WorksheetsSeizure Management Quiz
Total questions: 30
Worksheet time: 15mins
A 28-year-old male suddenly stops talking, stares blankly for 10 seconds, and resumes activity without confusion. This happens several times during the day. Which type of seizure is this?
Myoclonic seizure
Absence seizure
Tonic-clonic seizure
Focal seizure with impaired awareness
You are caring for a patient who suddenly collapses and exhibits generalized tonic-clonic movements. What is your first priority?
Insert an oral airway
Loosen clothing and place the patient on their side
Call the rapid response team immediately
Restrain the arms and legs to prevent injury
EEG tracing with abnormal spikes and waves is MOST likely used to:
Detect seizure activity
Visualize brain tumors
Assess cerebral blood flow
Evaluate intracranial pressure
SATA: Which actions are part of seizure precautions for an inpatient?
Pad the side rails with blankets
Keep suction equipment at the bedside
Insert a rigid tongue blade during a seizure
Maintain oxygen equipment within reach
Use wrist restraints to prevent injury
A patient is experiencing repeated seizures without regaining consciousness between episodes. What is the priority action?
Continue to observe and document
Prepare for immediate surgery
Administer IV benzodiazepine as ordered
Apply a cooling blanket
Which antiseizure medication is broad-spectrum and effective for generalized seizures?
Carbamazepine
Valproic acid
Phenytoin
Gabapentin
A client says, “I smell burning rubber and feel anxious,” then becomes unresponsive. Which phase of seizure is the client in?
Prodrome
Aura
Ictal
Postictal
Fill-in-the-Blank: A medical emergency characterized by seizures lasting more than (a) minutes or multiple seizures without recovery is called status epilepticus.
After a seizure, the patient is confused, has a headache, and wants to sleep. Which nursing intervention is MOST appropriate?
Keep the patient NPO for 24 hours
Allow the patient to rest in a quiet environment
Encourage immediate ambulation
Give oral medications quickly
Which condition is least likely to trigger a seizure?
Sleep deprivation
Hyponatremia
Alcohol withdrawal
Hypercalcemia
After a seizure, what is the most essential information to document?
Number of staff who assisted
Date, time, type, and duration of seizure
Patient’s meal intake prior to seizure
Nurse’s emotional reaction
During a seizure, a student nurse attempts to insert a spoon into the client’s mouth. What should the RN do?
Assist the student with the procedure
Remove the spoon and explain the danger
Allow the student to continue for airway protection
Document the student’s performance for grading
A patient undergoes a test where radioactive material is injected to measure brain activity and blood flow. Which diagnostic procedure is this?
EEG
MRI
PET
CT scan
SATA: Which findings should the nurse report immediately after a seizure?
Mild confusion for 20 minutes
Persistent unilateral weakness
Headache rated 3/10
Inability to speak and drooping on one side
A patient with status epilepticus is receiving IV lorazepam. Which intervention is most important to prepare?
Insertion of a nasogastric tube
Continuous cardiac and respiratory monitoring
Performing a full neurological assessment during the seizure
Preparing the patient for early discharge
You are in a shopping mall when a stranger suddenly collapses and has a tonic-clonic seizure. What is your first action?
Call for help and place something hard under their head
Place the person on their back and insert a wallet in their mouth
Turn the person to their side and clear the area of hazards
Hold the person tightly to stop jerking movements
A patient asks, “Why do I need to take antiseizure medicine every day even when I feel fine?” Which is the BEST response?
So you can drink alcohol safely
Because it prevents future seizures and reduces severity
It cures the disease completely
To stop the seizure immediately when it starts
What is the safest nursing action during an active tonic-clonic seizure?
Hold the patient’s arms and legs to prevent injury
Place the patient in a lateral position with the neck slightly flexed
Insert a tongue depressor to prevent tongue biting
Give oral medications immediately to stop the seizure
Which information is MOST important to document after a seizure?
The nurse’s emotional reaction during the event
Presence of visitors during the seizure
Date, time, duration, and type of seizure activity
Number of staff members assisting during the episode
Which electrolyte imbalance can commonly trigger seizures?
Hyperkalemia
Hyponatremia
Hyperchloremia
Hypophosphatemia
Which type of seizure presents with sudden brief jerks or twitches of the arms and legs, usually without loss of consciousness?
Myoclonic seizure
Clonic seizure
Atonic seizure
Absence seizure
What is the PRIMARY reason for padding side rails of a patient’s bed under seizure precautions?
To prevent staff from injury during restraint
To reduce the patient’s risk of head trauma during seizures
To allow the patient to grip the rails for comfort
To facilitate easy turning during seizures
Which of the following should NOT be placed near the bedside of a patient under seizure precautions?
Oral suction equipment
Oxygen mask
Rigid tongue blade
Blankets
Which phase of seizure is characterized by symptoms like mood changes and trouble sleeping days before the actual event?
Ictal
Aura
Prodrome
Postictal
A patient with epilepsy asks why antiseizure medications must be taken regularly. The best nurse response is:
To stop the seizures immediately when they start
To cure the disease completely
To prevent future seizures and reduce their severity
To allow you to drink alcohol without risk
Glutamate is also known as the (a) neuron.
GABA is also known as (a) neuron.
It is a chronic brain disorder characterized by recurrent (≥ 2) seizures that are unprovoked
(a)
Type of seizure that can experience “drop attacks”. (a)
It is the stage that occurs seconds before an actual seizure. (a)
