NUR 242 Exam 2 UPDATED ACTUAL
Exam Questions and CORRECT Answers
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
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.
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
Exam Questions and CORRECT Answers
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
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.
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
