Exam Actual Questions and Answers with
Expert Explanation (2026/2027 Update)
Complete A+ Guide
A nurse is assessing the presence of Brudzinski's sign in a client who has suspected
meningitis. Which of the following actions should the nurse take when performing this
technique? Select all that apply
A. Place the client in supine position
B. Flex the clients hip and knee
C. Place hands behind the clients neck
D. Bend the clients head toward chest
E. Straighten the clients flexed leg at the knee - correct answer A. Place the client in
supine position
C. Place hands behind the clients neck
D. Bend the clients head toward chest
,A nurse is planning care for a client who has meningitis and is at risk for increased
intracranial pressure (ICP). Which of the following actions should the nurse plan to
take? Select all that apply
A. Implement seizure precautions
B. Perform neurologic checks four times a day
C. Administer morphine for the report of neck and generalized pain
D. Turn off room lights and television
E. Monitor for impaired extraocular movements
F. Encourage the client to cough frequently - correct answer A. implement seizure
precautions
D. Turn off room lights and television
E. monitor for impaired extraocular movements
,A nurse is reviewing the use of meningoccal vaccine (MCV 4) for prevention of
meningitis with a newly licensed nurse. Which of the following information should the
nurse include?
A. The vaccine is indicated to reduce the risk of respiratory infection
B. The vaccine is administered in a series of four doses
C. The vaccine is recommended for adolescents before starting college
D. The vaccine is initially given at 2 months of age - correct answer C. The vaccine is
recommended for adolescents before starting college
A nurse is planning care for a client who has bacterial meningitis. Which of the
following actions should the nurse include in the plan of care? Select all that apply
A. Monitor for bradycarida
B. Provide an emesis basin at the bedside
C. Administer antipyretic mediation
D. Perform a skin assessment
, E. Keep the head of bed flat - correct answer B. Provide an emesis basin at the
bedside
C. Aminister antipyretic medication
D. Perform a skin assessment
A nurse is assessing a client who has a seizure disorder. The client tells the nurse "I
am about to have a seizure." Which of the following actions should the nurse
implement? Select all that apply
A. Provide privacy
B. Ease the client to the floor if standing
C. Move furniture away from the client
D. Loosen the clients clothing
E. Protect the clients head with padding
F. Restrain the client - correct answer A. Provide privacy
B. Ease the client to the floor if standing