MDC 4 FINAL EXAM
1. 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
2. You witness a patient with rhythmic jerking/relaxing of all extremities.
What type of seizure?: Clonic
3. 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
4. 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
5. 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
6. Bradykinesia, muscle rigidity, and masklike face are clinical
manifestations of:: Parkinsons Disease
7. The initial concern for a patient with Parkinson's disease is safety due
to:: Risk for falls
8. A 30-year-old woman is experiencing double vision, trigeminal neuralgia,
ataxia, and spasms.
What do you suspect?: Multiple Sclerosis
9. What medication is often used to treat spasms in a patient with multiple
sclerosis?: Baclonfe
10. A patient arrives in the ER with ascending paralysis.
What do you suspect?: Guillain-Barre Syndrome
11. 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
12. What time of illness is believed to contribute to developing Guillain-Barre
Syndrome?: Ebstein-Barr virus
13 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
14. 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.
15. 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.
16. What is the normal phenytoin level?: 10-20
17. A patient is scheduled for an EEG tomorrow morning.
The nurse should advise them:: No caffeine the night before.
18. A patient with parkinson's disease is prescribed a MAO B inhibitor.
Important nursing education:: Avoid tyramine:
Cured
Smoked
Pickled
Fermented foods
Processed meats
19. A patient with Parkinson's disease is experiencing bradykinesia.
We can assist them with getting up from a chair by:: Encourage rocking back
and forth
20. A patient comes into the ER with a T6 injury. As the nurse, you know
they are at risk for autonomic dysreflexia which can be caused by::
Bladder distention, full bowel, wrinkled sheets
21. A nurse can prevent autonomic dysreflexia by:: Frequent catheterization
1. 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
2. You witness a patient with rhythmic jerking/relaxing of all extremities.
What type of seizure?: Clonic
3. 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
4. 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
5. 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
6. Bradykinesia, muscle rigidity, and masklike face are clinical
manifestations of:: Parkinsons Disease
7. The initial concern for a patient with Parkinson's disease is safety due
to:: Risk for falls
8. A 30-year-old woman is experiencing double vision, trigeminal neuralgia,
ataxia, and spasms.
What do you suspect?: Multiple Sclerosis
9. What medication is often used to treat spasms in a patient with multiple
sclerosis?: Baclonfe
10. A patient arrives in the ER with ascending paralysis.
What do you suspect?: Guillain-Barre Syndrome
11. 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
12. What time of illness is believed to contribute to developing Guillain-Barre
Syndrome?: Ebstein-Barr virus
13 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
14. 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.
15. 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.
16. What is the normal phenytoin level?: 10-20
17. A patient is scheduled for an EEG tomorrow morning.
The nurse should advise them:: No caffeine the night before.
18. A patient with parkinson's disease is prescribed a MAO B inhibitor.
Important nursing education:: Avoid tyramine:
Cured
Smoked
Pickled
Fermented foods
Processed meats
19. A patient with Parkinson's disease is experiencing bradykinesia.
We can assist them with getting up from a chair by:: Encourage rocking back
and forth
20. A patient comes into the ER with a T6 injury. As the nurse, you know
they are at risk for autonomic dysreflexia which can be caused by::
Bladder distention, full bowel, wrinkled sheets
21. A nurse can prevent autonomic dysreflexia by:: Frequent catheterization
