RN Alternations in Sexual Function Assessment
Question: 1 of 30
A nurse is teaching a client with fibrocystic breasts about strategies for decreasing
discomfort. Which of the following statements should the nurse include in the teaching?
A. “Wear a supportive bra.”
B. “Avoid drinking caffeinated beverages.”
C. “Medication will not decrease your discomfort.”
D. “Avoid running warm water over your breasts while showering.”
Question: 2 of 30
A nurse is caring for a client and notices that the name and gender on the client’s
identification band do not match the name and gender listed in the medical record. Which of
the following actions should the nurse take?
A. Request a new identification bracelet with the name and gender on the medical record.
B. Ask the client to clarify their preferred name and gender.
C. Continue with care using the name and gender on the identification bracelet.
D. Select either name and gender, and use them consistently for all care.
Question: 3 of 30
A nurse is assessing a client who has dysfunctional uterine bleeding and reports an increase in
vaginal drainage. Which assessment should the nurse perform first?
A. Pain
B. Anxiety
C. Color of vaginal drainage
D. Blood pressure
Question: 4 of 30
A nurse is planning care for a client who has undergone gender-affirming chest
reconstruction. Which of the following actions should be included in the plan of care? (Select
all that apply.)
A. Teach the client to wear a compression vest at all times until instructed by the
surgeon
B. Assist the client in completing arm raise exercises twice each day
C. Administer analgesics as needed to manage incisional pain.
D. Provide information about community resources for LBGTQ+ individuals
E. Teach the client how to empty the surgical drains.
Explanation:
Teach the client to wear a compression vest at all times until instructed by the surgeon is
correct. A client who has undergone gender-affirming chest reconstruction will need to wear
a compression vest to prevent bleeding and edema at the surgical site.
Assist the client in completing arm raise exercises twice each day is incorrect. The nurse
should instruct the client that they cannot raise the arms over the head until cleared by the
surgeon.
Administer analgesics as needed to manage incisional pain is correct. The nurse should
provide standard post-operative care, including pain management, to the client.
Provide information about community resources for LBGTQ+ individuals is correct.
The nurse should use a team-based approach to care, including referral to appropriate
community resources for support after discharge.
Teach the client how to empty the surgical drains is correct. The nurse should teach the
client how to empty the surgical drains. The drains are usually removed about one to two
weeks after surgery.
Question: 5 of 30
A nurse is caring for a client who may have experienced human trafficking: the client denies
it. A visitor has been sitting close to the client throughout the encounter. Which of the
following is the appropriate action by the nurse?
A. Consult Social Service to interview the client and visitor together.
B. Slide an information sheet about human trafficking into the client’s belongings.
C. Inform the client that law enforcement will be notified.
D. Place a card about a human trafficking crisis line in the restroom.
Question: 6 of 30
A nurse is teaching a client about uterine fibroids. Which of the following statements should
the nurse include in the teaching?
A. “Uterine fibroids are more common in clients after menopause.”
B. “Uterine fibroids are a type of benign tumor.”
C. “Clients who have uterine fibroids have less menstrual flow.”
D. “Clients with uterine fibroids can also have trouble emptying their bladder.”
Question: 7 of 30
A nurse is reviewing a client’s medical record. Which of the following information in the
medical record increases the client’s risk for erectile dysfunction?
A. Body mass index of 32.0.
B. Exercise-induced asthma.
C. Blood pressure 168/92 mm Hg
D. Smokes 1 pack per day of cigarettes.
E. Hydrochlorothiazide 50 mg po daily.
Explanation:
Body mass index of 32.0 is correct. Clients who have a body mass index of 30 or more
(obesity) are at an increased risk for erectile dysfunction.
Exercise-induced asthma is incorrect. Asthma is not a risk factor for erectile dysfunction.
Blood pressure 168/92 mm Hg is correct. Hypertension is a risk factor for erectile
dysfunction. This blood pressure is in the reference range for Stage 2 Hypertension.
Smokes 1 pack per day of cigarettes is correct. Smoking is a risk factor for erectile
dysfunction.
Hydrochlorothiazide 50 mg po daily is correct. Thiazide diuretics, including
hydrochlorothiazide, can cause erectile dysfunction.
Question: 8 of 30
A nurse is performing an elder maltreatment assessment on a client who reports limited
mobility and lives with their adult child. Which of the following client statements would
indicate to the nurse that elder neglect has occurred?
