Nclex-Rn Practice Questions-Neurological Disorders-Seizures
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Question 1 |
The nurse walks into the room and notes the male client is lying supine, and the entire body is rigid with his arms and legs contracting and relaxing. The client is not aware of what is going on and is making guttural sounds. Which action should the nurse implement first?
A | Loosen constrictive clothing. |
B | Place padding on the side rails. |
C | Assess the client’s vital signs. |
D | Turn the client on his side. |
Question 2 |
The UAP is holding the arms of a client who is having a tonic-clonic seizure. Which action should the nurse implement?
A | Help the UAP restrain the client’s upper extremities. |
B | Instruct the UAP to release the client’s arms immediately. |
C | Take no action because the assistant is handling the situation. |
D | Notify the charge nurse of the situation immediately. |
Question 3 |
The client diagnosed with a seizure disorder is prescribed phenytoin (Dilantin), an anticonvulsant. Which statement indicates the client needs more teaching concerning this medication?
A | “I will brush my teeth after every meal.” |
B | “I will get my Dilantin level checked regularly.” |
C | “My urine will turn orange while on Dilantin.” |
D | “This medication will help prevent my seizures.” |
Question 4 |
The client is admitted to the intensive care unit (ICU) experiencing status epilepiticus. Which intervention should the nurse anticipate implementing first?
A | Assess the client’s neurological status frequently. |
B | Monitor the client’s heart rhythm via telemetry. |
C | Administer diazepam (Valium), a benzodiazepine. |
D | Prepare to administer anticonvulsant medication. |
Question 5 |
The client is admitted to the ED after experiencing a partial seizure. Which question would be most appropriate for the nurse to ask the client?
A | “Do you know if you lost consciousness during the seizure? |
B | ” |
C | “Are you feeling sleepy or very tired at this time? |
D | ” |
E | “When did you last take your seizure medication? |
Question 6 |
Which statement by the female client indicates that the client understands factors that may precipitate seizure activity?
A | “I should not take birth control pills to prevent pregnancy.” |
B | “I need to limit my intake of dairy products.” |
C | “I should not participate in any contact sports.” |
D | “My menstrual cycle may affect my seizure disorder.” |
Question 7 |
The mother of a child who had a febrile seizure tells the pediatric clinic nurse, “I am so upset because now my child has epilepsy.” Which statement is the clinic nurse’s best response?
A | “Your child had a seizure due to a high fever, not due to epilepsy.” |
B | “You are upset about your child having epilepsy. Let’s talk.” |
C | “The Epilepsy Foundation of America provides good information.” |
D | “I would recommend you attend the local epilepsy support group.” |
Question 8 |
The client newly diagnosed with epilepsy who works in an office asks the nurse, “What can I do to prevent having seizures?” Which statement is the nurse’s best response?
A | “I recommend getting about 4 hours of sleep a night.” |
B | “Ask your supervisor to have someone else make copies.” |
C | “Request your employer to provide a work area with dim lighting.” |
D | “You should get your serum blood level checked every month.” |
Question 9 |
The clinic nurse is checking diagnostic test results. Which diagnostic test result would warrant notifying the client immediately?
A | The female client who is taking an anticonvulsant who has a low bone density scan. |
B | The client who is diagnosed with epilepsy who has a phenytoin (Dilantin) level of 28 mcg/dL. |
C | The client with a seizure disorder who has a carbamazepine (Tegretol) of 10 mcg/mL. |
D | The client who has partial seizures who has a serum sodium level of 143 mEq/L. |
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