Which pieces of information link up correctly?

Nausea and vomiting: an indication of a diffuse brain stem injury.

Nuchal rigidity: neck stiffness due to meningeal edema.

Bilateral fixed and dilated pupils: an indication of a cerebellar brain attack.

Brudzinski’s sign: an indication of viral meningitis.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Nausea and vomiting can be caused by various conditions, including gastrointestinal issues and brain injuries, but they are not specifically indicative of a diffuse brain stem injury.
Choice B rationale
Nuchal rigidity, or neck stiffness, is a classic sign of meningeal irritation, often due to meningeal edema in conditions like meningitis.
Choice C rationale
Bilateral fixed and dilated pupils are more commonly associated with severe brain injury or increased intracranial pressure, not specifically a cerebellar brain attack.
Choice D rationale
Brudzinski’s sign is a physical exam finding indicative of meningeal irritation, commonly seen in bacterial meningitis, not specifically viral meningitis.

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Correct Answer is A

Explanation

Choice A rationale
Severe headache and photophobia are classic symptoms of meningitis, indicating inflammation of the meninges.
Choice B rationale
Chest pain and shortness of breath are more indicative of cardiovascular or respiratory issues, not meningitis.
Choice C rationale
Abdominal pain and diarrhea are gastrointestinal symptoms and are not typically associated with meningitis.
Choice D rationale
Joint pain and swelling are more indicative of rheumatologic conditions, not meningitis.

A. Meningitis. B. Encephalitis. C. Migraine. D. Sinusitis.

Correct Answer is A

Explanation

Choice A rationale
Meningitis presents with fever, stiff neck, and photophobia. It is an inflammation of the membranes surrounding the brain and spinal cord, often caused by infection.
Choice B rationale
Encephalitis involves inflammation of the brain itself, presenting with fever, headache, and altered mental status, but not specifically photophobia.
Choice C rationale
Migraine can cause photophobia and headache but is not typically associated with fever and stiff neck.
Choice D rationale
Sinusitis can cause fever and headache but not typically photophobia and stiff neck.

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Which pieces of information link up correctly?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with suspected meningitis. Which of the following symptoms would most likely indicate meningitis?

Correct Answer is A

Explanation

A nurse is caring for a client with a temperature of 39°C (102.2°F) who presents with a stiff neck and photophobia. Which condition should the nurse suspect?

Correct Answer is A

Explanation

A nurse is caring for a client with acute pancreatitis. Which laboratory result would the nurse expect to find elevated?

A man, diagnosed with alcoholic liver disease and cirrhosis, presents to his healthcare provider for treatment. He is complaining of increased blood glucose, blurred vision, and cannot remember his birth date or age. The nurse notes that he has asterixis. These signs are most likely due to:

A client with a long history of cirrhosis has anemia, leukopenia, and thrombocytopenia. In the context of cirrhosis, these three conditions are most likely caused by:

What is the significance of elevated serum levels of troponin?

A client presents with a temperature of 38°C (100.4°F) and a stiff neck. Which condition should the nurse suspect?

A nurse is assessing a client with a history of chronic obstructive pulmonary disease (COPD). Which of the following findings is most concerning?

A client with a history of hypertension is admitted with a severe headache and blurred vision. Which of the following findings would indicate a hypertensive crisis?