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ADN Level 3 Final Exam with Complete Answers
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ADN Level 3 Final Exam with Complete Answers
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ADN Level 3 Final Exam with Complete AnswersWhich of the following is a common method of evaluating the urine output for newborns,
infants, and toddlers who are not potty trained.
a) Monitoring the amount of time for breast feeding
b) Measuring the formula before the child ingests it
c) Weighing the child before and after feeds
d) Weighing the diaper before and after micturition Correct Ans-D - Weighing the diaper
before applying it to the newborn, infant, or toddler, and then weighing it after micturition
will help evaluate the urine output. The difference between the wet diaper and the dry one
will give the amount of urine (1 g = 1 mL, so amounts may be recorded in milliliters). Weighing
the child or measuring the formula will not give an indication of evaluating the urine output
in this situation.
According to the antenatal record, a newborn is 12 days post-mature. A nurse completes the
initial assessment of the newborn and notes increased amounts of vernix. The mother asks
why the nurse seems concerned about the presence of the vernix. Which of the following
statements by the nurse is most appropriate?
, ADN Level 3 Final Exam with Complete Answers
a) "The vernix indicates a different gestational age than expected."
b) "The vernix is difficult and painful to remove from a newborn."
c) "The presence of vernix affects the newborn's immune system."
d) "The vernix should be a thicker coating for a newborn." Correct Ans-A - Vernix caseosa
is a whitish substance that serves as a protective covering over the fetal body throughout the
pregnancy. Vernix usually disappears by term gestation. It is highly unusual for a 12-day post-
mature baby to have increased amounts of vernix. A discrepancy between EDC (estimated
date of conception) and gestational age by physical examination must have occurred.
a whitish substance that serves as a protective covering over the fetal body throughout the
pregnancy Correct Ans-VERNIX CASEOSA
During the postoperative period after a modified radical mastectomy, the client confides in
the nurse that she thinks she got breast cancer because she had an abortion and she did not
tell her husband. The best response by the nurse is which of the following?
a) "You might feel better if you confided in your husband."
b) "Cancer is not a punishment; it is a disease."
c) "I can have the social worker talk to you if you would like."
, ADN Level 3 Final Exam with Complete Answers
d) "Tell me more about your feelings on this." Correct Ans-D - The nurse should respond
with an open-ended statement that elicits further exploration of the client's feelings. Women
with cancer may feel guilt or shame. Previous life decisions, sexuality, and religious beliefs
may influence a client's adjustment to a diagnosis of cancer. The nurse should not contradict
the client's feelings of punishment or offer advice such as confiding in the husband. A social
worker referral may be beneficial in the future, but is not the first response needed to elicit
exploration of the client's feelings.
A nurse is caring for an infant who is to be administered an enema. What spiritually oriented
interventions could the nurse follow with newborns and infants?
a) Encourage parents to be present during the treatment.
b) Tell the infant that it will be over within a minute.
c) Provide the infant with soft toys or a feeding bottle.
d) Ask a child specialist to be present during treatment. Correct Ans-A - When caring for
infants and newborns, the best nursing intervention is to encourage the parents to be present
during the medical treatment. There is no need for the nurse to ask for a child specialist to be
present during the treatment. Instead, the nurse should involve the parents in the caring
process as the infant will feel more secure and comfortable in the presence of the parents.
, ADN Level 3 Final Exam with Complete Answers
Providing the infant with toys, a feeding bottle, or trying to explain that it will be over soon
will not pacify the child
A client is scheduled to undergo surgical creation of an ileal conduit. The primary nurse
educates the client about surgery and the postoperative period. The nurse informs the client
that many members of the health care team (including a mental health practitioner) will see
him. A mental health practitioner should be involved in the client's care to:
a) help the client cope with the anxiety associated with changes in body image.
b) assess whether the client is a good candidate for surgery.
c) evaluate the client's need for mental health intervention.
d) assess suicidal risk postoperatively. Correct Ans-A - Many clients who undergo surgery
for creation of an ileal conduit experience anxiety associated with changes in body image. The
mental health practitioner can help the client cope with these feelings of anxiety. Mental
health practitioners don't evaluate whether the client is a surgical candidate. None of the
evidence suggests that urinary diversion surgery, such as creation of an ileal conduit, places
the client at risk for suicide. Although evaluating the need for mental health intervention is
always important, this client displays no behavioral changes that suggest intervention is
necessary at this time.
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