M/N - Week 2 - Durham/Chapman Ch.'s 3&4 Davis
NCLEX Practice Q's - Exam 1 Questions with Correct
Answers
A couple has decided to terminate their pregnancy based on the results
of genetic testing, which showed that the fetus has the genetic disorder
trisomy 21. Which of the following are appropriate nursing actions?
(Select all that apply)
1. Explain the stages of grief the couple will experience
2. Persuade the couple to reconsider their decision, as a human life is at
stake
3. Encourage the couple to communicate with each other and share
emotions
4. Refer the couple to a support group available in their community
5. Praise the couple for their decision and explain how difficult it is to
raise a child with Down syndrome Correct Answer-1, 3, 4
1. Explain the stages of grief the couple will experience
3. Encourage the couple to communicate with each other and share
emotions
4. Refer the couple to a support group available in their community
Feedback 1: The nurse should explain the stages of grief the couple will
experience.
Feedback 2: It would be inappropriate for the nurse to express his or her
own opinion regarding the couple's decision; it is their decision to make,
and it is not the nurse's place to second-guess it.
,Feedback 3: The nurse should encourage the couple to communicate
with each other and share emotions
Feedback 4: The nurse should refer the couple to a support group
available in their community.
Feedback 5: It would be inappropriate for the nurse to express his or her
own opinion regarding the couple's decision, even if in agreement.
A nurse is working with a woman in labor who has sickle cell anemia.
The nurse understands that this patient must have which of the following
combinations of genes related to this disorder?
1. Two dominant genes
2. A recessive gene and a dominant gene
3. Only one dominant gene, with the other gene missing
4. Two recessive genes Correct Answer-4. Two recessive genes
Genetic diseases or disorders, such as sickle cell anemia, are usually
related to a defective recessive gene and present in the developing
human when both pairs of the gene have the same defect.
A patient who is pregnant comments to the nurse that her breasts have
begun to enlarge recently. She asks the nurse what causes this. Which of
the following hormones should the nurse mention as being responsible
for stimulating this change?
1. Progesterone
, 2. Estrogen
3. Human chorionic gonadotropin
4. Human placental lactogen Correct Answer-2. Estrogen
Progesterone facilitates implantation and decreases uterine contractility.
Estrogen stimulates the enlargement of the breasts and uterus.
Human chorionic gonadotropin stimulates the corpus luteum so that it
will continue to secrete estrogen and progesterone until the placenta is
mature enough to secrete these hormones.
Human placental lactogen promotes fetal growth by regulating glucose
available to the developing human and stimulates breast development in
preparation for lactation.
A nurse is counseling a patient regarding discontinuing contraception in
anticipation of trying to become pregnant. Which of the following
instructions should the nurse give the patient?
1. Have two or three normal menstrual cycles before trying to conceive
2. Switch from hormonal contraception to an intrauterine device several
months before trying to conceive
3. If using Depo-Provera, continue taking injections until 1 month before
trying to conceive
4. Use only barrier methods of contraception for at least a year before
trying to conceive Correct Answer-1. Have two or three normal
menstrual cycles before trying to conceive
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller cracker. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.
