Assessments
Seizures
Headaches
100

The name and function of CN IX.

What is glossopharyngeal; tongue movement, gag reflex, and taste?

100

Aura

What is a perceptual disturbance warning of a migraine or seizure?

100

What are common types of primary headaches?

Migraines, cluster headaches, and tension-type headaches (TTH)

200

The Glasgow Coma Scale score for a patient who only opens their eyes in response to pressure, says "eleven" when asked their name, and reflexively moves away from pressure or painful stimuli.

What is 9?

Eye response = 2

Verbal response = 3

Motor response = 4

200

A common antiepileptic drug.

What is phenytoin?

200

The difference between primary and secondary headaches

Primary Headache: those that are not caused by any other medical conditions. 

Secondary Headache: those that are caused by underlying health conditions (trauma, infections, intracranial disorders, vascular disorders, or psychiatric disorders)

300

The main functions of the parietal lobe of the brain.

What is sensory info, body/spatial awareness, and language processing?

300

Absence (Petite Mal) Seizures

Loss of consciousness for 10 to 30 seconds

No motor activity or mild symmetrical activity such as blinking.

May occur several hundred times daily

Rare in adults, typically stop occurring during adolescence  


300

What population is less likely to report primary headaches?

Clients older than 65 due to comorbidities. Primary headaches may present in atypical manner and are usually tension, migraine, and hypnic (sleep inducing) headaches


400

The mnemonic for the cranial nerves.

What is: On Old Olympus Towering Tops A Finn And German Viewed Some Hops?

(Olfactory, Optic, Oculomotor, Trochlear, Trigeminal, Abducens, Facial, Acoustic, Glossopharyngeal, Vagus, Spinal Accessory, Hypoglossal)

400

Status epilepticus.

Repeated seizure activity without full recovery in a 30-minute time frame or a single prolonged seizure lasting more than 5 minutes.

400

Client Education: The clients should seek immediate medical attention when... 

  • Thunderclap Headache: sudden and severe headache
  • Headache that occurs for first time after age of 50 or those accompanied by weakness, confusion, numbness, speech/visual impairment
  • Meningitis: Headache associated with fever, neck stiffness, or rash 
  • Increased frequency or changes in location, patter, and severity




500

Five neurologic diagnostic tests and a nursing consideration for each.

Cerebral angiography: kidneys, bleeding

Cerebral computed tomography (CT) scan: don't wear metal

Electroencephalography (EEG): avoid caffeine prior

Lumbar puncture (spinal tap): cerebral tumor, bleeding

Magnetic resonance imaging (MRI): remove metal, patches with foil backing, claustrophobia

Positron emission tomography (PET), Single-photon emission computed tomography (SPECT): diabetes mellitus

Radiography (x-ray): remove jewelry/clothing over area

500

Complex partial seizure clinical manifestations.

Automatisms (behaviors that the client is unaware of, such as lip smacking or picking at clothes)

Loss of consciousness or blackout for several minutes

Amnesia immediately prior or after seizure

Hallucinations

Dysphasia

500

The pharmacological and nonpharmacological treatments used to prevent headache? Who are pharmacilogical treatment reserved for? 

Pharmacological: 

  • Antiseizure medications (valproic acid, topiramate)
  • Beta blockers (propranolol, metoprolol, timolol)
  • Tricyclic antidepressants (amitriptyline, nortriptyline, doxepin, protriptyline)
  • Calcitonin gene-related peptide (CGRP) receptor antagonists (rimegepant, ubrogepant, atogepant)
  • Botulinum toxins


  • Typically reserved for clients who experience headaches 3-15 days per month

Nonpharmacological:

  • Biofeedback
  • Cognitive-behavioral therapy
  • Chiropractic therapy
  • Massage
  • Craniosacral therapy
  • Yoga
  • Diet (avoiding aged cheeses, meats that contain nitrites, pickled foods, aspartame, and monosodium glutamate [MSG])
  • Hydration
  • Nutritional and herbal supplements
  • Acupuncture