2021內(nèi)蒙古美國護士資格認證(CGFNS)考試考前沖刺卷

1、第 頁2021內(nèi)蒙古美國護士資格認證(CGFNS)考試考前沖刺卷本卷共分為1大題50小題，作答時間為180分鐘，總分100分，60分及格。一、單項選擇題（共50題，每題2分。每題的備選項中，只有一個最符合題意） 1.A client undergoes a total laryngectomy and tracheostomy formation. On discharge, which instruction should the nurse give to the client and familyA. Clean the tracheostomy tube with alcohol an

2、d water. B. Family members should continue to talk to the client. C. Oral intake of fluids should be limited for 1 week only. D. Limit the amount of protein in the diet. 2.Which of the following would the nurse interpret as indicating that a child is receiving too much intravenous fluid too rapidly（

3、）A. Marked increase in abdominal girth.B. Evidence of protein in the urine.C. Dark amber colored urine.D. Moist crackles in the lung fields.3.A client is diagnosed with hyperthyroidism. The clinical manifestations of hyperthyroidism are similar to which of the following（）A. Hypovolemic shock.B. Adre

4、nergic stimulation.C. Benzodiazepine overdose.D. Addisons disease.4.When developing a plan of home care for the client with multiple sclerosis, the nurse should teach the client about which of the following complications most likely to occur（）A. Ascites.B. Contractures.C. Fluid volume overload.D. My

5、ocardial infarction.5.A client had a nephrectomy 2 days ago and is now complaining of abdominal pressure and nausea. What should the nurse do firstA. Auscultate for bowel sounds.B. Palpate the abdomen.C. Change the clients position.D. Insert a rectal tube.6.Which of the following observations indica

6、tes that the mother of a child receiving home intravenous ampicillin therapy requires further teaching（）A. The mother allows the antibiotic to run into the childs vein over a period of 30 minutes.B. The mother flushes the venous access site with heparin 20 minutes after giving the antibiotic.C. The

7、mother stops the infusion when the area around the insertion site becomes hard and reddened.D. The mother calls the home care nurse because the antibiotic solution will not infuse.7.During a panic attack, a client runs to the nurse and reports breathing difficulty, chest pains, and palpitations. The

8、 client also is pale and has a wide open mouth and raised eyebrows. What should the nurse do firstA. Assist with deep breathing into a paper bag.B. Orient the client to person, place, and time.C. Set limits for acting out delusional behaviors. D. Administer an anxiolytic agent IM. 8.Signs and sympto

9、ms of retinal detachment include which of the followingA. Painless decrease in vision, a veil over the visual field, and flashing lights.B. A veil over the visual field, increased intraocular pressure, and yellow-green halos around visual images.C. Photophobia, yellow-green halos around visual image

10、s, and blurred vision. D. Unilateral eye inflammation, a cloudy cornea, and a moderately dilated pupil. 9.The nurse palpates a multiparas fundus immediately after delivery of the placenta and assesses that its boggy. The nurse massages the clients uterus until its firm. Which medication would the nu

11、rse anticipate to administer if the uterus becomes boggy againA. Rho(D) immune globulin (RhoGAM).B. Magnesium sulfate.C. Oxytocin (Pitocin).D. Ibuprofen.10.A client with a serum glucose level of 618mg/dL is admitted to the facility. Hes awake and oriented, has hot dry skin, and has the following vit

12、al signs, temperature of 100. 6F (38.1), heart rate of 116 beats/minute, and blood pressure of 108/70mmHg. Based on these assessment findings, which nursing diagnosis takes highest priorityA. Deficient fluid volume related to osmotic diuresis.B. Decreased cardiac output related to elevated heart rat

13、e. C. Imbalanced nutrition. Less than body requirements related to insulin deficiency. D. Ineffective thermoregulation related to dehydration.11.Which of the following home care activities would be appropriate for a client with a laryngectomy（）A. Keep the stoma opening covered at all times.B. Partic

14、ipate in activities such as walking and golfing.C. Stay inside in an air-conditioned environment in the summer.D. Avoid showering; take tub baths instead.12.When developing a teaching plan for the family of a child with seizures, which of the following would the nurse include when discussing pharmac

15、ologic treatment（）A. Medication is adjusted independently when side effects occur.B. Abrupt cessation of the medication must be avoided.C. Dosages will be decreased as the child grows older.D. Medication therapy is necessary for the rest of the childs life.13.A 40-year-old client is admitted to the

16、psychiatric emergency department because of sleeping difficulty, poor judgment, and incoherent at times. The clients speech is rapid and loose. She reports being a special messenger from the Messiah. She has a history of depressed mood for which she has been taking an antidepressant. Which diagnosis

17、 would the nurse suspect（）A. Schizophrenia.B. Paranoid personality.C. Bipolar illness.D. Obsessive-compulsive disorder (OCD).14.Which of the following activities should the nurse discourage the client with a peptic ulcer（）A. Chewing gum.B. Smoking cigarettes.C. Eating chocolate.D. Taking acetaminoph

