NU 185
EXAM 1
3
NCLEX Style Questions w/ Rationales
Medical-Surgical Nursing II
Galen College of Nursing
This Document Description:
This document contains NCLEX-style Exam
questions tailored to the NU 185 course at
Galen College of Nursing
It covers core topics assessed in the course
and reflects the actual exam format and question style.
Each question is followed by a correct answer and rationale
to support exam preparation.
,The nurse is teaching a group of clients about common
seizure triggers. Which of the following should the nurse
include? (Select all that apply)
A. Sleep deprivation
B. Alcohol use
C. High fever
D. Daily exercise
E. Hypoglycemia
Correct Answers: A, B, C, E
✅ Rationale: Sleep deprivation, alcohol, fever, and low blood
sugar are all seizure triggers. Moderate daily exercise is not a
trigger and can be beneficial.
The nurse is preparing a client for an EEG. Which
instruction should the nurse include?
A. "Avoid washing your hair the morning of the test."
B. "Avoid caffeine for at least 8 hours before the test."
C. "Take all seizure medications as prescribed the day of
the test."
D. "The test will involve minor shocks to stimulate brain
activity."
Correct Answer: B
✅ Rationale: Caffeine should be avoided 8 hours before an EEG.
Hair should be clean, and some medications may be withheld—
not taken as usual. EEGs are painless.
Which client statement indicates a correct understanding
of the EEG procedure?
A. "This test will hurt, but it will be over quickly."
B. "I need to eat a large, high-protein meal right before
the test."
C. "I need to avoid coffee and energy drinks the day of the
, test."
D. "They will inject dye into my bloodstream to view my
brain."
Correct Answer: C
✅ Rationale: Caffeine should be avoided to prevent interference
with brain activity readings. The EEG is noninvasive and painless
—no dye is used.
Which patient should the nurse see first?
A. A patient with epilepsy who did not sleep the night
before
B. A patient with chronic migraines awaiting medication
C. A patient with stable vital signs recovering from
pneumonia
D. A patient scheduled for physical therapy post hip
surgery
Correct Answer: A
✅ Rationale: Sleep deprivation is a major seizure trigger. This
patient is at high risk and requires priority monitoring.
A nurse is providing discharge teaching to a client with a
seizure disorder. Which of the following statements
indicates appropriate understanding of seizure
precautions?
A. "I can stop taking my medication when I feel fine."
B. "I should keep my bedroom lights flashing at night to
help me stay awake."
C. "I should avoid activities that may overexert me."
D. "I can safely consume alcohol as long as I'm not
driving."
Correct Answer: C
✅ Rationale: Overexertion is a trigger for some patients, so
EXAM 1
3
NCLEX Style Questions w/ Rationales
Medical-Surgical Nursing II
Galen College of Nursing
This Document Description:
This document contains NCLEX-style Exam
questions tailored to the NU 185 course at
Galen College of Nursing
It covers core topics assessed in the course
and reflects the actual exam format and question style.
Each question is followed by a correct answer and rationale
to support exam preparation.
,The nurse is teaching a group of clients about common
seizure triggers. Which of the following should the nurse
include? (Select all that apply)
A. Sleep deprivation
B. Alcohol use
C. High fever
D. Daily exercise
E. Hypoglycemia
Correct Answers: A, B, C, E
✅ Rationale: Sleep deprivation, alcohol, fever, and low blood
sugar are all seizure triggers. Moderate daily exercise is not a
trigger and can be beneficial.
The nurse is preparing a client for an EEG. Which
instruction should the nurse include?
A. "Avoid washing your hair the morning of the test."
B. "Avoid caffeine for at least 8 hours before the test."
C. "Take all seizure medications as prescribed the day of
the test."
D. "The test will involve minor shocks to stimulate brain
activity."
Correct Answer: B
✅ Rationale: Caffeine should be avoided 8 hours before an EEG.
Hair should be clean, and some medications may be withheld—
not taken as usual. EEGs are painless.
Which client statement indicates a correct understanding
of the EEG procedure?
A. "This test will hurt, but it will be over quickly."
B. "I need to eat a large, high-protein meal right before
the test."
C. "I need to avoid coffee and energy drinks the day of the
, test."
D. "They will inject dye into my bloodstream to view my
brain."
Correct Answer: C
✅ Rationale: Caffeine should be avoided to prevent interference
with brain activity readings. The EEG is noninvasive and painless
—no dye is used.
Which patient should the nurse see first?
A. A patient with epilepsy who did not sleep the night
before
B. A patient with chronic migraines awaiting medication
C. A patient with stable vital signs recovering from
pneumonia
D. A patient scheduled for physical therapy post hip
surgery
Correct Answer: A
✅ Rationale: Sleep deprivation is a major seizure trigger. This
patient is at high risk and requires priority monitoring.
A nurse is providing discharge teaching to a client with a
seizure disorder. Which of the following statements
indicates appropriate understanding of seizure
precautions?
A. "I can stop taking my medication when I feel fine."
B. "I should keep my bedroom lights flashing at night to
help me stay awake."
C. "I should avoid activities that may overexert me."
D. "I can safely consume alcohol as long as I'm not
driving."
Correct Answer: C
✅ Rationale: Overexertion is a trigger for some patients, so
