# Stage 2 — Analyze cues. For each result, identify the conclusion it most directly supports in the reperfusion evaluation.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=568847&lang=en  
> language: en  
> subject: Reduction of Risk Potential  
> category: ROR

## Question

Stage 2 — Analyze cues. For each result, identify the conclusion it most directly supports in the reperfusion evaluation.

|  | Supports continued thrombolysis evaluation | Supports thrombectomy evaluation | Reduces concern for a glucose mimic | Reduces a laboratory bleeding exclusion |
| --- | --- | --- | --- | --- |
| Noncontrast CT shows no intracranial hemorrhage |  |  |  |  |
| CT angiography shows a left M1 occlusion |  |  |  |  |
| Point-of-care glucose is 118 mg/dL |  |  |  |  |
| Platelets 224,000/mm3 and INR 1.0 |  |  |  |  |

## Explanation

No hemorrhage on noncontrast CT permits continued ischemic-stroke treatment evaluation, an M1 occlusion supports thrombectomy evaluation, normal glucose reduces a metabolic mimic, and adequate platelets with INR 1.0 remove two common bleeding-related exclusions without proving overall eligibility.

## In-depth explanation

Quick answer
Match each test to its job: exclude hemorrhage, locate the occlusion, rule down a mimic, or assess bleeding risk.

Why this is correct
Reperfusion decisions combine time, deficit severity, imaging, and contraindications. No single normal value independently authorizes treatment.

Easy analogy or mental picture
The stroke workup is a four-lane checkpoint: brain image, vessel image, mimic screen, and bleeding screen each answer a different question.

Memory hook
Plain CT checks blood; angiography checks blockage.

NCLEX decision rule
Interpret diagnostic data by purpose and continue parallel stroke-system actions rather than waiting for every result sequentially.

Why the other choices are wrong
An M1 occlusion does not rule out hemorrhage, glucose does not locate a clot, and coagulation values do not show whether a large vessel is blocked.

References
12026 Guideline for the Early Management of Patients With Acute Ischemic StrokeRapid stroke recognition, thrombolysis, thrombectomy pathways, and early management

## Clinical scenario

Case update
The stroke team reviews imaging, laboratory, and bedside data before reperfusion treatment.

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