ABFM + KSA
Seizures
Certification Exam
Actual Questions and Answers
100% Guarantee Pass.
This Exam contains:
100% Guarantee Pass.
Actual Questions and Answers
Multiple choice (single best answer)
Case Studies/Scenario-Based Questions
Verified Rationales
,The pa ent with type 1 diabetes mellitus is having a seizure. Which medica on
should the nurse an cipate will be administered first?
- IV dextrose solu on
- IV diazepam (Valium)
- IV phenytoin (Dilan n)
- Oral carbamazepine (Tegretol)
CORRECT ANSWER:
- IV dextrose solu on
This pa ent's seizure could be caused by low blood glucose, so IV dextrose
solu on would be given first to stop the seizure. IV diazepam, IV phenytoin, and
oral carbamazepine would be used first to treat seizures from other causes such
as head trauma, drugs, and infec ons. These drugs will be tried if the IV dextrose
is ineffec ve.
The pa ent has an order for phenytoin (Dilan n) 100 mg q8hr IV. Available is a
phenytoin injec on containing 50 mg/mL. How many milliliters of solu on
should the nurse draw up for the dose?_______ mL
CORRECT ANSWER:
2
100 mg ÷ 50 mg/mL = 2 mL
While the nurse is transpor ng a pa ent on a stretcher to the radiology
department, the pa ent begins having a tonic-clonic seizure. Which ac on
should the nurse take?
a. Insert an oral airway during the seizure to maintain a patent airway.
, b. Restrain the pa ent's arms and legs to prevent injury during the seizure.
c. Time and observe and record the details of the seizure and pos ctal state.
d. Avoid touching the pa ent to prevent further nervous system s mula on.
CORRECT ANSWER:
c. Time and observe and record the details of the seizure and pos ctal state.
Because the diagnosis and treatment of seizures frequently are based on the
descrip on of the seizure, recording the length and details of the seizure is
important. Inser on of an oral airway and restraining the pa ent during the
seizure are contraindicated. The nurse may need to move the pa ent to decrease
the risk of injury during the seizure.
A high school teacher who has been diagnosed with epilepsy a:er having a
generalized tonic-clonic seizure tells the nurse, "I cannot teach any more. It will
be too upse<ng if I have a seizure at work." Which response by the nurse
specifically addresses the pa ent's concern?
a. "You might benefit from some psychologic counseling."
b. "Epilepsy usually can be well controlled with medica ons."
c. "You will want to contact the Epilepsy Founda on for assistance."
d. "The Department of Voca onal Rehabilita on can help with work retraining."
CORRECT ANSWER:
b. "Epilepsy usually can be well controlled with medica ons."
The nurse should inform the pa ent that most pa ents with seizure disorders are
controlled with medica on. The other informa on may be necessary if the
seizures persist a1er treatment with an seizure medica ons is implemented.
Seizures
Certification Exam
Actual Questions and Answers
100% Guarantee Pass.
This Exam contains:
100% Guarantee Pass.
Actual Questions and Answers
Multiple choice (single best answer)
Case Studies/Scenario-Based Questions
Verified Rationales
,The pa ent with type 1 diabetes mellitus is having a seizure. Which medica on
should the nurse an cipate will be administered first?
- IV dextrose solu on
- IV diazepam (Valium)
- IV phenytoin (Dilan n)
- Oral carbamazepine (Tegretol)
CORRECT ANSWER:
- IV dextrose solu on
This pa ent's seizure could be caused by low blood glucose, so IV dextrose
solu on would be given first to stop the seizure. IV diazepam, IV phenytoin, and
oral carbamazepine would be used first to treat seizures from other causes such
as head trauma, drugs, and infec ons. These drugs will be tried if the IV dextrose
is ineffec ve.
The pa ent has an order for phenytoin (Dilan n) 100 mg q8hr IV. Available is a
phenytoin injec on containing 50 mg/mL. How many milliliters of solu on
should the nurse draw up for the dose?_______ mL
CORRECT ANSWER:
2
100 mg ÷ 50 mg/mL = 2 mL
While the nurse is transpor ng a pa ent on a stretcher to the radiology
department, the pa ent begins having a tonic-clonic seizure. Which ac on
should the nurse take?
a. Insert an oral airway during the seizure to maintain a patent airway.
, b. Restrain the pa ent's arms and legs to prevent injury during the seizure.
c. Time and observe and record the details of the seizure and pos ctal state.
d. Avoid touching the pa ent to prevent further nervous system s mula on.
CORRECT ANSWER:
c. Time and observe and record the details of the seizure and pos ctal state.
Because the diagnosis and treatment of seizures frequently are based on the
descrip on of the seizure, recording the length and details of the seizure is
important. Inser on of an oral airway and restraining the pa ent during the
seizure are contraindicated. The nurse may need to move the pa ent to decrease
the risk of injury during the seizure.
A high school teacher who has been diagnosed with epilepsy a:er having a
generalized tonic-clonic seizure tells the nurse, "I cannot teach any more. It will
be too upse<ng if I have a seizure at work." Which response by the nurse
specifically addresses the pa ent's concern?
a. "You might benefit from some psychologic counseling."
b. "Epilepsy usually can be well controlled with medica ons."
c. "You will want to contact the Epilepsy Founda on for assistance."
d. "The Department of Voca onal Rehabilita on can help with work retraining."
CORRECT ANSWER:
b. "Epilepsy usually can be well controlled with medica ons."
The nurse should inform the pa ent that most pa ents with seizure disorders are
controlled with medica on. The other informa on may be necessary if the
seizures persist a1er treatment with an seizure medica ons is implemented.
