Exhibits

For each client finding, click to specify if the finding is consistent with meningitis or influenza. Each finding may support more than 1 disease process or none at all. There must be at least 1 selection in every column. There does not need to be a selection in every row.

Headache

Brudzinski sign

Head and neck range of motion

Light sensitivity

Temperature

Answer and Explanation

The Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A,B"}}

Client Findings	Meningitis	Influenza
Headache	✓	✓
Brudzinski sign	✓
Head and neck range of motion	✓
Light sensitivity	✓
Temperature	✓	✓

Headache: Both conditions may present with headache; however, in meningitis, it is often severe and accompanied by neurological signs, whereas in influenza, it may result from systemic illness and fever.
Brudzinski sign: A classic sign of meningeal irritation, where passive neck flexion leads to involuntary hip and knee flexion. Not seen in influenza.
Head and neck ROM: Restricted neck movement with pain is common in meningitis due to inflammation of the meninges. Normal neck ROM is usually maintained in influenza.
Light sensitivity: Photophobia is a hallmark of meningeal inflammation and increased intracranial pressure. It is not a typical feature of influenza.
Temperature: Fever is a shared symptom due to systemic infection and inflammation in both meningitis and influenza.

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Correct Answer is A

Explanation

A. "I will anticipate that my toddler might demand to have their pacifier again once their sibling is born.": Regression to earlier behaviors, such as wanting a pacifier, is common in toddlers when coping with a new sibling. Anticipating this shows understanding of normal developmental responses to change.

B. "I will tell my toddler the baby will be their new playmate.": Toddlers often do not grasp the concept of a baby as a playmate immediately, and this statement may set unrealistic expectations, potentially leading to frustration.

C. "I will tell my toddler now about the date their sibling will arrive.": Toddlers have limited sense of time, so discussing exact dates can be confusing and may cause anxiety rather than helpful preparation.

D. "I will start sending my toddler to daycare once the baby is born.": While daycare may be necessary, abruptly changing routines immediately after the newborn’s arrival can add stress to the toddler, so gradual transition is preferable.

A. "Place your infant on a soft crib mattress after they are 4 months old." B. "Use bumper pads around the interior of your infant's crib." C. "Share a bedroom with your infant for the first 6 months." D. Cover your infant with a nonflammable blanket at bedtime."

Correct Answer is C

Explanation

A. "Place your infant on a soft crib mattress after they are 4 months old.": A soft mattress increases the risk of suffocation and should be avoided at all ages. Infants should always sleep on a firm crib mattress covered with a fitted sheet to reduce the risk of SUID.

B. "Use bumper pads around the interior of your infant's crib.": Bumper pads pose a suffocation and strangulation hazard and are no longer recommended. Cribs should be kept bare, without pillows, toys, or bumpers.

C. "Share a bedroom with your infant for the first 6 months.": Room-sharing without bed-sharing is recommended as a protective factor against SUID. It allows for easier monitoring and feeding while reducing risks associated with co-sleeping in the same bed.

D. "Cover your infant with a nonflammable blanket at bedtime.": Blankets of any kind can increase the risk of suffocation or overheating. Instead, caregivers should use sleep sacks or wearable blankets designed for infant safety during sleep.

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Exhibits For each client finding, click to specify if the finding is consistent with meningitis or influenza. Each finding may support more than 1 disease process or none at all. There must be at least 1 selection in every column. There does not need to be a selection in every row.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a parent of a toddler how to prepare for the arrival of their newborn sibling. Which of the following statements by the parent indicates to the nurse an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is providing teaching to a parent about sudden unexpected infant death (SUID). Which of the following statements should the nurse include?

Correct Answer is C

Explanation

A nurse is assessing a school-age child prior to administering digoxin. For which of the following findings should the nurse withhold the medication?

A nurse is evaluating an infant who received treatment for increased intracranial pressure. Which of the following findings should the nurse identify as an indication that the treatment was effective?

Exhibits For each potential nursing intervention, click to specify if the intervention is indicated or not indicated for the child. There must be at least 1 selection in every row. There does not need to be a selection in every column.

A nurse is performing a physical assessment for a 13-year-old adolescent. Which of the following actions should the nurse take?

A nurse is performing a physical assessment for a school-age child who has acute glomerulonephritis. Which of the following findings should the nurse expect?

A nurse is caring for a school-age child who sprained their ankle 1 hr ago. Which of the following actions should the nurse take to decrease the swelling?

A nurse is teaching a group of parents about expected gross motor skills for infants. Which of the following skills should the nurse include for a 2- month-old infant?

A nurse is caring for a school-age child who has a head injury. Which of the following actions should the nurse perform?

Exhibits

For each client finding, click to specify if the finding is consistent with meningitis or influenza. Each finding may support more than 1 disease process or none at all. There must be at least 1 selection in every column. There does not need to be a selection in every row.