NURS 3280 EXAM 3 PATHOPHYSIOLOGY GALEN
COLLEGE OF NURSING CHAPIN QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS ALREADY
GRADED A+ | NEW UPDATE 2025
Explain the difference between primary and secondary injury? Pg. 892 -
ANSWER primary - occurs immediately at the onset of brain injury
secondary - development of further neuro damage and changes from a primary
injury can change the brain for years to follow
What happens when there is pressure on cranial nerve III? Pg. 901 - ANSWER
sluggish constriction of the pupil can indicate increased ICP
What would the eye do in a pt who has a severe brainstem impairment? p 902 -
ANSWER Oculovestibular reflex - eyes remain fixed like a doll
Where does a polar brain injury take place? p 903 - ANSWER polar injuries
(coup contrecoup) occur as a consequence of the brain shifting within the skull
and meninges during he course of an acceleration-deceleration movement,
resulting in local injury at two opposite poles of the brain
Who is most at risk for epidural bleeding? p 903-904 - ANSWER fracture of the
temporal bone
history of primary brain injury
concussion
falls
, over 60
Who is at greatest risk for ischemic stroke? p 906 - ANSWER pts over 50 with a
catorid bruit
a-fib pts
Hx of a TIA
Concussion
falls
over 60 yrs old
What would a nurse expect to find in a pts history of hemorrhagic stroke? p 906 -
ANSWER record of an extremely high BP
Hx of continuous aspirin use
long standing hypertension
What is an aneurysm? p 909-910 - ANSWER weakening of the blood vessel wall
Blood present in the CSF would indicate what type of hemorrhage? p 905 -
ANSWER subarachnoid hemorrhage
What type of seizure involves both hemispheres of the brain? p 917 - ANSWER
partial seizure: secondary generalized
Movement of the tympanic membrane in the ear initiates movement of the
malleolus, whereas movement of the oval window causes movement of the: -
ANSWER Perilymph
COLLEGE OF NURSING CHAPIN QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS ALREADY
GRADED A+ | NEW UPDATE 2025
Explain the difference between primary and secondary injury? Pg. 892 -
ANSWER primary - occurs immediately at the onset of brain injury
secondary - development of further neuro damage and changes from a primary
injury can change the brain for years to follow
What happens when there is pressure on cranial nerve III? Pg. 901 - ANSWER
sluggish constriction of the pupil can indicate increased ICP
What would the eye do in a pt who has a severe brainstem impairment? p 902 -
ANSWER Oculovestibular reflex - eyes remain fixed like a doll
Where does a polar brain injury take place? p 903 - ANSWER polar injuries
(coup contrecoup) occur as a consequence of the brain shifting within the skull
and meninges during he course of an acceleration-deceleration movement,
resulting in local injury at two opposite poles of the brain
Who is most at risk for epidural bleeding? p 903-904 - ANSWER fracture of the
temporal bone
history of primary brain injury
concussion
falls
, over 60
Who is at greatest risk for ischemic stroke? p 906 - ANSWER pts over 50 with a
catorid bruit
a-fib pts
Hx of a TIA
Concussion
falls
over 60 yrs old
What would a nurse expect to find in a pts history of hemorrhagic stroke? p 906 -
ANSWER record of an extremely high BP
Hx of continuous aspirin use
long standing hypertension
What is an aneurysm? p 909-910 - ANSWER weakening of the blood vessel wall
Blood present in the CSF would indicate what type of hemorrhage? p 905 -
ANSWER subarachnoid hemorrhage
What type of seizure involves both hemispheres of the brain? p 917 - ANSWER
partial seizure: secondary generalized
Movement of the tympanic membrane in the ear initiates movement of the
malleolus, whereas movement of the oval window causes movement of the: -
ANSWER Perilymph
