Question 1

A patient planning to have genetic testing prior to having children tells the nurse that she is fearful that people will learn about the testing and the results. How should the nurse respond to this concern?

Accepted Answer

A)   "The results of the tests are confidential, and no one can see them without your permission."
B)   "Most insurance companies will want the results before paying for the tests."
C)   "The results will be available to anyone who reviews your medical record."
D)   "The doctor will most likely use the results when planning care and treatment for other patients with the same genetic disorder."E) A) and B)
F) C) and D)

Question 2

The nurse works in a geneticist's office and is educating a new employee about human cells. Which statement by the employee indicates an understanding of the information?. Select all that apply.

Accepted Answer

A)   "Every human cell has 23 pairs of chromosomes and a total of 46 chromosomes."
B)   "Genes are found in the nucleus of all cells."
C)   "Each human cell contains mitochondria."
D)   "The 22nd pair of chromosomes determines the person's gender."
E)   "All human cells function in the same way regardless of their location."F) C) and E)
G) A) and E)

Question 3

The nurse is conducting a class for expectant parents who need genetic counseling. Which statement by a parent would indicate the need for further education?

Accepted Answer

A)   "The reason men and women are so different from one another is that none of their chromosomes are alike."
B)   "Half of the sets of chromosomes come from the mother and the other half come from the father."
C)   "The 23rd pair of chromosomes will determine if our child will be male or female."
D)   "One Y chromosome and one X chromosome will produce a male child."E) A) and B)
F) A) and C)

Question 4

A patient has been told that her unborn child has Down syndrome. Which information will the nurse include when teaching the patient about the etiology of this disorder?

Accepted Answer

A)   "Down syndrome is the most common type of trisomy, which occurs when there is an extra chromosome."
B)   "Most Down syndrome is caused by monosomy."
C)   "Down syndrome occurs as a result of breaks in chromosomes called translocations."
D)   "Deletions or loss of part of a chromosome is a common cause of Down syndrome."E) B) and C)
F) All of the above

Question 5

A baby is born with a genetic disorder that did not affect either of the parents. What would the nurse deduce about this situation?

Accepted Answer

A)   The mother is the carrier of the disorder.
B)   The father is the carrier of the disorder.
C)   The father is not the biological father of the baby.
D)   Both parents are carriers of the disorder.E) C) and D)
F) None of the above

Question 6

A patient is upset to hear the nurse say that the results of genetic testing revealed "wild-type" genes. What information should the nurse provide?

Accepted Answer

A)   "This term means your genes are unaltered and are considered the normal type."
B)   "Your genes are considered normal for the most part but do have some limitations."
C)   "We detected some abnormalities in your genes."
D)   "The results of your genetic test were unexpected."E) C) and D)
F) A) and C) A

Question 7

The patient has blue eyes. During the interview with the nurse at the geneticist's office, the patient states that his mother has blue eyes and his father has brown eyes. Which statements by the nurse are accurate?. Select all that apply.

Accepted Answer

A)   "You have two identical alleles that are responsible for your eye color."
B)   "The alleles responsible for your eye color are heterozygous."
C)   "Your eye color is the result of an expressed gene."
D)   "Alleles are forms of a gene."
E)   "Your eye color is just one part of your phenotype."F) B) and E)
G) D) and E) B,C,D,E

Question 8

Upon the completion of genetic testing for breast cancer, a patient is happy to learn that the test results are negative. What information should the nurse provide?

Accepted Answer

A)   "You should be relieved to know you will never experience breast cancer."
B)   "None of your children will be at risk for breast cancer either."
C)   "Your children will be at risk for breast cancer only if there is a random change in a chromosome."
D)   "There is no guarantee that you will never experience breast cancer."E) A) and B)
F) C) and D) D

Question 9

A patient tells the nurse that she does not want to pass on a genetic disorder to any future children. What is the nurse's most accurate response?

Accepted Answer

A)   "A complete genetic study could help guide you in your decision making."
B)   "I suppose, then, that you are not going to have any children."
C)   "Adoption is always a possibility."
D)   "Just because the disease is genetic doesn't mean your children will inherit it."E) A) and D)
F) C) and D)

Question 10

At the completion of genetic testing, it has been determined that a patient's baby will have Down syndrome. What should the nurse say to the patient after learning this information?

Accepted Answer

A)   "I realize that this news is difficult for you. Is there anything I can do to help you at this time?"
B)   "It's not too late to consider ending the pregnancy."
C)   "You are young enough to be able to handle the baby's challenges."
D)   "It does not matter if the baby has problems; all life is precious."E) All of the above
F) A) and B)

Question 11

A fetus is found to have an autosomal recessive condition. After genetic testing is completed, both parents are found to have the same genetic alteration. Which statements by a parent indicate that further education is required?. Select all that apply.

