Monahan Phipps Medical Surgical 8th Edition By Monahan -Test Bank
Monahan: Phipps’ Medical-Surgical Nursing: Health and Illness
Perspectives, 8th Edition
Test Bank
Chapter 5: Genetics and Disease
MULTIPLE CHOICE
1. Sex-linked inheritance usually results in the:
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1. |
Carrier state in both males and females |
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2. |
Expression of a disease or trait in both males and females |
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3. |
Carrier state in females and the expression of a disease or trait in males |
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4. |
Expression of a disease or trait in females and the carrier state in males |
ANS: 3 PTS: 1 DIF: Category: Health promotion
TOP: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
2. The nurse caring for a patient with cystic fibrosis (CF) demonstrates an understanding of CF inheritance patterns when stating that CF is an example of a variation caused by:
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1. |
An inherited chromosomal disorder |
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2. |
Autosomal recessive inheritance |
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3. |
Sex-linked inheritance |
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4. |
Autosomal dominant inheritance |
ANS: 2 PTS: 1 DIF: Category: Pathophysiology
TOP:Nursing Process: Analysis/Nursing Diagnosis
MSC:Client Needs: Physiological Integrity
3. Prenatal testing will determine the presence of chromosomal anomalies such as:
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1. |
Sickle cell anemia |
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2. |
Duchenne muscular dystrophy |
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3. |
Down syndrome |
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4. |
Huntington’s disease |
ANS: 3 PTS: 1 DIF: Category: Antepartum care
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
4. A karotype is best described as a:
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1. |
Visible expression of an individual’s genetic makeup |
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2. |
Map of paired chromosomes |
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3. |
Genetic profile of an individual |
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4. |
Collection of genes in the nucleus of the cell |
ANS: 2 PTS: 1 DIF: Category: Reduction of risk potential
TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
5. Down syndrome is an example of a disorder in which there is:
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1. |
Translocation of chromosomal segments |
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2. |
An additional chromosome at one location |
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3. |
An affected gene causing retardation |
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4. |
Deletion of a portion of a gene |
ANS: 2 PTS: 1 DIF: Category: Coping mechanisms
TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
6. DNA in the human genome is arranged into what number of distinct chromosomes?
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1. |
44 |
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2. |
46 |
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3. |
24 |
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4. |
23 |
ANS: 3 PTS: 1 DIF: Category: Physiological adaptation
TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
7. The nurse who makes the following statement demonstrates the need for additional education in genetic science:
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1. |
“Examining a family pedigree is helpful in identifying inheritance patterns.” |
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2. |
“A genetic profile provides information about an individual’s potential risks and susceptibility to disease.” |
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3. |
“People with a genetic mutation show signs of disease.” |
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4. |
“Polymorphisms are differences in DNA structure that are common across a given population.” |
ANS: 3 PTS: 1 DIF: Category: Reduction of risk potential
TOP: Nursing Process: Planning MSC: Client Needs: Physiological Integrity
8. Penetrance refers to the:
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1. |
Failure of a segment of chromosome to separate during meiosis |
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2. |
Differences in severity of a disorder among people |
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3. |
Worsening of a genetic condition in each succeeding generation |
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4. |
Proportion of people with an affected gene who show symptoms |
ANS: 4 PTS: 1 DIF: Category: Reduction of risk potential
TOP:Nursing Process: Analysis/Nursing Diagnosis
MSC:Client Needs: Physiological Integrity
9. Testing genetic material from several family members for the presence of genetic markers believed to be located near an affected gene is an example of:
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1. |
Linkage testing |
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2. |
Direct DNA testing |
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3. |
Protein analysis |
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4. |
Analyte testing |
ANS: 1 PTS: 1 DIF: Category: Management of care: confidentiality
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
10. A nurse would demonstrate the need for more education in pharmacogenetics when stating that:
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1. |
Single-nucleotide polymorphisms are thought to affect how an individual may respond to certain drugs |
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2. |
Nurses will need to explain to patients the use of genotype differences in medication selection |
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3. |
A major goal of pharmacogenetics is to reduce adverse drug reactions |
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4. |
The medications used to treat disease are prescribed based on diagnosis, signs, and symptoms |
ANS: 4 PTS: 1 DIF: Category: Pharmacologic and parenteral therapies
TOP: Nursing Process: Evaluation MSC: Client Needs: Physiological Integrity
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