Adult Health II Final Exam with
CORRECT ANSWERS, INCLUDES
EXAM 2, 3 & 4 EXAM MATERIALS
Exam 1 Material
1. When counseling a couple in which the man has an autosomal recessive disorder and the
woman has no gene for the disorder, the nurse uses punnett squares to show the couple the
probability of their child having the disorder. Which statement by the nurse is accurate?
A: “Each child would be a carrier of the disorder”
2) The sister of a pt diagnosed with BRCA gene- related to breast cancer asks the nurse “do you think
I should be tested for this gene?” Which response by the nurse is most appropriate?
A: “There are many things to consider”
3) A male pt with hemophilia (X-linked recessive) asks the nurse if his children will be hemophiliacs.
The mother of the children does not carry the hemophilia gene. Which response by the nurse is
accurate?
A: “Your female children will be carriers”
4) When caring for a young adult pt who has abnormalities in the cytochrome P450 (CYP 450) gene,
which action will the nurse include in the pt’s plan of care?
A: Teach that some medications may not work effectively
5) Constance, an 81 year old pt with dehydration, explains to the nurse she does not understand how
she became dehydrated. The nurse explains the following (choose):
A: The loss of subcutaneous tissue, a reduced thirst drive, hormonal changes
6) A pt with a family history of CF asks for information about genetic testing. Which response is most
appropriate?
A: Refer the pt to a qualified genetic counselor
7) Which action will the nurse include in the plan of care for a pt who has thalassemia major?
A: administer iron chelation therapy as needed
8) IV KCl 60 mEq is prescribed for treatment of a pt with severe hypokalemia. Which action should the
nurse take?
A: Infuse the KCl at a rate of 10 mEq/hr
9) A pt who was involved in a motor vehicle crash has had a tracheostomy placed to allow continued
mechanical ventilation. How should the nurse interpret the following ABG’s: pH: 7.49, PaO2: 85
mmHg, PaCO2: 32 mm Hg, and HCO3: 25 mEq/L?
A: resp. Alkalosis
10) A post op. Pt who had surgery for a perforated gastric ulcer has been receiving NG suctioning for
3 days. The pt has a serum sodium level of 127 mEq/L. Which prescribed therapy should the nurse
question?
A: Infuse 5% dextrose in water a 125 mL/hr
11) A pt receives 3% NaCl solution for correction of hyponatremia. Which assessment is most
important for the nurse to monitor for while the pt is receiving this infusion?
A: Lung sounds
12) A pt who is lethargic and exhibits deep, rapid respirations has the following ABG results: pH: 7.32,
PaO2: 88 mm Hg, PaCO2: 37 mm Hg, HCO3: 16 mEq/L. How should the nurse interpret these results?
A: metabolic acidosis
13) A pt who has been receiving diuretic therapy is admitted to the ER with a serum potassium level
of 3.0 mEq/L. The nurse should alert the healthcare provider immediately that the pt is on what
, medication?
A: Digoxin (Lanoxin) 0.25 mg/day
CORRECT ANSWERS, INCLUDES
EXAM 2, 3 & 4 EXAM MATERIALS
Exam 1 Material
1. When counseling a couple in which the man has an autosomal recessive disorder and the
woman has no gene for the disorder, the nurse uses punnett squares to show the couple the
probability of their child having the disorder. Which statement by the nurse is accurate?
A: “Each child would be a carrier of the disorder”
2) The sister of a pt diagnosed with BRCA gene- related to breast cancer asks the nurse “do you think
I should be tested for this gene?” Which response by the nurse is most appropriate?
A: “There are many things to consider”
3) A male pt with hemophilia (X-linked recessive) asks the nurse if his children will be hemophiliacs.
The mother of the children does not carry the hemophilia gene. Which response by the nurse is
accurate?
A: “Your female children will be carriers”
4) When caring for a young adult pt who has abnormalities in the cytochrome P450 (CYP 450) gene,
which action will the nurse include in the pt’s plan of care?
A: Teach that some medications may not work effectively
5) Constance, an 81 year old pt with dehydration, explains to the nurse she does not understand how
she became dehydrated. The nurse explains the following (choose):
A: The loss of subcutaneous tissue, a reduced thirst drive, hormonal changes
6) A pt with a family history of CF asks for information about genetic testing. Which response is most
appropriate?
A: Refer the pt to a qualified genetic counselor
7) Which action will the nurse include in the plan of care for a pt who has thalassemia major?
A: administer iron chelation therapy as needed
8) IV KCl 60 mEq is prescribed for treatment of a pt with severe hypokalemia. Which action should the
nurse take?
A: Infuse the KCl at a rate of 10 mEq/hr
9) A pt who was involved in a motor vehicle crash has had a tracheostomy placed to allow continued
mechanical ventilation. How should the nurse interpret the following ABG’s: pH: 7.49, PaO2: 85
mmHg, PaCO2: 32 mm Hg, and HCO3: 25 mEq/L?
A: resp. Alkalosis
10) A post op. Pt who had surgery for a perforated gastric ulcer has been receiving NG suctioning for
3 days. The pt has a serum sodium level of 127 mEq/L. Which prescribed therapy should the nurse
question?
A: Infuse 5% dextrose in water a 125 mL/hr
11) A pt receives 3% NaCl solution for correction of hyponatremia. Which assessment is most
important for the nurse to monitor for while the pt is receiving this infusion?
A: Lung sounds
12) A pt who is lethargic and exhibits deep, rapid respirations has the following ABG results: pH: 7.32,
PaO2: 88 mm Hg, PaCO2: 37 mm Hg, HCO3: 16 mEq/L. How should the nurse interpret these results?
A: metabolic acidosis
13) A pt who has been receiving diuretic therapy is admitted to the ER with a serum potassium level
of 3.0 mEq/L. The nurse should alert the healthcare provider immediately that the pt is on what
, medication?
A: Digoxin (Lanoxin) 0.25 mg/day
