NU 185 EXAM 2 -MED SURG NURSING II |ACTUAL
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
A nurse is preparing to administer digoxin to a client who has heart failure. Which of the
following actions is appropriate?
A. Withholding the medication if the heart rate is above 100/min
B. Instructing the client to eat foods that are low in potassium
C. Measuring apical pulse rate for 30 seconds before administration
D. Evaluating the client for nausea, vomiting, and anorexia
CORRECT ANSWER
D. Evaluating the client for nausea, vomiting, and anorexia
- Loss of appetite, nausea, vomiting, and blurred or yellow vision may be signs of digoxin
toxicity
Question 2
A nurse is assessing a client in hypovolemic shock who is receiving a continuous IV infusion
of dopamine. Which of the following findings should the nurse recognize as a therapeutic
effect?
A. Increased pulse
B. Increased urine output
C. Decreased blood pressure
D. Decreased dysrhythmias
CORRECT ANSWER
B. Increased urine output
1
,Question 3
A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of
the following statements by the client indicates an adverse effect of the medication?
A. "I can walk a mile a day."
B. "I've had a backache for several days."
C. "I am urinating more frequently."
D. "I feel nauseated and have no appetite."
CORRECT ANSWER
D. "I feel nauseated and have no appetite."
Question 4
A nurse is assessing a client who is receiving dopamine IV to treat left ventricular failure.
Which of the following findings should indicate to the nurse that the medication is having
a therapeutic effect?
A. Cardiac output is reduced
B. Systolic blood pressure is increased
C. Apical heart rate is increased
D. Urine output is reduced
CORRECT ANSWER
B. Systolic blood pressure is increased
Question 5
A nurse is planning to administer digoxin to a client who has heart failure. Which of the
following lab results is the priority for the nurse to review prior to administering this
medication?
A. Hemoglobin
2
, B. Creatinine
C. Potassium
D. Blood urea nitrogen
CORRECT ANSWER
C. Potassium
- Digoxin is a cardiac glycoside medication used to improve myocardial contractility,
increasing stroke volume and cardiac output in a client who has HF. During therapy, the
nurse should closely monitor the client's potassium level as hypokalemia increases the
risk of digitalis toxicity and cardiac arrhythmias.
Question 6
A nurse is caring for a client who is taking digoxin for heart failure and develops
indications of severe digoxin toxicity. Which of the following medications should the nurse
prepare to administer?
A. Fab antibody fragments
B. Hydrocodone
C. Generic Zocor
D. Lisinopril
CORRECT ANSWER
A. Fab antibody fragments
- Fab antibody fragments, also called digoxin immune Fab, bind to digoxin and block its
action. The nurse should prepare to administer this antidote IV to clients who have
severe digoxin toxicity
Question 7
A nurse is assessing an older adult client who is receiving digoxin. The nurse should
recognize which of the following findings is a manifestation of digoxin toxicity.
A. Anorexia
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QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
A nurse is preparing to administer digoxin to a client who has heart failure. Which of the
following actions is appropriate?
A. Withholding the medication if the heart rate is above 100/min
B. Instructing the client to eat foods that are low in potassium
C. Measuring apical pulse rate for 30 seconds before administration
D. Evaluating the client for nausea, vomiting, and anorexia
CORRECT ANSWER
D. Evaluating the client for nausea, vomiting, and anorexia
- Loss of appetite, nausea, vomiting, and blurred or yellow vision may be signs of digoxin
toxicity
Question 2
A nurse is assessing a client in hypovolemic shock who is receiving a continuous IV infusion
of dopamine. Which of the following findings should the nurse recognize as a therapeutic
effect?
A. Increased pulse
B. Increased urine output
C. Decreased blood pressure
D. Decreased dysrhythmias
CORRECT ANSWER
B. Increased urine output
1
,Question 3
A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of
the following statements by the client indicates an adverse effect of the medication?
A. "I can walk a mile a day."
B. "I've had a backache for several days."
C. "I am urinating more frequently."
D. "I feel nauseated and have no appetite."
CORRECT ANSWER
D. "I feel nauseated and have no appetite."
Question 4
A nurse is assessing a client who is receiving dopamine IV to treat left ventricular failure.
Which of the following findings should indicate to the nurse that the medication is having
a therapeutic effect?
A. Cardiac output is reduced
B. Systolic blood pressure is increased
C. Apical heart rate is increased
D. Urine output is reduced
CORRECT ANSWER
B. Systolic blood pressure is increased
Question 5
A nurse is planning to administer digoxin to a client who has heart failure. Which of the
following lab results is the priority for the nurse to review prior to administering this
medication?
A. Hemoglobin
2
, B. Creatinine
C. Potassium
D. Blood urea nitrogen
CORRECT ANSWER
C. Potassium
- Digoxin is a cardiac glycoside medication used to improve myocardial contractility,
increasing stroke volume and cardiac output in a client who has HF. During therapy, the
nurse should closely monitor the client's potassium level as hypokalemia increases the
risk of digitalis toxicity and cardiac arrhythmias.
Question 6
A nurse is caring for a client who is taking digoxin for heart failure and develops
indications of severe digoxin toxicity. Which of the following medications should the nurse
prepare to administer?
A. Fab antibody fragments
B. Hydrocodone
C. Generic Zocor
D. Lisinopril
CORRECT ANSWER
A. Fab antibody fragments
- Fab antibody fragments, also called digoxin immune Fab, bind to digoxin and block its
action. The nurse should prepare to administer this antidote IV to clients who have
severe digoxin toxicity
Question 7
A nurse is assessing an older adult client who is receiving digoxin. The nurse should
recognize which of the following findings is a manifestation of digoxin toxicity.
A. Anorexia
3
