NMNC 4410 – Evidence-Based Practice | University of New Mexico | Exam 2:
Study Questions with Answers
A patient with a history of epilepsy is taking Phenytoin. The patient's morning labs are back, and
the patient's Phenytoin level is 7 mcg/mL. Based on this finding, the nurse will?
A. Assess the patient for a rash
B. Initiate seizure precautions
C. Hold the next dose of Phenytoin
D. Continue to monitor the patient B. Initiate seizure precautions
You're educating a 25-year-old female about possible triggers for seizures. Which statement
requires you to re-educate the patient about the triggers?
A. "I'm at risk for seizure activity during my menstrual cycle."
B. "I will limit my alcohol intake to 2 glasses of wine per day."
C. "It's important I get plenty of sleep."
D. "I will be sure to stay hydrated, especially during hot weather." B. "I will limit my alcohol
intake to 2 glasses of wine per day."
True or False: A patient who is experiencing a tonic-clonic seizure is experiencing a focal
(partial) seizure.
True
False False
A 7-year-old male patient is being evaluated for seizures. While in the child's room talking with
the child's parents, you notice that the child appears to be daydreaming. You time this event to
be 10 seconds. After 10 seconds, the child appropriately responds and doesn't recall the event.
This is known as what type of seizure?
A. Focal Impaired Awareness (complex partial)
B. Atonic
,C. Tonic-clonic
D. Absence D. Absence
Your patient has a history of epilepsy. While helping the patient to the restroom, the patient
reports having this feeling of déjà vu and seeing spots in their visual field. Your next nursing
action is to?
A. Continue assisting the patient to the restroom and let them sit down.
B. Initiate the emergency response system.
C. Lay the patient down on their side with a pillow underneath the head.
D. Assess the patient's medication history. C. Lay the patient down on their side with a
pillow underneath the head.
Keeping the previous question in mind, the patient is now experiencing characteristics of a
tonic-clonic seizure. The seizure started at 1402 and it is now 1408, and the patient is still
experiencing a seizure. The nurse should?
A. Continue to monitor the patient
B. Suction the patient
C. Initiate the emergency response system
D. Restrain the patient to prevent further injury C. Initiate the emergency response system
Your patient has entered the post ictus stage for seizures. The patient's seizure presented with
an aura followed by body stiffening and then recurrent jerking. The patient had incontinence
and bleeding in the mouth from injury to the tongue. What is an expected finding in this stage
based on the type of seizure this patient experienced?
A. Crying and anxiety
B. Immediate return to baseline behavior
C. Sleepy, headache, and soreness
D. Unconsciousness C. Sleepy, headache, and soreness
, You're developing discharge instructions to the parents of a child who experiences atonic
seizures. What information below is important to include in the teaching?
A. "This type of seizure is hard to detect because the child may appear like he or she is
daydreaming."
B. "Be sure your child wears a helmet daily."
C. "It is common for the child to feel extremely tired after experiencing this type of seizure."
D. "Avoid high fat and low carbohydrate diets." B. "Be sure your child wears a helmet daily."
You're assessing a patient who recently experienced a focal type seizure (partial seizure). As the
nurse, you know that which statement by the patient indicates the patient may have
experienced a focal impaired awareness (complex partial) seizure?
A. "My friend reported that during the seizure I was staring off and rubbing my hands together,
but I don't remember doing this."
B. "I remember having vision changes, but it didn't last long."
C. "I woke up on the floor with my mouth bleeding."
D. "After the seizure I was very sleepy, and I had a headache for several hours." A. "My
friend reported that during the seizure I was staring off and rubbing my hands together, but I
don't remember doing this."
You have a patient who has a brain tumor and is at risk for seizures. In the patient's plan of care
you incorporate seizure precautions. Select below all the proper steps to take in initiating
seizure precautions:
A. Oxygen and suction at bedside
B. Bed in highest position
C. Remove all pillows from the patient's head
D. Have restraints on stand-by
E. Padded bed rails
F. Remove restrictive objects or clothing from patient's body
Study Questions with Answers
A patient with a history of epilepsy is taking Phenytoin. The patient's morning labs are back, and
the patient's Phenytoin level is 7 mcg/mL. Based on this finding, the nurse will?
