NCLEX Practice Questions
Specialty Topics WITH Correct
Answers 100% PASS
The nurse is performing a neurological assessment on an adult client suspected of
having a traumatic brain injury (TBI). Which signs/symptoms would indicate to
the nurse that the client's ICP is increasing.
1. Projectile vomiting
2. Narrowing pulse pressure
3. Delay in verbal response
4. DTR: left 2+/4+, right 2+/4+
5. (-) Babinski
6. Glasgow Coma Scale Score 13 - CORRECT ANSWER-1,3
Which intervention would the nurse include when planning care for a client who
has increased intracranial pressure (IICP)?
,Select All That Apply
1. Place client supine.
2. Hyperextend head to maintain airway.
3. Maintain body temperature below 100.4 F (38 C).
4. Cluster nursing care.
5. Monitor vital signs for Cushing's Triad.
6. Limit suctioning. - CORRECT ANSWER-3,5,6
The goal of treatment is to relieve the IICP by reducing cerebral edema, reducing
the amount of cerebrospinal fluid, or reducing the blood volume in the brain, We
also have to maintain cerebral perfusion.
Which signs/symptoms would lead the clinic nurse to suspect that a client may
have bacterial meningitis?
Select All That Apply
1. Nuchal rigidity
2. Photophobia
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, 3. (+) Kernig
4. (-) Brudzinski
5. Fever 102.8 F (39.3 C)
6. Reports headache 9/10 - CORRECT ANSWER-1,2,3,5,6
Signs and Symptoms of meningitis include nuchal rigidity, photophobia, a positive
Kernig sign, chills and high fever, and severe headache.
A client is admitted with a diagnosis of bacterial meningitis. Which action should
the nurse initiate first?
Choose One
1. Darken room.
2. Provide sponge bath for fever of 102 F (38.8 C).
3. Pad side rails.
4. Place on Droplet precautions - CORRECT ANSWER-4
Bacterial meningitis is transmitted through the respiratory system. According to the
Center of Disease Control (CDC), clients with bacterial meningitis should be
placed on "Droplet Precautions".
Specialty Topics WITH Correct
Answers 100% PASS
The nurse is performing a neurological assessment on an adult client suspected of
having a traumatic brain injury (TBI). Which signs/symptoms would indicate to
the nurse that the client's ICP is increasing.
1. Projectile vomiting
2. Narrowing pulse pressure
3. Delay in verbal response
4. DTR: left 2+/4+, right 2+/4+
5. (-) Babinski
6. Glasgow Coma Scale Score 13 - CORRECT ANSWER-1,3
Which intervention would the nurse include when planning care for a client who
has increased intracranial pressure (IICP)?
,Select All That Apply
1. Place client supine.
2. Hyperextend head to maintain airway.
3. Maintain body temperature below 100.4 F (38 C).
4. Cluster nursing care.
5. Monitor vital signs for Cushing's Triad.
6. Limit suctioning. - CORRECT ANSWER-3,5,6
The goal of treatment is to relieve the IICP by reducing cerebral edema, reducing
the amount of cerebrospinal fluid, or reducing the blood volume in the brain, We
also have to maintain cerebral perfusion.
Which signs/symptoms would lead the clinic nurse to suspect that a client may
have bacterial meningitis?
Select All That Apply
1. Nuchal rigidity
2. Photophobia
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law
, 3. (+) Kernig
4. (-) Brudzinski
5. Fever 102.8 F (39.3 C)
6. Reports headache 9/10 - CORRECT ANSWER-1,2,3,5,6
Signs and Symptoms of meningitis include nuchal rigidity, photophobia, a positive
Kernig sign, chills and high fever, and severe headache.
A client is admitted with a diagnosis of bacterial meningitis. Which action should
the nurse initiate first?
Choose One
1. Darken room.
2. Provide sponge bath for fever of 102 F (38.8 C).
3. Pad side rails.
4. Place on Droplet precautions - CORRECT ANSWER-4
Bacterial meningitis is transmitted through the respiratory system. According to the
Center of Disease Control (CDC), clients with bacterial meningitis should be
placed on "Droplet Precautions".
