NUR 242 exam 2
NUR 242 Exam 2 Study Guide Questions
and Answers Graded A 2025
Which action by the nurse is most important when preparing for cardioversion of a client
with atrial fibrillation? -Correct 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? -
Correct 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? -Correct 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? -Correct 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? -Correct 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? -Correct 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? -Correct Answer ✔Vitamin K
Which action is essential for the nurse to include in the plan of care for a client with
atrial fibrillation? -Correct 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. -Correct Answer ✔Wearing a medical alert bracelet
Initiating bleeding precautions
Refraining from estrogen therapy
Obtaining routine prothrombin times
Notifying providers of anticoagulation
NUR 242 exam 2
,NUR 242 exam 2
Which client response must the nurse monitor to determine the effectiveness of
amiodarone? -Correct 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? -Correct 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 digoxin is labeled "0.05 mg/mL."
Which item would the nurse teach the mother to use when administering the
medication? -Correct 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? -Correct
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? -Correct 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. -Correct Answer ✔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? -Correct Answer ✔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? -Correct Answer ✔"We should give the digoxin twice a day, at breakfast and
dinner
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. -Correct
Answer ✔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.
NUR 242 exam 2
, NUR 242 exam 2
Medications that lower serum potassium or magnesium can cause digoxin toxicity
The nurse is monitoring a 6-year-old child for toxicity precipitated by digoxin. Which sign
of digoxin toxicity would the nurse monitor for? -Correct Answer ✔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 -Correct Answer ✔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? -Correct Answer ✔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? -Correct Answer
✔Vomiting
When teaching a client about digoxin, which symptom will the nurse include as a reason
to withhold the digoxin? -Correct Answer ✔yellow vision
Which clinical finding indicates that a client taking digoxin may have developed digoxin
toxicity? -Correct Answer ✔Cardiac dysrhythmias
A client has been receiving digoxin. The client calls the clinic and complains of "yellow
vision." Which response would the nurse provide? -Correct Answer ✔"The medication
may need to be discontinued. Come to the clinic this afternoon."
Digoxin is prescribed for a client. Which therapeutic effect of digoxin would the nurse
expect? -Correct Answer ✔Increased contractile force of the myocardium
A client who has been diagnosed with a myocardial infarction receives digoxin,
fluoxetine, morphine, and docusate sodium. Which medication would the nurse identify
as a risk factor for straining due to constipation? -Correct Answer ✔Morphine
A client takes furosemide and digoxin for heart failure. Why would the nurse advise the
client to drink a glass of orange juice every day? -Correct Answer ✔Maintaining
potassium levels
Digoxin and verapamil are prescribed to manage a client's cardiac dysrhythmia. The
nurse will monitor the client for signs and symptoms of which adverse effect? -Correct
Answer ✔Myocardial depression
The nurse is providing discharge medication teaching to a client who will be taking
furosemide and digoxin after discharge from the hospital. Which information is important
for the nurse to include in the teaching plan? -Correct Answer ✔Signs and symptoms of
digoxin toxicity
NUR 242 exam 2
NUR 242 Exam 2 Study Guide Questions
and Answers Graded A 2025
Which action by the nurse is most important when preparing for cardioversion of a client
with atrial fibrillation? -Correct 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? -
Correct 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? -Correct 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? -Correct 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? -Correct 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? -Correct 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? -Correct Answer ✔Vitamin K
Which action is essential for the nurse to include in the plan of care for a client with
atrial fibrillation? -Correct 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. -Correct Answer ✔Wearing a medical alert bracelet
Initiating bleeding precautions
Refraining from estrogen therapy
Obtaining routine prothrombin times
Notifying providers of anticoagulation
NUR 242 exam 2
,NUR 242 exam 2
Which client response must the nurse monitor to determine the effectiveness of
amiodarone? -Correct 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? -Correct 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 digoxin is labeled "0.05 mg/mL."
Which item would the nurse teach the mother to use when administering the
medication? -Correct 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? -Correct
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? -Correct 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. -Correct Answer ✔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? -Correct Answer ✔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? -Correct Answer ✔"We should give the digoxin twice a day, at breakfast and
dinner
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. -Correct
Answer ✔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.
NUR 242 exam 2
, NUR 242 exam 2
Medications that lower serum potassium or magnesium can cause digoxin toxicity
The nurse is monitoring a 6-year-old child for toxicity precipitated by digoxin. Which sign
of digoxin toxicity would the nurse monitor for? -Correct Answer ✔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 -Correct Answer ✔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? -Correct Answer ✔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? -Correct Answer
✔Vomiting
When teaching a client about digoxin, which symptom will the nurse include as a reason
to withhold the digoxin? -Correct Answer ✔yellow vision
Which clinical finding indicates that a client taking digoxin may have developed digoxin
toxicity? -Correct Answer ✔Cardiac dysrhythmias
A client has been receiving digoxin. The client calls the clinic and complains of "yellow
vision." Which response would the nurse provide? -Correct Answer ✔"The medication
may need to be discontinued. Come to the clinic this afternoon."
Digoxin is prescribed for a client. Which therapeutic effect of digoxin would the nurse
expect? -Correct Answer ✔Increased contractile force of the myocardium
A client who has been diagnosed with a myocardial infarction receives digoxin,
fluoxetine, morphine, and docusate sodium. Which medication would the nurse identify
as a risk factor for straining due to constipation? -Correct Answer ✔Morphine
A client takes furosemide and digoxin for heart failure. Why would the nurse advise the
client to drink a glass of orange juice every day? -Correct Answer ✔Maintaining
potassium levels
Digoxin and verapamil are prescribed to manage a client's cardiac dysrhythmia. The
nurse will monitor the client for signs and symptoms of which adverse effect? -Correct
Answer ✔Myocardial depression
The nurse is providing discharge medication teaching to a client who will be taking
furosemide and digoxin after discharge from the hospital. Which information is important
for the nurse to include in the teaching plan? -Correct Answer ✔Signs and symptoms of
digoxin toxicity
NUR 242 exam 2
