lOMoARcPSD|5422489
RN ATI ADULT MEDSURG PROCTORED EXAM WITH NGN
A patient with a parent that has polycystic kidney disease does not want to have
genetic testing done for polycystic kidney disease because they are worried that
health insurance will be discontinued if genetic abnormalities are found. Based on
the nurse’s knowledge of the Genetic Information Nondiscrimination Act (GINA),
what should the nurse teach this patient?
GINA should protect her from this happening.
GINA health coverage nondiscrimination protection also extends
to life insurance. GINA will only protect her after she is
diagnosed with polycystic kidney disease.
GINA does not extend to cover preexisting conditions.
GINA prohibits discrimination in health care coverage and employment based on
genetic information but does not extend to life insurance, disability insurance, or
long-term care insurance.
Question 2
, lOMoARcPSD|5422489
pts
A patient had abdominal surgery last week and returns to the clinic for follow-up.
The nurse assesses thick, white, malodorous drainage. How should the nurse
document this drainage?
Purule
nt
Serous
Fibrino
us
Catarrh
al
Purulent drainage consists of white blood cells, microorganisms, and other debris
that signal an infection. Serous drainage is a thin, watery, clear or yellowish
drainage frequently seen with broken blisters. Fibrinous drainage occurs with
fibrinogen leakage and is thick and sticky. Catarrhal drainage occurs when there are
cells that produce mucus associated with the inflammatory response
Question 3
pts
, lOMoARcPSD|5422489
A young mother is worried that her female baby will have hemophilia because the
baby’s father has it. How should the nurse explain this genetic disorder to the
young mother?
Nearly all affected people are male.
, lOMoARcPSD|5422489
The daughter has a 50% chance of being affected.
If the mother is a carrier, the patient could have
hemophilia. Daughters of affected males will be
carriers.
Because hemophilia is an X-linked recessive genetic disorder, hemophilia results
from a mutated gene on an X chromosome. Whereas mothers always contribute
an X chromosome to their offspring, fathers contribute X to their female children
and Y to their male children. If the mother is a carrier, there is a 25% chance that
the daughter could have hemophilia and a 25% chance that she will be a carrier. If
the mother is not a carrier, the daughter in this case will have a 50% chance of
being a carrier from her father’s affected X chromosome.
Question 4
pts
For which individual is genetic carrier screening indicated?
A patient with a family history of sickle cell disease
RN ATI ADULT MEDSURG PROCTORED EXAM WITH NGN
A patient with a parent that has polycystic kidney disease does not want to have
genetic testing done for polycystic kidney disease because they are worried that
health insurance will be discontinued if genetic abnormalities are found. Based on
the nurse’s knowledge of the Genetic Information Nondiscrimination Act (GINA),
what should the nurse teach this patient?
GINA should protect her from this happening.
GINA health coverage nondiscrimination protection also extends
to life insurance. GINA will only protect her after she is
diagnosed with polycystic kidney disease.
GINA does not extend to cover preexisting conditions.
GINA prohibits discrimination in health care coverage and employment based on
genetic information but does not extend to life insurance, disability insurance, or
long-term care insurance.
Question 2
, lOMoARcPSD|5422489
pts
A patient had abdominal surgery last week and returns to the clinic for follow-up.
The nurse assesses thick, white, malodorous drainage. How should the nurse
document this drainage?
Purule
nt
Serous
Fibrino
us
Catarrh
al
Purulent drainage consists of white blood cells, microorganisms, and other debris
that signal an infection. Serous drainage is a thin, watery, clear or yellowish
drainage frequently seen with broken blisters. Fibrinous drainage occurs with
fibrinogen leakage and is thick and sticky. Catarrhal drainage occurs when there are
cells that produce mucus associated with the inflammatory response
Question 3
pts
, lOMoARcPSD|5422489
A young mother is worried that her female baby will have hemophilia because the
baby’s father has it. How should the nurse explain this genetic disorder to the
young mother?
Nearly all affected people are male.
, lOMoARcPSD|5422489
The daughter has a 50% chance of being affected.
If the mother is a carrier, the patient could have
hemophilia. Daughters of affected males will be
carriers.
Because hemophilia is an X-linked recessive genetic disorder, hemophilia results
from a mutated gene on an X chromosome. Whereas mothers always contribute
an X chromosome to their offspring, fathers contribute X to their female children
and Y to their male children. If the mother is a carrier, there is a 25% chance that
the daughter could have hemophilia and a 25% chance that she will be a carrier. If
the mother is not a carrier, the daughter in this case will have a 50% chance of
being a carrier from her father’s affected X chromosome.
Question 4
pts
For which individual is genetic carrier screening indicated?
A patient with a family history of sickle cell disease
