NCLEX-RN Meningitis Assessment Quiz
Test your knowledge of meningitis assessment, treatment, and nursing care with these NCLEX-style questions.
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Quiz Questions & Answers
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Question 1: A 4-year-old child is admitted with suspected bacterial meningitis. Which assessment finding should the nurse report to the healthcare provider IMMEDIATELY?
Temperature of 38.3°C (101°F)
Nuchal rigidity with positive Brudzinski's sign
Projectile vomiting with lethargy
Fixed, dilated pupils with decreased level of consciousness
Question 2: A nurse is caring for a client with bacterial meningitis. Which intervention should be implemented first?
Initiate droplet precautions
Obtain vital signs
Assess neurological status
Administer scheduled antibiotics
Question 3: The nurse is assessing a 20-year-old client with viral meningitis. Which finding is most consistent with this diagnosis?
Severe headache that improves with sitting up
Cloudy cerebrospinal fluid
Glucose level below 40 mg/dL in CSF
White blood cell count of 20,000/mm3
Question 4: A client with meningitis is receiving ampicillin. Which assessment finding requires immediate intervention?
Mild nausea after medication administration
Rash with hives and difficulty breathing
Slight dizziness when standing
Mild diarrhea
Question 5: The nurse is teaching family members of a client with meningococcal meningitis. Which statement indicates correct understanding?
Only immediate family needs prophylactic antibiotics
Prophylaxis is needed for all close contacts within the last 7 days
The infection is no longer contagious after 24 hours
Casual contacts need monitoring only
Question 6: A nurse is monitoring a child with bacterial meningitis. Which finding indicates a positive Kernig's sign?
Pain when the neck is flexed forward
Resistance and pain when extending the knee with hip flexed
Involuntary knee flexion when neck is bent
Pain when pressing on the fontanel
Question 7: Which intervention has the highest priority for a client with meningitis who develops seizures?
Maintain airway patency
Document seizure duration
Protect from injury
Administer antiepileptic medication
Question 8: A nurse is assessing CSF results in a client with suspected meningitis. Which finding is most indicative of bacterial meningitis?
Clear, colorless appearance
Elevated protein with normal glucose
Cloudy appearance with low glucose
Slightly elevated white blood cells
Question 9: When administering vancomycin to a client with meningitis, which nursing intervention is most important?
Monitor serum vancomycin levels
Administer with food
Give as a rapid IV push
Mix with normal saline only
Question 10: A nurse is teaching prevention strategies to college students after a meningitis outbreak. Which statement is most important?
Avoid sharing water bottles
Get vaccinated against meningococcal disease
Wash hands frequently
Avoid crowded spaces