Emergency Nurse Practitioner (ENP) Practice Test 2025 – 400 Free Practice Questions to Pass the Exam

Question: 1 / 400

How should ENPs approach a patient presenting with suspected meningitis?

Wait for symptoms to subside before testing

Conduct a rapid assessment and arrange for lumbar puncture

In cases of suspected meningitis, it is critical to conduct a rapid assessment of the patient’s condition. Meningitis can progress quickly and may lead to serious complications or even be life-threatening. Therefore, timely intervention is paramount. After the assessment, arranging for a lumbar puncture is essential, as it allows for definitive diagnosis by analyzing cerebrospinal fluid (CSF). This procedure can help differentiate between viral, bacterial, or other types of meningitis, which is crucial for appropriate management.

Prompt identification of the type of meningitis, particularly bacterial meningitis, is necessary not only for treatment decisions but also for public health considerations, such as reporting and managing potential outbreaks. During the assessment process, the ENP must also monitor for signs of increased intracranial pressure or systemic instability, as these could require immediate intervention beyond just the lumbar puncture.

This approach emphasizes the urgent need to gather diagnostic information while ensuring that the patient receives safe and effective care. Immediate testing and intervention help avoid delays that could worsen the patient's condition, making timely lumbar puncture a key step in the management of suspected meningitis cases.

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Prescribe broad-spectrum antibiotics immediately

Instruct the patient to increase fluid intake

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