18、en (Tylenol).15.For a client with suspected increased intracranial pressure (ICP), a most appropriate respiratory goal is to（）A. prevent respiratory alkalosis.B. lower arterial pH.C. promote carbon dioxide elimination.D. maintain partial pressure of arterial oxygen (PaO2) above 80 mmHg.16.A pregnant

19、 client who is diabetic is at risk for having a large-for-gestational-age infant because of which of the following()A. Excess sugar causing reduced placental functioning.B. Insulin acting as a growth hormone on the fetus.C. Maternal dietary intake of high calories.D. Excess insulin reducing placenta

20、l functioning.17.An unconscious client has been admitted with a head injury. Which of the following nursing diagnoses would receive the greatest priority in the plan of care()A. Disturbed sensory perception related to decreased level of consciousness.B. Ineffective airway clearance related to inabil

21、ity to remove respiratory secretions.C. Impaired gas exchange related to shallow irregular breathing.D. Risk for injury related to disorientation and decreased level of consciousness.18.Linda is a 19-year-old primipara who delivered a viable male neonate 2 hours ago. She has decided to breast-feed.

22、Her 22-year-old husband supports her decision. She tells the nurse, My mother breast-fed all of her children, but Im going to need lots of help with breastfeeding. Im worried that I wont be able to do this. Which of the following should the nurse include when assessing the client()A. Determine the c

23、lients level of motivation to breast-feed.B. Perform a complete physical examination to determine her need for help.C. Assess her body-to-fat ratio and nutritional status before beginning breast-feeding.D. Ask the client if she has read any literature about breast-feeding.19.A client with diverticul

24、itis is treated as an outpatient with drug therapy. Which of the following medication would most probably be included in the drug therapy()A. Broad-spectrum antibiotics.B. Opioid analgesics.C. Tranquilizers.D. Laxatives.20.A pregnant client with premature rupture of the membranes has had contraction

25、s every 10 minutes. After 48 hours, the contractions stop and the client is to be discharged with home monitoring. The nurse discusses with the client about preterm labor symptoms. Which of the following statements made by the client indicates that she needs further instruction()A. I should report c

26、ontractions that occur every 10 minutes in 1 hour.B. I should lie in bed on my left side if contractions begin.C. I should call the doctor if my contractions occur every hour for 6 hours.D. If I start having contractions, I should empty my bladder. 21.Positive symptoms of schizophrenia include which

27、 of the followingA. Waxy flexibility, alogia, and apathy.B. Flat affect, avolition, and anhedonia.C. Hallucinations, delusions, and disorganized thinking.D. Somatic delusions, echolalia, and a flat affect.22.The nurse is instructing a client with angina about sublingual nitroglycerin. Which of the f

28、ollowing points should be included()A. The shelf life of nitroglycerin is long, it keeps for up to 2 years.B. Store the tablets in a tight, light-resistant container.C. Use the tablets only when the pain is severe.D. The drug will cause increased urine output.23.The physician has ordered Oxtriphylli

29、n (Choledyl SA) 0.2 g. Available tablets of the medicine are 100 mg. How many tablets should be given()A. 0.5 tablets.B. 2.0 tablets.C. 2.5 tablets.D. 5.0 tablets.24.Mr. Smith has had a cast applied to his arm as an outpatient in the emergency room. Which of the following home care instructions shou

30、ld the nurse advice for his cast care()A. Use a ruler to reach inside and scratch under the cast.B. Apply a heating pad to the arm for 24 hours after the injury.C. Use powder on the skin around the cast.D. Smell the cast for foul odors.25.Antipsyehotie medications may cause which of the following ad

31、verse effects()A. Increased production of insulin.B. Lower seizure threshold.C. Increased coagulation time.D. Increased risk of heart failure.26.Mrs. S with preterm labor will be under Terbutaline (Brethine) therapy. Before beginning the therapy, which of the following assessments would be most impo

32、rtant()A. Estimated fetal size.B. Maternal heart rate.C. Contraction intensity.D. Deep tendon reflexes.27.The mother of a new-born asks the nurse how often she should breastfeed her baby. Which of the following responses by the nurse would be best()A. Newborns should breastfed at least every 3 hours

33、 during the day.B. Newborns should be fed when they cry.C. As long as the baby feeds four times a day, he will get enough.D. Newborns may breastfeed continuously until they stabilize. 28.A client has been placed on levodopa to treat his Parkinsons disease. Which of the following is a common side eff

34、ect of levodopa that the nurse should include in the clients teaching plan()A. Pancytopenia.B. Peptic ulcer.C. Orthostatic hypotension.D. Weight loss.29.The nurse is evaluating a clients lung sounds. Which of the following breath sounds indicate adequate ventilation when auscultated over the lung fi

35、elds()A. Vesicular.B. Bronchial.C. Bronchovesicular.D. Adventitious.30.A client with heart failure loses 3.2 kg while hospitalized. Approximately how many pounds has the client lost()A. 1 pound.B. 3 pounds.C. 5 pounds.D. 7 pounds.31.When instructing the client with severe burns about proper nutritio

