1. What55is55the55most55common55indication55for55genetic55counseling?
A) maternal55age
B) drug55exposure55during55the55first55trimester?
C) Increased55maternal55alpha-fetoprotein
D) history55of55previous55still55birth:55A)55maternal55age
The55largest55group55of55women55who55benefit55from55genetic55counseling55are55those
55over55the55age55of5535
2. The55FNP55schedules55a5538-year-
old55primigravida55(first55time55pregnancy)55for55an55amniocentesis55at551655week
s55gestation.55The55FNP55would55explain55that55the55purpose55of55this55procedure55i
s55to:
A) Assess55for55the55possibility55of55twins
B) Deterime55the55biliruben55level
C) Perform55genetic55studies
D) Assess55L/S55ratio:55C)55Perform55genetic55studies
This55womans55age55puts55her55at55risk55for55Down55Syndrome
3. In5 5 the5 5 most5 5 commonly5 5 seen5 5 form5 5 of5 5 Turner5 5 Syndrome,5 5 how
5 5 is5 5 the5 5 X55chromosome55affected?
A) Each55cell55has55only55one55X55chromosome?
B) Some55cells55have55two55X55chromsomes,55while55the55other55cells55have55only5
ne.
C) Each55cell55has55two55X55chromsomes,55but55part55of55the55chromosome55is55mi
sing.
D) Each55cell55has55an55extra55X55chromosome:55A)55Each55cell55has55only55one55X55
chromsome5545%55of55persons55with55Turner55Syndrome55have55monosomy55X55me
aning55there55is55only55one55copy55of55the55X55chromosome55in55each55cell.
4. The55FNP55is55assessing55a55newborn55who55is55demonstrating55a55high-
pitched55cry,55microcephaly,55hypertelorism,55hypotonia,55and55a55low55birth55w
eight.55The55FNP55would55suspect55which55of55the55following55genetic55condition
s?
A) Down55Syndrome
B) Cri55du55chat
C) Charge55syndrome
D) Duncan55disease:55B)55Cri55du55chat
The55clinical55symptoms55of55cri55du55chat55syndrome55usually55include55a55high-
pitched55cat-
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,55like55cry,55mental55retardation,55delayed55development,55distinctive55facial55features,
55small55head55size55(microcephaly),55widely-
spaced55eyes55(hypertelorism),55low55birth55weight55and55weak55muscle55tone55(hypoto
nia)55in55infancy.
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,5. When55explaining55the55types55of55adaptive55immunity,55the55FNP55student55is55
aware55that:
A) Adaptive55immunity55is55a55cell-mediated55immune55response55which55is
B) Adaptive55immunity55is55the55level55of55immunity55that55all55persons55are55born5
ith.
C) Adaptive55immunity55occurs55when55antibodies55are55passed55from55the55moth
er55to55the55fetus.
D) Adaptive55immunity55occurs55through55immunization.:55A)55Adaptive55immunit
y55is55a55cell-
mediated55immune55response55which55is55carried55out55by55T55cells55and55B55cells.55
There55are55two55types55of55adaptive55immunity55responses:55the55cell-
mediated55immune55response,55which55is55carried55out55by55T55cells,55and55the55hu
moral55immune55response,55which55is55controlled55by55activated55B55cells55and55ant
ibodies.
6. A55woman55has55sustained55a55traumatic55brain55injury.55She55is55able55to55follow55
simple55commands55and55can55manipulate55objects.55Which55term55describes55t
his55state?
A) Coma
B) Persistent55vegetative55state
C) Minimally55conscious
D) Locked-in55syndrome:55C)55Minimally55conscious
When55responses55to55the55environment55are55seen,55the55patient55is55said55to55be55in55
a55minimally55conscious55state
7. Age55and55the55admission55of55the55Glasgow55Coma55Scale55(GCS)55are55imp
ortant55diagnostic55factors55in55TBI.55Which55GCS55score55describes55a55sever
e55TBI?55A)
13-15
B) 12-13
C) 9-12
D) 3-8:55D)553-8
The55GCS55is55scored55between55355and5515,55355being55the55worst55and551555the55best.
8. Which55term55describes55recurrent,55intrusive55thoughts55or55impulses?
A) Hallucinations
B) Compulsions
C) Obsessions
Obsessions55are55recurrent55and55persistent55thoughts,55impulses,55or55images5
hat55cause55distressing55emotions55such55as55anxiety55or55disgust.
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, D) Delusions:55C)55Obsessions
Obsessions55are55recurrent55and55persistent55thoughts,55impulses,55or55images55that55c
use55distressing55emotions55such55as55anxiety55or55disgust.
455/551
80