NUR 242 EXAM 2 (2026/2027) QUESTIONS AND
CORRECT ANSWERS GRADED A+ GALEN
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?
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?
Right arm weakness
When teaching a client with atrial fibrillation about a new prescription for
warfarin, the nurse will include information about which vitamin?
Vitamin K
Which action is essential for the nurse to include in the plan of care for a client
with atrial fibrillation?
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.
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?
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?
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?
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?
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?
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.
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?
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?
"We should give the digoxin twice a day, at breakfast and dinner
Which action by the nurse is most important when preparing for cardioversion of a
client with atrial fibrillation?
Set synchronizer switch on defibrillator to the "on" position
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?
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?
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?
Zoledronic acid
CORRECT ANSWERS GRADED A+ GALEN
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?
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?
Right arm weakness
When teaching a client with atrial fibrillation about a new prescription for
warfarin, the nurse will include information about which vitamin?
Vitamin K
Which action is essential for the nurse to include in the plan of care for a client
with atrial fibrillation?
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.
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?
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?
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?
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?
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?
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.
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?
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?
"We should give the digoxin twice a day, at breakfast and dinner
Which action by the nurse is most important when preparing for cardioversion of a
client with atrial fibrillation?
Set synchronizer switch on defibrillator to the "on" position
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?
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?
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?
Zoledronic acid
