lOMoARcPSD| 69811638
MDC 4 FINAL EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTION
100% CORRECT!!!
Question 1 You witness a patient experience sudden muscle stiffening and
rigidity, primarily involving the arms and legs, accompanied by an immediate loss
of consciousness. What type of seizure activity is being demonstrated?
A. Clonic seizure B. Atonic seizure C. Tonic seizure D. Absence seizure
✔️✔️ C. Tonic
(Explanation: A tonic seizure is characterized by a sudden increase in muscle tone,
causing the body, arms, or legs to become rigid, usually accompanied by an
immediate loss of consciousness.)
Question 2 You witness a patient exhibiting sustained, rhythmic jerking and
alternating relaxation of all four extremities. Which specific type of seizure
activity does this describe?
A. Tonic seizure B. Clonic seizure C. Atonic seizure D. Myoclonic seizure
✔️✔️ B. Clonic
(Explanation: Clonic seizures involve repetitive, rhythmic muscle contractions and
relaxations (jerking movements) affecting both sides of the body.)
Question 3 A patient suddenly loses all muscle tone for a few seconds, causing
them to collapse directly to the ground ("drop attack"). What type of seizure has
occurred?
A. Tonic seizure B. Clonic seizure C. Atonic seizure D. Focal impaired awareness
seizure
✔️✔️ Atonic
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(Explanation: Atonic seizures (also known as drop attacks) cause a sudden,
temporary loss of postural muscle tone lasting a few seconds, frequently leading to
falls and injury.)
Question 4 A patient is recovering immediately following a seizure event. They
present with confusion and lethargy as their brain gradually resets, a period that
can last anywhere from minutes to several hours. What phase of the seizure cycle
does this represent?
A. Prodromal phase B. Aura phase C. Ictal phase D. Postictal phase
✔️✔️ D. Postictal
(Explanation: The postictal phase occurs immediately after the seizure activity
stops. It represents the recovery period during which the brain recovers, often
characterized by altered mental status, confusion, fatigue, and headache.)
A 25-year-old female is prescribed Phenytoin Sodium (seizure medication). What
is an example of patient education for this specific population of patients?
Use alternative form of birth control
Bradykinesia, muscle rigidity, and masklike face are clinical manifestations of:
Parkinsons Disease
The initial concern for a patient with Parkinson's disease is safety due to:
Risk for falls
A 30-year-old woman is experiencing double vision, trigeminal neuralgia, ataxia,
and spasms.
What do you suspect?
Multiple Sclerosis
What medication is often used to treat spasms in a patient with multiple sclerosis?
Baclofen
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A patient arrives in the ER with ascending paralysis.
What do you suspect?
Guillain-Barre Syndrome
A patient arrives in the ER with a diagnosis of Guillain-Barre Syndrome.
As the nurse, you monitor for which complication due to ascending paralysis?
Respiratory problems
What time of illness is believed to contribute to developing Guillain-Barre
Syndrome?
Ebstein-Barr virus
A patient is experiencing a seizure that lasts longer than 5 minutes. What is this
called and what type of medication do you expect to give?
Status Epilepticus; Benzodiazepine
A patient with a history of seizures is prescribed Dilantin. What is important
patient teaching about this medication?
Make regular dental checkups, causes gum overgrowth.
A patient is taking seizure medications for 6 months and states "I have not had a
seizure since starting this medication."
Important patient education:
Do not stop the medication.
What is the normal phenytoin level?
10-20
A patient is scheduled for an EEG tomorrow morning.
The nurse should advise them:
MDC 4 FINAL EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTION
100% CORRECT!!!
Question 1 You witness a patient experience sudden muscle stiffening and
rigidity, primarily involving the arms and legs, accompanied by an immediate loss
of consciousness. What type of seizure activity is being demonstrated?
A. Clonic seizure B. Atonic seizure C. Tonic seizure D. Absence seizure
✔️✔️ C. Tonic
(Explanation: A tonic seizure is characterized by a sudden increase in muscle tone,
causing the body, arms, or legs to become rigid, usually accompanied by an
immediate loss of consciousness.)
Question 2 You witness a patient exhibiting sustained, rhythmic jerking and
alternating relaxation of all four extremities. Which specific type of seizure
activity does this describe?
A. Tonic seizure B. Clonic seizure C. Atonic seizure D. Myoclonic seizure
✔️✔️ B. Clonic
(Explanation: Clonic seizures involve repetitive, rhythmic muscle contractions and
relaxations (jerking movements) affecting both sides of the body.)
Question 3 A patient suddenly loses all muscle tone for a few seconds, causing
them to collapse directly to the ground ("drop attack"). What type of seizure has
occurred?
A. Tonic seizure B. Clonic seizure C. Atonic seizure D. Focal impaired awareness
seizure
✔️✔️ Atonic
, lOMoARcPSD| 69811638
(Explanation: Atonic seizures (also known as drop attacks) cause a sudden,
temporary loss of postural muscle tone lasting a few seconds, frequently leading to
falls and injury.)
Question 4 A patient is recovering immediately following a seizure event. They
present with confusion and lethargy as their brain gradually resets, a period that
can last anywhere from minutes to several hours. What phase of the seizure cycle
does this represent?
A. Prodromal phase B. Aura phase C. Ictal phase D. Postictal phase
✔️✔️ D. Postictal
(Explanation: The postictal phase occurs immediately after the seizure activity
stops. It represents the recovery period during which the brain recovers, often
characterized by altered mental status, confusion, fatigue, and headache.)
A 25-year-old female is prescribed Phenytoin Sodium (seizure medication). What
is an example of patient education for this specific population of patients?
Use alternative form of birth control
Bradykinesia, muscle rigidity, and masklike face are clinical manifestations of:
Parkinsons Disease
The initial concern for a patient with Parkinson's disease is safety due to:
Risk for falls
A 30-year-old woman is experiencing double vision, trigeminal neuralgia, ataxia,
and spasms.
What do you suspect?
Multiple Sclerosis
What medication is often used to treat spasms in a patient with multiple sclerosis?
Baclofen
, lOMoARcPSD| 69811638
A patient arrives in the ER with ascending paralysis.
What do you suspect?
Guillain-Barre Syndrome
A patient arrives in the ER with a diagnosis of Guillain-Barre Syndrome.
As the nurse, you monitor for which complication due to ascending paralysis?
Respiratory problems
What time of illness is believed to contribute to developing Guillain-Barre
Syndrome?
Ebstein-Barr virus
A patient is experiencing a seizure that lasts longer than 5 minutes. What is this
called and what type of medication do you expect to give?
Status Epilepticus; Benzodiazepine
A patient with a history of seizures is prescribed Dilantin. What is important
patient teaching about this medication?
Make regular dental checkups, causes gum overgrowth.
A patient is taking seizure medications for 6 months and states "I have not had a
seizure since starting this medication."
Important patient education:
Do not stop the medication.
What is the normal phenytoin level?
10-20
A patient is scheduled for an EEG tomorrow morning.
The nurse should advise them:
