Joint Commission Stroke Practice Exam

These questions are part of the practice quiz. Start practicing

• What is the main goal of post-stroke rehabilitation programs?
• Which aspect of care is crucial in rehabilitation after a stroke?
• Why is monitoring glucose levels crucial in stroke patients?
• Which initial assessment approach is structured for evaluating stroke patients?
• What does the discharge Modified Rankin Score indicate?
• What is a common sign that might indicate the need for a dysphagia assessment?
• What is the recommended strategy for managing high blood pressure post-stroke?
• What does "door-to-needle time" refer to in stroke care?
• In stroke care, who typically conducts the swallow screening?
• Can EMS blood/Accucheck be used for the stroke panel?
• What is a potential long-term consequence of experiencing a stroke?
• What is the new standard goal for door to needle time?
• What factor is most important in determining the treatment plan for stroke patients?
• What is the tPA dosing for a patient weighing over 220 pounds?
• What tool is utilized for assessing stroke patients for dysphagia?
• What is one of the performance improvement initiatives aimed at stroke patient care?
• What is the purpose of a stroke team within a hospital?
• What should be modified based on the evaluation of a stroke alert procedure?
• Which team members might be involved in the transition of care for a patient?
• How does collaboration among healthcare professionals benefit stroke care?
• Which of the following is NOT included in a neurological function assessment?
• Why is timely intervention critical in stroke management?
• Who is responsible for initiating stroke orders?
• Which of the following is considered a modifiable risk factor for stroke?
• What is a common secondary complication of stroke that requires monitoring?
• What is the primary focus of secondary prevention in stroke care?
• What should be done if a patient shows an increase in NIHSS score?
• What is the significance of the "FAST" acronym in stroke recognition?
• Which assessment tool is used to quantify the severity of stroke symptoms?
• What documentation should be used for patients receiving alteplase?
• What is the time frame for thrombolytic administration after last known well (LKW)?
• What screening tool is often used for assessing the severity of a stroke?
• Which tool is used by EMS to assess for large vessel occlusion (LVO)?
• What is the primary goal for door to needle time in stroke care?
• What is one component of stroke assessment in a neurological function assessment?
• Which professional typically completes the NIHSS during a stroke alert?
• Which training is essential for caring for complex stroke patients?
• Who can assist with stroke documentation coordination?
• Which imaging modality is commonly used first in acute stroke settings?
• What is the acceptable variance in NIHSS scores due to the subjectivity of the tool?
• Which of the following parameters must be monitored frequently after interventions like thrombectomy?
• What is the goal of timely intervention during a stroke?
• What population is a priority for the use of thrombolytics in stroke management?
• What aspect of stroke education is crucial for caregivers?
• What is critical during the administration of thrombolytics for a stroke patient?
• What is one of the performance improvement initiatives for stroke patients?
• How many patients is a nurse typically assigned to in a stroke care unit?
• What is a key feature of stroke care networks?
• What is the dosing scale for TNK based on weight?
• If a patient has atrial fibrillation, what is necessary regarding anticoagulation?
• What common neurological deficit may a patient experience following a stroke?
• Which patient education resource is recommended for those recovering from stroke?
• What is the maximum time frame for administering thrombolytics with neurologist consent?
• What is essential for a patient under thrombolytic treatment when signs of bleeding occur?
• Describe the importance of follow-up in stroke care.
• If thrombolytics are discontinued, what should be done regarding documentation of vital signs and neuro checks?
• What is the role of the Joint Commission in stroke quality improvement?
• What is the window for considering mechanical intervention based on LKW?
• What is the primary goal of a stroke performance improvement project?
• Which professional role is essential in the management of stroke patients?
• What does "network" refer to in the context of stroke systems of care?
• What role does imaging play in the assessment of stroke patients?
• What is one of the primary stroke resources available on the Intranet?
• Why is patient education critical in stroke management?
• What factors should be considered to tailor stroke education for patients and their families?
• Who is allowed to perform swallow screens according to guidelines?
• What types of strokes are commonly observed in Acute Care Units?
• Which staff member can carry out swallow screens based on competence?
• Where should alteplase be documented in a medical setting?
• Which medication is commonly used for the acute treatment of ischemic stroke?
• What is a key nursing consideration when administering thrombolytics?
• What dietary recommendation is commonly given to stroke patients?
• What does the "time is brain" concept emphasize in stroke treatment?
• What advantage does a dedicated stroke unit provide in a hospital setting?
• What is the administration protocol for tPA regarding bolus and infusion time?
• What is the significance of the National Stroke Association's "Get With The Guidelines" program?
• What is a primary goal of discussing care plans during family meetings?
• What should be done if the patient fails the swallow screen?
• What is significant about the MGH dysphagia screen tool?
• What is the role of anticoagulants in stroke care?
• What type of stroke is characterized by a blockage in a blood vessel?
• Which tool is mentioned as part of competency training for stroke care?
• What is the sequence of monitoring vital signs after treatment?
• What is the maximum possible score on the NIHSS?
• What action takes precedence when a stroke alert is called?
• What is the expected frequency of NIHSS assessments after the first assessment in a stroke patient?
• How often should NIHSS be performed during patient transfers?
• Name a common misconception about stroke that education can address.
• What is an important factor in assessing the risk of stroke in patients?
• What is the initial assessment required when transitioning patients to the next level of care?
• What does CPG stand for in stroke care?
• What is crucial to assess when individualizing stroke education?
• Which of the following is a significant risk factor addressed in patient education?
• Where can stroke order sets be found during system downtime?
