Mastering Medical-Surgical
Nursing II: 200 Practice Questions
for the NU185 Exam 1 with
Questions And Verified Answers
Latest 2026[Most Recent]/Instant
Download PDF
Topic: Seizure Disorders & Management
1. Seizure Triggers
The nurse is teaching a group of clients about common seizure triggers.
Which of the following should the nurse include? (Select all that apply)
A. Sleep deprivation
B. Alcohol use
C. High fever
D. Daily exercise
E. Hypoglycemia
Correct Answers: A, B, C, E
✅ Rationale: Sleep deprivation, alcohol, fever, and low blood sugar are
all common seizure triggers. Moderate daily exercise is not a trigger and
can be beneficial .
2. Diagnostic Testing (EEG)
The nurse is preparing a client for an EEG. Which instruction should the
nurse include?
A. "Avoid washing your hair the morning of the test."
B. "Avoid caffeine for at least 8 hours before the test."
C. "Take all seizure medications as prescribed the day of the test."
D. "The test will involve minor shocks to stimulate brain activity."
,Correct Answer: B
✅ Rationale: Caffeine should be avoided for at least 8 hours before an
EEG as it can affect brain wave activity. Hair should be clean, and the test
is painless .
3. Medication Safety (Phenytoin)
A patient is receiving phenytoin for seizure control. Which assessment
finding requires immediate intervention?
A. Mild drowsiness
B. Swollen, bleeding gums
C. Skin rash
D. Occasional headache
Correct Answer: C
✅ Rationale: A skin rash may indicate Stevens-Johnson syndrome, a
rare but serious and potentially life-threatening reaction to phenytoin
requiring emergency care .
4. Patient Teaching (Levetiracetam/Keppra)
The nurse is teaching a client about levetiracetam (Keppra). Which
statement by the client indicates a need for further teaching?
A. "This medication may make me feel dizzy or drowsy."
B. "I can stop this medication if I haven't had a seizure in a month."
C. "I will take this medication at the same time every day."
D. "If I feel very depressed or agitated, I should tell my provider."
Correct Answer: B
✅ Rationale: Stopping anticonvulsants abruptly can cause seizure
recurrence or status epilepticus. The medication must be taken
consistently .
5. Emergency Care (Status Epilepticus)
A client is experiencing status epilepticus. What is the priority nursing
action?
A. Administer IV phenytoin
B. Restrain the patient to prevent injury
C. Insert an oral airway
D. Turn the client to the side and administer IV lorazepam
,Correct Answer: D
✅ Rationale: The first-line treatment for status epilepticus is IV
lorazepam or diazepam. Positioning the client on the side helps prevent
aspiration. Never restrain or insert anything into the mouth during a
seizure .
Topic: Parkinson's Disease
6. Characteristic Manifestation
Which clinical manifestation is most characteristic of Parkinson's disease?
A. Muscle flaccidity
B. Hyperactive reflexes
C. Pill-rolling tremor
D. Sudden onset of muscle weakness
Correct Answer: C
✅ Rationale: A resting "pill-rolling" tremor is a hallmark symptom of
Parkinson's disease .
7. Medication Action (Carbidopa-Levodopa)
A client newly diagnosed with Parkinson's disease is prescribed
carbidopa-levodopa. The client asks how this medication works. Which
response by the nurse is correct?
A. "It increases the levels of serotonin in your brain."
B. "It helps your brain convert protein into muscle."
C. "It helps your brain make more dopamine to improve movement."
D. "It reduces inflammation in the spinal cord."
Correct Answer: C
✅ Rationale: Carbidopa-levodopa helps replenish dopamine, a
neurotransmitter that is deficient in Parkinson's disease, improving
motor function .
8. Medication Teaching (Carbidopa-Levodopa)
A nurse is teaching a client about carbidopa-levodopa therapy. Which
statement by the client indicates a need for further teaching?
A. "I might have to wait a few weeks before seeing improvement."
B. "I will take my medication with high-protein meals to help it absorb."
, C. "This medication may make my body fluids darker in color."
D. "I should avoid fermented foods while taking this medication."
Correct Answer: B
✅ Rationale: High-protein foods can interfere with the absorption of
carbidopa-levodopa. Clients should limit protein intake around dosing
times .
9. Safety Intervention
A nurse is developing a plan of care for a client with Parkinson's disease.
Which intervention is most important to reduce the risk of injury?
A. Encourage the client to rest frequently during the day.
B. Provide a cane for ambulation without assessment.
C. Keep the client's environment clutter-free and well-lit.
D. Instruct the client to limit movement to conserve energy.
Correct Answer: C
✅ Rationale: Clients with Parkinson's are at increased risk for falls due
to poor balance and a shuffling gait. A clear and well-lit environment
promotes safety .
10. Dietary Modification for Dysphagia
A client with Parkinson's disease is at risk for aspiration due to drooling
and impaired swallowing. Which dietary modification should the nurse
recommend?
A. Provide thin liquids and dry foods.
B. Offer frequent, large meals to reduce fatigue.
C. Recommend high-protein meals with medications.
D. Offer thickened liquids and small, frequent meals.
Correct Answer: D
✅ Rationale: Thickened liquids and small, frequent meals reduce the
risk of aspiration and help manage fatigue during meals .
Topic: Acid-Base Balance
11. Acid-Base Imbalance (Vomiting)
A client is experiencing prolonged vomiting. Which acid-base imbalance
is most likely to occur?
