NUR 242 MEDICAL SURGICAL CONCEPTS EXAM ACTUAL QUESTIONS AND ANSWERS GRADED A+ | LATEST 2026/2027 | GALEN COLLEGE

NUR 242 MEDICAL SURGICAL CONCEPTS EXAM ACTUAL QUESTIONS AND ANSWERS GRADED A+ | LATEST 2026/2027 | GALEN COLLEGE. 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 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 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 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 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 When teaching a client with atrial fibrillation about a new prescription for warfarin, the nurse will include information about which vitamin? Vitamin K 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 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 selfadministe 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. 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 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 The nurse is monitoring a 6-year-old child for toxicity precipitated by digoxin. Which sign of digoxin toxicity would the nurse monitor for? Vomiting A child is prescribed 1.2 mL of digoxin twice a day. The medication label reads "Digoxin 0.125 mg/mL." What is the total amount of medication, in milligrams, the child takes each day?____ mg 0.3 According to developmental norms for a 5-year-old child, the nurse would hold digoxin if an apical heart rate falls below which number? 70 beats/min A health care provider prescribes digoxin for a client. The nurse teaches the client to be alert for which common early indication of acute digoxin toxicity? Vomiting 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. 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. Medications that lower serum potassium or magnesium can cause digoxin toxicity