NCLEX Meningitis Assessment Quiz
Test your knowledge of meningitis assessment, care, and management with these critical nursing questions.
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Quiz Questions & Answers
Review every prompt, the correct responses, and helpful context to prep for your own run-through.
Question 1: A nurse is assessing a client with suspected meningitis. Which of the following findings would indicate a positive Brudzinski's sign?
The client experiences pain when the leg is extended at the knee with the hip flexed
The client's hips and knees flex involuntarily when the neck is flexed toward the chest
The client reports a sharp, radiating pain down the spine when sitting upright
The client exhibits involuntary extension of the arms and legs with internal rotation
Question 2: A client is admitted to the nursing unit with a diagnosis of bacterial meningitis. Which transmission-based precaution should the nurse implement immediately?
Airborne precautions
Contact precautions
Droplet precautions
Protective environment
Question 3: The nurse is caring for a client with viral meningitis. Which of the following nursing interventions is the priority?
Administering high-dose intravenous antibiotics
Maintaining a quiet, darkened room environment
Preparing the client for immediate neurosurgery
Placing the client in a Trendelenburg position
Question 4: A nurse is assisting with a lumbar puncture for a client suspected of having meningitis. In what position should the nurse place the client?
Prone with a pillow under the abdomen
Supine with the head of the bed elevated 30 degrees
Side-lying with the knees pulled up to the chest and the chin tucked
High-Fowler's with the legs extended
Question 5: The nurse reviews the cerebrospinal fluid (CSF) analysis of a client with bacterial meningitis. Which result is most consistent with this diagnosis?
Clear appearance and increased glucose levels
Cloudy appearance and decreased glucose levels
Clear appearance and decreased protein levels
Bloody appearance and normal white blood cell count
Question 6: Which assessment finding in a 6-month-old infant is a classic sign of meningitis?
Sunken fontanels
Bulging fontanels
Increased appetite
Decreased head circumference
Question 7: A client with meningitis is at risk for increased intracranial pressure (ICP). Which nursing action helps prevent further increases in ICP?
Encouraging the client to cough and deep breathe every hour
Keeping the head of the bed flat at all times
Elevating the head of the bed to 30 degrees and keeping the neck neutral
Performing vigorous suctioning every 2 hours
Question 8: A nurse is caring for a client with meningococcal meningitis. The client's family asks if they need any treatment. What is the nurse's best response?
Treating family members is only necessary if they develop a fever
Prophylactic antibiotics are typically recommended for close contacts
The family should be isolated in their home for 14 days
Only the person who provided direct mouth-to-mouth resuscitation needs treatment
Question 9: The nurse is monitoring a client with meningitis for the development of Waterhouse-Friderichsen syndrome. What should the nurse specifically look for?
Severe hypertension and bradycardia
Petechiae and signs of adrenal failure/shock
Localized paralysis of the lower extremities
Excessive urine output and extreme thirst
Question 10: Which of the following is the most important nursing intervention for a client with meningitis who is experiencing a high fever?
Applying multiple heavy blankets to prevent shivering
Administering antipyretics and using a cooling blanket as ordered
Withholding all fluids to prevent cerebral edema
Performing a vigorous sponge bath with ice water