,NURS 232 - NCLEX Exam 5 Practice
Questions with Correct Answers
(Comprehensive Review: Genetics, Renal,
Endocrine, Reproductive & Emergency
Nursing)/NURS 232 - NCLEX Online
Textbook Questions Exam 5.
A woman with ovarian cancer would like to know which kind of genetic testing could help
prevent her daughters from getting ovarian cancer. What should the nurse tell this patient?
A) Forensic testing
B) Carrier screening
C) Predictive testing
D) Prenatal diagnostic testing
C) Predictive testing
A couple is delivering their first child. What newborn genetic screening should the nurse teach
them about? (Select all that apply.)
A) Phenylketonuria
B) Dienoyl-CoA reductase
C) Polycystic kidney disease
D) Congenital hypothyroidism
E) Hereditary nonpolyposis colorectal cancer syndrome
A) Phenylketonuria
D) Congenital Hypothyroidism
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?
Questions with Correct Answers
(Comprehensive Review: Genetics, Renal,
Endocrine, Reproductive & Emergency
Nursing)/NURS 232 - NCLEX Online
Textbook Questions Exam 5.
A woman with ovarian cancer would like to know which kind of genetic testing could help
prevent her daughters from getting ovarian cancer. What should the nurse tell this patient?
A) Forensic testing
B) Carrier screening
C) Predictive testing
D) Prenatal diagnostic testing
C) Predictive testing
A couple is delivering their first child. What newborn genetic screening should the nurse teach
them about? (Select all that apply.)
A) Phenylketonuria
B) Dienoyl-CoA reductase
C) Polycystic kidney disease
D) Congenital hypothyroidism
E) Hereditary nonpolyposis colorectal cancer syndrome
A) Phenylketonuria
D) Congenital Hypothyroidism
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?
