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NURS 306 EXAM 2 QUESTIONS WITH CORRECT ANSWERS
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NURS 306 EXAM 2 QUESTIONS WITHCORRECT ANSWERS
A nurse is reviewing the chart of a new client in the family medicine clinic and notes the client is
identifiedas George Smith. The nurse enters the room and finds a woman in a skirt. What action
by the nurse is best?
a. Apologize and declare confusion about the client
b. Ask Mrs. Smith where her husband is right now.
c. Ask the client about preferred forms of address.
d. Explain that the chart must contain an error. - CORRECT ANSWER-C
A nurse is providing health teaching to a middle-aged male-to-female (MtF) client who has
undergonegender reassignment surgery. What information is most important to this client?
a. Be sure to have an annual prostate examination.
b. Continue your normal health screenings.
c. Try to avoid being around people who are ill.
d. You should have an annual flu vaccination. - CORRECT ANSWER-A
A transgender client is taking transdermal estrogen (Climara). What assessment finding does
the nursereport immediately to the provider?
a. Breast tenderness
b. Headaches
c. Red, swollen calf
d. Swollen ankles - CORRECT ANSWER-C
A transgender client taking spironolactone (Aldactone) is in the internal medicine clinic
reporting heartpalpitations. What action by the nurse takes priority?
a. Draw blood to test serum potassium.
NURS 306 EXAM 2 Questions with correct answers
,b. Have the client lie down.c. Obtain a STAT electrocardiogram (ECG).
d. Take a set of vital signs. - CORRECT ANSWER-C
A client is preparing for gender reassignment surgery and will transition from male to female.
The client isworried about the voice not sounding feminine enough. What action by the nurse is
best?
a. Ask if the client has considered vocal cord surgery to change the voice.
b. Refer the client for vocal therapy with speech-language pathology.
c. Teach the client that there will be no effect on the clients voice.
d. Tell the client that the use of hormones will eventually change the voice - CORRECT ANSWER-
B
A client has returned from the postanesthesia care unit after a vaginoplasty. What comfort
measure does thenurse provide for this client?
a. Apply ice to the perineum.
b. Elevate the legs on pillows.
c. Position the client on the left side.
d. Raise the head of the bed. - CORRECT ANSWER-A
A client had a vaginoplasty under epidural anesthetic. Which action by the nurse is most
important?
a. Ensure that the urinary catheter is securely attached to the leg.
b. Instruct the client not to try to get out of bed unassisted.
c. Monitor the clients dressings and wound drainage.
d. Position the Jackson-Pratt drain to the contralateral side - CORRECT ANSWER-B
After a vaginoplasty, what instruction by the nurse is most important?
a. Avoid vaginal douching to prevent infection.
b. Do not have sexual intercourse for at least 6 months.
NURS 306 EXAM 2 Questions with correct answers
, c. Use oil-based lubricants with the vaginal dilators.
d. You must dilate the vagina several times a day for months. - CORRECT ANSWER-D
1. The nurse is reviewing possible complications from a phalloplasty. What factors does the
nurse include?(Select all that apply.)
a. Infection of donor site
b. Necrosis of the neopenis
c. Rectal perforation
d. Urinary tract stenosis
e. Vaginal infections - CORRECT ANSWER-A,B,D
A student nurse is learning about the health care needs of lesbian, gay, bisexual, transgender,
andqueer/questioning (LGBTQ) clients. Which terms are correctly defined? (Select all that
apply.)
a. Gender dysphoria Distress caused by incongruence between natal sex and gender identity
b. Gender queer A label used when gender identity does not conform to male or female
c. Natal sex The sex one is born with or is assigned to at birth
d. Transgender A person who dresses in the clothing of the opposite sex
e. Transition The time between questioning and establishing a sexual identity - CORRECT
ANSWER-A,B,C
A nurse works with many transgender clients. What routine monitoring is important for the
nurse tofacilitate in this population? (Select all that apply.)
a. Lipid profile
b. Liver function tests
c. Mammograms if breast tissue is present
d. Prostate-specific antigen (PSA) for natal males
e. Renal profile - CORRECT ANSWER-A, B, C, D
NURS 306 EXAM 2 Questions with correct answers
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