1. A client has recently had a vaginoplasty and has noticed stool coming from her vagina. The
telehealth nurse advises her to immediately go the emergency department. What is the
nurse’s concern?
A. Dislodgement of the urinary catheter
B. Labial hematoma
C. Prolapse
D. Vaginal–rectal fistula Correct
2. 2.ID: 22244714792
A client is beginning transdermal estrogen (Climara) therapy. Which client statement requires
additional health teaching by the nurse?
A. “I will monitor my blood pressure while I am taking this medicine.”
B. “I will need to change out the patch once a month.” Correct
C. “My blood work will be checked regularly.”
D. “This medicine will increase my risk of blood clots.”
3. 3.ID: 22244714796
How will the nurse refer to a client who self-identifies as the opposite gender?
A. A transgender
B. Transgender individual Correct
C. Transgendered person
D. Transvestite
4. 4.ID: 22244715100
From what age may a child begin to feel a sense of maleness or femaleness?
A. Birth
B. 6 months
C. 2 years Correct
D. 5 years
5. 5.ID: 22244715104
A transgender female client reports difficulty sleeping, anxiety, and hypervigilance. She
states “I just can’t stop thinking about what they did to me last New Year’s Eve at work. They
slashed my tires. They took my purse. I see it over and over.” What is the appropriate
nursing action?
A. Ask about drug and alcohol use.
B. Consult with the health care provider for referral to a counselor. Correct
C. Document the statements and conduct a health history.
D. Look for signs of self-harm.
6. 6.ID: 22244715108
The nurse is orienting a newly hired assistive personnel (AP) to the clinic. One of the clients
has self-identified as transgender. The AP states “I don’t want to say the wrong thing. What
do I call the person?” What is the appropriate nursing response?
A. “Ask how the client would like to be addressed.” Correct
B. “Call the client by his or her name on the chart.”
C. “Be polite and it won’t matter.”
D. “Look at the client’s driver’s license and use that.”
telehealth nurse advises her to immediately go the emergency department. What is the
nurse’s concern?
A. Dislodgement of the urinary catheter
B. Labial hematoma
C. Prolapse
D. Vaginal–rectal fistula Correct
2. 2.ID: 22244714792
A client is beginning transdermal estrogen (Climara) therapy. Which client statement requires
additional health teaching by the nurse?
A. “I will monitor my blood pressure while I am taking this medicine.”
B. “I will need to change out the patch once a month.” Correct
C. “My blood work will be checked regularly.”
D. “This medicine will increase my risk of blood clots.”
3. 3.ID: 22244714796
How will the nurse refer to a client who self-identifies as the opposite gender?
A. A transgender
B. Transgender individual Correct
C. Transgendered person
D. Transvestite
4. 4.ID: 22244715100
From what age may a child begin to feel a sense of maleness or femaleness?
A. Birth
B. 6 months
C. 2 years Correct
D. 5 years
5. 5.ID: 22244715104
A transgender female client reports difficulty sleeping, anxiety, and hypervigilance. She
states “I just can’t stop thinking about what they did to me last New Year’s Eve at work. They
slashed my tires. They took my purse. I see it over and over.” What is the appropriate
nursing action?
A. Ask about drug and alcohol use.
B. Consult with the health care provider for referral to a counselor. Correct
C. Document the statements and conduct a health history.
D. Look for signs of self-harm.
6. 6.ID: 22244715108
The nurse is orienting a newly hired assistive personnel (AP) to the clinic. One of the clients
has self-identified as transgender. The AP states “I don’t want to say the wrong thing. What
do I call the person?” What is the appropriate nursing response?
A. “Ask how the client would like to be addressed.” Correct
B. “Call the client by his or her name on the chart.”
C. “Be polite and it won’t matter.”
D. “Look at the client’s driver’s license and use that.”
