NUR242 EXAM 2 2026 COMPLETE STUDY
GUIDE AND PRACTICE QUESTIONS
◉ Which assessment finding by the nurse caring for a client with
new-onset atrial fibrillation would be most important to
communicate to the health care provider? Answer: Sudden vision
change
◉ A client who has atrial fibrillation with rapid ventricular response
is started on a continuous heparin infusion. Which clinical finding
enables the nurse to conclude that the heparin therapy is effective?
Answer: An activated partial thromboplastin time (aPTT) is twice
the usual value.
◉ When treating clients for osteoporosis, which medication has a
side effect of atrial fibrillation when infused too quickly? Answer:
Zoledronic acid
◉ After the home health nurse obtains a radial pulse rate of 136
beats/minute in a client with chronic atrial fibrillation, which action
would the nurse take next? Answer: Take the client's apical pulse for
a full minut
,◉ Which finding for a client who has a diagnosis of paroxysmal
atrial fibrillation is most important to report quickly to the health
care provider? Answer: Right arm weakness
◉ When teaching a client with atrial fibrillation about a new
prescription for warfarin, the nurse will include information about
which vitamin? Answer: Vitamin K
◉ Which action is essential for the nurse to include in the plan of
care for a client with atrial fibrillation? Answer: Take pulse apically
for a full minute.
◉ Which action would the nurse include in the plan of care for a
client who had an ischemic stroke caused by atrial fibrillation and
has been placed on anticoagulation therapy to prevent further
strokes from occurring? Select all that apply. One, some, or all
responses may be correct. Answer: Wearing a medical alert bracelet
Initiating bleeding precautions
Refraining from estrogen therapy
Obtaining routine prothrombin times
Notifying providers of anticoagulation
◉ Which client response must the nurse monitor to determine the
effectiveness of amiodarone? Answer: Decrease in cardiac
dysrhythmias
,◉ The nurse provides discharge teaching to a client who has
received prescriptions for digoxin, furosemide, and a 2-g sodium
diet. Which statement from the client indicates that further teaching
is needed? Answer: I can use a little table salt on my food as long as I
do not use it when cooking food.
◉ A 2-month-old infant with the diagnosis of heart failure is
discharged with a prescription for oral digoxin 0.05 mg every 12
hours. The bottle of digoxin is labeled "0.05 mg/mL." Which item
would the nurse teach the mother to use when administering the
medication? Answer: Calibrated syringe
◉ An infant with congenital heart disease is prescribed digoxin and
furosemide upon discharge. Which sign would the nurse instruct the
parents to be alert for? Answer: Difficulty feeding with vomiting
◉ A client, who is currently taking digoxin 0.125 mg in the morning
and alprazolam 0.5 mg twice a day, is prescribed donepezil 5 mg
daily for early dementia of the Alzheimer type. Which instruction
would the nurse include when teaching the client's spouse about
medication administration? Answer: Prefill a weekly medication box
with the medications for the client to self-administe
◉ A client with congestive heart failure is receiving intravenous
digoxin (Cardoxin) therapy. The registered nurse identifies that
, which items on the client's care plan are appropriate for a licensed
practical nurse (LPN) to perform? Select all that apply. One, some, or
all responses may be correct. Answer: Help the client ambulate
when required.
Monitor the client's vitals every 30 minutes.
Administer adequate oral fluids to the client.
◉ The clinic nurse receives a call from the mother of an infant
prescribed digoxin. The mother reports she forgot whether she gave
the morning dose of digoxin. Which response by the nurse is most
appropriate? Answer: Skip this dose and give it at the next
prescribed time
◉ The nurse teaches the parents of a 4-year-old child about the
administration of digoxin elixir twice a day. Which statement
indicates to the nurse the parents need further teaching? Answer:
"We should give the digoxin twice a day, at breakfast and dinner
◉ Which lifestyle advice does the nurse give to a client when oral
digoxin therapy is initiated? Select all that apply. One, some, or all
responses may be correct. Answer: Bran can decrease digoxin
absorption.
Digoxin should not be taken with hawthorn supplements.
Ginseng may cause a dangerous increase in digoxin levels in the
blood.
