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

Neutropenia means the child has a severely weakened immune system, making them highly susceptible to infection. A low-bacteria diet (avoiding fresh fruits/vegetables, raw foods) minimizes exposure to microorganisms. Sterile technique for dressings and meticulous hand washing are critical to prevent introducing pathogens, thus implementing protective isolation.

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

Gabapentin, Ethosuximide, and Carbamazepine are all anticonvulsant medications commonly used for the long-term management of seizure disorders, including tonic-clonic seizures. Diazepam is typically used for acute seizure management, not long-term control. Alprazolam and Methylphenidate are not primary treatments for tonic-clonic seizures.

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

Meningococcal meningitis is transmitted via respiratory droplets, requiring droplet precautions. These precautions are necessary until the client has received at least 24 hours of effective antibiotic therapy. After this period, the risk of transmission significantly decreases, and isolation can often be discontinued.

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

The client's symptoms and serum sodium level of 172 mEq/L indicate severe hypernatremia, likely due to dehydration and possibly corticosteroid use. Interventions focus on correcting fluid balance and reducing sodium. Monitoring I&O, vital signs, and electrolyte levels is crucial for assessing the client's response, while increasing water intake and maintaining a sodium-reduced diet help lower serum sodium.

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

In this sensitive situation, the family member is clearly not ready to discuss funeral arrangements. The most appropriate nursing action is to provide a supportive presence without pushing the topic. This demonstrates empathy and respect for their grief, allowing them to process their emotions at their own pace.

NCLEX Practice Test

NCLEX Practice Test

NCLEX Select All That Apply Practice Exam 2