What if the test answers are not right?

[vonnieb63]

I took a retest that will decide on whether I continue Nursing school or not. I did not pass it and on review I found several questions that did not have the right answers!! Is there a review board that can review the questions and answers? Who can help me!!! ????

[JustBeachyNurse, LPN]

Also the common drugs for recurrent/active seizures are usually given after 3-5 minutes duration. Unlike in prophylaxis you don't give Diastat or nasal midazolam for a 30 second seizure. The first question the attending or ER MD is going to ask is how long did the seizure last?

Now that two nurses have given their response, what is your answer.

[vonnieb63]

I understand your answer. It's important to remember that this is a testing question as well. There are many ques we are taught to watch for, and in this test question, "action" is it. Is making note of the time the sz began an action? If it is, that is the question the teacher had. The word action is the reason I did not choose that answer. I chose C

[KelRN215, BSN, RN]

I understand your answer. It's important to remember that this is a testing question as well. There are many ques we are taught to watch for, and in this test question, "action" is it. Is making note of the time the sz began an action? If it is, that is the question the teacher had. The word action is the reason I did not choose that answer. I chose C

Well you look at your watch/the clock/the monitor and note the time. How is that not an action?

[vonnieb63]

Is looking at your watch, clock, etc not an assessment?

[JustBeachyNurse, LPN]

Well you look at your watch/the clock/the monitor and note the time. How is that not an action?

Exactly, documenting time is an action, you look at the clock/your watch and document the time of onset. It is not an assessment. Assessment would be noting quality & activity of the seizure, assessing for s/s of hypoxia, assessing respiratory rate (as applicable)

First, you ensure safety then you document time of onset. (Patient seizing and dropping to the floor or falling out of bed would clearly be a priority over looking at the time) There is not much to be done in the first few minutes of the ictal stage but monitor and perhaps call for assistance depending on the scenario.

If the seizure becomes full body grand mal/tonic clonic seizure you may not be able to safely loosen clothing around the neck. Time of onset would definitely take precedence over loosening clothing that may or may not be a hindrance.

[KelRN215, BSN, RN]

Is looking at your watch, clock, etc not an assessment?

Well, no, but assessing the patient is an action anyway. Honestly, I think you're splitting hairs at this point. The answer is A.

[twinkerrs]

The correct answer is a. I have had this question before.

[MrChicagoRN, RN]

Far too often I've heard nurses who couldn't say how long ago they first observed the seizure..."uh, 2...3 minutes?"

Seizure activity begins, glance at watch, "3:39:30"

Now, move on to doing all the other stuff.

[Esme12, ASN, BSN, RN]

Here is one of the questions:

A client as been admitted to the hospital after having two seizures at work. The client gives a sudden silent cry and stiffens. The initial nursing action for the client is to

a) Note the time the seizure began

b) Place an oral airway

c) loosen clothing around the neck

d) turn her head to the side

What do you think is the correct answer? Tell us to answer based on what the book says and that the teacher should be able to show you where the answer is in the book.

Look at the question....

You do not force open clenched jaws to place an airway...just as you don't force their head to the side. Loosening their clothing is OK it they are choking or restrained somehow but your first nursing response is to time the seizure...you move your arm to look at your watch.

Ask one of your instructors to sit with you an explan why the answers are right or wrong. This is the hard concept in nursing. All the answers seem reasonable but only one is correct.

[vonnieb63]

Esme12, I understand what your saying. I do agree. I was just answering "C" because I was following what the ATI book said, not what I believed was correct. I am constantly unsure of what answer to use because I am in the LPN to RN bridge and having to answer what the book says not what you would do in real life. I would be a good thing if one of the instructors could do that. Unfortunately our instructors do not sit down and discuss or explain anything, at least to me. There are other questions I would like for you to look over if you don't mind.

[ampela]

I think it's D. You want to maintain her airway and breathing first in case she aspirates. What was the right answer? I've had issues with nursing exam first but fortunately my instructor takes into account the class answers and throws it out if more than half got it wrong. But she keeps most of the questions though. Remember on NCLEX we don't have the luxury of having someone look over the questions and throw it out..

[KelRN215, BSN, RN]

I think it's D. You want to maintain her airway and breathing first in case she aspirates. What was the right answer? I've had issues with nursing exam first but fortunately my instructor takes into account the class answers and throws it out if more than half got it wrong. But she keeps most of the questions though. Remember on NCLEX we don't have the luxury of having someone look over the questions and throw it out..

D is an incorrect answer. You don't turn someone's head to the side when he's seizing, you turn the patient on his side.