• How often should vital signs be taken for stroke patients?
• What is one of the core measures related to stroke care?
• What is the significance of having a stroke coordinator in a hospital?
• At what point is it essential to reassess NIHSS score?
• What is required if a thrombolytic treatment is being considered within a 3.5 to 4 hour window?
• Why is adherence to treatment significant in stroke patient management?
• What does the term "secondary prevention" refer to in stroke management?
• What can be a potential complication of tPA administration?
• What is the recommended frequency for neuro checks in the first hour for stroke patients?
• Within what time frame must LDL be drawn for stroke patients?
• Where can clinical practice guidelines (CPG) for neurology be located?
• Is a nurse-to-nurse handoff required when administering thrombolytics?
• What does a higher NIHSS score generally correlate with?
• What does the admit Modified Rankin Score represent?
• Which patient population is identified as having a higher incidence of strokes?
• What is the first action in the process for initiating an IP stroke alert?
• How often should swallow screens be audited by designated staff?
• What is a common assessment included in stroke protocols?
• Define "transient ischemic attack" (TIA).
• What is the impact of social support on stroke recovery?
• In what situation would a patient be admitted to the ICU/CCU?
• What best describes the accessibility of protocols in a healthcare setting?
• Why is proper documentation important during stroke management?
• What audit tool is commonly used to ensure complete documentation of stroke care?
• What type of imaging is commonly used to identify bleeding in the brain?
• When are moderate or high intensity dose statins recommended for patients over age 75?
• What is the typical nurse to patient ratio in a stroke unit?
• How does telemedicine enhance stroke care management?
• What key aspect should be considered when managing stroke patient care?
• What is the recommended duration for bolusing TNK?
• How does the NIHSS impact stroke treatment outcomes?
• What role do family meetings play in patient care post-stroke?
• What is the most common cause of ischemic stroke?
• In stroke care, what does the acronym FAST stand for?
• Who is involved in the selection of the MGH dysphagia screen tool?
• In what situation must a physician be notified regarding NIHSS score changes?
• What is one component of the education provided to patients and families regarding stroke?
• How should a patient be positioned after certain stroke interventions according to MD orders?
• What primary method is used to communicate care plans to patients and their families?
• What does documenting stroke care adequately ensure?
• What aspect of education includes follow-up care instructions for stroke patients?
• What is the correct method to reconstitute TNK?
• Which of the following is NOT a component of stroke patient education or discharge?
• How often should a stroke care team meet to review performance metrics?
• What should you be prepared to show regarding dysphagia assessment documentation?
• What needs to be assessed before providing nutrients to a stroke patient after a swallow screen failure?
• How are staff maintained in their competency regarding swallow screens?
• What kind of resources do stroke binders typically contain?
• Why is depression screening included in stroke care initiatives?
• What is the primary purpose of stroke units in a hospital?
• How often are stroke protocols required to be reviewed?
• What rationale supports the use of the MGH dysphagia screen tool?
• How often should vital signs and neuro checks be performed after administering treatment?
• What are the potential benefits of early mobilization in stroke recovery?
• What is the infusion process for tPA in stroke treatment?
• When should patients be assessed for dysphagia?
• What setting is crucial for monitoring patients who do not receive thrombolytics?
• What type of education is provided to patients and families post-stroke?
• What should be done if a stroke protocol is not followed?
• Are post neuro endovascular procedure patients received in the facility?
• For the first hour after admission, vital signs and neuro checks are conducted every:
• What guideline supports the use of evidence-based practices in stroke care?
• In which location can additional stroke resources be accessed?
• When should a patient exhibiting symptoms of dizziness or lightheadedness be screened for swallow?
• When should the NIHSS be conducted for stroke alert patients?
• What does the NIHSS score indicate regarding a stroke patient?
• Which lifestyle change can significantly reduce the risk of stroke?
• What is the primary goal of the Joint Commission's stroke care standards?
• Which patients should receive a swallow screen?
• What should be included in a nurse's report during transition of care?
• Where can stroke protocols typically be found?
• Where should all stroke and TIA patients be admitted?
• What should be included in discharge planning considerations for stroke patients?
• What is included in the handoff report from the ED nurse to the ICU nurse?
• What does a higher score on the NIHSS indicate?
• How is nurse discharge instruction categorized when transitioning care?
• What is meant by "acute stroke care"?
• What initiative focuses on the standardized care measures for stroke patients?
• What are the two types of hemorrhagic strokes mentioned?
• What is the recommended time frame for administering tPA in eligible stroke patients?
• Under what condition should high intensity dose statins be initiated upon admission or discharge?
• Which guideline does the Joint Commission use for stroke certification?
• What is the target time for door to CT for stroke patients?
• Which medication is commonly prescribed to reduce the risk of transient ischemic attacks (TIA)?
• Where are dashboards relevant to stroke care located?
• When should you conduct neuro checks in stroke patients?
• What is the appropriate action if a patient exhibits signs of bleeding while receiving thrombolytics?
• When should a speech therapy consultation be requested for stroke patients?
• What feedback is provided to staff regarding stroke core measures?
• In cases where a patient is not a thrombolytic candidate, which treatment is provided?
• How are stroke metrics typically assessed in hospitals?
• What is an important lifestyle modification recommended for stroke prevention?
• Which assessment tool is specifically used to evaluate dysphagia in stroke patients?
• What is the most suitable action if a patient fails the dysphagia screening?
• What role do caregivers play in post-stroke recovery?
• What should be documented if anticoagulation is not prescribed for a patient with afib?