NURS 2502: EXAM 2 COMPLETE STUDY GUIDE
QUESTIONS AND ANSWERS GRADED A+
What are the classic triad symptoms of meningitis? - correct answer
Headache, fever, nuchal rigidity.
What signs indicate increased intracranial pressure (ICP) in meningitis? -
correct answer Photophobia, petechiae, positive Kernig's and Brudzinski's
signs.
What is the initial diagnostic step for suspected meningitis? - correct answer
Neuro exam and consider CT prior to lumbar puncture if focal neuro
deficit or ICP concern.
What is the immediate medical management for bacterial meningitis? -
correct answer High-dose IV antibiotics, steroids, treat dehydration, shock,
and seizures.
,NURS 2502: EXAM 2
Which vaccines are recommended for preventing adult meningitis? -
correct answer Hib, pneumococcal, and meningococcal vaccines.
What are the nursing priorities for a patient with meningitis? - correct
answer Monitor vital signs and level of consciousness, seizure
precautions, strict infection control, and support patient coping.
What are the red flags indicating an emergency in meningitis? - correct
answer Rapid decline in level of consciousness, new focal deficits,
purpuric rash, signs of herniation.
What is a brain abscess and its common causes? - correct answer Localized
pus collection in brain tissue, often arising from contiguous sites like
ear, sinus, or dental infections.
What are the common symptoms of a brain abscess? - correct answer
Morning-worse headache, fever, vomiting, focal deficits, increased ICP.
What is the primary treatment for a brain abscess? - correct answer Control
ICP, drain abscess, and use targeted anti-infectives.
What are the typical signs and symptoms of encephalitis? - correct answer
Headache, fever, confusion, changes in level of consciousness, and
possibly rash or flaccid paralysis.
, NURS 2502: EXAM 2
What distinguishes meningitis from encephalitis? - correct answer
Meningitis presents with meningeal signs, while encephalitis shows
prominent altered mental status.
What defines a seizure disorder? - correct answer Sudden abnormal,
excessive neuronal discharge leading to motor, autonomic, or
awareness changes.
What are common causes of seizures? - correct answer Cerebrovascular
disease, hypoxemia, fever in children, head injury, hypertension, CNS
infections, tumors, metabolic/toxic causes.
What is the difference between epileptic and non-epileptic seizures? -
correct answer Epileptic seizures originate from CNS neural hyperactivity,
while non-epileptic seizures are provoked by external factors.
What are the major types of generalized seizures? - correct answer
Myoclonic, atonic (drop attacks), and tonic-clonic (grand mal).
What characterizes status epilepticus? - correct answer Seizure lasting
more than 5 minutes or recurrent seizures without regaining
consciousness.
What are the first steps in seizure first aid? - correct answer Ensure airway,
call for help, protect the head, loosen clothing, and place the person in
a side-lying recovery position.