Galen NUR 242 Exam 2 MED
SURG 2026 EXAM QUESTIONS
AND ANSWERS | 100% PASS
Which action by the nurse is most important when preparing for
cardioversion of a client with atrial fibrillation? - ANSWER ✔✔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? - 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
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, 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.
SURG 2026 EXAM QUESTIONS
AND ANSWERS | 100% PASS
Which action by the nurse is most important when preparing for
cardioversion of a client with atrial fibrillation? - ANSWER ✔✔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? - 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
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, 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.
