Nclex-Rn Practice Questions-Neurological Disorders-Meningitis
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Question 1 |
The nurse is assessing the client diagnosed with bacterial meningitis. In addition to nuchal rigidity, which clinical manifestations would the nurse assess?
A | Positive Cushing sign and ascending paralysis. |
B | Negative Kernig sign and facial tingling. |
C | Positive Brudzinski sign and photophobia. |
D | Negative Trousseau sign and descending paralysis. |
Question 2 |
The nurse is admitting a client diagnosed with meningococcal meningitis and notes lesions over the face and extremities. Which priority intervention should the nurse implement?
A | Initiate the intravenous antibiotics stat. |
B | Obtain a skin biopsy for culture and sensitivity. |
C | Perform a complete neurological assessment. |
D | Close all the curtains in the room and turn off lights. |
Question 3 |
Which type of precautions should the nurse implement for the client diagnosed with aseptic meningitis?
A | Standard precautions. |
B | Airborne precautions. |
C | Contact precautions. |
D | Droplet precautions. |
Question 4 |
A college student came to the university health clinic and was diagnosed with bacterial meningitis and admitted to a local hospital. Which intervention should the university health clinic nurse implement?
A | Place the client’s dormitory under strict respiratory isolation. |
B | Notify the parents of all students about the meningitis outbreak. |
C | Arrange for students to receive the meningococcal vaccination. |
D | Ensure dormitory roommates receive chemoprophylaxis using rifampin. |
Question 5 |
The nurse asks the UAP to help admit the client diagnosed with bacterial meningitis. Which nursing task is priority?
A | Take the client’s vital signs. |
B | Obtain the client’s height and weight. |
C | Prepare the room for respiratory isolation. |
D | Pull the drapes and make sure the room is dim. |
Question 6 |
The nurse is admitting a client diagnosed with meningitis who has AIDS. Which signs/symptoms would the nurse expect the client to exhibit?
A | A positive Babinski sign. |
B | Diplopia and blurred vision. |
C | Auditory deficits. |
D | The client may be asymptomatic. |
Question 7 |
The 18-year-old client is admitted to the medical floor with a diagnosis of meningitis. Which priority intervention should the nurse assess?
A | Assess the client’s neurovascular status. |
B | Assess the client’s cranial nerve IX function. |
C | Assess the client’s brachioradialis reflex. |
D | Assess the client’s neurological status. |
Question 8 |
The nurse is developing a plan of care for a client diagnosed with septic meningitis. Which client goal would be most appropriate for the client problem of “altered thermoregulation”?
A | The client will have no injury from using the hypothermia blanket. |
B | The client will be protected from injury if seizure activity occurs. |
C | The client will be afebrile for 48 hours prior to discharge. |
D | The client will have serum electrolytes within normal limits. |
Question 9 |
The client diagnosed with septic meningitis is admitted to the medical floor at 1200. Which HCP’s order would the nurse implement first?
A | Administer intravenous antibiotic. |
B | Start the client’s intravenous line. |
C | Provide a quiet, calm dark room. |
D | Initiate seizure precautions. |
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