NSG 6420 WK1 Latest Update -

NSG 6420 WK1 Latest Update - Exam Questions and 100% Verified Correct Answers Guaranteed A+

A woman with an X-linked dominant disorder will:

•Not be affected by the disorder herself •Transmit the disorder to 50% of her offspring (male or female) • Not transmit the disorder to her daughters •Transmit the disorder to only her daughters - CORRECT ANSWER: •Transmit the disorder to 50% of her offspring (male or female)

According to the Genetic Information Nondiscrimination Act (GINA):

•Nurse Practitioners should keep all genetic information of patients confidential •NPs must obtain informed consent prior to genetic testing of all patients •Employers cannot inquire about an employee's genetic information

•All of the above - CORRECT ANSWER: Employers cannot inquire about an

employee's genetic information

Essential parts of a health history include all of the following except:

•Chief complaint

•History of the present illness

•Current vital signs

•All of the above are essential history components - CORRECT ANSWER: Current vital signs

Vital signs are part of the physical examination portion of patient assessment, not part of the health history

Functional abilities are best assessed by :

• Self-report of function

• Observed assessment of function

• A comprehensive head-to-toe examination

D. Family report of function - CORRECT ANSWER: B. Observed assessment of

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In addition to the complete blood count (CBC) with differential, which of the following laboratory tests is considered to be most useful in diagnosing ACD and IDA?

•Serum iron •Total iron binding capacity •Transferrin saturation

•Serum ferritin - CORRECT ANSWER: Serum ferritin

In AR disorders, carriers have:

• Two mutated genes; two from one parent that cause disease
• A mutation on a sex chromosome that causes a disease
• A single gene mutation that causes the disease

D. One copy of a gene mutation but not the disease - CORRECT ANSWER: D. One

copy of a gene mutation but not the disease Rationale: Individuals who have an AR disorder have two mutated genes, one on each allele of the chromosome. Parents of an affected person are called carriers because each parent carries one copy of the mutation on one chromosome and a normal gene on the other chromosome. Carriers typically are not affected by the disease. In pedigrees with an AR inheritance patterns, males and females will be equally affected because the gene mutation is on an autosome. Goolsby page 28

In order to provide a comprehensive genetic history of a patient, the NP should:

Aa. Ask patients to complete a family history worksheet

• Seek out pathology reports related to the patient's disorder
• Interview family members regarding genetic disorders
• All of the above - CORRECT ANSWER: CORRECT ANSWER: D

Asking the patient to complete a family history worksheet prior to the appointment saves time in the visit while offering the patient an opportunity to contribute to the collection of an accurate family history. Reviewing the family information can also help establish family rapport while verifying medical conditions in individual family members. If a hereditary condition is being considered but family medical information is unclear or unknown, requesting medical records and pathology or autopsy reports may be warranted.

Iron Deficiency Anemia (IDA) is classified as a microcytic, hypochromic anemia. This classification refers to which of the following laboratory data?

•Hemoglobin and Hematocrit

•Mean Corpuscular Volume (MCV) and Mean Corpuscular Hemoglobin (MCH)

•Serum ferritin and serum iron

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