NR571 FINAL EXAM ---- COMPLETE REVIEW:
(LATEST 2026/2027 UPDATE), COMPLEX
DIAGNOSIS AND MANAGEMENT IN ACUTE
CARE PRACTICUM | COMPLETE REVIEW
WITH CORRECT/ACCURATE ANSWERS
AT CHAMBERLAIN COLLEGE OF NURSING
COMPLEX DIAGNOSIS AND MANAGEMENT
IN ACUTE CARE PRACTICUM
Questions 1–150
1. Which of the following are common challenges healthcare providers face when caring
for LGBTQ+ patients?
A. Excessive workload and limited staffing
B. Lack of familiarity with gender-affirming surgeries and appropriate terminology
C. Patient noncompliance with treatment plans
D. Limited access to diagnostic imaging
✅ Correct Answer: B
Rationale:
Many healthcare providers receive minimal formal education on LGBTQ+ health, particularly regarding
gender-affirming surgeries and inclusive language. This knowledge gap can result in inappropriate
communication, discomfort, or suboptimal care. Failure to use correct pronouns or understand gender-
affirming procedures may contribute to patient mistrust and avoidance of care. Addressing these gaps
improves patient safety, satisfaction, and outcomes.
2. Which behaviors represent challenges LGBTQ+ patients may experience within
healthcare settings?
,A. Delayed laboratory results
B. Use of excessive precautions or refusal to touch patients
C. Difficulty accessing insurance coverage
D. Limited transportation options
✅ Correct Answer: B
Rationale:
LGBTQ+ patients may experience discriminatory behaviors such as avoidance, excessive precautions, or
refusal of physical contact due to provider bias or misinformation. These actions can cause psychological
harm and discourage patients from seeking future care. Such experiences violate ethical principles of
beneficence and nonmaleficence. Inclusive training and policies are essential to mitigate these harms.
3. What is a common challenge shared by both healthcare providers and LGBTQ+
patients?
A. Limited access to specialty care
B. Time constraints during clinical encounters
C. Lack of understanding of acceptable terminology
D. Inadequate insurance reimbursement
✅ Correct Answer: C
Rationale:
Both providers and patients may struggle with evolving terminology related to sexual orientation and gender
identity. Misunderstandings can lead to miscommunication, discomfort, or offense. Continuous education
and open dialogue help normalize inclusive language. Addressing this challenge improves therapeutic
relationships and patient trust.
4. Sexual orientation and gender identity are best described as which of the following?
A. Interchangeable concepts
B. Dependent characteristics
C. Independent characteristics
D. Social behaviors
✅ Correct Answer: C
Rationale:
Sexual orientation and gender identity are independent characteristics that describe different aspects of a
person’s identity. Sexual orientation refers to emotional and sexual attraction, while gender identity refers to
one’s internal sense of gender. Understanding this distinction is essential for respectful and accurate patient
assessment. Conflating the two can result in inappropriate assumptions and care.
,5. Sexual orientation refers to which of the following?
A. A person’s biological sex at birth
B. A person’s gender expression
C. Emotional and sexual attraction to others
D. Cultural gender roles
✅ Correct Answer: C
Rationale:
Sexual orientation describes whom a person is emotionally, romantically, or sexually attracted to. It is
distinct from gender identity and biological sex. Accurate understanding helps providers take appropriate
sexual histories and provide relevant preventive care. Respecting sexual orientation supports patient dignity
and trust.
6. Gender identity refers to which of the following?
A. Sexual behavior patterns
B. A person’s internal sense of their own gender
C. A person’s physical anatomy
D. Cultural expectations of masculinity or femininity
✅ Correct Answer: B
Rationale:
Gender identity is a deeply held internal sense of being male, female, both, neither, or another gender. It may
or may not align with sex assigned at birth. Respecting gender identity through correct pronouns and names
is a fundamental aspect of patient-centered care. Failure to do so can cause emotional distress and harm.
