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Practice Question

The nurse assesses a patient who potentially may have meningitis. The patient demonstrates a positive Brudzinski's sign with which changes in position.

Answer Choices:

Correct Answer:

Flexion of the neck causes flexion of the hips and knees.

Rationale:

♦ A positive Brudzinski's sign indicates meningeal irritation, often from meningitis.

♦ When the neck is flexed, the body reflexively draws knees upward to reduce spinal strain.

♦ This involuntary movement reflects protective neuromuscular response.

♦ It helps differentiate meningitis from other neurologic conditions.

♦ This sign is paired with Kernig’s sign for comprehensive meningeal assessment.

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This question is from Massbay Community College Med Surg exam 2 which contains 44 questions.

More Questions from This Exam
Which early symptoms in a focused assessment by the nurse may indicate the presence of a brain tumor?

Answer Choices:

A. Sudden unconsciousness, unresponsiveness, and apnea.
B. Increased temperature, blood pressure, heart rate, and respirations.
C. Changes in vision and personality, and headache upon awakening.
D. Fever, increased white blood cell count, and decreased appetite.
The nurse is educating the family about anticipated changes during the late stages of amyotrophic lateral sclerosis (ALS) for their father. What teaching point is most important for the nurse to include?

Answer Choices:

A. The person's cognitive and mental capacity will most likely remain intact throughout the disease progression.
B. The person's ability to swallow will remain intact throughout the disease.
C. The person's risk for seizures increases with progression of the disease.
D. The person's breathing will not be affected by the disease.
The nurse is caring for a 9-year-old undergoing chemotherapy to treat leukemia. Select the priority nursing goal for the child's plan of care.

Answer Choices:

A. Encourage intake of favorite foods to increase weight and promote normal growth.
B. Utilize approaches to minimize risk of infection and bleeding episodes.
C. Provide age-appropriate activities to promote optimum cognitive and motor skills development.
D. Provide emotional support for the child and family members that relieve stress.
From Exam
Massbay Community College Med Surg exam 2

44 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: General Exams
  • Domain: Medical-surgical📚
  • Answer Choices: 4
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