Exam Questions and CORRECT Answers
Epilepsy - CORRECT ANSWER - Condition with recurrent unprovoked seizures.
Seizure - CORRECT ANSWER - Abnormal electrical discharge from cerebral neurons.
Focal Seizure - CORRECT ANSWER - Seizure affecting one hemisphere of the brain.
Generalized Seizure - CORRECT ANSWER - Seizure involving both hemispheres
simultaneously.
Epilepsy - CORRECT ANSWER - Two or more unprovoked seizures occurring.
Provoked Seizure - CORRECT ANSWER - Seizure due to an acute, reversible condition.
Postictal State - CORRECT ANSWER - Confusion and drowsiness after a seizure.
Seizure Precautions - CORRECT ANSWER - Safety measures to prevent injury during
seizures.
Status Epilepticus - CORRECT ANSWER - Prolonged seizure lasting over 30 minutes.
RN care for Seizure - CORRECT ANSWER - Guide to safety (protect head)
ABC
Don't attempt to insert anything by mouth
Suction available
VS
,Monitor and document seizures
Incontinence?
What position should a patient be placed in after a seizure? - CORRECT ANSWER - Side
lying position
What should you do to help orient a patient after a seizure? - CORRECT ANSWER - Guide
them to safety
What equipment is important to have at the bedside after a seizure? - CORRECT ANSWER -
Suction equipment
What is a seizure precaution regarding the bed position? - CORRECT ANSWER - Bed in
lowest position
How many side rails should be up after a seizure? - CORRECT ANSWER - 2-3 side rails up
What should be done to the side rails for seizure precautions? - CORRECT ANSWER -
Padded
What is the overall category of care following a seizure? - CORRECT ANSWER - Health
promotion
What is Status Epilepticus? - CORRECT ANSWER - Prolonged seizure lasting more than 30
minutes.
What are some potential consequences of Status Epilepticus? - CORRECT ANSWER - Heavy
metabolic demand, respiratory arrest, anoxia, brain damage, and death.
, What are some causes of Status Epilepticus? - CORRECT ANSWER - Head trauma, acute
alcohol or drug withdrawal, and metabolic disturbances.
What is the initial treatment approach for Status Epilepticus? - CORRECT ANSWER - Stay
with the patient, ensure safety, maintain ABCs, establish IV access, and place the patient in a
side-lying position.
What medications are commonly used to treat Status Epilepticus? - CORRECT ANSWER -
Lorazepam (Ativan), diazepam (Valium), low dose of phenytoin, and Dilantin given slowly
without dextrose in the line.
What medication may be given for refractory seizures in Status Epilepticus? - CORRECT
ANSWER - Propofol may be given or the patient may be placed in a phenobarbital coma.
Complications of Altered LOC - CORRECT ANSWER - Resp. distress or failure
Pneumonia
Aspiration
Pressure ulcer
DVT
Contractures
What should be done to rest the pancreas? - CORRECT ANSWER - NPO - no food until
pain-free
What type of nutrition is recommended for patients with pancreatic issues? - CORRECT
ANSWER - Total parenteral nutrition (TPN) or jejunal feedings (less risk of hyperglycemia)
What type of diet should be resumed after pancreatic issues? - CORRECT ANSWER - Bland,
low-fat diet with no stimulants (caffeine); small, frequent meals