GUIDE AND PRACTICE QUESTIONS
◉ Which assessment finding by the nurse caring for a client with
new-onset atrial fibrillation would be most important to
communicate to the health care provider? Answer: Sudden vision
change
◉ A client who has atrial fibrillation with rapid ventricular response
is started on a continuous heparin infusion. Which clinical finding
enables the nurse to conclude that the heparin therapy is effective?
Answer: An activated partial thromboplastin time (aPTT) is twice
the usual value.
◉ When treating clients for osteoporosis, which medication has a
side effect of atrial fibrillation when infused too quickly? Answer:
Zoledronic acid
◉ After the home health nurse obtains a radial pulse rate of 136
beats/minute in a client with chronic atrial fibrillation, which action
would the nurse take next? Answer: Take the client's apical pulse for
a full minut
,◉ Which finding for a client who has a diagnosis of paroxysmal
atrial fibrillation is most important to report quickly to the health
care provider? Answer: Right arm weakness
◉ When teaching a client with atrial fibrillation about a new
prescription for warfarin, the nurse will include information about
which vitamin? Answer: Vitamin K
◉ Which action is essential for the nurse to include in the plan of
care for a client with atrial fibrillation? Answer: Take pulse apically
for a full minute.
◉ Which action would the nurse include in the plan of care for a
client who had an ischemic stroke caused by atrial fibrillation and
has been placed on anticoagulation therapy to prevent further
strokes from occurring? Select all that apply. One, some, or all
responses may be correct. Answer: Wearing a medical alert bracelet
Initiating bleeding precautions
Refraining from estrogen therapy
Obtaining routine prothrombin times
Notifying providers of anticoagulation
◉ Which client response must the nurse monitor to determine the
effectiveness of amiodarone? Answer: Decrease in cardiac
dysrhythmias
,◉ The nurse provides discharge teaching to a client who has
received prescriptions for digoxin, furosemide, and a 2-g sodium
diet. Which statement from the client indicates that further teaching
is needed? Answer: I can use a little table salt on my food as long as I
do not use it when cooking food.
◉ A 2-month-old infant with the diagnosis of heart failure is
discharged with a prescription for oral digoxin 0.05 mg every 12
hours. The bottle of digoxin is labeled "0.05 mg/mL." Which item
would the nurse teach the mother to use when administering the
medication? Answer: Calibrated syringe
◉ An infant with congenital heart disease is prescribed digoxin and
furosemide upon discharge. Which sign would the nurse instruct the
parents to be alert for? Answer: Difficulty feeding with vomiting
◉ A client, who is currently taking digoxin 0.125 mg in the morning
and alprazolam 0.5 mg twice a day, is prescribed donepezil 5 mg
daily for early dementia of the Alzheimer type. Which instruction
would the nurse include when teaching the client's spouse about
medication administration? Answer: Prefill a weekly medication box
with the medications for the client to self-administe
◉ A client with congestive heart failure is receiving intravenous
digoxin (Cardoxin) therapy. The registered nurse identifies that
, which items on the client's care plan are appropriate for a licensed
practical nurse (LPN) to perform? Select all that apply. One, some, or
all responses may be correct. Answer: Help the client ambulate
when required.
Monitor the client's vitals every 30 minutes.
Administer adequate oral fluids to the client.
◉ The clinic nurse receives a call from the mother of an infant
prescribed digoxin. The mother reports she forgot whether she gave
the morning dose of digoxin. Which response by the nurse is most
appropriate? Answer: Skip this dose and give it at the next
prescribed time
◉ The nurse teaches the parents of a 4-year-old child about the
administration of digoxin elixir twice a day. Which statement
indicates to the nurse the parents need further teaching? Answer:
"We should give the digoxin twice a day, at breakfast and dinner
◉ Which lifestyle advice does the nurse give to a client when oral
digoxin therapy is initiated? Select all that apply. One, some, or all
responses may be correct. Answer: Bran can decrease digoxin
absorption.
Digoxin should not be taken with hawthorn supplements.
Ginseng may cause a dangerous increase in digoxin levels in the
blood.
