REVIEW SET 2026 PRACTICE SOLUTION
GUARANTEED PASS
◉ MMR Vaccine Allergy Warning. Answer: If you are allergic to
gluten you should not receive this vaccine.
◉ MMR Vaccine Breastfeeding Advice. Answer: Avoid breastfeeding
for 3 days after receiving the vaccine.
◉ MMR Vaccine Pregnancy Advice. Answer: Avoid pregnancy for at
least 28 days after receiving the vaccine.
◉ Client Condition at 31 Weeks. Answer: Client is at 31 weeks of
gestation and presents with a severe headache unrelieved by
acetaminophen.
◉ Client Vital Signs. Answer: Temperature (oral) 36.9° C (98.4° F).
Heart rate 72/min. Respiratory rate 16/min. BP 162/112 mm Hg.
Oxygen saturation 979% on room air.
◉ Urine Diagnostic Results. Answer: Appearance cloudy, Color
yellow, pH 5.9, Protein 3+, Specific gravity 1.013, Leukocyte esterase
,negative, Nitrites negative, Ketones negative, Crystals negative, Casts
negative, Glucose trace, WBC 5, RBC 1.
◉ Prenatal Complication Indicators. Answer: Urine protein, Blood
pressure, Report of headache, Fetal Activity.
◉ Grief Counseling for Parents. Answer: Bring the child to the
funeral service before visitors arrive.
◉ Child's Perception of Death. Answer: School-age children tend to
view death as a temporary form of sleep.
◉ Gastrostomy Tube Care. Answer: Apply water-soluble lubricant to
the site, attach an extension tube to the site's opening before use,
and secure the tubing to the child's abdomen.
◉ Angina Pectoris Response. Answer: I will stop what I am doing
and lie down.
◉ Aspirin Dosage for Angina. Answer: I will take two 325 milligram
aspirin tablets at the same time.
◉ Nitroglycerin Protocol. Answer: I will call the provider after taking
one dose of nitroglycerin.
,◉ Incorrect Angina Response. Answer: I will hold my breath and
bear down.
◉ Digoxin Administration Preparation. Answer: A nurse is preparing
to administer a prescribed dose of digoxin to a client.
◉ Urine output. Answer: The amount of urine produced by the
kidneys, which can indicate fluid balance and kidney function.
◉ Apical pulse. Answer: The heartbeat as heard over the apex of the
heart, typically measured at the fifth intercostal space.
◉ Blood pressure. Answer: The force of blood against the walls of
the arteries, measured in millimeters of mercury (mmHg).
◉ Respiratory rate. Answer: The number of breaths taken per
minute, an important vital sign indicating respiratory function.
◉ Digoxin toxicity. Answer: A condition resulting from excessive
levels of digoxin, characterized by symptoms such as bradycardia.
, ◉ Type 1 diabetes mellitus management. Answer: Involves checking
blood sugar levels before meals and at bedtime, and rotating insulin
injection sites.
◉ Lipodystrophy. Answer: A condition caused by repeated insulin
injections at the same site, leading to changes in fat distribution and
insulin absorption.
◉ Acute kidney injury findings. Answer: Expected laboratory results
include increased serum blood urea nitrogen (BUN) and creatinine
levels.
◉ Cataract surgery discharge instructions. Answer: Clients should
avoid bending over at the waist for several weeks and heavy lifting
post-surgery.
◉ Fluid volume excess. Answer: A condition characterized by
pulmonary congestion, increased blood pressure, and potential
crackles in the lungs.
◉ Uterine tachysystole. Answer: A condition where contractions
occur too frequently, potentially compromising fetal oxygenation.
◉ Chest tube management. Answer: The collection device should be
kept below the level of the client's chest to prevent backflow.