CEA Nursing Practice Exam

Which of the following correctly identifies the etiology of a transient ischemic attack (TIA)?

1. TIAs are global cerebral dysfunction caused by an infarction

2. TIAs are caused by focal brain ischemia, without acute infarction

3. TIAs are unrelated risk factors for stroke development

4. TIAs cannot last longer than 15 minutes

The correct answer is: TIAs are caused by focal brain ischemia, without acute infarction

The correct identification of the etiology of a transient ischemic attack (TIA) is that they are caused by focal brain ischemia without acute infarction. In a TIA, there is a temporary reduction in blood flow to a specific area of the brain, leading to symptoms such as weakness, speech difficulties, or visual disturbances. Importantly, the key aspect that distinguishes TIAs from full-blown strokes is that the ischemic episode does not result in permanent brain damage or infarction. This phenomenon occurs due to a variety of underlying factors, often linked to underlying vascular conditions such as atherosclerosis or embolism, where blood flow is momentarily interrupted but is restored before irreversible damage occurs. Understanding this mechanism is vital in recognizing the role of TIAs as significant warnings for the potential risk of a subsequent stroke, making their identification and management crucial in clinical practice. In contrast, the other choices inaccurately describe TIAs or represent misconceptions about their nature and implications. For instance, TIAs are not characterized by global cerebral dysfunction or definite time constraints limiting their duration, nor are they unrelated to stroke risk factors, as TIAs are closely monitored and associated with the elevated risk of subsequent strokes.