Difficulty: Medium
Average Score: 72%
Simulated
Passage / Scenario
A child who is having a tonic-clonic seizure and vomitingA nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority?
Correct answer
C
Rationale
The correct answer is C: Position the child side-lying. This is the priority because it helps prevent aspiration of vomit and ensures the airway remains clear during the seizure. Placing a pillow under the child's head (A) may obstruct the airway. Clearing the area of hazards (B) is important but not the priority during an active seizure. Loosening restrictive clothing (D) is important but not the priority over maintaining a clear airway.