Nursing II: 200 Practice Questions
for the NU185 Exam 1 with
Questions And Verified Answers
Latest 2026[Most Recent]/Instant
Download PDF
Topic: Seizure Disorders & Management
1. Seizure Triggers
The nurse is teaching a group of clients about common seizure triggers.
Which of the following should the nurse include? (Select all that apply)
A. Sleep deprivation
B. Alcohol use
C. High fever
D. Daily exercise
E. Hypoglycemia
Correct Answers: A, B, C, E
✅ Rationale: Sleep deprivation, alcohol, fever, and low blood sugar are
all common seizure triggers. Moderate daily exercise is not a trigger and
can be beneficial .
2. Diagnostic Testing (EEG)
The nurse is preparing a client for an EEG. Which instruction should the
nurse include?
A. "Avoid washing your hair the morning of the test."
B. "Avoid caffeine for at least 8 hours before the test."
C. "Take all seizure medications as prescribed the day of the test."
D. "The test will involve minor shocks to stimulate brain activity."
,Correct Answer: B
✅ Rationale: Caffeine should be avoided for at least 8 hours before an
EEG as it can affect brain wave activity. Hair should be clean, and the test
is painless .
3. Medication Safety (Phenytoin)
A patient is receiving phenytoin for seizure control. Which assessment
finding requires immediate intervention?
A. Mild drowsiness
B. Swollen, bleeding gums
C. Skin rash
D. Occasional headache
Correct Answer: C
✅ Rationale: A skin rash may indicate Stevens-Johnson syndrome, a
rare but serious and potentially life-threatening reaction to phenytoin
requiring emergency care .
4. Patient Teaching (Levetiracetam/Keppra)
The nurse is teaching a client about levetiracetam (Keppra). Which
statement by the client indicates a need for further teaching?
A. "This medication may make me feel dizzy or drowsy."
B. "I can stop this medication if I haven't had a seizure in a month."
C. "I will take this medication at the same time every day."
D. "If I feel very depressed or agitated, I should tell my provider."
Correct Answer: B
✅ Rationale: Stopping anticonvulsants abruptly can cause seizure
recurrence or status epilepticus. The medication must be taken
consistently .
5. Emergency Care (Status Epilepticus)
A client is experiencing status epilepticus. What is the priority nursing
action?
A. Administer IV phenytoin
B. Restrain the patient to prevent injury
C. Insert an oral airway
D. Turn the client to the side and administer IV lorazepam
,Correct Answer: D
✅ Rationale: The first-line treatment for status epilepticus is IV
lorazepam or diazepam. Positioning the client on the side helps prevent
aspiration. Never restrain or insert anything into the mouth during a
seizure .
Topic: Parkinson's Disease
6. Characteristic Manifestation
Which clinical manifestation is most characteristic of Parkinson's disease?
A. Muscle flaccidity
B. Hyperactive reflexes
C. Pill-rolling tremor
D. Sudden onset of muscle weakness
Correct Answer: C
✅ Rationale: A resting "pill-rolling" tremor is a hallmark symptom of
Parkinson's disease .
7. Medication Action (Carbidopa-Levodopa)
A client newly diagnosed with Parkinson's disease is prescribed
carbidopa-levodopa. The client asks how this medication works. Which
response by the nurse is correct?
A. "It increases the levels of serotonin in your brain."
B. "It helps your brain convert protein into muscle."
C. "It helps your brain make more dopamine to improve movement."
D. "It reduces inflammation in the spinal cord."
Correct Answer: C
✅ Rationale: Carbidopa-levodopa helps replenish dopamine, a
neurotransmitter that is deficient in Parkinson's disease, improving
motor function .
8. Medication Teaching (Carbidopa-Levodopa)
A nurse is teaching a client about carbidopa-levodopa therapy. Which
statement by the client indicates a need for further teaching?
A. "I might have to wait a few weeks before seeing improvement."
B. "I will take my medication with high-protein meals to help it absorb."
, C. "This medication may make my body fluids darker in color."
D. "I should avoid fermented foods while taking this medication."
Correct Answer: B
✅ Rationale: High-protein foods can interfere with the absorption of
carbidopa-levodopa. Clients should limit protein intake around dosing
times .
9. Safety Intervention
A nurse is developing a plan of care for a client with Parkinson's disease.
Which intervention is most important to reduce the risk of injury?
A. Encourage the client to rest frequently during the day.
B. Provide a cane for ambulation without assessment.
C. Keep the client's environment clutter-free and well-lit.
D. Instruct the client to limit movement to conserve energy.
Correct Answer: C
✅ Rationale: Clients with Parkinson's are at increased risk for falls due
to poor balance and a shuffling gait. A clear and well-lit environment
promotes safety .
10. Dietary Modification for Dysphagia
A client with Parkinson's disease is at risk for aspiration due to drooling
and impaired swallowing. Which dietary modification should the nurse
recommend?
A. Provide thin liquids and dry foods.
B. Offer frequent, large meals to reduce fatigue.
C. Recommend high-protein meals with medications.
D. Offer thickened liquids and small, frequent meals.
Correct Answer: D
✅ Rationale: Thickened liquids and small, frequent meals reduce the
risk of aspiration and help manage fatigue during meals .
Topic: Acid-Base Balance
11. Acid-Base Imbalance (Vomiting)
A client is experiencing prolonged vomiting. Which acid-base imbalance
is most likely to occur?
