NUR 102 TEST 4 QUESTIONS 2026/2027 – NURSING PRACTICE QUESTIONS,
STUDY GUIDE, EXAM REVIEW & TEST PREP
Which adverse effect may occur during phenytoin (Dilantin) therapy? - correct answer ✔✔Toxicity,
Gingival Hyperplasia, Somnolence
A therapeutic phenytoin levels is 10 to 20 mg/dL.
True or False - correct answer ✔✔True
A client tells the nurse that they recalled a warm sensation before her seizure. Which term describes
this? - correct answer ✔✔Aura
Which nursing intervention take priority for client experiencing a tonic-clonic seizure? - correct answer
✔✔Maintaining a patent airway
When reinforcing teaching with the client, the nurse knows that alcohol should be avoided with clients
taking phenytoin because? - correct answer ✔✔Alcohol decreases the effectiveness of the phenytoin
A client in status epilepticus arrives at the emergency department. The family is interviewed to
determine the cause of this problem. Which event may have predisposed the client to this condition? -
correct answer ✔✔Abruptly stopping anti convulsant therapy
A client is taking pregabalin (Lyrica) but does not have a history of seizures. The nurse recognizes that
this drug is also indicated for which of these? - correct answer ✔✔Fibromyalgia
The nurse knows that these are some of the causes of peripheral neuropathy? - correct answer
✔✔Poorly controlled diabetes, Vitamin B Deficiency, Kidney Failure, Smoking, Alcoholism
The client knows that this can help with fibromyalgia: - correct answer ✔✔Acupuncture, Stretching,
Mediation, Stress Management, Physical Exercise
A nurse is taking care of a patient who suddenly begins to have a seizure. Which response by the nurse
would be appropriate?
A) Run to the telephone, and call for help
B) Observe and record the seizure activity
C) Apply soft restraints until the seizure activity ceases
D) Pry the jaw open to place a padded tongue blade into the patient mouth - correct answer ✔✔B)
Observe and record the seizure activity
Which nursing intervention should be implemented immediately at onset of a seizure to ensure the
safety of a patient with tonic-clonic seizures?
A) Place a tongue blade in the patients mouth
B) Restrain the patients arms and legs
C) Elevate the head of the patients bed
D) Take measures to prevent head injury - correct answer ✔✔D) Take measures to prevent head injury
,The nurse is repeating instructions to a patient with epilepsy about the care to be taken after discharge.
Which statement made by the patient indicates the need for further teaching?
A) "I have to maintain good oral hygiene"
B) "I should abstain from anything with alcohol in it"
C) "I may stop taking my seizure medications if I have not had a seizure in 30 days"
D) "I should wear the medical alert bracelet provided" - correct answer ✔✔C) "I may stop taking my
seizure medications if I have not had a seizure in 30 days"
Which description identifies fibromyalgia syndrome?
A) Psychiatric disorder
B) Mood disorder of depression, irritability, and hostility
C) Musculokeletal chronic pain of unknown cause
D) Disorder that usually affects men between the ages of 20 and 50 years - correct answer ✔✔C)
Musculoskeletal chronic pain of unknown cause
A patient arrives at the clinic complaining of chronic pain and comments, " My neck and lower back hurt
all the time. My body is stiffer in the morning, and the achiness and stiffness are always much worse
after a hard day of work." Which diagnosis does the nurse interpret these symptoms to be associated
with?
A) Fibromyalgia
B) Osteomyelitis
C) Osteoarthritis
D) Rheumatoid arthritis - correct answer ✔✔A) Fibromyalgia
A patient with long-term, poorly controlled type 2 diabetes mellitus comes to the clinic complaining of
tingling and burning in the legs and numbness in the toes. The nurse anticipates which diagnosis?
A) Phantom limb pain
B) Trigeminal neuralgia
C) Diabetic neuropathy
D) Postherpetic neuralgia - correct answer ✔✔C) Diabetic neuropathy
A patient diagnosed with seizures is advised to take phenytoin. Which common side effects of phenytoin
should the nurse inform the patient about?
A) Weight gin
B) Neuropathy
C) Memory loss
D) Gingival hyperplasia - correct answer ✔✔D) Gingival hyperplasia
While assessing an older patient, the nurse finds that the patient has seizures and tetany. Which
laboratory value alteration does the nurse infer from this?
