MRI
X-ray
CT
EEG
What is the leading cause of a stroke
Smoking
Hypertension
Poor physical activity
Unhealthy diet
How many hours can a stroke go untreated before the brain ages 36 years
4
12
6
10
You are assigned 4 patients on your unit. Which one is most at risk for a hemorrhagic stroke?
67 year old male with carotid stenosis
90 year old male with uncontrolled hypertension who had a brain aneurysm 2 years ago
52 year old female with a flutter
90 year old female with artherosclerosis and a flutter
Your patient suffered a stroke a couple weeks ago and now is showing signs of hearing loss and loss of emotion. What love on the MRI is shown to be affected
Parietal lobe
Temporal lobe
Occipital lobe
Frontal lobe
How long do you have to get a CT when’s patient presents with stroke symptoms?
10 minutes
30 minutes
15 minutes
20 minutes
Your stroke patient who is having hemianoplasia is getting discharged. What education is taught to prevent injury?
Make sure to do physical therapy that includes muscle training
Take your blood thinner every morning
Eat soft foods and tuck your chin while doing so
Scan the room from side to side
A patient comes to your ER and is diagnosed with a CVA. What position should you initially put your patient in?
High fowlers
Supine
Lateral
Prone
After receiving a post stroke patient on the unit, you assess the patient and believe they are showing signs of increased intercranial pressure. What symptoms would they be presenting with
Irregular respirations
Widened pulse pressure
Increased pulse rate
Oxygen saturation at 96%
A patient presents to the ER. The patient is actually having a stroke but the ER misses the symptoms and sends the patient home. What symptoms is most likely to be missed when having a stroke?
Blurred vision
Headache causing loss of sensation
Numbness in the arm
Coordination problems
What is the first line treatment for ischemic stroke, if heqd CT is negative & benefits outweigh risk & the patient is a candidate?
Aspirin
TPA
Nefedipine
Clonidine
What is one of the most important questions to ask family/ friends/ staff anyone that’s been with the patient during your exam?
When was the last time patient had anything to eat
When was the patients last known well was
If the patient is diagnosed with hypertension
Is the patient is diabetic
How long will a patient be monitored in the ICU after administering TPA?
12 hours
6 hours
15 hours
24 hours
Before administering TPA what is one of the most important things that you need to do?
Take Anti-Xa
Make sure all lines/foley are put in
Run a bolus of fluids
Make sure bladder is empty
How much time after the last known well to administer TPA?
6.5 hours
3.5 hours
4.5 hours
4 hours
Is a patient is outside the window to receive TPA, what other options do they have to treat?
Mechanical thrombectomy
Start heparin drip
CABG
Mechanical heart valve
If a patient is diagnosed with a TIA what is the outcome?
Permanent damage lasting a few years
No permanent damage, higher risk for stroke
Weakness on one side of the body, High risk for another stroke
No sensation in lower half of body
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