A. “My child constantly tells me I am a terrible parent.”
B. “My child leaves me at home without food most days.”
C. “My child pushed me against the wall yesterday.”
D. “My child won’t let me access my bank accounts.”
Question: 9 of 30
A nurse is caring for a client who has prostatitis. The client asks the nurse. “What should I do
if I cannot pass my urine?” Which of the following is the appropriate response by the nurse?
A. “This is expected. Try passing your urine again in several hours.”
B. “Taking your pain medication will allow you to pass your urine.”
C. “You should seek emergency treatment.”
D. “You should stop drinking fluids until you can pass your urine.”
Question: 10 of 30
A nurse is teaching a client about a laparoscopy. Which of the following statements by the
client indicates that the teaching was effective?
A. “I will be awake during the procedure.”
B. “I will have several small incisions on my abdomen.”
C. “The provider will examine the inside of my uterus.”
D. “A biopsy will be completed during a separate procedure.”
Question: 11 of 30
A nurse is assessing a client who has fibrocystic breasts. Which question will the nurse ask to
obtain subjective data about manifestations of fibrocystic breasts?
A. “Do you have severe cramping with menstruation?”
B. “Do you notice any lumps in your breasts?”
C. “Have you noticed drainage from your nipple?”
D. “Do you have a rash on your breasts?”
Question: 12 of 30
A nurse is preparing an in-service regarding abuse and violence screening for nursing staff at
an outpatient clinic. Which of the following factors should the nurse include in the
presentation as risk factors for abuse or violence? (Select all that apply.)
A. Having the same partner for 10 years.
B. Living below the poverty line.
C. Receiving treatment for substance use disorder.
D. Having schizophrenia.
E. Transgender clients.
Explanation:
Having the same partner for 10 years is incorrect. Being in a new relationship increases
the risk of violence or abuse. A client in a long-term relationship is at lower risk.
Living below the poverty line is correct. Clients with a lower socio-economic status are at
higher risk for experiencing violence or abuse.
Receiving treatment for substance use disorder is correct. Clients who have substance use
disorder are at higher risk for experiencing violence or abuse.
Having schizophrenia is correct. Clients with chronic mental illness are at higher risk for
experiencing violence or abuse.
Transgender clients is correct. Clients who are members of the LGBTQIA+ community are
at higher risk for experiencing violence or abuse.
Question: 13 of 30
A nurse is assessing a postmenopausal client. Which of the following manifestations should
the nurse expect? (Select all that apply.)
A. Pelvic cramping with menstruation
B. Urinary incontinence
C. Night sweats
D. Less irritability
E. Trouble sleeping at night
Explanation:
Pelvic cramping with menstruation is incorrect. After menopause, the ovaries do not
secrete estrogen and menstruation ceases. The postmenopausal client will not experience
menstruation.
Urinary incontinence is correct. After menopause, the ovaries do not secrete estrogen. This
may cause the urethra to atrophy, causing urinary incontinence.
Night sweats is correct. Vasomotor manifestations, including night sweats, can occur in
postmenopausal clients because estrogen secretion by the ovaries ceases.
Less irritability is incorrect. Postmenopausal clients often report an increase, not a
decrease, in irritability.
Trouble sleeping at night is correct. Difficulty sleeping is a common manifestation in
postmenopausal clients.
Question: 14 of 30
A nurse is caring for a client who has human papilloma virus. Which of the following is the
client also at risk for developing?
A. Diabetes
B. Erectile dysfunction
C. Cancer
D. Infertility
Question: 15 of 30
A nurse is instructing a client who has bacterial prostatitis. Which of the following statements
is the highest priority for the nurse to make?
A. “Use a condom during sexual intercourse.”
B. “Take the full course of antibiotics as prescribed.”
C. “Take a warm bath to decrease your pain.”
D. ‘“Increase your intake of fluids.”
Question: 16 of 30
A nurse is caring for a client in the outpatient clinic who reports experiencing partner
violence. The nurse assisted the client in developing a safety plan for leaving the abusive
relationship. The client returns to the clinic and states that they have changed their mind and
is not leaving. Which of the following actions should the nurse take?
A. Set a clinic reminder to call the client and review the plan in one week.
B. Review the advantages of leaving the abusive relationship with the client.
C. Place a copy of the client’s safety plan in their belongings.
D. Remind the client that help is available in the future if they change their mind.
Question: 17 of 30
The nurse is assessing a client who has prostatitis. Which of the following findings is
expected in this client?
