NCM 109 MIDTERMS EVALUATION EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION
1
You are a student nurse making their clinical rotation at the pediatric ward of
Grey - Sloan Memorial Hospital. You have a 5 year old male
patient diagnosed with bacterial meningitis, during your rounds, the patient's
mother asked "How did my child acquire this illness?" As a
bright student nurse, you know that your response is correct if you answered
which of the following?
A. "Bacterial meningitis is acquired through skin to skin contact from a person
that is infected with the disease."
B. "Bacterial meningitis can spread from person to person by respiratory
droplets or throat secretions."
C. "Bacterial meningitis can be acquired through contaminated food or water
sources."
D. "Bacterial meningitis is transmitted through fecal - oral route, especially in
settings with poor sanitation such as those in
low lying areas." Ans✔👌- B. "Bacterial meningitis can spread from person to
person by respiratory droplets or throat secretions."
RATIONALE:
- Bacterial meningitis is highly contagious and primarily transmitted through
respiratory droplets expelled when an infected person coughs, sneezes, or talks.
These droplets can be inhaled by others, leading to infection. Close contact with
,NCM 109 MIDTERMS EVALUATION EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION
2
an infected person, especially in crowded settings, increases the risk of
transmission.
As a student with vast knowledge of NCM 109 and Microbiology and
Parasitology, you are correct with your understanding of Bacterial
Meningitis if you knew that the following are the common causative agents of
Bacterial Meningitis EXCEPT:
A. Neisseria Meningitidis
B. Streptococcus Pneumoniae
C. Haemophilus Influenzae
D. Trichinella Spiralis Ans✔👌- D. Trichinella Spiralis
Rationale:
- Trichinella Spiralis is a parasitic infection caused by roundworms. Trichinella
spiralis species is the common cause of human disease and infection occurs after
the ingestion of raw or undercooked pork. A,B, and C are the common causative
agents of bacterial meningitis.
Which of the following Nursing Diagnosis regarding Bacterial Meningitis is the
most priority?
A. Risk for Infection
B. Risk for Ineffective Cerebral Tissue Perfusion
C. Risk for Physical Trauma
D. Acute Pain Ans✔👌- B. Risk for Ineffective Cerebral Tissue Perfusion
,NCM 109 MIDTERMS EVALUATION EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION
While the other nursing diagnoses (Risk for Infection, Risk for Physical Trauma,
and Acute Pain) are important considerations in the care of a patient with
bacterial meningitis, addressing the risk for ineffective cerebral tissue perfusion
takes precedence due to its potential for severe and immediate consequences
on neurological function and patient outcomes. Ineffective cerebral tissue
perfusion can result in ischemia, hypoxia, and neuronal damage, leading to
permanent neurological deficits or even death. . Without adequate cerebral
perfusion, the brain cannot receive sufficient oxygen and nutrients, which can
lead to irreversible brain damage within a short timeframe.
You are a nurse working in the Emergency Department of OLMCMC, a patient
walks in with complaints of Severe Headache, Sensitivity to
Light, Stiff Neck, and Cranial Nerve Palsies. You suspected that the patient may
have bacterial meningitis. Which of the following physical
assessment signs could support your suspicion of bacterial meningitis?
A. Negative Brudzinski Test
B. Positive Kernig's Sign
C. Positive Inflammation of the McBurney's Point
D. Decreased CN8 Function Ans✔👌- B. Positive Kernig's Sign
Rationale:
- Kernig's sign is a physical exam finding where there is pain and resistance to
passive extension of the knee with the hip
flexed at 90 degrees. It indicates meningeal irritation and is often positive in
cases of meningitis. Therefore, a positive
Kernig's sign would support the suspicion of bacterial meningitis.
, NCM 109 MIDTERMS EVALUATION EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION
Nurse Toni provides education to the mother of patient Paye diagnosed with
bacterial meningitis. All of the following statements confirm
that the patient understands her diagnosis EXCEPT:
A. "Bacterial meningitis is the inflammation of the meninges, the protective
membrane that surrounds the brain and spinal
cord."
B. "Bacterial meningitis can lead to serious complications including septic shock,
cerebral edema and increased intracranial
pressure."
C. "There is no current treatment for bacterial meningitis and it should resolve
within 7-10 days."
D. "My headache and stiff neck pain are caused by irritability of the cervical and
spinal nerves." Ans✔👌- C. "There is no current treatment for bacterial
meningitis and it should resolve within 7-10 days."
Rationale:
- Bacterial meningitis is a serious condition that requires prompt medical
treatment with antibiotics. Option C is incorrect because it states that there is
no current treatment for bacterial meningitis and suggests that it should resolve
within 7-10 days, which is inaccurate and potentially dangerous misinformation.
