NURS 3340 All Quizzes Correctly Answered / Verified
Parents of a newborn are confused when their child is diagnosed with a genetic disorder because
neither of them has a defect. Testing is done and it is determined that both parents are carriers of
the disorder even though they are asymptomatic. Understanding the principles of the Mendelian
Pattern of Inheritance, the nurse determines what condition is the likely reason for this genetic
disorder?
A. X-linked dominant condition
B. Autosomal dominant condition
C. X-linked recessive condition
D. Autosomal recessive condition
D
If a disorder is _______________ , it means the affected person only needs to get the abnormal gene
from one parent to inherit the disease. One of the parents has to have the disorder. These disorders
involve altered genes on autosomes rather than the sex chromosomes X and Y. Both males and
females have an equal chance of being affected. There is a 50% chance of an affected child.
A. Autosomal dominant
B. Autosomal recessive
C. X-linked recessive
D. Multifactorial
A
What types of disorders are abnormalities that result from an abnormal sex chromosome?
A. Autosomal dominant
B. Autosomal recessive
C. Multifactorial
D. X-linked
D
Huntington's disease, neurofibromatosis-1, achondroplasia, and Marfan syndrome are examples of
genetic conditions transmitted by which pattern of inheritance?
A. Autosomal dominant
B. Autosomal recessive
C. X-linked recessive
D. Multifactorial
A
Beta-thalassemia, cystic fibrosis, Guacher disease, phenylketonuria, sickle cell disease, and Tay-Sachs
disease are examples of genetic conditions transmitted by which pattern of inheritance?
A. Autosomal dominant
B. Autosomal recessive
C. X-linked recessive
D. Multifactorial
B
,A client and her husband are positive for the sickle cell trait. The client asks the nurse about chances
of her children having sickle cell disease. Which of the following is an appropriate response by the
nurse?
A. one of her children will have sickle cell disease
B. only the male children will be affected
C. each pregnancy carries a 25% chance of the child being affected
D. if she had four children, one of them would have the disease
C
Which of the following are accurate statements concerning multifactorial inheritance? (Select all
that apply)
A. Most common genetic malfunction.
B. Fathers do not pass these disorders to their daughters or sons.
C. Combination of environmental and genetic factors.
D. Often occurs in people with no history of the disorder in their family.
E. Examples are cleft palate and neural tube defects.
F. Examples are Duchenne muscular dystrophy and hemophilia-A.
G. These disorders do not have a clear-cut pattern of inheritance.
H. These conditions tend to run in families.
ACEGH
Which of the following hereditary disorders is transmitted by autosomal recessive inheritance?
A. Cleft lip
B. Marfan syndrome
C. Osteogenesis imperfecta
D. Phenylketonuria
D
Applications of the principle of atraumatic care in the pediatric setting include which of the
following? (Select all that apply)
A. Use of "white lies" to minimize stress
B. Encouraging the family to room in with child
C. Identifying child/ family stressors
D. Effectively managing pain
E. Working independently of the parents
BCD
Which of the following does NOT demonstrate atraumatic care for the hospitalized child?
A. Use numbing medication (EMLA cream) on the skin before venipuncture.
B. Restrain the child, holding him down firmly during procedures to prevent injury.
C. Avoid use of irritating chemicals (such as alcohol) on the skin.
D. Never use needles and instruments which cause unnecessary pain.
B
Which of the following is the best example of appropriate communication with a young child in the
hospital setting?
A. "I'm going to take your pulse now."
,B. "I'm going to give you a little stick in the arm."
C. "I'm going to count how fast your heart beats."
D. "I will give you a shot in the arm."
E. "This will hurt or burn."
C
The purpose of adult-directed play in the hospital setting is to increase a young patient's sense of
predictability regarding pending medical procedures and health care experiences, increase a sense
of self-control, reduce stress from unrealistic fantasies about medical procedures, increase effective
coping skills, and to clear up confusions and misconceptions.
True or False?
True
The core concepts of Family Centered Care on the inpatient hospital unit are: 1. Dignity and Respect-
To Listen to and honor patient and family ideas and choices and to use patient and family
knowledge, values, beliefs and cultural backgrounds to improve care planning and delivery. 2.
Information Sharing-To communicate and share complete and unbiased information with patients
and families in useful ways. Patients and families receive timely, complete and accurate details so
they can take part in care and decision making. 3. Involvement-To encourage and support patients
and families in care and decision making at the level they choose. 4. Collaboration-To invite patients
and family members to work together with health care staff to develop and evaluate policies and
programs.
True or False?
True
Baby Smith weighs 14 pounds. What is his hourly fluid needs?
A. 5.8 mL/hour
B. 14 mL/hour
C. 26.5 mL/hr
D. 128.3 mL/hour
C
Normal heart rate (HR) and respiratory rate (RR) for an adolescent is: (choose the best response)
A. 100-150 HR, 33-55 RR
B. 80-120 HR, 25-40 RR
C. 65-110 HR, 14-22 RR
D. 60-100 HR, 12-20 RR
D
Overarching goals of Healthy People 2020 include: (Select all that apply.)
A. Promotion of oral health and reduction of tooth decay
B. High-quality, longer lives free of preventable disease, disability, injury and premature death
C. Create social and physical environment that promote good health for all
D. Health equity, eliminate disparities, improve the health of all groups
E. Elimination of addictive habits such as smoking, drinking and abuse of substances
BCD
, Which of the following are accurate statements concerning anticipatory guidance? (Select all that
apply.)
A. Examples of anticipatory guidance are informing parents of newborns about physical changes in
their infant (e.g., teething), and anticipating concerns in parents of adolescents due to alcohol and
drug abuse.
B. Anticipatory guidance is key to achieving a primary goal of pediatric nursing care, which is health
promotion.
C. Anticipatory guidance, when implemented correctly and consistently, prevents all accidents and
injuries from occurring in young children.
D. This is guidance provided by the pediatric nurse to parents, in anticipating likely upcoming
concerns with the child.
E. A thorough knowledge of the principles of growth and development is not always necessary.
F. Anticipatory guidance is challenging because of the range and complexity of appropriate issues,
the enormous individual differences among normal children and their families, and the limited time
in health supervision visits.
ABDF
The home health nurse practices anticipatory guidance for a family with a 12-month-old child by
giving information and brochures about:
A. Methods to decrease teething discomfort
B. Methods to introduce solid food
C. Advantages of breastfeeding
D. Accident-proofing their home
D
The nurse explains that the statistics of infant mortality are expressed in number of infant deaths
per:
A. 100 live births
B. 1000 live births
C. 10,000 live births
D. 100,000 live births
B
The pediatric nurse understands that the infant mortality rate is important because:
A. It demonstrates the benefits of healthy eating in preventing coronary heart disease, boosting the
immune system, and helping maintain a healthy lifestyle, in the overall health of a nation or people
group.
B. It represents or describes the overall state of health of a country, region, ethnic group, and/or
community.
C. It emphasizes the importance of avoiding potential hazards that the infant may encounter during
the first year of life.
D. It highlights the importance of primary, secondary, and tertiary prevention care strategies to
prevent or slow the progression of disease.
B
The pediatric nurse takes into consideration that the primary cause of infant mortality is:
A. Congenital deformities