7. A non-binary individual is best described as someone who:
A. Identifies strictly as male
B. Identifies strictly as female
C. Does not identify exclusively as male or female
D. Has undergone gender-affirming surgery
✅ Correct Answer: C
Rationale:
Non-binary individuals do not identify exclusively within the traditional male-female gender binary. Their
gender identity exists outside or between these categories. Providers should avoid assumptions and ask about
preferred pronouns and terms. Affirmation improves mental health and healthcare engagement.
, 8. Which procedures are considered gender-affirming surgeries?
A. Appendectomy and cholecystectomy
B. Feminizing vaginoplasty, orchiectomy, and facial feminization
C. Cesarean section and hysterectomy
D. Cataract extraction
✅ Correct Answer: B
Rationale:
Gender-affirming surgeries include procedures that align a person’s physical characteristics with their gender
identity. Feminizing procedures may include vaginoplasty and facial feminization, while masculinizing
procedures include phalloplasty and chest surgery. These surgeries are medically necessary for many
patients. Recognition of their legitimacy improves continuity of care.
9. Which medications are commonly used in gender-affirming hormone therapy?
A. Insulin and metformin
B. Estrogen, androgen blockers, and testosterone
C. Corticosteroids and antibiotics
D. Antipsychotics and antidepressants
✅ Correct Answer: B
Rationale:
Gender-affirming hormone therapy may involve estrogen and androgen blockers for transfeminine
individuals or testosterone for transmasculine individuals. These therapies require careful monitoring for
cardiovascular, metabolic, and thromboembolic risks. Proper management is essential in acute and primary
care settings. Providers should understand interactions and side effects.
10. Which group experiences higher rates of HIV, STDs, and mental health issues?
A. Cisgender heterosexual adults
B. Transgender individuals
C. Pediatric patients
D. Elderly patients
✅ Correct Answer: B
Rationale:
Transgender individuals face disproportionate rates of HIV, STDs, depression, anxiety, and suicide due to
stigma, discrimination, and barriers to care. Social determinants significantly impact health outcomes in this
(LATEST 2026/2027 UPDATE), COMPLEX
DIAGNOSIS AND MANAGEMENT IN ACUTE
CARE PRACTICUM | COMPLETE REVIEW
WITH CORRECT/ACCURATE ANSWERS
AT CHAMBERLAIN COLLEGE OF NURSING
COMPLEX DIAGNOSIS AND MANAGEMENT
IN ACUTE CARE PRACTICUM
Questions 1–150
1. Which of the following are common challenges healthcare providers face when caring
for LGBTQ+ patients?
A. Excessive workload and limited staffing
B. Lack of familiarity with gender-affirming surgeries and appropriate terminology
C. Patient noncompliance with treatment plans
D. Limited access to diagnostic imaging
✅ Correct Answer: B
Rationale:
Many healthcare providers receive minimal formal education on LGBTQ+ health, particularly regarding
gender-affirming surgeries and inclusive language. This knowledge gap can result in inappropriate
communication, discomfort, or suboptimal care. Failure to use correct pronouns or understand gender-
affirming procedures may contribute to patient mistrust and avoidance of care. Addressing these gaps
improves patient safety, satisfaction, and outcomes.
2. Which behaviors represent challenges LGBTQ+ patients may experience within
healthcare settings?
,A. Delayed laboratory results
B. Use of excessive precautions or refusal to touch patients
C. Difficulty accessing insurance coverage
D. Limited transportation options
✅ Correct Answer: B
Rationale:
LGBTQ+ patients may experience discriminatory behaviors such as avoidance, excessive precautions, or
refusal of physical contact due to provider bias or misinformation. These actions can cause psychological
harm and discourage patients from seeking future care. Such experiences violate ethical principles of
beneficence and nonmaleficence. Inclusive training and policies are essential to mitigate these harms.
3. What is a common challenge shared by both healthcare providers and LGBTQ+
patients?
