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2025 ACTUAL 210 QUESTION WITH DETAILED C
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ORRECT ANSWERS H
What system would be a priority to assess on a client taking fluti
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casone/salmeterol (Advair)? H
A. Circulatory system H
B. Hepatobiliary system H
C. Respiratory system H
D. Neurological System - H H
ANSWERS_Answer: 3. Respiratory system
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A client will be undergoing day surgery. The nurse told him to h
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old his daily aspirin for three days before the surgery. What is th
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e rationale for this direction?
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A. It has anti-inflammatory effects
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B. It has antithrombotic effects
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C. It has analgesic effects
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D. It has antipyretic effects -
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ANSWERS_Answer: B. It has antithrombotic effects
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Aspirin is a drug used to treat pain, fever, and inflammation. It al
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so has an antithrombotic effect which means it may interfere wit
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h clot formation. Thus, clients scheduled for surgery are told not
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to take this drug as early as seven days before the procedure sinc
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e this may cause excessive bleeding and harm the client.
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2025 ACTUAL 210 QUESTION WITH DETAILED C
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What toy is developmentally
ORRECT
H best for a toddler?
ANSWERS H H H
H
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A) Small blunt scissors, paper, and other art materials
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B) Wooden puzzles H
C) Stickers and glitter H H
D) Over the crib mobile - H H H H
ANSWERS_Answer: B. Wooden puzzles
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- Wood puzzles with 4-12 pieces are ideal for two-year-
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old toddlers. This helps children in this age group enhance the
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ir fine motor skills and hand-
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eye coordination. Options A & B are suited better for the Pres
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chool or School - H H H
aged child. An Over the crib mobile is suitable for an infant
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A newborn infant's temperature had not risen above 98°F (36.6°
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C), so the newborn was placed in an infant radiant warmer. Whi
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ch of the following actions contribute to maintaining the infant's
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safety?
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A) Check and record the infant's temperature regularly
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B) Warm all drugs and fluid before administration to the i
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nfant
C) Wrap the infant in a thick blanket H H H H H H
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2025 ACTUAL 210 QUESTION WITH DETAILED C
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D) Rub hands together until warm
ORRECT before touching or admin
ANSWERS
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istering care for the infant - H H H H H
HANSWERS_Answer: A. Check and record the infant's temp H H H H H H H
erature regularly H
- A radiant warmer is used to help maintain the temperature of n
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eonates. When an infant is placed in a warmer, the body tempera
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ture must be monitored and recorded regularly to ensure that the
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warmer is working correctly and that the infant is neither over-
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or underheated.
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A nurse is assisting an elderly client who suffered a fall. Which o
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f the following signs should the nurse be most alerted to?
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A) Scraped and bleeding knees H H H
B) A headache H
C) Presence of bruises behind the client's ears H H H H H H
D) A complaint of a sore back -
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ANSWERS_Answer: C. Presence of a bruise behind the c
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lient's ear H
The mastoid process is a part of the temporal bone, and it is locat
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ed behind the ear. Bruising over this area is called "Battle's Sign.
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" This may only be observed in a client who suffered from sever
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e head trauma that has resulted in severe
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brain injury; thus, itORRECT
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must prompt the nurse to assess and treat the
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H client immediately. H
Advair is a medication containing fluticasone (a corticosteroid
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) and salmeterol (a B2 adrenergic receptor agonist that promot
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es bronchodilation). These two drugs are used in combination
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when treating symptoms of asthma and chronic obstructive pu
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lmonary disease. Since this drug is on the client's chart, the clie
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nt most probably has one of these respiratory problems; thus, t
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he nurse must prioritize his respiratory system during the asses
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sment.
A psychiatrist prescribed fluoxetine to a client who was diagnos
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ed with depression. What are the side effects of this drug?
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A. Weight changes, nausea, diarrhea H H H
B. Sensitivity to light, convulsions, swelling of the limbs, high b
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lood sugar H
C. Postprandial hypotension and dizziness H H H
D. Tachycardia, immunosuppression, fever - H H H
ANSWERS_Answer: A. Weight changes, nausea, diarrhea
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Fluoxetine, sold under the brand name Prozac or Sarafem, is cla
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ssified as a selective serotonin reuptake inhibitor (SSRI). It treat
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s psychiatric conditions such as depression, bulimia nervosa, an
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d obsessive-compulsive disorder (OCD). Its side
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