GALEN NUR 242 EXAM 2 MED-SURG TESTED
EXAMINATION TEST 2026 FULL SOLVED
QUESTIONS AND SOLUTIONS
◉ Which nursing interventions promote safe administration of
digoxin in a child diagnosed with heart failure? Select all that apply.
One, some, or all responses may be correct. Answer: Checking for
compliance with the client's medication regimen
Monitoring the client's serum potassium and magnesium levels
regularly
Calculating the correct dosage form, prescribed amounts, and the
prescriber's prescription
Monitoring and recording the client's intake and output, heart rate,
blood pressure, daily weight, and respiration rate regularly
◉ A health care provider prescribes an initial loading dose of 75 mcg
of oral digoxin for a child. The medication is supplied as an elixir, 50
mcg/mL. How many milliliters of solution would the nurse
administer?___ mL Answer: 1.5 ml
◉ Which action would the nurse take when assessing an infant on
digoxin who has an apical pulse of 88 beats per minute? Answer:
Notify the health care provider immediately
,◉ An antidysrhythmic needs to be administered intravenously (IV)
at 1000 mcg/min. The medication is available as 500 mg in 500 mL
of DW. The nurse will set the volume control device to administer
the medication at how many milliliters per hour?___ mL/h Answer:
60 ml
◉ After the nurse has presented a staff education session on the use
of adenosine for supraventricular tachycardia, which statement by a
staff member indicates that the teaching has been effective? Answer:
We will need a crash cart available at the client's bedside.
◉ A client's cardiac monitor indicates ventricular tachycardia. The
nurse assesses the client and identifies an increase in apical pulse
rate from 100 to 150 beats/minute. Which action is indicated?
Answer: Administer amiodarone
◉ A client who had a myocardial infarction has runs of ventricular
tachycardia. Which medication will the nurse prepare to administer?
Answer: Amiodarone
◉ A client with supraventricular tachycardia (SVT) has a heart rate
of 170 beats/minute. After treatment with diltiazem, which
assessment indicates to the nurse that the diltiazem is effective?
Answer: Heart rate of 98 beats/minute
, ◉ A beta blocker is prescribed for the client with persistent
ventricular tachycardia. Which response indicates that the beta
blocker is working effectively? Answer: decreased heart rate
◉ The cardiac monitor reveals several runs of ventricular
tachycardia. Which medication is used to treat this dysrhythmia?
Answer: Amiodarone
◉ When a client has supraventricular tachycardia that has persisted
despite treatment with vagal maneuvers and medications, which
collaborative intervention will the nurse anticipate to treat the
dysrhythmia? Answer: Synchronized cardioversion
◉ When a client in the coronary care unit develops ventricular
tachycardia, which action will the nurse take first? Answer: Assess
client pulse and blood pressure
◉ A client who has paroxysmal supraventricular tachycardia reports
a mild "fluttering feeling" in the chest and has a blood pressure of
110/55 mm Hg. Which potential treatment by the health care
provider would the nurse question? Answer: Synchronized
cardioversion
◉ When a client's cardiac monitor shows ventricular tachycardia,
which action would the nurse take first? Answer: Assess pulse
EXAMINATION TEST 2026 FULL SOLVED
QUESTIONS AND SOLUTIONS
◉ Which nursing interventions promote safe administration of
digoxin in a child diagnosed with heart failure? Select all that apply.
One, some, or all responses may be correct. Answer: Checking for
compliance with the client's medication regimen
Monitoring the client's serum potassium and magnesium levels
regularly
Calculating the correct dosage form, prescribed amounts, and the
prescriber's prescription
Monitoring and recording the client's intake and output, heart rate,
blood pressure, daily weight, and respiration rate regularly
◉ A health care provider prescribes an initial loading dose of 75 mcg
of oral digoxin for a child. The medication is supplied as an elixir, 50
mcg/mL. How many milliliters of solution would the nurse
administer?___ mL Answer: 1.5 ml
◉ Which action would the nurse take when assessing an infant on
digoxin who has an apical pulse of 88 beats per minute? Answer:
Notify the health care provider immediately
,◉ An antidysrhythmic needs to be administered intravenously (IV)
at 1000 mcg/min. The medication is available as 500 mg in 500 mL
of DW. The nurse will set the volume control device to administer
the medication at how many milliliters per hour?___ mL/h Answer:
60 ml
◉ After the nurse has presented a staff education session on the use
of adenosine for supraventricular tachycardia, which statement by a
staff member indicates that the teaching has been effective? Answer:
We will need a crash cart available at the client's bedside.
◉ A client's cardiac monitor indicates ventricular tachycardia. The
nurse assesses the client and identifies an increase in apical pulse
rate from 100 to 150 beats/minute. Which action is indicated?
Answer: Administer amiodarone
◉ A client who had a myocardial infarction has runs of ventricular
tachycardia. Which medication will the nurse prepare to administer?
Answer: Amiodarone
◉ A client with supraventricular tachycardia (SVT) has a heart rate
of 170 beats/minute. After treatment with diltiazem, which
assessment indicates to the nurse that the diltiazem is effective?
Answer: Heart rate of 98 beats/minute
, ◉ A beta blocker is prescribed for the client with persistent
ventricular tachycardia. Which response indicates that the beta
blocker is working effectively? Answer: decreased heart rate
◉ The cardiac monitor reveals several runs of ventricular
tachycardia. Which medication is used to treat this dysrhythmia?
Answer: Amiodarone
◉ When a client has supraventricular tachycardia that has persisted
despite treatment with vagal maneuvers and medications, which
collaborative intervention will the nurse anticipate to treat the
dysrhythmia? Answer: Synchronized cardioversion
◉ When a client in the coronary care unit develops ventricular
tachycardia, which action will the nurse take first? Answer: Assess
client pulse and blood pressure
◉ A client who has paroxysmal supraventricular tachycardia reports
a mild "fluttering feeling" in the chest and has a blood pressure of
110/55 mm Hg. Which potential treatment by the health care
provider would the nurse question? Answer: Synchronized
cardioversion
◉ When a client's cardiac monitor shows ventricular tachycardia,
which action would the nurse take first? Answer: Assess pulse