Accepted Answer

A)   "This condition is related to a genetic alteration of the X chromosome."
B)   "This condition is a Mendelian condition."
C)   "So we are carriers of this condition because we don't have any signs or symptoms of the condition."
D)   "Our baby would have a better chance of living if we were both positive for an autosomal dominant condition."
E)   "The problem is the result of an alteration of a single gene."F) A) and B)
G) B) and C)

Question 12

A patient is having difficulty achieving adequate anticoagulation with prescribed doses of warfarin. What information should the nurse offer this patient?

Accepted Answer

A)   "Some people metabolize medications differently because of their genetic makeup."
B)   "You are probably not taking the medication correctly."
C)   "There must be something you are eating that is interfering with the drug."
D)   "Something in your lifestyle is interfering with the action of the medication."E) A) and C)
F) A) and B)

Question 13

A patient is concerned about transmitting genetic illnesses to any future children. What can the nurse do initially to help the patient determine which diseases might be transmitted?

Accepted Answer

A)   Work with the patient to complete a pedigree.
B)   Conduct a health promotion assessment.
C)   Schedule a complete genetic analysis.
D)   Refer the patient to a geneticist for diagnosis.E) B) and D)
F) B) and C)

Question 14

A patient who has been diagnosed with Parkinson's disease expresses hopelessness regarding the future. The nurse would consider which genetic technology when formulating a response?

Accepted Answer

A)   Gene therapy
B)   Real-time PCR
C)   Stem cell therapy
D)   Microarray analysisE) All of the above
F) C) and D)

Question 15

The mother of a child with cystic fibrosis says, "No one in our family has ever had cystic fibrosis. Why did it suddenly appear in my child?" What information should the nurse offer this mother?

Accepted Answer

A)   "While all people carry the gene for cystic fibrosis, those who develop the disease have a mutation in that gene."
B)   "A small percentage of the general population carries the gene for cystic fibrosis. If two carriers have children, 25% of those children will develop the disease."
C)   "One in four people carries the gene for cystic fibrosis. If two carriers have children, 25% of those children will develop the disease."
D)   "Some people carry the gene for cystic fibrosis. Of those carriers, one in four will develop the disease."E) C) and D)
F) B) and D)

Question 16

A patient planning to be married tells the nurse that she has a strong family history of Huntington's chorea but does not plan to let her fiancé know. How should the nurse respond?

Accepted Answer

A)   "Is there any reason you do not want your fiancé to know about your genetic illness?"
B)   "It is probably best that he is not aware of the disease."
C)   "Are you afraid he will not want to marry you if he knows?"
D)   "There are worse disease processes than Huntington's chorea."E) A) and C)
F) None of the above

Question 17

At the conclusion of genetic testing, a patient learns that he has a predisposition for developing cardiovascular disease at a young age. Which instruction should the nurse provide this patient?

Accepted Answer

A)   "This information can help guide you to make lifestyle changes to reduce your chances of developing cardiovascular disease."
B)   "At least you know now that you will need cardiac bypass surgery."
C)   "As you are likely to develop the disease early in life, enjoy your life as much as possible now."
D)   "I would not place too much emphasis on these test results, as most of the time they are inconclusive."E) B) and D)
F) C) and D)

Question 18

A patient tells the nurse that she is genetically predisposed to type 2 diabetes. The patient is hypertensive and smokes a pack of cigarettes daily. What information should the nurse provide for this patient?

Accepted Answer

A)   "Maintaining a healthy weight and activity level will help you avoid type 2 diabetes."
B)   "Unfortunately, you are probably predestined to develop type 2 diabetes."
C)   "You probably need to begin monitoring your blood glucose levels daily."
D)   "The risk of developing diabetes is several years away, and you have other health problems to consider now."E) A) and C)
F) None of the above

Exam 7: Genetics

A patient planning to have genetic testing prior to having children tells the nurse that she is fearful that people will learn about the testing and the results. How should the nurse respond to this concern?

Correct Answer
verified

The nurse works in a geneticist's office and is educating a new employee about human cells. Which statement by the employee indicates an understanding of the information?. Select all that apply.

Correct Answer
verified

The nurse is conducting a class for expectant parents who need genetic counseling. Which statement by a parent would indicate the need for further education?

Correct Answer
verified

A patient has been told that her unborn child has Down syndrome. Which information will the nurse include when teaching the patient about the etiology of this disorder?

Correct Answer
verified

A baby is born with a genetic disorder that did not affect either of the parents. What would the nurse deduce about this situation?

Correct Answer
verified

A patient is upset to hear the nurse say that the results of genetic testing revealed "wild-type" genes. What information should the nurse provide?

Correct Answer
verified
A

The patient has blue eyes. During the interview with the nurse at the geneticist's office, the patient states that his mother has blue eyes and his father has brown eyes. Which statements by the nurse are accurate?. Select all that apply.

Correct Answer
verified
B,C,D,E

Upon the completion of genetic testing for breast cancer, a patient is happy to learn that the test results are negative. What information should the nurse provide?

Correct Answer
verified
D

A patient tells the nurse that she does not want to pass on a genetic disorder to any future children. What is the nurse's most accurate response?

