2021浙江美国护士资格认证(CGFNS)考试真题卷（1）.docx

2021浙江美国护士资格认证(CGFNS)考试真题卷（1）本卷共分为1大题50小题，作答时间为180分钟，总分100分，60分及格。一、单项选择题（共50题，每题2分。每题的备选项中，只有一个最符合题意） 1.The nurse is teaching a client and his family about dietary practices related to Parkinsons disease. A priority for the nurse to address is risk ofA. fluid overload and drooling.B. aspiration and anorexia.C. choking and diarrhea.D. dysphagia and constipation. 2.The nurse recognizes that spinal shock is likely to persist for the first several weeks after the injury. Which of the following symptoms would be unexpected during the period of spinal shockA. Tachycardia.B. Rapid respirations.C. Hypertension.D. Dry, warm skin. 3.A 15-year-old boy is admitted to the health care facility after acting out his aggressions inappropriately at school. Predisposing factors to the expression of aggression include which of the followingA. Violence on television.B. Passive parents.C. An internal locus of control.D. A single-parent family. 4.The nurse assesses the clients urinary stoma regularly for edem().A. Which of the following signs and symptoms might indicate excessive stomal edemaA. Elevated temperature.B. Urine output below 30 mL/hour.C. Urine dribbling from the stoma.D. Complaints of discomfort around the stom5.The nurse is teaching a client with chronic bronchitis about breathing exercises. Which of the following should the nurse include in the teachingA. Make inhalation longer than exhalation.B. Exhale through an open mouth.C. Use diaphragmatic breathing.D. Use chest breathin 6.A client is diagnosed with a herniated lumbar disk at the L-5 interspace. Which of the following symptoms would most likely be the one that first caused the client to seek health careA. Loss of voluntary muscle control.B. Loss of bladder control.C. Back pain that is relieved with resting.D. Back pain that radiates to the shoulders. 7.From an analysis of the data collected about the client who has had a gastric resection, the nurse formulates the nursing diagnosis Risk for ineffective airway clearance. Based on which of the following postoperative factors would the nurse make this diagnosisA. Incisional pain.B. Nausea.C. Progressive ambulation.D. Maintenance of a semi-Fowlers position. 8.Which condition could a mother have and still be allowed to breast-feed her childA. Positive for human immunodeficiency virus (HIV).B. Active tuberculosis (TB).C. Cardiac disease.D. Endometritis. 9.Which of the following would be most appropriate for the nurse to include in the plan of care for a dying child to meet the childs emotional needs during the last days of lifeA. Restrict visitors to the parents to avoid overtaxing the child.B. Answer the childs questions about illness and death honestly.C. Focus on the childs physical needs to attempt to prevent sadness.D. Encourage the child to play quietly with a roommate to provide pleasur 10.A respectable lawyer is admitted to an acute care facility with epigastric pain. Since admission, the client has called the nurse every 15 minutes with one request or another. Which of the following could explain this clients behaviorA. Repression.B. Somatization.C. Regression.D. Conversion. 11.An assisted birth using forceps or a vacuum extractor may be performed for ineffective pushing, for large neonates, to shorten the second stage of labor, or for a malpresentation. When caring for the mother following an assisted birth, the nurse should keep which of the following in mindA. A vacuum extractor is safer than forceps because it causes less trauma to the neonate and the mothers perineum.B. The neonate will develop a cephalohematoma as a result of the instrumentation.C. The use of instruments during the birth process is a fairly rare occurrence.D. Additional nursing interventions are needed to ensure an uncomplicated postpartum. 12.A 2-year-old child is brought to the emergency room with a broken arm. Which of the following findings would lead the nurse to suspect child abuseA. The child has bruises on the forearms.B. The childs clothes are dirty, torn, and obviously "hand-me-downs. "C. The childs father alters the story of the injury each time he tells it.D. The childs mother did not come to the hospital with the chil 13.Theophylline ethylenediamide is administered to a client with COPD. The nurse knows that the medication is for which of the following purposeA. To reduce bronchial secretions.B. To relax bronchial smooth muscle.C. To strengthen myocardial contractions.D. To decrease alveolar elasticity. 14.A mother of a 4-month-old infant asks the nurse when she should wean from breast-feeding and begin using a cup. Which of the following would be the best indication of the infants readiness to be weanedA. Taking solid foods well.B. Sleeping through the night.C. Shortening the nursing time.D. Eating on a regular schedul 15.During the first 3 months, which hormone is responsible for maintaining pregnancyA. Human chorionic gonadotropin (HCG).B. Progesterone.C. Estrogen.D. Relaxin. 16.A client is admitted for an overdose of amphetamines. When assessing this client, the nurse should expect to have which of the following findingsA. Tension and irritability.B. Slow pulse.C. Hypotension.D. Constipation. 17.A woman who is 10 weeks pregnant complains about her fatigue and frequent urination. What would be the nurses responseA. Recognize these as normal early pregnancy signs and symptoms.B. Question her further about these signs and symptoms.C. Tell the client that shell need blood work and urinalysis.D. Tell the client that she may be excessively worrie 18.A 58-year-old client complaining of difficulty driving at night states that the "lights bother my eyes" even though he wears corrective glasses. The nurse would suspect that the client is experiencing a deficiency in which of the following vitaminsA. Vitamin .B. Vitamin complex.C. Vitamin .D. Vitamin . 