NCM 109 Midterm Evaluation Exam | Complete Questions & Verified Answers for Nursing Fundamentals

NCM 109 Midterm Evaluation Exam |
Complete Questions & Verified Answers
for Nursing Fundamentals

,Youareastudentnursemakingtheirclinicalrotationatthepediatricwardof Grey -
j j j j j j j j j j j j j j j j




Sloan Memorial Hospital. You have a 5 year old male
j j j j j j j j j




patientdiagnosedwithbacterialmeningitis,duringyourrounds,thepatient's mother
j j j j j j j j j j




asked "How did my child acquire this illness?" As a
j j j j j j j j j j




brightstudentnurse,youknowthatyourresponseiscorrectifyouanswered which of
j j j j j j j j j j j j j j j




the following?
j




A. "Bacterialmeningitisisacquiredthroughskintoskincontactfromaperson that j j j j j j j j j j j j j




is infected with the disease."
j j j j




B. "Bacterialmeningitiscanspreadfrompersontopersonbyrespiratory j j j j j j j j j j




droplets or throat secretions." j j j




C. "Bacterialmeningitiscanbeacquiredthroughcontaminatedfoodorwater j j j j j j j j j j




sources."
D. "Bacterialmeningitisistransmittedthroughfecal-oralroute,especiallyin j j j j j j j j j j j




settings with poor sanitation such as those in
j j j j j j j




lowlyingareas." Ans✔👌-B."Bacterialmeningitiscanspreadfrompersonto person
j j j j j j j j j j j j j




by respiratory droplets or throat secretions."
j j j j j




RATIONALE:
- Bacterial meningitis is highly contagious and primarily transmitted through
j j j j j j j j j




respiratorydropletsexpelledwhenaninfectedpersoncoughs,sneezes,ortalks.
j j j j j j j j j j j




Thesedropletscanbeinhaledbyothers,leadingtoinfection.Closecontact with
j j j j j j j j j j j j

,aninfectedperson,especiallyincrowdedsettings,increasestheriskof transmission.
j j j j j j j j j j j




Asastudent withvastknowledgeofNCM109andMicrobiologyand Parasitology,
j j j j j j j j j j j j j




you are correct with your understanding of Bacterial
j j j j j j j




Meningitisifyouknewthatthefollowingarethecommoncausativeagentsof
j j j j j j j j j j j j j




Bacterial Meningitis EXCEPT: j j




A. NeisseriaMeningitidis j




B. Streptococcus Pneumoniae j




C. HaemophilusInfluenzae j




D. TrichinellaSpiralis Ans✔👌-D.TrichinellaSpiralis j j j j j




Rationale:
- Trichinella Spiralis is a parasitic infection caused by roundworms. Trichinella
j j j j j j j j j j




spiralisspeciesisthecommoncauseofhumandiseaseandinfectionoccursafter the
j j j j j j j j j j j j j j




ingestion of rawor undercooked pork.A,B, and Care the common causative agents
j j j j j j j j j j j j j j




of bacterial meningitis.
j j




WhichofthefollowingNursingDiagnosisregardingBacterialMeningitisisthe most
j j j j j j j j j j j j




priority?


A. Riskfor Infection j j




B. Riskfor Ineffective Cerebral Tissue Perfusion
j j j j j




C. RiskforPhysicalTrauma
j j j




D. AcutePain Ans✔👌-B.RiskforIneffectiveCerebralTissuePerfusion
j j j j j j j j j

, While the other nursing diagnoses (Risk for Infection, Risk for Physical Trauma, and
j j j j j j j j j j j j j




Acute Pain) are important considerations in the care of a patient with bacterial
j j j j j j j j j j j j j




meningitis,addressingtheriskforineffectivecerebraltissueperfusion takes
j j j j j j j j j j




precedence due to its potential for severe and immediate consequences on j j j j j j j j j j j




neurological function and patient outcomes. Ineffective cerebral tissue perfusion j j j j j j j j j




can result in ischemia, hypoxia, and neuronal damage, leading to permanent
j j j j j j j j j j j




neurological deficits or even death. . Without adequate cerebral perfusion, the j j j j j j j j j j j




brain cannot receive sufficient oxygen and nutrients, which can lead to
j j j j j j j j j j j




irreversible brain damage within a short timeframe. j j j j j j




YouareanurseworkingintheEmergencyDepartmentofOLMCMC,apatient walks in
j j j j j j j j j j j j j j j




with complaints of Severe Headache, Sensitivity to
j j j j j j




Light,StiffNeck,andCranialNervePalsies.Yoususpectedthatthepatientmay have
j j j j j j j j j j j j j j




bacterial meningitis. Which of the following physical
j j j j j j




assessmentsignscouldsupportyoursuspicionofbacterialmeningitis? j j j j j j j j




A. Negative Brudzinski Test j j




B. Positive Kernig's Sign j j




C. PositiveInflammationoftheMcBurney'sPoint j j j j j




D. DecreasedCN8Function Ans✔👌-B.PositiveKernig'sSign j j j j j j j




Rationale:
- Kernig'ssignisaphysicalexamfindingwherethereispainandresistanceto
j j j j j j j j j j j j j j




passive extension of the knee with the hip
j j j j j j j




flexedat90degrees.Itindicatesmeningealirritationandisoftenpositivein cases of
j j j j j j j j j j j j j j j




meningitis. Therefore, a positive j j j




Kernig'ssignwouldsupport thesuspicionofbacterial meningitis.
j j j j j j j j