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
- 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
Correct Answer
B. Ensure patient's safetyExplanation
Patient's Safety is always firstRate this question:
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- 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
Correct Answer
C. 5 minutesExplanation
According to Clinical Guidelines for Patients Undergoing Epilepsy Monitoring if a patient is experiencing GTC >5minutes, activate Rapid ResponseRate this question:
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- 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
Correct Answer(s)
A. Oxygen flow meter, tubing, nasal cannula
B. Bed in lowest position and lock
D. Wall suctioning including yankauer
E. Call light and patient's alarm button within reachExplanation
Patient is not required to have a sitter but they are encouraged to bring a family member or friend with them. The EMU room has a video recorder in place to record all events.Rate this question:
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- 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.
Correct Answer(s)
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
D. Documenting on EMU monitor whenever EEG scalp electrodes are not functioning , in absence of EEG tech.Explanation
Refer to clinical guidelines page 4Rate this question:
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- 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
Correct Answer
D. Skin turgorExplanation
Mosby, Neurological AssessmentsRate this question:
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- 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
Correct Answer
B. FalseExplanation
The EEG Technician is responsible for connecting the patient to the EEG and disconnecting patient from the EEG equipment upon admission and discharge.Rate this question:
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- 7.
CPR will be initiated and a Code Blue will be called if breathing does not resume after convulsions end
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
If breathing does not resume after convulsions end, CPR will be initiated and a Code Blue will be called. This means that if a person stops breathing after experiencing convulsions, medical professionals will perform CPR (cardiopulmonary resuscitation) to try to revive them. Additionally, a Code Blue, which is a hospital emergency code, will be called to alert the medical team and initiate a rapid response to the situation. Therefore, the statement is true.Rate this question:
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- 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
Correct Answer
B. FalseExplanation
The family should be informed of the event by the attending physicianRate this question:
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- 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)
Correct Answer(s)
A. Identify and characterize seizures
C. Localize seizure origin
D. Gold standard in providing a diagnosis of psychogenic non-epileptic seizure (PNES)Explanation
Video EEG monitoring is necessary for several reasons. Firstly, it helps to identify and characterize seizures, allowing healthcare professionals to accurately diagnose and treat the patient. Secondly, it assists in localizing the origin of seizures, which is important for determining the most effective treatment approach. Lastly, video EEG monitoring is considered the gold standard in providing a diagnosis of psychogenic non-epileptic seizures (PNES), which are seizures that are not caused by abnormal brain activity.Rate this question:
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