SATA nclex Updated 2024/2025 Actual Questions and answers with complete solutions

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 1. Diazepam (Valium) 2. Alprazolam (Xanax) 3. Gabapentin (Neurontin) 4. Ethosuximide (Zarontin) 5. Carbamazepine (Tegretol) 6. Methylphenidate (Ritalin) - 3,4,5 Rationale: Medications that are prescribed for long-term control of tonic-clonic seizures are gabapentin, ethosuximide, and carbamazepine. Diazepam is a medication that is prescribed to halt tonic-clonic episodes, and methylphenidate is a medication used to treat attention deficit hyperactivity disorder. Both of these medications are not suitable for long-term control of a seizure condition. Alprazolam is a medication used to treat anxiety. 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. 1. Restrict all visitors. 2. Place the child on a low-bacteria diet. 3. Change dressings using sterile technique. 4. Encourage the consumption of fresh fruits and vegetables. 5. Perform meticulous handwashing before caring for the child. 6. Allow fresh-cut flowers in the room as long as they are kept in a vase with fresh water. - 2,3,5Rationale: For the hospitalized neutropenic child, flowers or plants should not be kept in the room because standing water and damp soil harbor Aspergillus and Pseudomonas, to which these children are very susceptible. Fruits and vegetables not peeled before being eaten harbor molds and should be avoided until the white blood cell count rises. The child is placed on a low-bacteria diet. Dressings are always changed with sterile technique. Not all visitors need to be restricted, but anyone who is ill should not be allowed in the child's room. Meticulous handwashing is required before caring for the child. In addition, gloves, a mask, and a gown are worn (per agency policy). A child has been diagnosed with meningococcal meningitis. Which of the following isolation techniques is appropriate? 1. Enteric precautions 2. Neutropenic precautions 3. No precautions are required as long as antibiotics have been started. 4. Isolation precautions for at least 24 hours after the initiation of antibiotics - 4