Monahan Phipps Medical Surgical 8th Edition By Monahan -Test Bank

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Monahan Phipps Medical Surgical 8th Edition By Monahan -Test Bank

Monahan: Phipps’ Medical-Surgical Nursing: Health and Illness

Perspectives, 8^th Edition

Test Bank

Chapter 5: Genetics and Disease

MULTIPLE CHOICE

1. Sex-linked inheritance usually results in the:

1.	Carrier state in both males and females
2.	Expression of a disease or trait in both males and females
3.	Carrier state in females and the expression of a disease or trait in males
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:

1.	An inherited chromosomal disorder
2.	Autosomal recessive inheritance
3.	Sex-linked inheritance
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:

1.	Sickle cell anemia
2.	Duchenne muscular dystrophy
3.	Down syndrome
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:

1.	Visible expression of an individual’s genetic makeup
2.	Map of paired chromosomes
3.	Genetic profile of an individual
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:

1.	Translocation of chromosomal segments
2.	An additional chromosome at one location
3.	An affected gene causing retardation
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?

1.	44
2.	46
3.	24
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:

1.	“Examining a family pedigree is helpful in identifying inheritance patterns.”
2.	“A genetic profile provides information about an individual’s potential risks and susceptibility to disease.”
3.	“People with a genetic mutation show signs of disease.”
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:

1.	Failure of a segment of chromosome to separate during meiosis
2.	Differences in severity of a disorder among people
3.	Worsening of a genetic condition in each succeeding generation
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:

1.	Linkage testing
2.	Direct DNA testing
3.	Protein analysis
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:

1.	Single-nucleotide polymorphisms are thought to affect how an individual may respond to certain drugs
2.	Nurses will need to explain to patients the use of genotype differences in medication selection
3.	A major goal of pharmacogenetics is to reduce adverse drug reactions
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

MAECENAS IACULIS

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ADIPISCING CONVALLIS BULUM

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