A. Limited access to specialty care
B. Time constraints during clinical encounters
C. Lack of understanding of acceptable terminology
D. Inadequate insurance reimbursement
✅ Correct Answer: C
Rationale:
Both providers and patients may struggle with evolving terminology related to sexual orientation and gender
identity. Misunderstandings can lead to miscommunication, discomfort, or offense. Continuous education
and open dialogue help normalize inclusive language. Addressing this challenge improves therapeutic
relationships and patient trust.
4. Sexual orientation and gender identity are best described as which of the following?
A. Interchangeable concepts
B. Dependent characteristics
C. Independent characteristics
D. Social behaviors
✅ Correct Answer: C
Rationale:
Sexual orientation and gender identity are independent characteristics that describe different aspects of a
person’s identity. Sexual orientation refers to emotional and sexual attraction, while gender identity refers to
one’s internal sense of gender. Understanding this distinction is essential for respectful and accurate patient
assessment. Conflating the two can result in inappropriate assumptions and care.
,5. Sexual orientation refers to which of the following?
A. A person’s biological sex at birth
B. A person’s gender expression
C. Emotional and sexual attraction to others
D. Cultural gender roles
✅ Correct Answer: C
Rationale:
Sexual orientation describes whom a person is emotionally, romantically, or sexually attracted to. It is
distinct from gender identity and biological sex. Accurate understanding helps providers take appropriate
sexual histories and provide relevant preventive care. Respecting sexual orientation supports patient dignity
and trust.
6. Gender identity refers to which of the following?
A. Sexual behavior patterns
B. A person’s internal sense of their own gender
C. A person’s physical anatomy
D. Cultural expectations of masculinity or femininity
✅ Correct Answer: B
Rationale:
Gender identity is a deeply held internal sense of being male, female, both, neither, or another gender. It may
or may not align with sex assigned at birth. Respecting gender identity through correct pronouns and names
is a fundamental aspect of patient-centered care. Failure to do so can cause emotional distress and harm.
7. A non-binary individual is best described as someone who:
A. Identifies strictly as male
B. Identifies strictly as female
C. Does not identify exclusively as male or female
D. Has undergone gender-affirming surgery
✅ Correct Answer: C
Rationale:
Non-binary individuals do not identify exclusively within the traditional male-female gender binary. Their
gender identity exists outside or between these categories. Providers should avoid assumptions and ask about
preferred pronouns and terms. Affirmation improves mental health and healthcare engagement.
, 8. Which procedures are considered gender-affirming surgeries?
A. Appendectomy and cholecystectomy
B. Feminizing vaginoplasty, orchiectomy, and facial feminization
C. Cesarean section and hysterectomy
D. Cataract extraction
✅ Correct Answer: B
Rationale:
Gender-affirming surgeries include procedures that align a person’s physical characteristics with their gender
identity. Feminizing procedures may include vaginoplasty and facial feminization, while masculinizing
procedures include phalloplasty and chest surgery. These surgeries are medically necessary for many
patients. Recognition of their legitimacy improves continuity of care.
9. Which medications are commonly used in gender-affirming hormone therapy?
A. Insulin and metformin
B. Estrogen, androgen blockers, and testosterone
C. Corticosteroids and antibiotics
D. Antipsychotics and antidepressants
✅ Correct Answer: B
Rationale:
Gender-affirming hormone therapy may involve estrogen and androgen blockers for transfeminine
individuals or testosterone for transmasculine individuals. These therapies require careful monitoring for
cardiovascular, metabolic, and thromboembolic risks. Proper management is essential in acute and primary
care settings. Providers should understand interactions and side effects.
10. Which group experiences higher rates of HIV, STDs, and mental health issues?
A. Cisgender heterosexual adults
B. Transgender individuals
C. Pediatric patients
D. Elderly patients
✅ Correct Answer: B
Rationale:
Transgender individuals face disproportionate rates of HIV, STDs, depression, anxiety, and suicide due to
stigma, discrimination, and barriers to care. Social determinants significantly impact health outcomes in this
