Difficulty: Medium
Average Score: 90%
Full-length
The nurse is assessing a client with suspected meningitis. Which finding is most concerning?
Correct answer
A
Rationale
Neck stiffness (nuchal rigidity) is a hallmark sign of meningitis, indicating meningeal irritation and requiring urgent evaluation. Fever, photophobia, and headache are common but less specific without neck stiffness.