ADN Level 3 Final Exam | 2025/2026 | Latest
update
A 13-year-old child is A. After amputation, phantom limb pain is a temporary
diagnosed with Ewing's condition that some children may experience. This sensation of
sarcoma of the femur. After a burning, aching, or cramping in the missing limb is most
course of radiation and distressing to the child. The child needs to be reassured that
chemotherapy, it has been the condition is normal and only temporary. Options 2, 3, & 4
decided that leg amputation is are inappropriate to the child. Use therapeutic communication
necessary. After the amputation, techniques. Note that the subject of the question relates to
the child becomes very alleviating the child's fear. Options 2, 3, & 4 imply that this pain
frightened because of aching may be permanent. Review care of a child after amputation if
and cramping felt in the you had difficulty with this question.
missing limb. Which nursing
statement would be appropriate
to assist in alleviating the
child's fear?
a) "This aching and cramping is
normal and temporary and will
subside."
b) "This normally occurs after
the surgery and we will teach
you ways to deal with it."
c) "The pain medication that I
give you will take these
feelings away."
d) "This pain is not real pain, and
relaxation exercises will help it
go away."
The nurse is assigned to care B. Hemiparesis is a weakness of one side of the body that may
for a client with complete right- occur after a stroke. Complete hemiparesis is weakness of the
sided hemiparesis. The nurse face and tongue, arm, and leg on one side. Complete bilateral
plans care knowing that in this paralysis does not occur in this condition. The client with
condition: right- sided hemiparesis has weakness of the right arm and leg
a) the client has complete and needs assistance with feeding, bathing, and ambulating.
bilateral paralysis of the Use the process of elimination. Note the strategic words
arms and legs complete right-sided and focus on the subject: hemiparesis.
b) the client has weakness on Recalling that hemiparesis indicates weakness and focusing on
the right side of the body, the strategic words will direct you to option B. Review the
including the face and tongue description of hemiparesis and care of the client with
c) the client has lost the ability hemiparesis if you had difficulty with this question.
to move the right arm but is
,able to walk independently
d) the client has lost the ability
to ambulate independently
but is able to feed and bathe
himself or herself without
assistance.
,A nurse is caring for a child D. Cerebral palsy is a chronic disability characterized by
recently diagnosed with impaired movement and posture resulting from an abnormality
cerebral palsy, and the parents in the extrapyramidal or pyramidal motor system.
of the child ask the nurse about Meningitis is an infection process of the CNS.
the disorder. The nurse bases Encephalitis is an inflammation of the brain that occurs as a
her response on the result of a viral illness or CNS infection.
understanding that cerebral Down syndrome is an example of a congenital condition that
palsy is: results in moderate to severe retardation.
a) An infectious disease of Use the process of elimination. Eliminate options 1&2 first,
the central nervous noting that they are comparable or alike. Next, note the
system relationship between the words "palsy" in the question and
b)An inflammation of the brain "impaired muscle movement" in D.
as a result of a viral illness
c) A congenital condition that
results in moderately to
severe retardation
d) A chronic disability
characterized by impaired
muscle movement and
posture
A 32-year-old woman recently A - Serum albumin levels help determine whether protein intake
diagnosed with Hodgkin's is sufficient. Proteins are broken down into amino acids during
disease is admitted for digestion. Amino acids are absorbed in the small intestine, and
staging by undergoing a bone albumin is built from amino acids. The red blood cell count,
marrow aspiration and biopsy. bilirubin levels, and reticulocyte count do not indicate
To obtain more information protein intake.
about the client's nutrition
status the nurse should review
the results of which of the
following tests?
a) Albumin level.
b) Reticulocyte count.
c) Red blood cell count.
d) Direct and indirect bilirubin
levels.
An infant underwent surgery C - Bulging fontanels in an infant may indicated increased
to remove a intracranial pressure, a possible postoperative complication.
myelomeningocele. The infant Calming the infant, teaching the parent, and repositioning the
has bulging fontanels. Which infant will not address the underlying problem of increased
of the following is the nurse's intracranial pressure within the skull. Calling the healthcare
best action? provider is indicated.
a) Calm the infant
b)Teach parent about procedure
c) Notify the healthcare provider
, d) Reposition
infant
Which of the following is a D - Weighing the diaper before applying it to the newborn,
common method of evaluating infant, or toddler, and then weighing it after micturition will
the urine output for newborns, help evaluate the urine output. The difference between the wet
infants, and toddlers who are diaper and the dry one will give the amount of urine (1 g = 1
not potty trained. mL, so amounts may be recorded in milliliters). Weighing the
child or measuring the formula will not give an indication of
a) Monitoring the amount of time evaluating the urine output in this situation.