A. The client states, “I sometimes see blood in my urine.”
B. Prostate Specific Antigen level is below the reference range.
C. Blood urea Nitrogen is elevated.
D. The client reports that they are voiding more than usual.
Question: 18 of 30
A nurse is teaching a transgender male client about lab and diagnostic tests. The client is
receiving gender-affirming testosterone therapy but has not had gender-affirming surgery.
Which of the following statements should the nurse include in the teaching? (Select all that
apply.)
A. “You will need a prostate exam every year.”
B. “You should perform breast self-awareness every month.”
C. “You will have a pelvic exam and pap smear based on current guidelines.”
D. “You will have blood tests to check your cholesterol level.”
E. “You will periodically have a blood test to evaluate your testosterone level.”
Explanation:
“You will need a prostate exam every year” is incorrect. Transgender male clients do not
have a prostate gland. A prostate exam is not required.
“You should perform breast self-awareness every month” is correct. The nurse should
instruct a transgender male client to perform monthly breast self-awareness.
“You will have a pelvic exam and pap smear based on current guidelines” is correct. The
nurse should teach the client that screening for cervical cancer will be based on current
guidelines.
“You will have blood tests to check your cholesterol level” is correct. The nurse should
teach the client that the cholesterol level will be checked because testosterone can increase
lipid levels.
“You will periodically have a blood test to evaluate your testosterone level” is correct.
The nurse should teach the client that the testosterone level will be checked to evaluate the
effectiveness of the drug therapy.
Question: 19 of 30
A nurse is planning care for a female transgender client who had gender-affirming
vaginoplasty two weeks ago. The client is at the outpatient clinic for a follow-up visit. Which
of the following should be included in the client’s plan of care? (Select all that apply.)
A. Verify the client’s preferred name and pronouns.
B. Teach the client about the side effects of testosterone therapy.
C. Teach the client how to self-dilate the neovagina.
D. Assess neovaginal drainage.
E. Screen the client for depression.
Explanation:
Verify the client’s preferred name and pronouns is correct. The nurse should verify the
client’s preferred name and pronouns to verify that they are correct in the medical record.
Teach the client about the side effects of testosterone therapy is incorrect. Testosterone
therapy is not indicated for a female transgender client who has undergone gender-affirming
vaginoplasty surgery. This action would not be appropriate for this client’s plan of care.
Teach the client how to self-dilate the neovagina is correct. Several weeks after surgery,
the nurse should teach the client how to self-dilate the neovagina.
Assess neovaginal drainage is correct. The nurse should assess neovaginal drainage
because the client can expect to have yellow or brown drainage for approximately one month
after surgery.
Screen the client for depression is correct. Transgender clients have a high rate of mental
health concerns. Screening for mental health needs, such as depression, should be included in
the client’s plan of care.
Question: 20 of 30
A nurse is teaching a client who has bacterial vaginosis. Which statement should the nurse
include in the teaching?
A. “You will need a blood test to confirm that you have bacterial vaginosis.”
B. “Bacterial vaginosis causes green or yellow vaginal drainage.”
C. “Having bacterial vaginosis makes it easier for you to get another sexually
transmitted infection.”
D. ‘Treatment for bacterial vaginosis includes using a vaginal douche twice each day.”
Question: 21 of 30
A nurse is caring for a client who has scar tissue in their fallopian tubes. Which of the
following conditions is the client likely to experience as a result of this finding?
A. Dysmenorrhea
B. Uterine fibroids
C. Menopause
D. Infertility
Question: 22 of 30
A nurse is caring for a client who has uterine fibroids. Which factors in the client’s history
increase the risk of uterine fibroids? (Select all that apply.)
A. Body mass index (BMI) 31.2
B. History of four pregnancies
C. Of African American descent
D. Onset of menarche at 15 years of age
E. Parent and sibling have uterine fibroids
Explanation:
Body mass index (BMI) 31.2 is correct. A body mass index (BMI) of 30.0 or more increases
the risk for uterine fibroids.
History of four pregnancies is incorrect. A client who has never been pregnant is at higher
risk for uterine fibroids.
Of African American descent is correct. Clients who are of African American descent have
a higher risk of developing uterine fibroids.
Onset of menarche at 15 years of age is incorrect. Early menarche is a risk factor for
uterine fibroids.
