NURS 334 EXAM QUESTIONS AND ANSWERS A
+ GRADED
You are called to the patient's room by the patient's spouse when the patient
experiences a seizure. Upon finding the patient in a clonic reaction, what do you
think you should do first?
1. Turn the patient to the side
2. Start oxygen by mask at 6 L/min
3. Restrain the patient's arms and legs to prevent injury
4. Record the time sequence of the patient's responses as they occur
1. Turn the patient to the side
A nursing student is teaching a woman and her family about epilepsy before the
client's discharge. For which statement should you intervene?
1. "You should avoid consumption of alcohol"
2. "Wear your medical alert bracelet at all times"
3. "Protect your wife's airway during a seizure"
4. "It's OK to take over-the-counter medications."
4. "It's OK to take over-the-counter medications."
A client who recently started taking phenytoin to control simple partial seizures is
seen in the outpatient clinic. Which information obtained during her chart review
and assessment will be of greatest concern?
1. The gums appear enlarged and inflamed
2. The WBC count is 2300/mm3
3. The client sometimes forgets to take the phenytoin until after lunch
4. The client wants to renew her driver's license in the next month
2. The WBC count is 2300/mm3
You are providing care for a 10-year old with a seizure disorder. Which order
would you verify with the physician?
1. Phenytoin (Dilantin) 300 mg/day
2. Phenytoin 5 mg/kg every 8 hrs
, 3. Carbamazepine (Tegretol) 50 mg every 6 hours
4. Carbamazepine (Tegretol) 100 mg every 8 hours
4. Carbamazepine (Tegretol) 100 mg every 8 hours
While working in the ICU, you are assigned to care for a patient with a seizure
disorder. Which of these nursing actions will you implement first if the patient
has a seizure?
1. Place the patient on a non-rebreather mask with oxygen at 15 L/minute
2. Administer lorazepam (Ativan) 1 mg IV
3. Turn the patient to the side and protect the airway
4. Assess level of consciousness during and immediately after the seizure
3. Turn the patient to the side and protect the airway
A 65-year-old woman was just diagnosed with Parkinson's Disease. The priority
nursing intervention is:
1. Searching the internet for educational videos
2. Helping the caregiver explore respite care options
3. Promoting physical exercise and well-balanced diet
4. Teaching about the benefits and risks of ablation surgery
3. Promoting physical exercise and well-balanced diet
The client with PD has a new surgically implanted DBS. After the stimulator is
operational, which criterion should the nurse use to evaluate that the DBS is
effective?
1. The client has cogwheel rigidity when moving the upper extremities
2. The client has a decrease in the frequency and severity of tremors
3. The client has less facial pain and converses with more facial expression
4. The client no longer experiences auras or a severe frontal headache
2. The client has a decrease in the frequency and severity of tremors
An older adult with PD is prescribed levodopa and carbidopa. What information
should the nurse include when teaching the client and spouse?
1. The client has an increased risk for falls
2. The client should stop taking multiple vitamins
+ GRADED
You are called to the patient's room by the patient's spouse when the patient
experiences a seizure. Upon finding the patient in a clonic reaction, what do you
think you should do first?
1. Turn the patient to the side
2. Start oxygen by mask at 6 L/min
3. Restrain the patient's arms and legs to prevent injury
4. Record the time sequence of the patient's responses as they occur
1. Turn the patient to the side
A nursing student is teaching a woman and her family about epilepsy before the
client's discharge. For which statement should you intervene?
1. "You should avoid consumption of alcohol"
2. "Wear your medical alert bracelet at all times"
3. "Protect your wife's airway during a seizure"
4. "It's OK to take over-the-counter medications."
4. "It's OK to take over-the-counter medications."
A client who recently started taking phenytoin to control simple partial seizures is
seen in the outpatient clinic. Which information obtained during her chart review
and assessment will be of greatest concern?
1. The gums appear enlarged and inflamed
2. The WBC count is 2300/mm3
3. The client sometimes forgets to take the phenytoin until after lunch
4. The client wants to renew her driver's license in the next month
2. The WBC count is 2300/mm3
You are providing care for a 10-year old with a seizure disorder. Which order
would you verify with the physician?
1. Phenytoin (Dilantin) 300 mg/day
2. Phenytoin 5 mg/kg every 8 hrs
, 3. Carbamazepine (Tegretol) 50 mg every 6 hours
4. Carbamazepine (Tegretol) 100 mg every 8 hours
4. Carbamazepine (Tegretol) 100 mg every 8 hours
While working in the ICU, you are assigned to care for a patient with a seizure
disorder. Which of these nursing actions will you implement first if the patient
has a seizure?
1. Place the patient on a non-rebreather mask with oxygen at 15 L/minute
2. Administer lorazepam (Ativan) 1 mg IV
3. Turn the patient to the side and protect the airway
4. Assess level of consciousness during and immediately after the seizure
3. Turn the patient to the side and protect the airway
A 65-year-old woman was just diagnosed with Parkinson's Disease. The priority
nursing intervention is:
1. Searching the internet for educational videos
2. Helping the caregiver explore respite care options
3. Promoting physical exercise and well-balanced diet
4. Teaching about the benefits and risks of ablation surgery
3. Promoting physical exercise and well-balanced diet
The client with PD has a new surgically implanted DBS. After the stimulator is
operational, which criterion should the nurse use to evaluate that the DBS is
effective?
1. The client has cogwheel rigidity when moving the upper extremities
2. The client has a decrease in the frequency and severity of tremors
3. The client has less facial pain and converses with more facial expression
4. The client no longer experiences auras or a severe frontal headache
2. The client has a decrease in the frequency and severity of tremors
An older adult with PD is prescribed levodopa and carbidopa. What information
should the nurse include when teaching the client and spouse?
1. The client has an increased risk for falls
2. The client should stop taking multiple vitamins
