NUR242 / NUR 242 Exam 2 Study Guide
Medical-Surgical Nursing Concepts
100% Guarantee passing score of 90% or higher
Consist of 300 Questions with Answers
1. 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
2. Which client response must the nurse monitor to determine the effective-
ness of amiodarone?
Answer> Decrease in cardiac dysrhythmias
3. The nurse provides discharge teaching to a client who has received pre-
scriptions for digoxin, furosemide, and a 2-g sodium diet. Which statement
from the client indicates that further teaching is needed?
,4. 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?
Answer> Calibrated syringe
5. 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
6. 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
7. A client with congestive heart failure is receiving intravenous digoxin (Car-
doxin) 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.
8. The clinic nurse receives a call from the mother of an infant prescribed
,9. The nurse teaches the parents of a 4-year-old child about the adminis-
tration of digoxin elixir twice a day. Which statement indicates to the nurse
the parents need further teaching?
Answer> "We should give the digoxin twice a day, at breakfast and dinner
10. 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.
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
11. The nurse is monitoring a 6-year-old child for toxicity precipitated by
digoxin. Which sign of digoxin toxicity would the nurse monitor for?
Answer> Vomiting
12. 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
Answer> 0.3
13. Which action by the nurse is most important when preparing for
cardiover-
sion of a client with atrial fibrillation?
Answer> Set synchronizer switch on defibrillator
to the "on" position
14. Which assessment finding by the nurse caring for a client with new-
, 15. 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 thrombo- plastin time (aPTT) is twice the usual value.
16. When treating clients for osteoporosis, which medication has a side
effect of atrial fibrillation when infused too quickly?
Answer> Zoledronic acid
17. 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 minute
18. Which finding for a client who has a diagnosis of paroxysmal atrial
fibrilla- tion is most important to report quickly to the health care provider?
Answer> Right arm weakness
19. When teaching a client with atrial fibrillation about a new prescription
for warfarin, the nurse will include information about which vitamin?
Answer> Vitamin K
20. 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.
21. According to developmental norms for a 5-year-old child, the nurse would
Medical-Surgical Nursing Concepts
100% Guarantee passing score of 90% or higher
Consist of 300 Questions with Answers
1. 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
2. Which client response must the nurse monitor to determine the effective-
ness of amiodarone?
Answer> Decrease in cardiac dysrhythmias
3. The nurse provides discharge teaching to a client who has received pre-
scriptions for digoxin, furosemide, and a 2-g sodium diet. Which statement
from the client indicates that further teaching is needed?
,4. 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?
Answer> Calibrated syringe
5. 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
6. 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
7. A client with congestive heart failure is receiving intravenous digoxin (Car-
doxin) 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.
8. The clinic nurse receives a call from the mother of an infant prescribed
,9. The nurse teaches the parents of a 4-year-old child about the adminis-
tration of digoxin elixir twice a day. Which statement indicates to the nurse
the parents need further teaching?
Answer> "We should give the digoxin twice a day, at breakfast and dinner
10. 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.
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
11. The nurse is monitoring a 6-year-old child for toxicity precipitated by
digoxin. Which sign of digoxin toxicity would the nurse monitor for?
Answer> Vomiting
12. 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
Answer> 0.3
13. Which action by the nurse is most important when preparing for
cardiover-
sion of a client with atrial fibrillation?
Answer> Set synchronizer switch on defibrillator
to the "on" position
14. Which assessment finding by the nurse caring for a client with new-
, 15. 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 thrombo- plastin time (aPTT) is twice the usual value.
16. When treating clients for osteoporosis, which medication has a side
effect of atrial fibrillation when infused too quickly?
Answer> Zoledronic acid
17. 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 minute
18. Which finding for a client who has a diagnosis of paroxysmal atrial
fibrilla- tion is most important to report quickly to the health care provider?
Answer> Right arm weakness
19. When teaching a client with atrial fibrillation about a new prescription
for warfarin, the nurse will include information about which vitamin?
Answer> Vitamin K
20. 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.
21. According to developmental norms for a 5-year-old child, the nurse would
