Practice Question
Prior to giving digoxin the practical nurse (PN) assesses that a 2-month-old infant's heart rate is 120 beats/minute. Based on his finding, which action should the PN take?
Answer Choices:
Correct Answer:
Administer the medication and document the heart rate.
Rationale:
⚫For infants, the apical hold parameter for digoxin is typically <90–100 bpm (age-dependent); a 2-month-old with HR 120 is above the hold threshold.
⚫Digoxin improves contractility and reduces ventricular rate, benefiting infants with cardiac dysfunction when vitals are appropriate.
⚫With an apical HR ≥100 bpm, it is appropriate to give the dose and document the pre-dose heart rate.
⚫Ongoing nursing care includes consistent apical assessments, serum level monitoring (if ordered), and watching for toxicity signs (e.g., vomiting, bradycardia).
⚫Maintaining dose timing and accurate documentation supports safe therapeutic steady state.
Want to practice more questions like this?
This question is from Hesi Exit CAT Exam-PN 2025 which contains 107 questions.
More Questions from This Exam
A nurse (PN) is caring for a client who is taking enoxaparin following an orthopedic surgery. Vans should the PN consider prior to administering the next dose? Reference Range: White Blood Cell (WBC) [5,000 to 10,000/mm3 (5 to 10 × 109/L] , Red Blood cell count (RBC) [4.2 to 5.4 × 106/µL (4.2 to 5.4 × 1012/µL], Platelets [150,000 to 400,000/mm3 (150 to 400 × 109/L], Hemoglobin (Hgb) [16 to 18 g/dL (160 to 180 g/L)]
Answer Choices:
The nurse (PN) is caring for an infant who is transitioning from parenteral nutrition to enteral repair. Which finding Should the PN recognize is an indication of failure to thrive?
Answer Choices:
The practical nurse (PN) accompanies a healthcare provider (HCP) when the client receives the of stage 4 metastatic cancer. The client's spouse immediately responds. "You must have made a mistake. We want to get a second opinion.” The PN should consider which stage of the grieving process in order to respond best to the spouse's comments?
Answer Choices:
Which finding(s) can the practical nurse (PN) determine by palpating a client's skin? Select all that apply
Answer Choices:
A client with heart failure (HF) is taking a diuretic. While evaluating the effectiveness of the medication regimen assessment is most important for the practical nurse (PN) to monitor?
Answer Choices:
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN HESI Exit Exam(s)
- Domain: LPN HESI Exit-2025
- Answer Choices: 4