A) Sodium deficiency
B) Calcium deficiency
C) Chlorine excess
D) Magnesium excess - correct answer ✔✔B) Calcium deficiency
The caregivers of a patient with acute seizures ask the nurse what they should do if another episode of
seizure occurs at home after discharge. Which instructions should the nurse provide in response to the
question? Select all that apply.
, A) Loosen constrictive clothes
B) Ease the patient to the floor
C) Restrain the patient to the bed
D) Protect the patient from injury
E) Bring the patient to the hospital immediately - correct answer ✔✔A) Loosen constrictive clothes
B) Ease the patient to the floor
D) Protect the patient from injury
Which interventions are included in a patient's plan of care to reduce the symptoms of fibromyalgia
syndrome?
A) Long naps and rest periods
B) Dark, quiet sleep environment
C) Yoga and relaxation techniques
D) Stretching exercises and swimming
E) Warm bath within 2 hours of bedtime - correct answer ✔✔B) Dark, quiet sleep environment
C) Yoga and relaxation techniques
D) Stretching exercises and swimming
E) Warm bath within 2 hours of bedtime
A pregnant patient call the clinic and explains to the nurse that she is experiencing pain with no
distinctive pattern, the pain varies in length and intensity, and it stops when she gets up and moves
around. Which inference can the nurse make out about the patient's condition?
A) True labor has begun
B) Braxton Hicks contractions are occurring
C) The appendix may be inflamed
D) This is an indication of severe indigestion - correct answer ✔✔B) Braxton Hicks contractions are
occurring
A student nurse us being mentored in the delivery room by an experienced nurse. Which action, if
performed by the student, requires immediate correction?
A) Provides for infant warmth
B) Dries the infant immediately
C) Secures identification bracelet
D) Suctions the back of the babies throat - correct answer ✔✔D) Suctions the back of the babies throat
Which term is used for documentation of shortening and thinning of the cervix during the first stage?
A) Dilation
B) Scarring
C) Effacement
D) Contractions - correct answer ✔✔C) Effacement
A young pregnant woman has been planning a natural vaginal delivery for the past 8 months. A breech
presentation resulted in a cesarean section. When the nurse enters to assess the surgical incision, the
patient yells, " That doctor ruined my plan, now my stomach is scarred for life." Which action is most
appropriate for the nurse to take?
A) Ask the family to comfort the patient
B) Immediately exit the room and return at a later time
C) Sit at the bedside and allow the patient to express concerns
STUDY GUIDE, EXAM REVIEW & TEST PREP
Which adverse effect may occur during phenytoin (Dilantin) therapy? - correct answer ✔✔Toxicity,
Gingival Hyperplasia, Somnolence
A therapeutic phenytoin levels is 10 to 20 mg/dL.
True or False - correct answer ✔✔True
A client tells the nurse that they recalled a warm sensation before her seizure. Which term describes
this? - correct answer ✔✔Aura
Which nursing intervention take priority for client experiencing a tonic-clonic seizure? - correct answer
✔✔Maintaining a patent airway
When reinforcing teaching with the client, the nurse knows that alcohol should be avoided with clients
taking phenytoin because? - correct answer ✔✔Alcohol decreases the effectiveness of the phenytoin
A client in status epilepticus arrives at the emergency department. The family is interviewed to
determine the cause of this problem. Which event may have predisposed the client to this condition? -
correct answer ✔✔Abruptly stopping anti convulsant therapy
A client is taking pregabalin (Lyrica) but does not have a history of seizures. The nurse recognizes that
this drug is also indicated for which of these? - correct answer ✔✔Fibromyalgia
The nurse knows that these are some of the causes of peripheral neuropathy? - correct answer
✔✔Poorly controlled diabetes, Vitamin B Deficiency, Kidney Failure, Smoking, Alcoholism
The client knows that this can help with fibromyalgia: - correct answer ✔✔Acupuncture, Stretching,
Mediation, Stress Management, Physical Exercise
A nurse is taking care of a patient who suddenly begins to have a seizure. Which response by the nurse
would be appropriate?
A) Run to the telephone, and call for help
B) Observe and record the seizure activity
C) Apply soft restraints until the seizure activity ceases
D) Pry the jaw open to place a padded tongue blade into the patient mouth - correct answer ✔✔B)
Observe and record the seizure activity
Which nursing intervention should be implemented immediately at onset of a seizure to ensure the
safety of a patient with tonic-clonic seizures?
A) Place a tongue blade in the patients mouth
B) Restrain the patients arms and legs
C) Elevate the head of the patients bed
D) Take measures to prevent head injury - correct answer ✔✔D) Take measures to prevent head injury
,The nurse is repeating instructions to a patient with epilepsy about the care to be taken after discharge.
