NSG 320 - EXAM 4 QUESTIONS WITH COMPLETE
SOLUTIONS
As part of supervising an Advanced Practice (AP) nurse for
a patient at risk for seizures, which action should the RN
ensure is completed?
a) Remove all food and fluids from the patient's room.
b) Place suction equipment, a bag-valve-mask, and oxygen at
the patient’s bedside.
c) Administer oral medications to the patient immediately
after the seizure.
d) Provide detailed seizure education to the patient and
family before any event.
B
A nurse is caring for a patient during a seizure. Which
action should the nurse take to ensure the patient's safety?
a) Hold the patient’s head still to prevent movement.
b) Turn the patient to the side and protect their head.
c) Insert a tongue depressor in the patient’s mouth to
prevent biting.
d) Restrict the patient’s movements by holding their limbs.
B
A nurse is assessing a patient who has been taking
antiseizure medication for a long time. The patient expresses
,a desire to discontinue the medication. Which statement by
the nurse best supports safe medication withdrawal?
a) "You can stop taking the medication whenever you feel
ready, as long as you don't have any seizures."
b) "We need to ensure you have been seizure-free for a
sufficient period and have normal results from your
neurologic assessments and EEG before we consider
discontinuation."
c) "You should reduce your medication dosage gradually on
your own to avoid any potential complications."
d) "It’s best to discuss medication withdrawal with your
pharmacist, as they can provide guidance on how to stop the
medication."
B
A patient who has been seizure-free for 3 years and has a
normal EEG is considering withdrawing from their
antiseizure medication. What additional factor must be
considered before proceeding with the withdrawal?
a) The patient's willingness to stop the medication
immediately.
b) The patient's liver enzyme levels.
c) The patient's neurologic assessment should also be normal
.d) The patient's ability to manage potential medication side
effects.
C
,Which of the following strategies should a nurse include
when teaching older adults and their caregivers about
preventing musculoskeletal problems? Select all that apply.
A. Encourage the use of a walker or cane to help prevent
falls.
B. Advise using steps instead of ramps at street corners and
in buildings.
C. Recommend removing throw rugs from the home to
reduce fall risk.
D. Suggest increasing dietary intake to gain weight and
strengthen joints.
E. Instruct to rise slowly to a standing position to prevent
dizziness and falls.
F. Promote regular weight-bearing exercises, such as
walking, to improve bone health.
A, C, E, F
Rationale:
A is correct because using a walker or cane helps prevent falls.
B is incorrect because ramps are recommended over steps to
prevent falls.
C is correct as removing throw rugs can reduce the risk of falls.
D is incorrect because managing weight to prevent obesity is
important, not gaining weight.
, E is correct because rising slowly helps prevent dizziness and
falls.
F is correct as regular weight-bearing exercises like walking
improve bone health.
Preventing Musculoskeletal Problems in Older Adults
Use Ramps: Opt for ramps instead of steps to prevent falls.
Remove Throw Rugs: Eliminate throw rugs to reduce fall risk.
Treat Osteoarthritis:Rest in positions that alleviate
discomfort.Use prescribed medication for pain.
Use Mobility Aids: Utilize walkers or canes to prevent falls.
Manage Weight: Eat appropriately to prevent obesity and
reduce stress on joints.
Exercise Regularly:Include range-of-motion exercises and Tai
Chi.Engage in hobbies that exercise finger joints (e.g., puzzles,
needlework).Perform daily weight-bearing exercises like
walking to enhance bone health.
Wear Supportive Shoes: Choose shoes with good support for
safety and comfort.
Avoid Sudden Movements: Rise slowly to prevent dizziness
and falls.
Avoid Hazardous Surfaces: Do not walk on uneven surfaces or
wet floors.
How to Reduce Fall Risk
Assess Safety:
SOLUTIONS
As part of supervising an Advanced Practice (AP) nurse for
a patient at risk for seizures, which action should the RN
ensure is completed?
a) Remove all food and fluids from the patient's room.
b) Place suction equipment, a bag-valve-mask, and oxygen at
the patient’s bedside.
c) Administer oral medications to the patient immediately
after the seizure.
d) Provide detailed seizure education to the patient and
family before any event.
B
A nurse is caring for a patient during a seizure. Which
action should the nurse take to ensure the patient's safety?
a) Hold the patient’s head still to prevent movement.
b) Turn the patient to the side and protect their head.
c) Insert a tongue depressor in the patient’s mouth to
prevent biting.
d) Restrict the patient’s movements by holding their limbs.
B
A nurse is assessing a patient who has been taking
antiseizure medication for a long time. The patient expresses
,a desire to discontinue the medication. Which statement by
the nurse best supports safe medication withdrawal?
a) "You can stop taking the medication whenever you feel
ready, as long as you don't have any seizures."
b) "We need to ensure you have been seizure-free for a
sufficient period and have normal results from your
neurologic assessments and EEG before we consider
discontinuation."
c) "You should reduce your medication dosage gradually on
your own to avoid any potential complications."
d) "It’s best to discuss medication withdrawal with your
pharmacist, as they can provide guidance on how to stop the
medication."
B
A patient who has been seizure-free for 3 years and has a
normal EEG is considering withdrawing from their
antiseizure medication. What additional factor must be
considered before proceeding with the withdrawal?
a) The patient's willingness to stop the medication
immediately.
b) The patient's liver enzyme levels.
c) The patient's neurologic assessment should also be normal
.d) The patient's ability to manage potential medication side
effects.
C
,Which of the following strategies should a nurse include
when teaching older adults and their caregivers about
preventing musculoskeletal problems? Select all that apply.
A. Encourage the use of a walker or cane to help prevent
falls.
B. Advise using steps instead of ramps at street corners and
in buildings.
C. Recommend removing throw rugs from the home to
reduce fall risk.
D. Suggest increasing dietary intake to gain weight and
strengthen joints.
E. Instruct to rise slowly to a standing position to prevent
dizziness and falls.
F. Promote regular weight-bearing exercises, such as
walking, to improve bone health.
A, C, E, F
Rationale:
A is correct because using a walker or cane helps prevent falls.
B is incorrect because ramps are recommended over steps to
prevent falls.
C is correct as removing throw rugs can reduce the risk of falls.
D is incorrect because managing weight to prevent obesity is
important, not gaining weight.
, E is correct because rising slowly helps prevent dizziness and
falls.
F is correct as regular weight-bearing exercises like walking
improve bone health.
Preventing Musculoskeletal Problems in Older Adults
Use Ramps: Opt for ramps instead of steps to prevent falls.
Remove Throw Rugs: Eliminate throw rugs to reduce fall risk.
Treat Osteoarthritis:Rest in positions that alleviate
discomfort.Use prescribed medication for pain.
Use Mobility Aids: Utilize walkers or canes to prevent falls.
Manage Weight: Eat appropriately to prevent obesity and
reduce stress on joints.
Exercise Regularly:Include range-of-motion exercises and Tai
Chi.Engage in hobbies that exercise finger joints (e.g., puzzles,
needlework).Perform daily weight-bearing exercises like
walking to enhance bone health.
Wear Supportive Shoes: Choose shoes with good support for
safety and comfort.
Avoid Sudden Movements: Rise slowly to prevent dizziness
and falls.
Avoid Hazardous Surfaces: Do not walk on uneven surfaces or
wet floors.
How to Reduce Fall Risk
Assess Safety:
