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