36、n, the nurse would encourage him to eat which of the following meals()A. Chicken breast, salad, iced tea.B. Roast beef sandwich, milkshake, cottage cheese.C. Hamburger, orange, coffee.D. Pasta salad, carrots, iced tea.32.Mrs. Brown, who is breast-feeding, asks the nurse if she should supplement brea

37、st- feeding with formula feeding. The nurse bases the response on which of the followingA. Formula feeding should be avoided to prevent interfering with the breast milk supply. B. Primarily, water supplements should be used to prevent jaundice. C. Formula supplements can provide nutrients not found

38、in breast milk. D. More vigorous sucking is needed for a bottle-feeding, so supplements should be avoided. 33.The client with a lumbar laminectomy asks to be turned onto his side. What should the nurse do()A. Inform the client that because of his laminectomy, he may only lie supine.B. Ask the client

39、 to help by using an overhead trapeze to turn himself.C. Turn the clients shoulders first, followed by his hips and legs.D. Get another nurse to help log roll the client into position.34.A client with ulcerative colitis is chatting with the nurse. Which of the following statements indicates the clie

40、nt understands the lifestyle modifications he needs to make()A. I will have to stop smoking.B. I can eat popcorn for an evening snack.C. I may have coffee with my meals.D. I am allowed to have alcohol as long as I only drink wine. 35.A client has had a total gastrectomy for gastric cancer. Which one

41、 of the following is the most appropriate expected outcomes about nutrition()A. The client will learn to self-administer enteral feedings every 4 hours.B. The client will maintain adequate nutrition through oral or parenteral feedings.C. The client will regain any weight lost within 4 weeks of the s

42、urgical procedure.D. The client will eat three full meals a day without experiencing gastric complications.36.The nurse has assisted a multigravida with a precipitous delivery of a viable neonate in a local grocery store. Because a precipitous delivery can lead to decreased uterine tone, which of th

43、e following nursing actions would help to prevent this complication()A. Place the neonate on the clients fundus.B. Place the mother in a supine position.C. Encourage the mother to breast-feed the infant.D. Massage the clients fundus continuously.37.A client has had a cerebrovascular accident (CVA).

44、Because the CVA affected the left side of the clients brain, the nurse should anticipate that the client would most likely experience()A. dyslexia.B. apraxia.C. agnosia.D. expressive aphasia.38.The client with a head injury receives mannitol (Osmitrol) during surgery to help decrease intracranial pr

45、essure. Which of the following nursing observations would most likely indicate that the drug is having the desired effect()A. Urine output increases.B. Pulse rate decreases.C. Blood pressure decreases.D. Muscular relaxation increases.39.The nurse administers a preoperative intramuscular medication a

46、t the ventrogluteal site. The nurse will inject the medication into which muscle()A. Rectus femoris.B. Gluteus maximus.C. Gluteus minimus.D. Vastus lateralis.40.While managing the separation anxiety during hospitalization for a two-year-old boy, which of the following suggestions would be most helpf

47、ul to the parents()A. Tell the child the time they are leaving and returning.B. Bring the childs favorite toys from home.C. Leave while the child is sleeping.D. Keep the visit time short.41.Nursing measures for the client who has had an MI include helping the client to avoid activity that results in

48、 Valsalvas maneuver. Valsalvas maneuver may cause cardiac dysrhythmias, increased venous pressure, increased intrathoracic pressure, and thrombi dislodgment. Which of the following actions would help prevent Valsalvas maneuver()A. Have the client drink fluids through a straw.B. Have the client avoid

49、 holding her breath during activity.C. Have the client assume a side-lying position.D. Have the client clench her teeth while moving in bed.42.A primigravida at 28 weeks gestation is admitted with a diagnosis of preterm labor. The clients contractions are occurring every 15 to 20 minutes, lasting 25

50、 seconds. The membranes are intact. What should the nurse do()A. Request assistance from the neonatal resuscitation team.B. Place the client on bed rest on her left side.C. Obtain equipment for an amniotomy.D. Prepare terbutaline in an intravenous solution of normal saline.43.A mother of an ill chil

51、d tells the nurse that her child isnt eating well. Which of the following strategies devised by the mother to help increase the childs intake is not appropriate()A. Asking the child to say why he is not eating.B. Telling the child he must eat or else he will not get better.C. Allowing the child to c

52、hoose his meals from an acceptable list of foods.D. Letting the child to substitute items on his tray for other nutritious foods.44.In caring for the client with hepatitis B, which of the following situations would most likely expose the nurse to the virus()A. Contact with fecal material.B. A blood

53、splash into the nurses eyes.C. Disposing of syringes and needles without recapping.D. Touching the clients arm with ungloved hands while taking blood pressure.45.The client delivers a viable male neonate who is given a score of 9 at 5 minutes on the Apgar rating system. The client asks the nurse what it means. The nurse interprets this finding as indicating that the neonates physical condition is which of the following()A. Good.B. Fair.C. Poor.D. Critical.46.Mr. Smith is admitted to the psychiatric hospital for evaluation after