MDC 4 FINAL EXAM with
answers
You witness a patient with stiffening and/or rigidity of muscles,
especially arms and legs, with immediate loss of consciousness.
What type of seizure?
Tonic
You witness a patient with rhythmic jerking/relaxing of all
extremities.
What type of seizure?
Clonic
You witness a patient with a sudden loss of muscle tone lasting a few
seconds, the patient dropped to the floor.
What type of seizure?
Atonic
A patient is in recovery after a seizure, they are a bit confused and
their brain is recovering. May last minutes to hours.
What phase of seizure?
Postictal
A 25-year-old female is prescribed Phenytoin Sodium (seizure
medication). What is an example of patient education for this
specific population of patients?
Use alternative form of birth control
,Bradykinesia, muscle rigidity, and masklike face are clinical
manifestations of:
Parkinsons Disease
The initial concern for a patient with Parkinson's disease is safety
due to:
Risk for falls
A 30-year-old woman is experiencing double vision, trigeminal
neuralgia, ataxia, and spasms.
What do you suspect?
Multiple Sclerosis
What medication is often used to treat spasms in a patient with
multiple sclerosis?
Baclofen
A patient arrives in the ER with ascending paralysis.
What do you suspect?
Guillain-Barre Syndrome
A patient arrives in the ER with a diagnosis of Guillain-Barre
Syndrome.
As the nurse, you monitor for which complication due to ascending
paralysis?
Respiratory problems
What time of illness is believed to contribute to developing Guillain-
Barre Syndrome?
, Ebstein-Barr virus
A patient is experiencing a seizure that lasts longer than 5 minutes.
What is this called and what type of medication do you expect to
give?
Status Epilepticus; Benzodiazepine
A patient with a history of seizures is prescribed Dilantin. What is
important patient teaching about this medication?
Make regular dental checkups, causes gum overgrowth.
A patient is taking seizure medications for 6 months and states "I
have not had a seizure since starting this medication."
Important patient education:
Do not stop the medication.
What is the normal phenytoin level?
10-20
A patient is scheduled for an EEG tomorrow morning.
The nurse should advise them:
No caffeine the night before.
A patient with parkinson's disease is prescribed a MAO B inhibitor.
Important nursing education:
Avoid tyramine:
Cured
Smoked
answers
You witness a patient with stiffening and/or rigidity of muscles,
especially arms and legs, with immediate loss of consciousness.
What type of seizure?
Tonic
You witness a patient with rhythmic jerking/relaxing of all
extremities.
What type of seizure?
Clonic
You witness a patient with a sudden loss of muscle tone lasting a few
seconds, the patient dropped to the floor.
What type of seizure?
Atonic
A patient is in recovery after a seizure, they are a bit confused and
their brain is recovering. May last minutes to hours.
What phase of seizure?
Postictal
A 25-year-old female is prescribed Phenytoin Sodium (seizure
medication). What is an example of patient education for this
specific population of patients?
Use alternative form of birth control
,Bradykinesia, muscle rigidity, and masklike face are clinical
manifestations of:
Parkinsons Disease
The initial concern for a patient with Parkinson's disease is safety
due to:
Risk for falls
A 30-year-old woman is experiencing double vision, trigeminal
neuralgia, ataxia, and spasms.
What do you suspect?
Multiple Sclerosis
What medication is often used to treat spasms in a patient with
multiple sclerosis?
Baclofen
A patient arrives in the ER with ascending paralysis.
What do you suspect?
Guillain-Barre Syndrome
A patient arrives in the ER with a diagnosis of Guillain-Barre
Syndrome.
As the nurse, you monitor for which complication due to ascending
paralysis?
Respiratory problems
What time of illness is believed to contribute to developing Guillain-
Barre Syndrome?
, Ebstein-Barr virus
A patient is experiencing a seizure that lasts longer than 5 minutes.
What is this called and what type of medication do you expect to
give?
Status Epilepticus; Benzodiazepine
A patient with a history of seizures is prescribed Dilantin. What is
important patient teaching about this medication?
Make regular dental checkups, causes gum overgrowth.
A patient is taking seizure medications for 6 months and states "I
have not had a seizure since starting this medication."
Important patient education:
Do not stop the medication.
What is the normal phenytoin level?
10-20
A patient is scheduled for an EEG tomorrow morning.
The nurse should advise them:
No caffeine the night before.
A patient with parkinson's disease is prescribed a MAO B inhibitor.
Important nursing education:
Avoid tyramine:
Cured
Smoked