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
update
A 13-year-old child is A. After amputation, phantom limb pain is a temporary
diagnosed with Ewing's condition that some children may experience. This sensation of
sarcoma of the femur. After a burning, aching, or cramping in the missing limb is most
course of radiation and distressing to the child. The child needs to be reassured that
chemotherapy, it has been the condition is normal and only temporary. Options 2, 3, & 4
decided that leg amputation is are inappropriate to the child. Use therapeutic communication
necessary. After the amputation, techniques. Note that the subject of the question relates to
the child becomes very alleviating the child's fear. Options 2, 3, & 4 imply that this pain
frightened because of aching may be permanent. Review care of a child after amputation if
and cramping felt in the you had difficulty with this question.
missing limb. Which nursing
statement would be appropriate
to assist in alleviating the
child's fear?
a) "This aching and cramping is
normal and temporary and will
subside."
b) "This normally occurs after
the surgery and we will teach
you ways to deal with it."
c) "The pain medication that I
give you will take these
feelings away."
d) "This pain is not real pain, and
relaxation exercises will help it
go away."
The nurse is assigned to care B. Hemiparesis is a weakness of one side of the body that may
for a client with complete right- occur after a stroke. Complete hemiparesis is weakness of the
sided hemiparesis. The nurse face and tongue, arm, and leg on one side. Complete bilateral
plans care knowing that in this paralysis does not occur in this condition. The client with
condition: right- sided hemiparesis has weakness of the right arm and leg
a) the client has complete and needs assistance with feeding, bathing, and ambulating.
bilateral paralysis of the Use the process of elimination. Note the strategic words
arms and legs complete right-sided and focus on the subject: hemiparesis.
b) the client has weakness on Recalling that hemiparesis indicates weakness and focusing on
the right side of the body, the strategic words will direct you to option B. Review the
including the face and tongue description of hemiparesis and care of the client with
c) the client has lost the ability hemiparesis if you had difficulty with this question.
to move the right arm but is
,able to walk independently
d) the client has lost the ability
to ambulate independently
but is able to feed and bathe
himself or herself without
assistance.
,A nurse is caring for a child D. Cerebral palsy is a chronic disability characterized by
recently diagnosed with impaired movement and posture resulting from an abnormality
cerebral palsy, and the parents in the extrapyramidal or pyramidal motor system.
of the child ask the nurse about Meningitis is an infection process of the CNS.
the disorder. The nurse bases Encephalitis is an inflammation of the brain that occurs as a
her response on the result of a viral illness or CNS infection.
understanding that cerebral Down syndrome is an example of a congenital condition that
palsy is: results in moderate to severe retardation.
a) An infectious disease of Use the process of elimination. Eliminate options 1&2 first,
the central nervous noting that they are comparable or alike. Next, note the
system relationship between the words "palsy" in the question and
b)An inflammation of the brain "impaired muscle movement" in D.
as a result of a viral illness
c) A congenital condition that
results in moderately to
severe retardation
d) A chronic disability
characterized by impaired
muscle movement and
posture
A 32-year-old woman recently A - Serum albumin levels help determine whether protein intake
diagnosed with Hodgkin's is sufficient. Proteins are broken down into amino acids during
disease is admitted for digestion. Amino acids are absorbed in the small intestine, and
staging by undergoing a bone albumin is built from amino acids. The red blood cell count,
marrow aspiration and biopsy. bilirubin levels, and reticulocyte count do not indicate
To obtain more information protein intake.
about the client's nutrition
status the nurse should review
the results of which of the
following tests?
a) Albumin level.
b) Reticulocyte count.
c) Red blood cell count.
d) Direct and indirect bilirubin
levels.
An infant underwent surgery C - Bulging fontanels in an infant may indicated increased
to remove a intracranial pressure, a possible postoperative complication.
myelomeningocele. The infant Calming the infant, teaching the parent, and repositioning the
has bulging fontanels. Which infant will not address the underlying problem of increased
of the following is the nurse's intracranial pressure within the skull. Calling the healthcare
best action? provider is indicated.
a) Calm the infant
b)Teach parent about procedure
c) Notify the healthcare provider
, d) Reposition
infant
Which of the following is a D - Weighing the diaper before applying it to the newborn,
common method of evaluating infant, or toddler, and then weighing it after micturition will
the urine output for newborns, help evaluate the urine output. The difference between the wet
infants, and toddlers who are diaper and the dry one will give the amount of urine (1 g = 1
not potty trained. mL, so amounts may be recorded in milliliters). Weighing the
child or measuring the formula will not give an indication of
a) Monitoring the amount of time evaluating the urine output in this situation.
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
