NURC 424 EXAM 3 QUESTIONS AND ANSWERS ALREADY PASSED
During the assessment of a patient with a brain abscess, the nurse notes elevated blood
pressure and altered level of consciousness. Which additional symptoms should the nurse
assess for? SATA
Fever
Nausea
Headache
Drowsiness
Nuchal rigidity - Answers Fever, Nausea, Headache, Drowsiness
A patient is showing symptoms of encephalitis. Which question should the nurse ask the patient?
"How much do you weigh?"
"Have you had tooth surgery recently?"
"Have you recently had a cold or the flu?"
"Have you recently spent time in wooded or swampy areas?" - Answers "Have you recently spent
time in wooded or swampy areas?"
Encephalitis is often acquired from tick or mosquito bites that may be obtained while hiking.
The nurse is caring for a patient with encephalitis who was positive for cytomegalovirus. Which
immunocompromising condition is this related to?
HIV
Diabetes
Hypertension
Sarcoidosis - Answers HIV
Cytomegalovirus encephalitis is a common complication in HIV/AIDS patients.
The nurse is caring for a patient with encephalitis. The patient reports headache, nausea and
irritability. The nurse notes temperature 103.2, BP 138/88, HR 97, Respirations 22, SpO2 96%.
Which action would the nurse take first?
Administer Acyclovir
Administer Phenytoin
, Give Ceftriaxone .
Give a dose of Morphine I - Answers Administer Phenytoin
IV Phenytoin should be administered as a prophylactic for seizure prevention.
A charge nurse is meeting with the team members on the unit and is discussing care of a
patient with bacterial meningitis. Which information about visitors is most important for the
charge nurse relay to the care team?
-Visitors are allowed four at a time, and visiting hours end at 9:00 pm each night. T
-Visitors should be limited, and will be required to wear appropriate PPE.
-Visitors should all come at once, and are allowed only two hours with the patient.
-Visitors are allowed, but are required to check in at the nurse's station prior to entering the
room. - Answers Visitors should be limited, and will be required to wear appropriate PPE.
Visitation should be limited to allow the patient to rest. Patients will be on isolation precautions
and visitors and care team members will be required to wear masks, gowns and gloves. Any
persons or visitors coming into contact with someone diagnosed with bacterial meningitis may
also require prophylactic antibiotics.
A patient with bacterial meningitis has a temperature of 101.2 °F. Which health care provider
orders would the nurse anticipate? SATA
Ampicillin
Mannitol
Maintenance IV fluids
Acetaminophen
Placement of ventricular shunt P - Answers Ampicillin, Maintenance IV fluids, Acetaminophen
Which actions can the nurse take to decrease environmental stimuli for a patient with bacterial
meningitis? SATA
Turn off television
Turn off overhead lights
Limit patient's visitors
During the assessment of a patient with a brain abscess, the nurse notes elevated blood
pressure and altered level of consciousness. Which additional symptoms should the nurse
assess for? SATA
Fever
Nausea
Headache
Drowsiness
Nuchal rigidity - Answers Fever, Nausea, Headache, Drowsiness
A patient is showing symptoms of encephalitis. Which question should the nurse ask the patient?
"How much do you weigh?"
"Have you had tooth surgery recently?"
"Have you recently had a cold or the flu?"
"Have you recently spent time in wooded or swampy areas?" - Answers "Have you recently spent
time in wooded or swampy areas?"
Encephalitis is often acquired from tick or mosquito bites that may be obtained while hiking.
The nurse is caring for a patient with encephalitis who was positive for cytomegalovirus. Which
immunocompromising condition is this related to?
HIV
Diabetes
Hypertension
Sarcoidosis - Answers HIV
Cytomegalovirus encephalitis is a common complication in HIV/AIDS patients.
The nurse is caring for a patient with encephalitis. The patient reports headache, nausea and
irritability. The nurse notes temperature 103.2, BP 138/88, HR 97, Respirations 22, SpO2 96%.
Which action would the nurse take first?
Administer Acyclovir
Administer Phenytoin
, Give Ceftriaxone .
Give a dose of Morphine I - Answers Administer Phenytoin
IV Phenytoin should be administered as a prophylactic for seizure prevention.
A charge nurse is meeting with the team members on the unit and is discussing care of a
patient with bacterial meningitis. Which information about visitors is most important for the
charge nurse relay to the care team?
-Visitors are allowed four at a time, and visiting hours end at 9:00 pm each night. T
-Visitors should be limited, and will be required to wear appropriate PPE.
-Visitors should all come at once, and are allowed only two hours with the patient.
-Visitors are allowed, but are required to check in at the nurse's station prior to entering the
room. - Answers Visitors should be limited, and will be required to wear appropriate PPE.
Visitation should be limited to allow the patient to rest. Patients will be on isolation precautions
and visitors and care team members will be required to wear masks, gowns and gloves. Any
persons or visitors coming into contact with someone diagnosed with bacterial meningitis may
also require prophylactic antibiotics.
A patient with bacterial meningitis has a temperature of 101.2 °F. Which health care provider
orders would the nurse anticipate? SATA
Ampicillin
Mannitol
Maintenance IV fluids
Acetaminophen
Placement of ventricular shunt P - Answers Ampicillin, Maintenance IV fluids, Acetaminophen
Which actions can the nurse take to decrease environmental stimuli for a patient with bacterial
meningitis? SATA
Turn off television
Turn off overhead lights
Limit patient's visitors
