NR572/ NR 572 Final Exam | Advanced
Acute Care Management Exam Review |
Week 5-8| Questions and Verified Answers|
100% Correct | Chamberlain | 2025/2026
Guide
NR572 Week 5
Which of the following statements regarding CSF leaks is NOT true?
-Headache, nausea, vomiting, and dizziness are commonly reported.
-Symptoms tend to improve with lying down and recur when standing
upright.
-An epidural blood patch often results in immediate and full relief of
symptoms.
-Intravenous caffeine is the first-line treatment option.
- Correct Answer - Intravenous caffeine is the first-line treatment option.
Rationale: While anecdotal relief with IV caffeine has been reported in
the literature, a lack of evidence-based supports its use as a standard
recommended treatment option
What is the cornerstone diagnostic procedure if meningitis is suspected?
- Correct Answer - lumbar puncture and CSF analysis
The classic CSF abnormalities in bacterial meningitis include:
- Correct Answer –
,Positive CSF bacterial cultures/Gram stain
Polymorphonuclear (PMN) leukocytosis (>100 cells/μL)
Increased protein concentration (>0.45 g/L)
Increased opening pressure (>180 mmH2O)
Decreased glucose concentration (<2.2 mmol/L [<40 mg/dL] and/or
CSF/serum glucose ratio of <0.4)
what type of imaging is appropriate for meningitis dx?
- Correct Answer –
MRI of the brain
-superior to CT scan of the head
-detecting areas of cerebral ischemia and edema.
if bacterial meningitis is suspected, how soon should tx be initiated?
- Correct Answer - within 1 hour of presentation
-blood culture collection
-empiric abx admin
Empiric therapy for community-acquired suspected bacterial meningitis
should include
- Correct Answer -
a combination of
-dexamethasone,
-a third- or fourth-generation cephalosporin (cefepime, cefotaxime, or
ceftriaxone)
AND
-vancomycin,
PLUS
-acyclovir.
,Ampicillin should be including in empiric tx of bacterial meningitis for
which people?
- Correct Answer –
-older than 55 years of age
-prior organ transplantation,
-malignancy
-pregnancy,
-those with immunosuppressive medications
-those with impaired cell-mediated immunity due to chronic illness.
Clients with recent neurosurgical procedures or suspected hospital-
acquired meningitis should be treated empirically with
- Correct Answer - vancomycin and meropenem or ceftazidime.
What does dexamethasone do for a patient with meningitis?
- Correct Answer - has been shown to decrease meningeal inflammation
and neurologic sequelae such as sensorineural hearing loss, but only if
initially given within the first six hours after antibiotics are started
what does of dexamethasone should be given to meningitis patients?
How often?
- Correct Answer - 10 mg of dexamethasone IV
-15 to 20 min before the first dose of antibiotic is administered. This dose
should be repeated every 6 hours for 4 days.
how is meningitis tx from HSV?
- Correct Answer –
, IV and oral antiviral medications
-acyclovir IV
-acyclovir, famciclovir, or valacyclovir oral
Emergency treatment of increased ICP
- Correct Answer –
-elevation of the client's head to 30 to 45 degrees
-intubation and hyperventilation
-mannitol administration.
-Seizures, present, must be aggressively controlled.
Who is at greater risk of meningococcal meningitis?
- Correct Answer - -College students living in dormitories
-personnel on military bases
-children in boarding schools
-child-care facilities
spreads via respiratory route.
pregnancy places you at an increase risk for what type of infection?
- Correct Answer - listeriosis (infection caused by listeria bacteria)
-which can cause meningitis
Most cases of viral meningitis occur in what age range?
- Correct Answer - children younger than 5 years
Most cases of bacterial meningitis occurs in what age group?
- Correct Answer - bacterial meningitis is common in those > 20.
Acute Care Management Exam Review |
Week 5-8| Questions and Verified Answers|
100% Correct | Chamberlain | 2025/2026
Guide
NR572 Week 5
Which of the following statements regarding CSF leaks is NOT true?
-Headache, nausea, vomiting, and dizziness are commonly reported.
-Symptoms tend to improve with lying down and recur when standing
upright.
-An epidural blood patch often results in immediate and full relief of
symptoms.
-Intravenous caffeine is the first-line treatment option.
- Correct Answer - Intravenous caffeine is the first-line treatment option.
Rationale: While anecdotal relief with IV caffeine has been reported in
the literature, a lack of evidence-based supports its use as a standard
recommended treatment option
What is the cornerstone diagnostic procedure if meningitis is suspected?
- Correct Answer - lumbar puncture and CSF analysis
The classic CSF abnormalities in bacterial meningitis include:
- Correct Answer –
,Positive CSF bacterial cultures/Gram stain
Polymorphonuclear (PMN) leukocytosis (>100 cells/μL)
Increased protein concentration (>0.45 g/L)
Increased opening pressure (>180 mmH2O)
Decreased glucose concentration (<2.2 mmol/L [<40 mg/dL] and/or
CSF/serum glucose ratio of <0.4)
what type of imaging is appropriate for meningitis dx?
- Correct Answer –
MRI of the brain
-superior to CT scan of the head
-detecting areas of cerebral ischemia and edema.
if bacterial meningitis is suspected, how soon should tx be initiated?
- Correct Answer - within 1 hour of presentation
-blood culture collection
-empiric abx admin
Empiric therapy for community-acquired suspected bacterial meningitis
should include
- Correct Answer -
a combination of
-dexamethasone,
-a third- or fourth-generation cephalosporin (cefepime, cefotaxime, or
ceftriaxone)
AND
-vancomycin,
PLUS
-acyclovir.
,Ampicillin should be including in empiric tx of bacterial meningitis for
which people?
- Correct Answer –
-older than 55 years of age
-prior organ transplantation,
-malignancy
-pregnancy,
-those with immunosuppressive medications
-those with impaired cell-mediated immunity due to chronic illness.
Clients with recent neurosurgical procedures or suspected hospital-
acquired meningitis should be treated empirically with
- Correct Answer - vancomycin and meropenem or ceftazidime.
What does dexamethasone do for a patient with meningitis?
- Correct Answer - has been shown to decrease meningeal inflammation
and neurologic sequelae such as sensorineural hearing loss, but only if
initially given within the first six hours after antibiotics are started
what does of dexamethasone should be given to meningitis patients?
How often?
- Correct Answer - 10 mg of dexamethasone IV
-15 to 20 min before the first dose of antibiotic is administered. This dose
should be repeated every 6 hours for 4 days.
how is meningitis tx from HSV?
- Correct Answer –
, IV and oral antiviral medications
-acyclovir IV
-acyclovir, famciclovir, or valacyclovir oral
Emergency treatment of increased ICP
- Correct Answer –
-elevation of the client's head to 30 to 45 degrees
-intubation and hyperventilation
-mannitol administration.
-Seizures, present, must be aggressively controlled.
Who is at greater risk of meningococcal meningitis?
- Correct Answer - -College students living in dormitories
-personnel on military bases
-children in boarding schools
-child-care facilities
spreads via respiratory route.
pregnancy places you at an increase risk for what type of infection?
- Correct Answer - listeriosis (infection caused by listeria bacteria)
-which can cause meningitis
Most cases of viral meningitis occur in what age range?
- Correct Answer - children younger than 5 years
Most cases of bacterial meningitis occurs in what age group?
- Correct Answer - bacterial meningitis is common in those > 20.
