Practice Question
A nurse enters a client's room and observes the client having a tonic-clonic seizure. Which of the following actions should the nurse take first?
Answer Choices:
Correct Answer:
Turn the client on their side.
Rationale:
🔹During a tonic-clonic seizure, the priority action is to turn the client on their side to prevent aspiration and promote drainage of secretions.
🔹Seizures often cause loss of consciousness, muscle rigidity, and excessive salivation, increasing the risk of choking.
🔹Side-lying positioning helps maintain airway patency, which is the first step in seizure safety.
🔹Other interventions such as neurological checks and vital signs are important but follow once the airway is protected.
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This question is from RN Medical Surgical~2023 which contains 81 questions.
More Questions from This Exam
A nurse is caring for a client who has left-sided heart failure. Which of the following manifestations should the nurse expect?
Answer Choices:
A. Pedal edema
B. Daytime oliguria
C. Neck vein distention
D. Enlarged liver
A client who is deaf and communicates using sign language is being admitted by a nurse who does not know sign language. Which of the following actions should the nurse
Answer Choices:
A. Ask a family member to be present during the admission
B. Obtain a board that uses colored pictures as communication.
C. Familiarize themselves with commonly used signed language
D. Request an interpreter during the initial assessment.
A nurse is caring for a client who is 2 days postoperative following a below-the-knee amputation and asks about the purpose of maintaining an elastic bandage around the residual limb of the extremity. Which of the following is an appropriate response by the nurse?
Answer Choices:
A. "The elastic bandage will keep the sutures from loosening."
B. "The elastic bandage will prevent a postoperative wound infection."
C. "The elastic bandage will keep you from seeing the surgical site."
D. "The elastic bandage will prevent excessive edema."
A nurse is caring for a client who has acute heart failure and received morphine IV 30 min ago. Which of the following findings should the nurse identify as an indication that the medication was effective?
Answer Choices:
A. Decreased urinary output
B. Decreased anxiety
C. Emesis of 250 mL
D. Increased respiratory rate to 26/min
A nurse is assessing a client who has anorexia. Which of the following findings should the nurse identify as a manifestation of malnutrition?
Answer Choices:
A. Alopecia
B. Diplopia
C. Oily skin
D. Increased salivation
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4