National Certification Exam Candidates

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  • 1.  Question Explanation

    Posted 02-07-2025 07:44

    I have taken one practice test and had this question. Wanted to see what you all thought. Obviously it is not accurate since the explanation contained answers that were not choices in the question, but what do we think would be the most correct answer? 

    Basically what do you think the definition is on "prolonged seizure"? One specific seizure? Or one diagnosed with a seizure disorder? 

    This also makes me nervous about using the practice tests. How many questions are jumbled and mixed up? 

    Which of the following is an effective medication for prolonged seizures?

     



    Your answer was: b
    Incorrect 

    Correct Answer: A: Diazepam (Diastat)
    Rationale:  Diazepam is the only medication listed for prolonged seizures. Montelukast is for Asthma, Rosigliazone is for Diabetes, Methylphenidate is for ADHD.
    Reference: Diazepam Rectal Gel Retrieved 12/17/19 from 
    https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/020648s014lbl.pdf activity.


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    Kelly Sorenson
    Washington, DC United States
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  • 2.  RE: Question Explanation

    Posted 02-07-2025 09:11

    A prolonged seizure would be any seizure lasting 5 minutes or longer. Diastat is the drug of choice to administer once the patient has hit the 5 minute mark of a seizure. Keppra is a daily medication used by patients with seizure disorders.

    I passed the exam in November. I found listening/watching the 8 session review video and going through lots and lots practice questions prepared me for passing. 

    Best of luck to you!!



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    Melissa Wymer BSN, RN, NCSN
    District Lead Nurse MCSC
    Mooresville High School
    Mooresville, IN United States
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  • 3.  RE: Question Explanation

    Posted 02-07-2025 15:23

    Hi, What all resources did you use to practice questions?



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    Manjit Sehdev
    Decatur, GA United States
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  • 4.  RE: Question Explanation

    Posted 02-07-2025 15:29

    NBCSN has two 75-question practice exams available for purchase on their website.  They are a great way to track your learning, gain exposure to the style of questions you will see on the exam, and guide studying. 



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    Sarah T. Portle M.Ed., BSN RN, NCSN
    Lead Nurse - Arizona State University Preparatory Academy
    PhD Student - Arizona State University, Edson College of Nursing and Health Innovation
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  • 5.  RE: Question Explanation

    Posted 02-10-2025 15:07

    Diastat is for prolonged seizures (lasting 5 minutes or longer).  :)



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    Tonya Burgess R.N., BSN
    Goshen Community Schools
    Goshen, IN United States
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  • 6.  RE: Question Explanation

    Posted 06-12-2025 17:59

    Even with the wrong meds listed in the rationale. We know Diastat is for prolonged seizures. Keppra is for maintenance. The other two are for completely different diagnoses (Diabetes and ADHD).



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    Lindsey Helmer , RN, BSN
    School Nurse
    Central Middle School
    Hartly, DE United States
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  • 7.  RE: Question Explanation

    Posted 06-12-2025 18:13

    Generally, "prolonged seizure" would five (5) minutes or longer.



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    Andrea Ferguson, BSN, RN, CSN
    Health Services Coordinator
    Beauregard Parish School Board
    DeRidder, LA USA


    Louisiana School Health Provider of the Year 2022
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