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Practice Test Assessment Performance
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The nurse is assessing a client with bacterial meningitis. Which assessment finding
indicates the client may have developed septic emboli?
Cyanosis of the fingertips.
Bradycardia and bradypnea.
Presence of S3 and S4 heart sounds.
https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/1388770/10NGZ90CQP7 1/15
, 3/21/2021 HESI
3+ pitting edema of the lower extremities.
Rationale
Septic emboli secondary to meningitis commonly lodge in the small arterioles of the extremities, causing a decrease in
circulation to the hands which may lead to gangrene.
What types of medications should the nurse expect to administer to a client during an
acute respiratory distress episode?
Vasodilators and hormones.
Analgesics and sedatives.
Anticoagulants and expectorants.
Bronchodilators and steroids.
Rationale
Besides supplemental oxygen, this client with ARDS needs medications to widen air passages, increase air space, and reduce
alveolar membrane inflammation, such as bronchodilators and steroids.
The nurse is interviewing a male client with hypertension. Which additional medical
diagnosis in the client's history presents the greatest risk for developing a cerebral
vascular accident (CVA)?
Diabetes mellitus.
Hypothyroidism.
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