Parent and sibling have uterine fibroids is correct. A family history of uterine fibroids is a
risk factor for uterine fibroids.
Question: 23 of 30
A nurse is assessing a client who has erectile dysfunction. Which statement by the client
would the nurse expect?
A. “I have trouble emptying my bladder completely.”
B. “I am not able to have an orgasm during sexual intercourse.”
C. “My partner and I have been trying to have a baby for a long time.”
D. “I am not able to have sexual intercourse.”
Question: 24 of 30
A nurse is teaching a client who has pelvic inflammatory disease about potential
complications. Which of the following statements by the client indicates that the teaching was
effective?
A. “If I finish the antibiotics, I won’t have any further complications from the pelvic
inflammatory disease.”
B. “Pelvic inflammatory disease can cause problems with my heart or brain many years from
now.”
C. “I am at higher risk of getting a urinary tract infection in the future.”
D. “Pelvic inflammatory disease can make it harder for me to get pregnant in the
future.”
Question: 25 of 30
A nurse is assessing a female client who has fibrocystic breast changes. Which of the
following factors increase the client’s risk of fibrocystic breasts? (Select all that apply.)
A. The client is 44 years old.
B. The client has a history of hypertension.
C. The client takes estrogen replacement therapy.
D. The client drinks five cups of caffeinated coffee daily.
E. The client takes acetaminophen daily.
Explanation:
The client is 44 years old is correct. Fibrocystic breast changes are most likely to occur in
female clients who are between 30 and 50 years of age.
The client has a history of hypertension is incorrect. Hypertension is not a risk factor or
fibrocystic breasts.
The client takes estrogen replacement therapy is correct. Taking estrogen replacement
therapy is a risk factor for fibrocystic breasts. Alterations in the estrogen level are a cause of
fibrocystic breast disease.
The client drinks five cups of caffeinated coffee daily is incorrect. There is no evidence
that caffeine intake is related to fibrocystic breast changes.
The client takes acetaminophen daily is incorrect. Acetaminophen intake does not increase
risk for fibrocystic breasts. Acetaminophen may be used to treat discomfort in clients with
fibrocystic breasts.
Question: 26 of 30
A nurse is teaching a client about the menstrual cycle. Which of the following statements
should the nurse include in the teaching?
A. “The average menstrual cycle occurs every 45 days.”
B. “Most clients menstruate for about three to five days during each cycle.”
C. “The menstrual cycle begins on the last day of menstrual flow.”
D. “An ovum is released each cycle when menstruation begins.”
Question: 27 of 30
A nurse is caring for a client who is receiving testosterone for gender-affirming therapy.
Which of the following findings indicate the therapy is effective? (Select all that apply.)
A. Weight has decreased 7 pounds.
B. The client’s voice is deeper
C. The client reports an increase in facial hair
D. Cessation of menstruation
E. Red blood cell count has decreased
Explanation:
Weight has decreased 7 pounds is incorrect. Testosterone therapy causes an increase in
weight.
The client’s voice is deeper is correct. Testosterone therapy causes masculinization,
including deepening of the voice.
The client reports an increase in facial hair is correct. Testosterone therapy causes
masculinization, including the growth of hair on the face and body.
Cessation of menstruation is correct. Testosterone therapy blocks estrogen, causing
menstruation to cease.
Red blood cell count has decreased is incorrect. Testosterone therapy causes an increase in
red blood cell production.
Question: 28 of 30
A nurse is reviewing lab results for a transgender client who is receiving testosterone therapy.
Which of the following lab results is expected?
A. Sodium 134 mEq/L
B. WBC 14,000/mm3
C. Glucose 68 mg/dL
D. Hct 52%
Question: 29 of 30
A nurse is providing medication teaching to a transgender client who has been prescribed
gender-affirming topical testosterone therapy. Which statement should be included in the
teaching?
A. “You may notice that the hair on your head grows more.”
B. “Testosterone can sometimes cause anemia.”
C. “Wash your hands after you apply the testosterone.”
D. “Your weight might decrease.”
Question: 30 of 30
A nurse is caring for a client who reports experiencing partner violence. Which statement by
the client indicates that the client is experiencing the “Tension Building Phase”?
A. “My partner took me out to dinner to celebrate our anniversary this week.”
B. “My partner has been criticizing me all week.”
C. “My partner is going to counseling and says they won’t hit me anymore.”
D. “My partner forced me to have sex this morning.”
