An adolescent has just had a generalized seizure and collapsed in the school nurse's office. When should the nurse call 911?

The child is confused and cannot remember anything regarding the seizure.

The child fell at the onset of the seizure

The seizure lasts more than 5 minutes.

The child is sleepy and lethargic after the seizure

Answer and Explanation

The Correct Answer is C

A. The child is confused and cannot remember anything regarding the seizure: Postictal confusion is normal after a seizure and does not require emergency services.

B. The child fell at the onset of the seizure: Falls can occur with seizures, but unless there is a suspected injury or prolonged seizure activity, calling 911 is unnecessary.

C. The seizure lasts more than 5 minutes: A seizure lasting more than 5 minutes is considered status epilepticus and is a medical emergency requiring immediate intervention.

D. The child is sleepy and lethargic after the seizure: Postictal sleepiness is a common and expected phase after a generalized seizure.

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Correct Answer is A

Explanation

A. Uncontrollable shaking of the body: This is a hallmark sign of generalized tonic-clonic seizures, characterized by jerking movements of the body.

B. Difficulty breathing and shortness of breath: Respiratory difficulties are not primary symptoms of seizures but may occur in severe cases.

C. Dizziness and lightheadedness: These symptoms are more indicative of conditions like vertigo or syncope, not seizures.

D. Rapid heart rate and chest pain: These are more characteristic of cardiac issues than seizures.

A. Dropping held object B. Loss of consciousness C. Falling to the floor D. Appearance of daydreaming

Correct Answer is ["A","B","D"]

Explanation

A. Dropping held object: Loss of motor activity during absence seizures may result in dropping objects.

B. Loss of consciousness: Absence seizures involve brief, sudden loss of consciousness without convulsions.

C. Falling to the floor: This is associated with atonic or tonic-clonic seizures, not absence seizures.

D. Appearance of daydreaming: A hallmark of absence seizures is the "staring spell" or daydream-like appearance.

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An adolescent has just had a generalized seizure and collapsed in the school nurse's office. When should the nurse call 911?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a common symptom of a seizure?

Correct Answer is A

Explanation

A nurse is caring for a child who has absence seizures. Which of the following findings should the nurse expect? (select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

A nurse is reviewing the cerebral spinal fluid analysis for a group of clients who have suspected meningitis. Which of the following analysis findings would be consistent with a diagnosis of bacterial meningitis? (Select three answers that apply).

A nurse is collecting data from a 4-month old infant who has meningitis. Which of the following findings should the nurse expect?

Which of the following is a common symptom of meningitis?

A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority?

Which diagnostic test is the most definitive test used to detect meningitis?

A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority?

What subjective data can a child tell the nurse following a seizure that could indicate the origin of the seizure in the brain?