,NURS 232- NCLEX Online Textbook Questions Exam 5, Nursing
Program, Academic Year 2024–2025 – Practice Questions with
Correct Answers
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?
A) Nearly all affected people are male.
B) Daughters of affected males will have a 50% chance of being carriers.
C) The daughter has a 25% chance of being affected if the mother is not a carrier.
D) If the mother is a carrier, the child will have a 25% chance of having hemophilia.
D) If the mother is a carrier, the child will have a 25% chance of having hemophilia.
The patient has late stage non-small cell lung cancer. The health care provider is considering using
crizotinib for this patient. What should the nurse prepare the patient for before the medication is
prescribed?
A) Give chemotherapy first.
B) Test for hypersensitivity to this drug.
C) Test for the abnormal anaplastic lymphoma kinase (ALK) gene.
D) Test for gene abnormalities that will affect the appropriate dose.
C) Test for the abnormal anaplastic lymphoma kinase (ALK) gene.
The couple is adopting a baby. What health information related to the baby's biologic parents will be
most useful to the parents and the baby as she grows up?
A) The grandmother had breast cancer.
B) The family has a person with Down syndrome.
C) There is a family history of Alzheimer's disease.
D) The family has familial adenomatous polyposis (FAP).
D) The family has familial adenomatous polyposis (FAP).
,The parents of a child diagnosed with cystic fibrosis ask the nurse what happened to cause this disease.
What is the best response by the nurse?
A) It is X-linked, so it was passed to the child from the mother.
B) It is a chromosome disorder that usually skips a generation.
C) It is autosomal recessive, so both copies of the gene are abnormal.
D) It is autosomal dominant, so the abnormal gene allele is expressed instead of the normal allele.
C) It is autosomal recessive, so both copies of the gene are abnormal.
Two adult children of a parent who has Huntington's disease cannot agree on whether or not to be
tested for Huntington's disease because of the cost. What assistance should the nurse give when
discussing presymptomatic genetic testing?
A) "If one child has the disease, the other will as well."
B) "A positive genetic mutation increases your risk of the disease."
C) "If there is a positive result, the patient will develop the disease."
D) "You can use a direct-to-consumer genetic test to make future life decisions."
C) "If there is a positive result, the patient will develop the disease."
A preschool child was diagnosed with type 1 diabetes. The parent says that no one else in the family has
had diabetes and asks why the child would get it. How should the nurse explain this complex disease?
A) It is a congenital disorder that the child was born with.
B) It is a single gene disorder, meaning only one gene mutation caused the disease.
C) It is a multifactorial genetic disorder caused by one or more genes and environmental factors.
D) It was an acquired genetic mutation, meaning that the child's offspring will not develop diabetes.
C) It is a multifactorial genetic disorder caused by one or more genes and environmental factors.
, For which person is genetic carrier screening indicated?
A) A patient with a history of type 1 diabetes.
B) A patient with a family history of sickle cell disease.
C) A patient whose mother and sister died of breast cancer.
D) A patient who has a long-standing history of iron-deficiency anemia.
B) A patient with a family history of sickle cell disease.
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 the patient?
A) GINA should protect her from this happening.
B) GINA does not extend to cover preexisting conditions.
C) GINA will only protect her after she is diagnosed with polycystic kidney disease.
D) GINA health coverage nondiscrimination protection also extends to life insurance.
A) GINA should protect her from this happening.
A patient is recovering in the intensive care unit (ICU) 24 hours after receiving a kidney transplant. What
is an expected assessment finding during the earliest stage of recovery?
A) Hypokalemia
B) Hyponatremia
C) Large urine output
D) Leukocytosis with cloudy urine output
C) Large urine output
A patient with end-stage renal disease (ESRD) secondary to diabetes has arrived at the outpatient
dialysis unit for hemodialysis. Which assessments should the nurse perform as a priority before, during,
and after the treatment?
Program, Academic Year 2024–2025 – Practice Questions with
Correct Answers
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?
A) Nearly all affected people are male.
B) Daughters of affected males will have a 50% chance of being carriers.
C) The daughter has a 25% chance of being affected if the mother is not a carrier.
D) If the mother is a carrier, the child will have a 25% chance of having hemophilia.
D) If the mother is a carrier, the child will have a 25% chance of having hemophilia.
The patient has late stage non-small cell lung cancer. The health care provider is considering using
crizotinib for this patient. What should the nurse prepare the patient for before the medication is
prescribed?
A) Give chemotherapy first.
B) Test for hypersensitivity to this drug.
C) Test for the abnormal anaplastic lymphoma kinase (ALK) gene.
D) Test for gene abnormalities that will affect the appropriate dose.
C) Test for the abnormal anaplastic lymphoma kinase (ALK) gene.
The couple is adopting a baby. What health information related to the baby's biologic parents will be
most useful to the parents and the baby as she grows up?
A) The grandmother had breast cancer.
B) The family has a person with Down syndrome.
C) There is a family history of Alzheimer's disease.
D) The family has familial adenomatous polyposis (FAP).
D) The family has familial adenomatous polyposis (FAP).
,The parents of a child diagnosed with cystic fibrosis ask the nurse what happened to cause this disease.
What is the best response by the nurse?
A) It is X-linked, so it was passed to the child from the mother.
B) It is a chromosome disorder that usually skips a generation.
C) It is autosomal recessive, so both copies of the gene are abnormal.
D) It is autosomal dominant, so the abnormal gene allele is expressed instead of the normal allele.
C) It is autosomal recessive, so both copies of the gene are abnormal.
Two adult children of a parent who has Huntington's disease cannot agree on whether or not to be
tested for Huntington's disease because of the cost. What assistance should the nurse give when
discussing presymptomatic genetic testing?
A) "If one child has the disease, the other will as well."
B) "A positive genetic mutation increases your risk of the disease."
C) "If there is a positive result, the patient will develop the disease."
D) "You can use a direct-to-consumer genetic test to make future life decisions."
C) "If there is a positive result, the patient will develop the disease."
A preschool child was diagnosed with type 1 diabetes. The parent says that no one else in the family has
had diabetes and asks why the child would get it. How should the nurse explain this complex disease?
A) It is a congenital disorder that the child was born with.
B) It is a single gene disorder, meaning only one gene mutation caused the disease.
C) It is a multifactorial genetic disorder caused by one or more genes and environmental factors.
D) It was an acquired genetic mutation, meaning that the child's offspring will not develop diabetes.
C) It is a multifactorial genetic disorder caused by one or more genes and environmental factors.
, For which person is genetic carrier screening indicated?
A) A patient with a history of type 1 diabetes.
B) A patient with a family history of sickle cell disease.
C) A patient whose mother and sister died of breast cancer.
D) A patient who has a long-standing history of iron-deficiency anemia.
B) A patient with a family history of sickle cell disease.
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 the patient?
A) GINA should protect her from this happening.
B) GINA does not extend to cover preexisting conditions.
C) GINA will only protect her after she is diagnosed with polycystic kidney disease.
D) GINA health coverage nondiscrimination protection also extends to life insurance.
A) GINA should protect her from this happening.
A patient is recovering in the intensive care unit (ICU) 24 hours after receiving a kidney transplant. What
is an expected assessment finding during the earliest stage of recovery?
A) Hypokalemia
B) Hyponatremia
C) Large urine output
D) Leukocytosis with cloudy urine output
C) Large urine output
A patient with end-stage renal disease (ESRD) secondary to diabetes has arrived at the outpatient
dialysis unit for hemodialysis. Which assessments should the nurse perform as a priority before, during,
and after the treatment?