Which statement made by the patient indicates the need for further teaching?
A) "I have to maintain good oral hygiene"
B) "I should abstain from anything with alcohol in it"
C) "I may stop taking my seizure medications if I have not had a seizure in 30 days"
D) "I should wear the medical alert bracelet provided" - correct answer ✔✔C) "I may stop taking my
seizure medications if I have not had a seizure in 30 days"
Which description identifies fibromyalgia syndrome?
A) Psychiatric disorder
B) Mood disorder of depression, irritability, and hostility
C) Musculokeletal chronic pain of unknown cause
D) Disorder that usually affects men between the ages of 20 and 50 years - correct answer ✔✔C)
Musculoskeletal chronic pain of unknown cause
A patient arrives at the clinic complaining of chronic pain and comments, " My neck and lower back hurt
all the time. My body is stiffer in the morning, and the achiness and stiffness are always much worse
after a hard day of work." Which diagnosis does the nurse interpret these symptoms to be associated
with?
A) Fibromyalgia
B) Osteomyelitis
C) Osteoarthritis
D) Rheumatoid arthritis - correct answer ✔✔A) Fibromyalgia
A patient with long-term, poorly controlled type 2 diabetes mellitus comes to the clinic complaining of
tingling and burning in the legs and numbness in the toes. The nurse anticipates which diagnosis?
A) Phantom limb pain
B) Trigeminal neuralgia
C) Diabetic neuropathy
D) Postherpetic neuralgia - correct answer ✔✔C) Diabetic neuropathy
A patient diagnosed with seizures is advised to take phenytoin. Which common side effects of phenytoin
should the nurse inform the patient about?
A) Weight gin
B) Neuropathy
C) Memory loss
D) Gingival hyperplasia - correct answer ✔✔D) Gingival hyperplasia
While assessing an older patient, the nurse finds that the patient has seizures and tetany. Which
laboratory value alteration does the nurse infer from this?
A) Sodium deficiency
B) Calcium deficiency
C) Chlorine excess
D) Magnesium excess - correct answer ✔✔B) Calcium deficiency
The caregivers of a patient with acute seizures ask the nurse what they should do if another episode of
seizure occurs at home after discharge. Which instructions should the nurse provide in response to the
question? Select all that apply.
, A) Loosen constrictive clothes
B) Ease the patient to the floor
C) Restrain the patient to the bed
D) Protect the patient from injury
E) Bring the patient to the hospital immediately - correct answer ✔✔A) Loosen constrictive clothes
B) Ease the patient to the floor
D) Protect the patient from injury
Which interventions are included in a patient's plan of care to reduce the symptoms of fibromyalgia
syndrome?
A) Long naps and rest periods
B) Dark, quiet sleep environment
C) Yoga and relaxation techniques
D) Stretching exercises and swimming
E) Warm bath within 2 hours of bedtime - correct answer ✔✔B) Dark, quiet sleep environment
C) Yoga and relaxation techniques
D) Stretching exercises and swimming
E) Warm bath within 2 hours of bedtime
A pregnant patient call the clinic and explains to the nurse that she is experiencing pain with no
distinctive pattern, the pain varies in length and intensity, and it stops when she gets up and moves
around. Which inference can the nurse make out about the patient's condition?
A) True labor has begun
B) Braxton Hicks contractions are occurring
C) The appendix may be inflamed
D) This is an indication of severe indigestion - correct answer ✔✔B) Braxton Hicks contractions are
occurring
A student nurse us being mentored in the delivery room by an experienced nurse. Which action, if
performed by the student, requires immediate correction?
A) Provides for infant warmth
B) Dries the infant immediately
C) Secures identification bracelet
D) Suctions the back of the babies throat - correct answer ✔✔D) Suctions the back of the babies throat
Which term is used for documentation of shortening and thinning of the cervix during the first stage?
A) Dilation
B) Scarring
C) Effacement
D) Contractions - correct answer ✔✔C) Effacement
A young pregnant woman has been planning a natural vaginal delivery for the past 8 months. A breech
presentation resulted in a cesarean section. When the nurse enters to assess the surgical incision, the
patient yells, " That doctor ruined my plan, now my stomach is scarred for life." Which action is most
appropriate for the nurse to take?
A) Ask the family to comfort the patient
B) Immediately exit the room and return at a later time
C) Sit at the bedside and allow the patient to express concerns
