Page 1 of 99
NUR 242 EXAM 2 PRACTICE QUESTIONS
WITH VERIFIED SOLUTIONS NEW
MODIFIED EXAM GRADED A+ TESTED
AND APPROVED!!!
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
According to developmental norms for a 5-year-old child, the nurse would hold digoxin if an
apical heart rate falls below which number? ---- 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? ---- ANSWER----Vomiting
When teaching a client about digoxin, which symptom will the nurse include as a reason to
withhold the digoxin? ---- ANSWER----yellow vision
Which clinical finding indicates that a client taking digoxin may have developed digoxin
toxicity? ---- 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? ---- ANSWER----"The medication may
need to be discontinued. Come to the clinic this afternoon."
,2|Page
Digoxin is prescribed for a client. Which therapeutic effect of digoxin would the nurse
expect? ---- 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? ---- 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? ---- ANSWER----Maintaining potassium levels
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 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
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
,Page 3 of 99
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.
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? ---- 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? ----
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. ---- ANSWER----Bran can
decrease digoxin absorption.
, 4|Page
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? ---- ANSWER----Vomiting
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
NUR 242 EXAM 2 PRACTICE QUESTIONS
WITH VERIFIED SOLUTIONS NEW
MODIFIED EXAM GRADED A+ TESTED
AND APPROVED!!!
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
According to developmental norms for a 5-year-old child, the nurse would hold digoxin if an
apical heart rate falls below which number? ---- 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? ---- ANSWER----Vomiting
When teaching a client about digoxin, which symptom will the nurse include as a reason to
withhold the digoxin? ---- ANSWER----yellow vision
Which clinical finding indicates that a client taking digoxin may have developed digoxin
toxicity? ---- 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? ---- ANSWER----"The medication may
need to be discontinued. Come to the clinic this afternoon."
,2|Page
Digoxin is prescribed for a client. Which therapeutic effect of digoxin would the nurse
expect? ---- 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? ---- 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? ---- ANSWER----Maintaining potassium levels
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 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
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
,Page 3 of 99
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.
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? ---- 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? ----
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. ---- ANSWER----Bran can
decrease digoxin absorption.
, 4|Page
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? ---- ANSWER----Vomiting
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
