ACTUAL PAPER 2026 GRADED A+
◉ A child possesses a trait that is the result of the interaction of two
different genes, neither of which could have produced the trait
independently. Which of the following explanations best captures
the genetic explanation for this? Answer: The outcome is the result
of the interaction between collaborative genes.
◉ A 45-year-old patient who experienced exposure to radiation
during an industrial accident several years prior is being assessed.
Which of the following phenomena may underlie the genetic
changes that have been noted in the patient? Answer: Base pairs
may have been rearranged by the radiation exposure.
◉ Which of the following pregnant women has most likely
encountered the greatest increase in the risk that her child will have
a fetal anomaly? Answer: A woman who has herpes simplex and
recently recovered from endocarditis
◉ The nurse practitioner is providing care for a patient with a
diagnosis of cirrhosis, and he notes that the patient's sclerae are
jaundiced. The nurse practitioner recalls that jaundice is caused by
excess accumulation of bilirubin, a pigment that can accumulate in
which part of the cell? Answer: Cytoplasm
,◉ A patient who has a diagnosis of lung cancer is scheduled to begin
radiation treatment. The NP providing pretreatment education is
explaining some of the potential unwanted effects of the treatment.
Which of the following statements by the nurse is most accurate?
Answer: "Some patients experience longer-term irritation of skin
adjacent to the treatment site."
◉ A male patient of a nurse practitioner has an autosomal dominant
disorder. The patient and his partner are considering starting a
family. Which of the patient's following statements indicates the
patient has an adequate understanding of the genetic basis of this
health problem? Answer: "I know that a single mutant allele is to
blame for the health problem."
◉ A group of researchers has identified that the prevalence of two
particular genetic disorders share a statistical correlation. Which of
the following statements best conveys the genetic rationale for this
situation? Answer: The genes causing each disorder are likely in the
same section of the same chromosome.
◉ The NP is working with a family whose daughter has been
recently diagnosed with the chromosomal disorder Turner
syndrome. The NP would recognize that which of the following
statements about the characteristics of human chromosomes is
accurate? Answer: Autosomes contain the determination of an
individual's sex.
,◉ The NP is teaching a group of older adults about the value of
including foods containing antioxidants in their diet. Which of the
following statements best captures the rationale underlying the NPs
advice? Answer: Antioxidants inhibit the actions of reactive oxygen
species (ROS).
◉ Which target of both chemotherapy and radiation treatment
accounts for adverse as well as therapeutic effects? Answer: Rapidly
proliferating cells
◉ Which of the following patients of a primary care nurse
practitioner would not require extra screening for cancer? Answer:
A 38-year-old female with Down syndrome and congenital scoliosis
◉ A 7-year-old boy is admitted to the hospital with a suspected
diagnosis of lead toxicity. Which of the following assessment
findings is most congruent with the patient's diagnosis? hi Answer:
Hemoglobin 9.9 g/dL
◉ The NP is providing care for a 21-year-old female patient with gas
gangrene of a compound fracture in her arm. Which of the following
assessment findings would the nurse most reasonably expect to find
when caring for a patient with a diagnosis of gas gangrene? Answer:
Spreading edema
, ◉ A community health nurse practitioner is teaching a group of
female high school students about the importance of regular
Papanicolaou (Pap) smears. The nurse recognizes that which of the
following items underlies the rationale for this teaching? Answer:
Cancer of the uterine cervix develops incrementally at a cellular
level.
◉ Which of the following statements most accurately conveys an
aspect of cell injury due to impaired calcium homeostasis? Answer:
Injured cells tend to accumulate calcium.
◉ A woman is surprised to read on the Internet that certain
infections can cause cancer and has sought clarification from her
nurse practitioner during an office visit. How can the NP best
respond to the woman's query? Answer: "There are many viruses,
but only a very few of them have been shown to cause cancer in
humans."
◉ The nurse practitioner working in occupational health has been
asked to speak to a group of factory workers about the importance
of wearing gloves when working with strong chemicals such as
turpentine and paint thinner. Which of the following characteristics
of cell membranes underlies the nurse's teaching? Answer: Cell
membranes are impermeable to all but lipid-soluble substances.
◉ A 6-year-old girl with a diagnosis of Marfan syndrome is being
assessed at a community health clinic. Which of the following