Fy 16 Epilepsy Monitoring Unit Competency Exam

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Fy 16 Epilepsy Monitoring Unit Competency Exam

This is a written exam that will evaluate the health care personnel knowledge of how to appropriately care for the patient on the epilepsy monitoring unit


Questions and Answers
  • 1. 
    Nurse Maria walks into her patient's room and finds him actively seizing (non-convulsive). What is the first thing she should do?
    • A. 

      Activate the event marker

    • B. 

      Ensure patient's safety

    • C. 

      Call for another Nurse

    • D. 

      Begin Neurological assessment immediately

  • 2. 
    If a generalized tonic-clonic seizure last longer than_____, I should call a Rapid Response.
    • A. 

      30 seconds

    • B. 

      60 seconds

    • C. 

      5 minutes

    • D. 

      10 minutes

  • 3. 
    On admission, items to ensure that are in the patient's room and functioning are (check all that apply)
    • A. 

      Oxygen flow meter, tubing, nasal cannula

    • B. 

      Bed in lowest position and lock

    • C. 

      Sitter

    • D. 

      Wall suctioning including yankauer

    • E. 

      Call light and patient's alarm button within reach

    • F. 

      Home Video camera

  • 4. 
    The Registered Nurse assigned to patients on the Epilepsy Monitoring Unit is responsible for the following: (Check all that apply)
    • A. 

      Maintaining competency in seizure recognition

    • B. 

      Conducting neurological assessments on patients Q4hours and anytime there is a questionable change in the patient's condition

    • C. 

      Directing the LPN to setup the room appropriate for an EMU admission.

    • D. 

      Documenting on EMU monitor whenever EEG scalp electrodes are not functioning , in absence of EEG tech.

  • 5. 
    Which assessment is not part of the neurological checks for the patient with a seizure disorder?
    • A. 

      Alert & Oriented X 3

    • B. 

      Strength Bilaterally

    • C. 

      Sensation

    • D. 

      Skin turgor

    • E. 

      Pupillary response

  • 6. 
    The Registered Nurse is responsible for connecting the patient to the EEG and disconnecting patient from the EEG equipment upon admission and discharge.
    • A. 

      True

    • B. 

      False

  • 7. 
    CPR will be initiated and a Code Blue will be called if breathing does not resume after convulsions end
    • A. 

      True

    • B. 

      False

  • 8. 
    In the event the death of an Epilepsy Monitoring Unit patient occurs, the nurse designated to provide care to the deceased patient will contact the attending neurologist as well as inform the family of the event.
    • A. 

      True

    • B. 

      False

  • 9. 
    Why do we need video EEG monitoring? (Check all that apply)
    • A. 

      Identify and characterize seizures

    • B. 

      Helps determine how long a patient should be on medication

    • C. 

      Localize seizure origin

    • D. 

      Gold standard in providing a diagnosis of psychogenic non-epileptic seizure (PNES)