A. Assess the patient for a rash
B. Initiate seizure precautions
C. Hold the next dose of Phenytoin
D. Continue to monitor the patient B. Initiate seizure precautions
You're educating a 25-year-old female about possible triggers for seizures. Which statement
requires you to re-educate the patient about the triggers?
A. "I'm at risk for seizure activity during my menstrual cycle."
B. "I will limit my alcohol intake to 2 glasses of wine per day."
C. "It's important I get plenty of sleep."
D. "I will be sure to stay hydrated, especially during hot weather." B. "I will limit my alcohol
intake to 2 glasses of wine per day."
True or False: A patient who is experiencing a tonic-clonic seizure is experiencing a focal
(partial) seizure.
True
False False
A 7-year-old male patient is being evaluated for seizures. While in the child's room talking with
the child's parents, you notice that the child appears to be daydreaming. You time this event to
be 10 seconds. After 10 seconds, the child appropriately responds and doesn't recall the event.
This is known as what type of seizure?
A. Focal Impaired Awareness (complex partial)
B. Atonic
,C. Tonic-clonic
D. Absence D. Absence
Your patient has a history of epilepsy. While helping the patient to the restroom, the patient
reports having this feeling of déjà vu and seeing spots in their visual field. Your next nursing
action is to?
A. Continue assisting the patient to the restroom and let them sit down.
B. Initiate the emergency response system.
C. Lay the patient down on their side with a pillow underneath the head.
D. Assess the patient's medication history. C. Lay the patient down on their side with a
pillow underneath the head.
Keeping the previous question in mind, the patient is now experiencing characteristics of a
tonic-clonic seizure. The seizure started at 1402 and it is now 1408, and the patient is still
experiencing a seizure. The nurse should?
A. Continue to monitor the patient
B. Suction the patient
C. Initiate the emergency response system
D. Restrain the patient to prevent further injury C. Initiate the emergency response system
Your patient has entered the post ictus stage for seizures. The patient's seizure presented with
an aura followed by body stiffening and then recurrent jerking. The patient had incontinence
and bleeding in the mouth from injury to the tongue. What is an expected finding in this stage
based on the type of seizure this patient experienced?
A. Crying and anxiety
B. Immediate return to baseline behavior
C. Sleepy, headache, and soreness
D. Unconsciousness C. Sleepy, headache, and soreness
, You're developing discharge instructions to the parents of a child who experiences atonic
seizures. What information below is important to include in the teaching?
A. "This type of seizure is hard to detect because the child may appear like he or she is
daydreaming."
B. "Be sure your child wears a helmet daily."
C. "It is common for the child to feel extremely tired after experiencing this type of seizure."
D. "Avoid high fat and low carbohydrate diets." B. "Be sure your child wears a helmet daily."
You're assessing a patient who recently experienced a focal type seizure (partial seizure). As the
nurse, you know that which statement by the patient indicates the patient may have
experienced a focal impaired awareness (complex partial) seizure?
A. "My friend reported that during the seizure I was staring off and rubbing my hands together,
but I don't remember doing this."
B. "I remember having vision changes, but it didn't last long."
C. "I woke up on the floor with my mouth bleeding."
D. "After the seizure I was very sleepy, and I had a headache for several hours." A. "My
friend reported that during the seizure I was staring off and rubbing my hands together, but I
don't remember doing this."
You have a patient who has a brain tumor and is at risk for seizures. In the patient's plan of care
you incorporate seizure precautions. Select below all the proper steps to take in initiating
seizure precautions:
A. Oxygen and suction at bedside
B. Bed in highest position
C. Remove all pillows from the patient's head
D. Have restraints on stand-by
E. Padded bed rails
F. Remove restrictive objects or clothing from patient's body
