NCLEX Review Medical-Surgical Exam - Version A Latest Update

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Points
Award
ed
26
Points
Missed 85
Percentage 23%
1. The nurse is assessing a client with bacterial meningitis.
Which assessment finding indicates the client may have
developed septic emboli?
A. Cyanosis of the fingertips.
B. Bradycardia and bradypnea.
C. Presence of S3 and S4 heart sounds.
D. 3+ pitting edema of the
lower extremities.
Septic emboli secondary to meningitis commonly lodge in
the small arterioles of the extremities, causing a decrease in
circulation to the hands (A) which may lead to gangrene. (B,
C, and D) are abnormal findings, but do not indicate the
development of septic emboli.
Points Earned:
0/1 Correct
Answer: A Your
Response: C
2. A client experiencing uncontrolled atrial fibrillation is
admitted to the telemetry unit. What initial medication
should the nurse anticipate administering to the client?
A. Xylocaine (Lidocaine).
B. Procainami
de
(Pronestyl).
C. Phenytoin (Dilantin).
D. Digoxin (Lanoxin).
Digoxin (Lanoxin) (D) is administered for uncontrolled,
symptomatic atrial fibrillation resulting in a decreased cardiac
output. Digoxin slows the rate of conduction by prolonging the
refractory period of the AV node, thus slowing the ventricular
response, decreasing the heart rate,