Review Practice Exercise 2

Exam Review

Practice Exercise 2

Share This Link

Share on social media

Facebook

Messager

WhatsApp

Share URL
Copy

We are excited to announce the release of a NEW VERSION OF THE SYSTEM! To benefit from the latest features, improvements, and component updates, please switch to the new system as soon as possible.

Visit Latest Version

Total Questions : 2

Showing 2 questions, Sign in for more

Question 1:

A 75-year-old patient with a history of hypertension and atrial fibrillation is admitted to the hospital after a new-onset focal seizure. The nurse recognizes which of the following is the most likely underlying risk factor?

A. Traumatic brain injury (TBI) sustained 30 years ago B. Cerebral palsy C. A recent ischemic stroke D. A history of febrile seizures as a child

Answer and Explanation

Choice A:

TBI from 30 years ago is a remote insult; while old injuries can be associated with seizures, they are a far less likely cause than a recent vascular event in an elderly patient.

Choice B:

Cerebral palsy is a childhood condition that may include seizures but is not a new risk factor for late-onset seizures in an elderly person without a diagnosis.

Choice C:

In elderly patients, ischemic stroke is one of the most common causes of new-onset focal seizures. The presence of atrial fibrillation and hypertension places this patient at high risk for embolic or thrombotic strokes, which can lead to seizure activity due to acute cortical irritation or chronic gliosis.

Choice D:

Febrile seizures in childhood are typically benign and do not significantly increase the long-term risk of adult-onset epilepsy unless associated with other neurological issues.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 2:

A nurse is teaching a community group about post-traumatic epilepsy (PTE). The nurse should include which of the following as significant risk factors for developing PTE?

A. The presence of a skull fracture B. The severity of the traumatic brain injury (TBI) C. Location of the injury in the parietal lobe D. Post-traumatic amnesia lasting more than 24 hours

Answer and Explanation

Choice A:

Skull fracture alone does not always increase PTE risk unless it is associated with brain contusion, hemorrhage, or penetrating injury.

Choice B:

The severity of TBI is the most consistent predictor of post-traumatic epilepsy. Moderate to severe TBIs, especially those involving cortical damage, hemorrhage, or penetrating injuries, are strongly associated with a higher risk of late-onset seizures and epilepsy.

Choice C:

While location can affect seizure type, the severity of injury plays a more significant role in predicting whether epilepsy will occur. No specific lobe alone universally predicts PTE.

Choice D:

Post-traumatic amnesia >24 hours is a marker of injury severity, but not an independent predictor of epilepsy. It's used in classification but not as a direct risk factor alone.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Sign Up or Login to view all the 2 Questions on this Exam

Join over 100,000+ nursing students using Naxlex’s science-backend flashcards, practice tests and expert solutions to improve their grades and reach their goals.

Nursing Offer

Upgrade your membership - 15% off

20,000+ questions
to help you excel in your exams.
Exams & Tests
20+ Exit exams & 100+ Test Banks.
Video tutorials
to enhance your learning
Comprehensive study guides
to support your exam preparation.

Get Your Offer Today

Exam Review

Practice Exercise 2 Share this Share This Link Share on social media Facebook Messager WhatsApp Share URL Copy Close

Total Questions : 2

Sign Up or Login to view all the 2 Questions on this Exam

Practice Exercise 2

Share This Link

Share on social media

Facebook

Messager

WhatsApp

Share URL
Copy