NURS 306 EXAM 2 Questions with

NURS 306 EXAM 2 Questions with Complete Solutions (Latest 2025) 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?

• Apologize and declare confusion about the client
• Ask Mrs. Smith where her husband is right now.
• Ask the client about preferred forms of address.
• 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?

• Be sure to have an annual prostate examination.
• Continue your normal health screenings.
• Try to avoid being around people who are ill.
• 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?

• Breast tenderness
• Headaches 1 / 4

NURS 306 EXAM 2 Questions with Complete Solutions (Latest 2025)

• Red, swollen calf
• 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?

• Draw blood to test serum potassium.
• Have the client lie down.c. Obtain a STAT

electrocardiogram (ECG).

• 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?

• Ask if the client has considered vocal cord surgery to

change the voice.

• Refer the client for vocal therapy with speech-language

pathology.

• Teach the client that there will be no effect on the clients

voice.

• Tell the client that the use of hormones will eventually

change the voice - Correct Answers ✅B 2 / 4

NURS 306 EXAM 2 Questions with Complete Solutions (Latest 2025) A client has returned from the postanesthesia care unit after a vaginoplasty. What comfort measure does thenurse provide for this client?

• Apply ice to the perineum.
• Elevate the legs on pillows.
• Position the client on the left side.
• 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?

• Ensure that the urinary catheter is securely attached to the

leg.

• Instruct the client not to try to get out of bed unassisted.
• Monitor the clients dressings and wound drainage.
• Position the Jackson-Pratt drain to the contralateral side -

Correct Answers ✅B After a vaginoplasty, what instruction by the nurse is most important?

• Avoid vaginal douching to prevent infection.
• Do not have sexual intercourse for at least 6 months.
• Use oil-based lubricants with the vaginal dilators.
• You must dilate the vagina several times a day for months.
• Correct Answers ✅D 3 / 4

NURS 306 EXAM 2 Questions with Complete Solutions (Latest 2025)

• The nurse is reviewing possible complications from a

phalloplasty. What factors does the nurse include?(Select all that apply.)

• Infection of donor site
• Necrosis of the neopenis
• Rectal perforation
• Urinary tract stenosis
• Vaginal infections - Correct Answers ✅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.)

• Gender dysphoria Distress caused by incongruence

between natal sex and gender identity

• Gender queer A label used when gender identity does not

conform to male or female

• Natal sex The sex one is born with or is assigned to at birth
• Transgender A person who dresses in the clothing of the

opposite sex

• Transition The time between questioning and establishing a

sexual identity - Correct Answers ✅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.)

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