The Meningitis Quiz: Trivia Questions!

20 Questions | Total Attempts: 5747

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The Meningitis Quiz: Trivia Questions!

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Questions and Answers
  • 1. 
    A nurse is putting together a presentation on meningitis. Which of the following microorganisms has noted been linked to meningitis in humans?
    • A. 

      S. pneumonia

    • B. 

      H. influenza

    • C. 

      N. meningitis

    • D. 

      Cl. difficile

  • 2. 
    A patient’s chart indicates a history of meningitis. Which of the following would you not expect to see with this patient if this condition were acute?
    • A. 

      Increased appetite

    • B. 

      Vomiting

    • C. 

      Fever

    • D. 

      Poor tolerance of light

  • 3. 
    A client, age 22, is admitted with bacterial meningitis. Which hospital room would be the best choice for this client?
    • A. 

      A private room down the hall from the nurses’ station

    • B. 

      An isolation room three doors from the nurses’ station

    • C. 

      A semiprivate room with a 32-year-old client who has viral meningitis

    • D. 

      A two-bed room with a client who previously had bacterial meningitis

  • 4. 
    Patrick, a healthy adolescent has meningitis and is receiving I.V. and oral fluids. The nurse should monitor this client’s fluid intake because fluid overload may cause:  
    • A. 

      Cerebral edema

    • B. 

      Dehydration

    • C. 

      Heart failure

    • D. 

      Hypovolemic shock

  • 5. 
     A 4-month-old with meningococcal meningitis has just been admitted to the pediatric unit. Which nursing intervention has the highest priority?
    • A. 

      Instituting droplet precautions

    • B. 

      Administering acetaminophen (Tylenol)

    • C. 

      Obtaining history information from the parents

    • D. 

      Orienting the parents to the pediatric unit

  • 6. 
    • A. 

      Administer codeine 15 mg orally for the patient’s headache.

    • B. 

      Infuse ceftriaxone (Rocephin) 2000 mg IV to treat the infection.

    • C. 

      Give acetaminophen (Tylenol) 650 mg orally to reduce the fever.

    • D. 

      Give furosemide (Lasix) 40 mg IV to decrease intracranial pressure.

  • 7. 
    • A. 

      The student enters the room without putting on a mask and gown.

    • B. 

      The student instructs the family that visits are restricted to 10 minutes.

    • C. 

      The student gives the patient a warm blanket when he says he feels cold.

    • D. 

      The student checks the patient’s pupil response to light every 30 minutes.

  • 8. 
    Which of these patients in the neurologic ICU will be best to assign to an RN who has floated from the medical unit?  
    • A. 

      A 26-year-old patient with a basilar skull structure who has clear drainage coming out of the nose

    • B. 

      A 42-year-old patient admitted several hours ago with a headache and diagnosed with a ruptured berry aneurysm.

    • C. 

      A 46-year-old patient who was admitted 48 hours ago with bacterial meningitis and has an antibiotic dose due

    • D. 

      A 65-year-old patient with a astrocytoma who has just returned to the unit after having a craniotomy

  • 9. 
    A child is admitted to the pediatric unit with a diagnosis of suspected meningococcal meningitis. Which of the following nursing measures should the nurse do FIRST?
    • A. 

      Institute seizure precautions

    • B. 

      Assess neurologic status

    • C. 

      Place in respiratory isolation

    • D. 

      Assess vital signs

  • 10. 
    The nurse is assessing a patient and notes a Brudzinski’s sign and Kernig’s sign. These are two classic signs of which of the following disorders? 
    • A. 

      Cerebrovascular accident (CVA)

    • B. 

      Meningitis

    • C. 

      Seizure disorder

    • D. 

      Parkinson’s disease

  • 11. 
    Richard Barnes was diagnosed with pneumococcal meningitis. What response by the patient indicates that he understands the precautions necessary with this diagnosis? 
    • A. 

      “I’m so depressed because I can’t have any visitors for a week.”

    • B. 

      “Thank goodness, I’ll only be in isolation for 24 hours.”

    • C. 

      “The nurse told me that my urine and stool are also sources of meningitis bacteria.”

    • D. 

      “The doctor is a good friend of mine and won’t keep me in isolation.”

  • 12. 
     The mother brings a child to the health care clinic because of severe headache and vomiting. During the assessment of the health care nurse, the temperature of the child is 40 degree Celsius, and the nurse notes the presence of nuchal rigidity. The nurse is suspecting that the child might be suffering from bacterial meningitis. The nurse continues to assess the child for the presence of Kernig’s sign. Which finding would indicate the presence of this sign? 
    • A. 

      Flexion of the hips when the neck is flexed from a lying position

    • B. 

      Calf pain when the foot is dorsiflexed

    • C. 

      Inability of the child to extend the legs fully when lying supine

    • D. 

      Pain when the chin is pulled down to the chest

  • 13. 
    The client with suspected meningitis is admitted to the unit. The doctor is performing an assessment to determine meningeal irritation and spinal nerve root inflammation. A positive Kernig’s sign is charted if the nurse notes:   
    • A. 

      Pain on flexion of the hip and knee

    • B. 

      Nuchal rigidity on flexion of the neck

    • C. 

      Pain when the head is turned to the left side

    • D. 

      Dizziness when changing positions

  • 14. 
    A 5-month-old infant is admitted to the ER with a temperature of 6°F and irritability. The mother states that the child has been listless for the past several hours and that he had a seizure on the way to the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the infant for: 
    • A. 

      Periorbital edema

    • B. 

      Tenseness of the anterior fontanel

    • C. 

      Positive Babinski reflex

    • D. 

      Negative scarf sign

  • 15. 
    The adolescent patient has symptoms of meningitis: nuchal rigidity, fever, vomiting, and lethargy. The nurse knows to prepare for the following test: 
    • A. 

      Blood culture.

    • B. 

      Throat and ear culture.

    • C. 

      CAT scan.

    • D. 

      Lumbar puncture.

  • 16. 
     A client is admitted and has been diagnosed with bacterial (meningococcal) meningitis. The infection control registered nurse visits the staff nurse caring to the client. What statement made by the nurse reflects an understanding of the management of this client?   
    • A. 

      Speech pattern may be altered

    • B. 

      Respiratory isolation is necessary for 24 hours after antibiotics are started

    • C. 

      Perform skin culture on the macular popular rash

    • D. 

      Expect abnormal general muscle contractions

  • 17. 
    Among children aged 2 months to 3 years, the most prevalent form of meningitis is caused by which microorganism?   
    • A. 

      Hemophilus influenzae

    • B. 

      Morbillivirus

    • C. 

      Steptococcus pneumoniae

    • D. 

      Neisseria meningitidis

  • 18. 
    A client is admitted with a diagnosis of meningitis caused by Neisseria meningitides. The nurse should institute which type of isolation precautions?  
    • A. 

      Contact precautions

    • B. 

      Droplet precautions

    • C. 

      Airborne precautions

    • D. 

      Standard precautions

  • 19. 
    A 4 year old girl is admitted with pneumococcal meningitis. She has just returned from a holiday to Disneyland, Florida, 2 days before. What are you going to treat her with:  
    • A. 

      Ceftriaxone

    • B. 

      Amoxicillin and gentamicin

    • C. 

      Benzylpenicillin and rifampicin

    • D. 

      Cefotaxime and vancomycin

  • 20. 
    Dexamethasone improves mortality in meningococcal meningitis
    • A. 

      True

    • B. 

      False