NCLEX Prioritization, Delegation, and Assignment Practice Test

When a seizure occurs, the immediate priority is safety and protecting the airway. The best actions are to clear the area of hazards, loosen restrictive clothing, protect the head with a cushion or hands, and call for help so trained staff can assist or initiate further treatment if needed. Do not restrain the person or try to hold them down, and do not place anything in their mouth, as both can cause injury or obstruction. Stay with the patient, monitor breathing, and once the convulsions stop, help position them on their side if possible to maintain an open airway and prevent aspiration.

Restraint is not appropriate because it can cause injury and does not stop the seizure. Leaving the room is unsafe because you need to monitor the person and call for help. Administering IV benzodiazepine without an order is not correct; medications must be given under a standing order or after a clinician’s order.