PRIMARY CARE NURSING EXAM 2025
QUESTIONS AND ANSWERS GRADED A+
A client is diagnosed with seizures occurring because of hepatic encephalopathy.
The nurse realizes that the cause for this clients seizures would be:
1. physiological
2. iatrogenic.
3. idiopathic.
4. psychokinetic
1. Physiological
A client tells the nurse that he sees flashing lights that occur prior to the onset of a
seizure. Which of the following phases of a seizure is this client describing to the
nurse?
1. Prodromal phase
2. Aural phase
3. Ictal phase
,4. Postictal phase
2. Aura
A client is experiencing a grand mal seizure. Which of the following should the
nurse do during this seizure?
1. Protect the clients head.
2. Leave the client alone.
3. Give water to the client to avoid dehydration.
4. Place a finger in the clients mouth to avoid swallowing the tongue.
1. Protect the clients head
A client is prescribed phenytoin (Dilantin) for a seizure disorder. Which of the
following would indicate that the client is adhering to the medication schedule?
1. The client is sleepy.
2. The client is not experiencing seizures.
3. The client no longer has headaches.
4. The client is eating more food
2. The client is not experiencing seizures.
,The nurse is unable to insert an intravenous access line into a client who is
currently experiencing a seizure. Which of the following routes can the nurse use
to provide medication to the client at this time?
1. Oral
2. Intranasal
3. Rectal
4. Intramuscular
2. intranasal
One of the most important things a nurse can teach a client about seizure control is
to:
1. take the medication every day as prescribed by the doctor.
2. eat a balanced diet.
3. get lots of exercise.
4. take naps during the day
1. take the medication every day as prescribed by the doctor
For the client who is at risk for stroke, the most important guideline the nurse
should teach is to:
, 1. increase drinks with caffeine.
2. monitor blood pressure.
3. increase amounts of sodium in the diet.
4. monitor weight and activity.
2. monitor blood pressure.
The family of a client diagnosed with a stroke asks the nurse if this health problem
is very common. The nurse should respond that in the United States a person has a
stroke every:
1. 40 seconds.
2.1 minutes.
3. 2 minutes.
4. 5 minutes.
1. 40 seconds.
A client is being evaluated for a stroke. The nurse knows that one of the easiest and
most common diagnostic tests used to differentiate between strokes is:
1. computed tomography (CT).
2. magnetic resonance imaging (MRI).
QUESTIONS AND ANSWERS GRADED A+
A client is diagnosed with seizures occurring because of hepatic encephalopathy.
The nurse realizes that the cause for this clients seizures would be:
1. physiological
2. iatrogenic.
3. idiopathic.
4. psychokinetic
1. Physiological
A client tells the nurse that he sees flashing lights that occur prior to the onset of a
seizure. Which of the following phases of a seizure is this client describing to the
nurse?
1. Prodromal phase
2. Aural phase
3. Ictal phase
,4. Postictal phase
2. Aura
A client is experiencing a grand mal seizure. Which of the following should the
nurse do during this seizure?
1. Protect the clients head.
2. Leave the client alone.
3. Give water to the client to avoid dehydration.
4. Place a finger in the clients mouth to avoid swallowing the tongue.
1. Protect the clients head
A client is prescribed phenytoin (Dilantin) for a seizure disorder. Which of the
following would indicate that the client is adhering to the medication schedule?
1. The client is sleepy.
2. The client is not experiencing seizures.
3. The client no longer has headaches.
4. The client is eating more food
2. The client is not experiencing seizures.
,The nurse is unable to insert an intravenous access line into a client who is
currently experiencing a seizure. Which of the following routes can the nurse use
to provide medication to the client at this time?
1. Oral
2. Intranasal
3. Rectal
4. Intramuscular
2. intranasal
One of the most important things a nurse can teach a client about seizure control is
to:
1. take the medication every day as prescribed by the doctor.
2. eat a balanced diet.
3. get lots of exercise.
4. take naps during the day
1. take the medication every day as prescribed by the doctor
For the client who is at risk for stroke, the most important guideline the nurse
should teach is to:
, 1. increase drinks with caffeine.
2. monitor blood pressure.
3. increase amounts of sodium in the diet.
4. monitor weight and activity.
2. monitor blood pressure.
The family of a client diagnosed with a stroke asks the nurse if this health problem
is very common. The nurse should respond that in the United States a person has a
stroke every:
1. 40 seconds.
2.1 minutes.
3. 2 minutes.
4. 5 minutes.
1. 40 seconds.
A client is being evaluated for a stroke. The nurse knows that one of the easiest and
most common diagnostic tests used to differentiate between strokes is:
1. computed tomography (CT).
2. magnetic resonance imaging (MRI).