Monica, Rachel, and Phoebe are student nurses working in the pediatric
neurology department and are reviewing the anatomy and
physiology of the nervous system for their upcoming PNLE. The nurses are
correct when they stated that the purpose of the blood brain
barrier is:
1
You are a student nurse making their clinical rotation at the pediatric ward of
Grey - Sloan Memorial Hospital. You have a 5 year old male
patient diagnosed with bacterial meningitis, during your rounds, the patient's
mother asked "How did my child acquire this illness?" As a
bright student nurse, you know that your response is correct if you answered
which of the following?
A. "Bacterial meningitis is acquired through skin to skin contact from a person
that is infected with the disease."
B. "Bacterial meningitis can spread from person to person by respiratory
droplets or throat secretions."
C. "Bacterial meningitis can be acquired through contaminated food or water
sources."
D. "Bacterial meningitis is transmitted through fecal - oral route, especially in
settings with poor sanitation such as those in
low lying areas." Ans✔👌- B. "Bacterial meningitis can spread from person to
person by respiratory droplets or throat secretions."
RATIONALE:
- Bacterial meningitis is highly contagious and primarily transmitted through
respiratory droplets expelled when an infected person coughs, sneezes, or talks.
These droplets can be inhaled by others, leading to infection. Close contact with
,NCM 109 MIDTERMS EVALUATION EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION
2
an infected person, especially in crowded settings, increases the risk of
transmission.
As a student with vast knowledge of NCM 109 and Microbiology and
Parasitology, you are correct with your understanding of Bacterial
Meningitis if you knew that the following are the common causative agents of
Bacterial Meningitis EXCEPT:
A. Neisseria Meningitidis
B. Streptococcus Pneumoniae
C. Haemophilus Influenzae
D. Trichinella Spiralis Ans✔👌- D. Trichinella Spiralis
Rationale:
- Trichinella Spiralis is a parasitic infection caused by roundworms. Trichinella
spiralis species is the common cause of human disease and infection occurs after
the ingestion of raw or undercooked pork. A,B, and C are the common causative
agents of bacterial meningitis.
Which of the following Nursing Diagnosis regarding Bacterial Meningitis is the
most priority?
A. Risk for Infection
B. Risk for Ineffective Cerebral Tissue Perfusion
C. Risk for Physical Trauma
D. Acute Pain Ans✔👌- B. Risk for Ineffective Cerebral Tissue Perfusion
,NCM 109 MIDTERMS EVALUATION EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION
While the other nursing diagnoses (Risk for Infection, Risk for Physical Trauma,
and Acute Pain) are important considerations in the care of a patient with
bacterial meningitis, addressing the risk for ineffective cerebral tissue perfusion
takes precedence due to its potential for severe and immediate consequences
on neurological function and patient outcomes. Ineffective cerebral tissue
perfusion can result in ischemia, hypoxia, and neuronal damage, leading to
permanent neurological deficits or even death. . Without adequate cerebral
perfusion, the brain cannot receive sufficient oxygen and nutrients, which can
lead to irreversible brain damage within a short timeframe.
You are a nurse working in the Emergency Department of OLMCMC, a patient
walks in with complaints of Severe Headache, Sensitivity to
Light, Stiff Neck, and Cranial Nerve Palsies. You suspected that the patient may
have bacterial meningitis. Which of the following physical
assessment signs could support your suspicion of bacterial meningitis?
A. Negative Brudzinski Test
B. Positive Kernig's Sign
C. Positive Inflammation of the McBurney's Point
D. Decreased CN8 Function Ans✔👌- B. Positive Kernig's Sign
Rationale:
- Kernig's sign is a physical exam finding where there is pain and resistance to
passive extension of the knee with the hip
flexed at 90 degrees. It indicates meningeal irritation and is often positive in
cases of meningitis. Therefore, a positive
Kernig's sign would support the suspicion of bacterial meningitis.
, NCM 109 MIDTERMS EVALUATION EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION
Nurse Toni provides education to the mother of patient Paye diagnosed with
bacterial meningitis. All of the following statements confirm
that the patient understands her diagnosis EXCEPT:
A. "Bacterial meningitis is the inflammation of the meninges, the protective
membrane that surrounds the brain and spinal
cord."
B. "Bacterial meningitis can lead to serious complications including septic shock,
cerebral edema and increased intracranial
pressure."
C. "There is no current treatment for bacterial meningitis and it should resolve
within 7-10 days."
D. "My headache and stiff neck pain are caused by irritability of the cervical and
spinal nerves." Ans✔👌- C. "There is no current treatment for bacterial
meningitis and it should resolve within 7-10 days."
Rationale:
- Bacterial meningitis is a serious condition that requires prompt medical
treatment with antibiotics. Option C is incorrect because it states that there is
no current treatment for bacterial meningitis and suggests that it should resolve
within 7-10 days, which is inaccurate and potentially dangerous misinformation.
Monica, Rachel, and Phoebe are student nurses working in the pediatric
neurology department and are reviewing the anatomy and
physiology of the nervous system for their upcoming PNLE. The nurses are
correct when they stated that the purpose of the blood brain
barrier is:
