NURS 306 EXAM 2 Questions with |\ |\ |\ |\ |\ |\
answers
A nurse is reviewing the chart of a new client in the family
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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
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ANSWERS ✔✔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
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ANSWERS ✔✔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 ANSWERS ✔✔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.
|\ |\ |\ |\ |\ |\
b. Have the client lie down.c. Obtain a STAT electrocardiogram
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(ECG).
d. Take a set of vital signs. - CORRECT ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔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.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
c. Use oil-based lubricants with the vaginal dilators.
|\ |\ |\ |\ |\ |\ |\
d. You must dilate the vagina several times a day for months. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔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
|\ |\ |\ |\
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
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔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
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔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 ANSWERS ✔✔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.
|\ |\ |\ |\ |\ |\
b. Have the client lie down.c. Obtain a STAT electrocardiogram
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(ECG).
d. Take a set of vital signs. - CORRECT ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔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.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
c. Use oil-based lubricants with the vaginal dilators.
|\ |\ |\ |\ |\ |\ |\
d. You must dilate the vagina several times a day for months. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔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
|\ |\ |\ |\