Correct Answer
verified

At the completion of genetic testing, it has been determined that a patient's baby will have Down syndrome. What should the nurse say to the patient after learning this information?

Correct Answer
verified

A fetus is found to have an autosomal recessive condition. After genetic testing is completed, both parents are found to have the same genetic alteration. Which statements by a parent indicate that further education is required?. Select all that apply.

Correct Answer
verified

A patient is having difficulty achieving adequate anticoagulation with prescribed doses of warfarin. What information should the nurse offer this patient?

Correct Answer
verified

A patient is concerned about transmitting genetic illnesses to any future children. What can the nurse do initially to help the patient determine which diseases might be transmitted?

Correct Answer
verified

A patient who has been diagnosed with Parkinson's disease expresses hopelessness regarding the future. The nurse would consider which genetic technology when formulating a response?

Correct Answer
verified

The mother of a child with cystic fibrosis says, "No one in our family has ever had cystic fibrosis. Why did it suddenly appear in my child?" What information should the nurse offer this mother?

Correct Answer
verified

A patient planning to be married tells the nurse that she has a strong family history of Huntington's chorea but does not plan to let her fiancé know. How should the nurse respond?

Correct Answer
verified

At the conclusion of genetic testing, a patient learns that he has a predisposition for developing cardiovascular disease at a young age. Which instruction should the nurse provide this patient?

Correct Answer
verified

A patient tells the nurse that she is genetically predisposed to type 2 diabetes. The patient is hypertensive and smokes a pack of cigarettes daily. What information should the nurse provide for this patient?

Correct Answer
verified

Exam 7: Genetics

A patient planning to have genetic testing prior to having children tells the nurse that she is fearful that people will learn about the testing and the results. How should the nurse respond to this concern?

Correct AnswerverifiedShow Answer

The nurse works in a geneticist's office and is educating a new employee about human cells. Which statement by the employee indicates an understanding of the information?. Select all that apply.

Correct AnswerverifiedShow Answer

The nurse is conducting a class for expectant parents who need genetic counseling. Which statement by a parent would indicate the need for further education?

Correct AnswerverifiedShow Answer

A patient has been told that her unborn child has Down syndrome. Which information will the nurse include when teaching the patient about the etiology of this disorder?

Correct AnswerverifiedShow Answer

A baby is born with a genetic disorder that did not affect either of the parents. What would the nurse deduce about this situation?

Correct AnswerverifiedShow Answer

A patient is upset to hear the nurse say that the results of genetic testing revealed "wild-type" genes. What information should the nurse provide?

Correct AnswerverifiedA

The patient has blue eyes. During the interview with the nurse at the geneticist's office, the patient states that his mother has blue eyes and his father has brown eyes. Which statements by the nurse are accurate?. Select all that apply.

Correct AnswerverifiedB,C,D,E

Upon the completion of genetic testing for breast cancer, a patient is happy to learn that the test results are negative. What information should the nurse provide?

Correct AnswerverifiedD

A patient tells the nurse that she does not want to pass on a genetic disorder to any future children. What is the nurse's most accurate response?

Correct AnswerverifiedShow Answer

At the completion of genetic testing, it has been determined that a patient's baby will have Down syndrome. What should the nurse say to the patient after learning this information?

Correct AnswerverifiedShow Answer

A fetus is found to have an autosomal recessive condition. After genetic testing is completed, both parents are found to have the same genetic alteration. Which statements by a parent indicate that further education is required?. Select all that apply.

Correct AnswerverifiedShow Answer

A patient is having difficulty achieving adequate anticoagulation with prescribed doses of warfarin. What information should the nurse offer this patient?

Correct AnswerverifiedShow Answer

A patient is concerned about transmitting genetic illnesses to any future children. What can the nurse do initially to help the patient determine which diseases might be transmitted?

Correct AnswerverifiedShow Answer

A patient who has been diagnosed with Parkinson's disease expresses hopelessness regarding the future. The nurse would consider which genetic technology when formulating a response?

Correct AnswerverifiedShow Answer

The mother of a child with cystic fibrosis says, "No one in our family has ever had cystic fibrosis. Why did it suddenly appear in my child?" What information should the nurse offer this mother?

Correct AnswerverifiedShow Answer

A patient planning to be married tells the nurse that she has a strong family history of Huntington's chorea but does not plan to let her fiancé know. How should the nurse respond?

Correct AnswerverifiedShow Answer

At the conclusion of genetic testing, a patient learns that he has a predisposition for developing cardiovascular disease at a young age. Which instruction should the nurse provide this patient?

Correct AnswerverifiedShow Answer

A patient tells the nurse that she is genetically predisposed to type 2 diabetes. The patient is hypertensive and smokes a pack of cigarettes daily. What information should the nurse provide for this patient?

Correct AnswerverifiedShow Answer

Correct Answer
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Correct Answer
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A

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B,C,D,E

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D

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