NCLEX Select All That Apply Practice Exam 2

Question 1

A 6-year-old child with leukemia is hospitalized and is receiving combination chemotherapy.
Laboratory results indicate that the child is neutropenic, and the nurse prepares to implement protective isolation procedures.
Which interventions would the nurse initiate? Select all that apply.

Accepted Answer

Place the child on a low-bacteria diet.

Answer

Restrict all visitors.

Answer

Encourage the consumption of fresh fruits and vegetables.

Answer

Allow fresh-cut flowers in the room as long as they are kept in a vase with fresh water.

Question 2

A 16-year-old child is brought to the emergency department by his mother with a complaint that the child just experienced a tonic-clonic seizure. On arrival in the emergency department no apparent seizures were occurring. The mother states that her son is taking medication for the seizure disorder. The nurse plans care, knowing that which of the following medications are used for long-term control of tonic-clonic seizures? Select all that apply.

Accepted Answer

Gabapentin (Neurontin)

Answer

Diazepam (Valium)

Answer

Alprazolam (Xanax)

Answer

Methylphenidate (Ritalin)

Question 3

A child has been diagnosed with meningococcal meningitis. Which of the following isolation techniques is appropriate?

Accepted Answer

Isolation precautions for at least 24 hours after the initiation of antibiotics

Answer

Enteric precautions

Answer

Neutropenic precautions

Answer

No precautions are required as long as antibiotics have been started.

Question 4

A client enters the emergency department confused, twitching, and having seizures. His family states he recently was placed on corticosteroids for arthritis and was feeling better and exercising daily. On data collection, he has flushed skin, dry mucous membranes, an elevated temperature, and poor skin turgor. His serum sodium level is 172 mEq/L. Choose the interventions that the health care provider would likely prescribe. Select all that apply.

Accepted Answer

Monitor intake and output.

Answer

Administer sodium replacements.

Question 5

A client has died, and a nurse asks a family member about the funeral arrangements. The family member refuses to discuss the issue. The nurse’s appropriate action is to:

Accepted Answer

Remain with the family member without discussing funeral arrangements.

Answer

Show acceptance of feelings.

Answer

Provide information needed for decision making.

Answer

Suggest a referral to a mental health professional.

Question 6

A client is scheduled for a myelogram, and the nurse provides a list of instructions to the client regarding preparation for the procedure. Which instructions should the nurse place on the list? Select all that apply.

Accepted Answer

An informed consent will need to be signed.

Answer

A trained x-ray technician performs the procedure.

Answer

A liquid diet can be consumed on the day of the procedure.

Answer

Solid food intake needs to be restricted only on the day of the procedure.

Question 7

A client with a closed head injury is receiving phenytoin (Dilantin), an anticonvulsant medication. Which of the following would indicate that the client is experiencing side effects related to this medication? Select all that apply.

Accepted Answer

Constipation

Answer

Ataxia

Answer

Sedation

Question 8

A client with carcinoma of the lung develops the syndrome of inappropriate antidiuretic hormone (SIADH) as a complication of the cancer. The nurse anticipates that which of the following may be prescribed? Select all that apply.

Accepted Answer

Radiation

Answer

Increased fluid intake

Answer

Decreased oral sodium intake

Question 9

A client with carcinoma of the lung develops the syndrome of inappropriate antidiuretic hormone (SIADH) as a complication of the cancer. The nurse anticipates that which of the following may be prescribed? Select all that apply.

Accepted Answer

Radiation

Answer

Increased fluid intake

Answer

Decreased oral sodium intake

Question 10

A client with AIDS complains of a weight loss of 20 pounds in the past month. Which diet is suggested for the client with AIDS?

Accepted Answer

High calorie, high protein, low fat

Answer

High calorie, high protein, high fat

Answer

High calorie, high carbohydrate, low protein

Answer

High calorie, low carbohydrate, high fat

A 6-year-old child with leukemia is hospitalized and is receiving combination chemotherapy.Laboratory results indicate that the child is neutropenic, and the nurse prepares to implement protective isolation procedures.Which interventions would the nurse initiate? Select all that apply.

A 6-year-old child with leukemia is hospitalized and is receiving combination chemotherapy.
Laboratory results indicate that the child is neutropenic, and the nurse prepares to implement protective isolation procedures.
Which interventions would the nurse initiate? Select all that apply.