19.The nurse is caring for a client with bipolar disorder in a manic state. Which of the following nursing interventions should be included in the plan of careA. Allowing the client to exhibit hyperactive, demanding, manipulative behavior without setting limits.B. Listening attentively with a neutral attitude and avoiding power struggles.C. Offering high-calorie meals and strongly encouraging the client to finish all food.D. Insisting that the client remain active through the day so that hell sleep at night. 20.A client with testicular cancer is scheduled for a right orchiectomy. The day before surgery, the client asks the nurse whether losing a testicle will have influence on his manhood. Which of the following facts about orchiectomy should form the basis for the nurses responseA. Testosterone levels are decreased.B. Sexual drive and libido are unchanged.C. Sperm count increases in the remaining testicle.D. Secondary sexual characteristics chang 21.The nurse is preparing the client with heart failure to go home. Which of the following should be most important to include in the discharge educationA. Monitor urine output daily.B. Monitor daily potassium intake.C. Maintain bed rest for at least 1 week.D. Weigh daily. 22.The nurse assesses the client to determine the cause of autonomic dysreflexi().A. Which of the following is the most common stimulus for an autonomic dysreflexia episodeA. Rising intracranial pressure.B. Bowel distention.C. Bladder distention.D. Anxiety.23.The nurse is caring for a client during the fourth stage of labor. Which of the following nursing interventions would be LEAST appropriateA. Catheterization to protect the bladder from trauma.B. Perineal assessments for swelling and bleeding.C. Vital signs and fundal checks every 15 minutes.D. Time with the neonate to initiate breast-feedin 24.Promethazine hydrochloride (Phenergan) 35 mg IM is ordered for a client who is experiencing nausea and vomiting after surgery. The ampules label reads 25 mg/mL. How many mL should the nurse prepare to administerA. 0.7 mL.B. 1.0 mL.C. 1.4 mL.D. 1.8 mL. 25.The plan of care for a client with hypertension taking propranolol hydrochloride would include which of the followingA. Instructing the client to discontinue the drug if nausea occurs and to monitor blood pressure.B. Instructing the client to notify the physician of irregular or slowed pulse rate.C. Monitoring blood pressure every week and adjusting the medication dose accordingly.D. Measuring partial thromboplastin time weekly to evaluate blood clotting status. 26.The client with diverticulitis is treated as an outpatient with drug therapy. Which drug therapy will most probably be employedA. Antidepressants.B. Laxatives.C. Steroids.D. Broad-spectrum antibiotics. 27.A client diagnosed with gestational diabetes has been admitted for induction of labor at 38 weeks. The client asks the nurse, "My previous labors started on their own. How will this induction of labor be different from my last labor" Upon which theory would the nurse base her responseA. An induction causes the contractions to be more intense during the first stage of labor.B. The risk of uterine rupture is less because the oxytocin (Pitocin) is controlled with an infusion pump.C. The goal of induction is to produce a contractile pattern similar to that observed in spontaneous labor.D. During an induction, fetal monitoring begins as soon as oxytocin is started, whereas in a spontaneous labor, monitoring begins when signs of distress occur. 28.A client diagnosed with a peptic ulcer undergoes an upper gastrointestinal endoscopy to help the physician visualize the ulcers location and severity. Immediately after the endoscopy, what would be a priority for the nurse to assessA. Return of the gag reflex.B. Bowel sounds.C. Peripheral pulses.D. Intake and output. 29.A client who survived an airplane crash has a diagnosis of posttraumatic stress disorder (PTSD). He has a history of nightmares, depression, hopelessness, and alcohol abuse. Which option offers the client the most lasting relief for his symptomsA. The opportunity to verbalize memories of trauma to a sympathetic listener.B. Family support.C. Prescribed medications taken as ordered.D. Alcoholics Anonymous (AA) meetings. 30.Which of the following drugs may be abused because of tolerance and physiologic dependenceA. Lithium (Lithobid) and divalproex (Depakote).B. Verapamil (Calan) and chlorpromazine (Thorazine).C. Alprazolam (Xanax) and phenobarbital (Luminal).D. Clozapine (Clozaril) and amitriptyline (Elavil). 31.For a client in addisonian crisis, it would be very risky for a nurse to administerA. potassium chloride.B. normal saline solution.C. hydrocortisone.D. fludrocortison 32.Labor is divided into how many stagesA. Two.B. Three.C. Four.D. Fiv 33.While caring for a healthy neonate female, the nurse notices red stains on the diaper after the neonate voids. Which of the following should the nurse doA. Call the physician to report the problem.B. Encourage the mother to feed the neonate to decrease dehydration.C. Check the neonates urine for hematuria.D. Do nothing because this is normal. 34.Which of following would lead the nurse to suspect that a clients labor is moving quickly and that the physician should be notifiedA. An increased sense of rectal pressure.B. An increase in fetal heart rate variability.C. A decrease in intensity of contractions.D. Episodes of nausea and vomitin 35.After receiving large doses of an ovulatory stimulant such as menotropins (Pergonal), a client comes in for her office visit. Assessment reveals the following: 6 lb (2.7 kg) weight gain, ascites, and pedal edem().A. These findings indicate which of the followingA. They are normal signs of an ovulatory stimulant.B. The client is demonstrating signs of hyperstimulation syndrome.C. The client is having a reaction to the menotropins.D. The client is probably pregnant.36.To help promote independence in the area of feeding for a school-aged child in skeletal traction, the nurse would help the child choose which of the following mealsA. Carrot sticks, celery with cream cheese, roast beef and gravy, peas, gelatin, and milk in a cup.B. Chicken noodle soup with crackers, grilled cheese sandwich, cole slaw, and chocolate milk in a carton.C. Chicken nuggets with sauce, carrot sticks, French-fried potatoes, ice cream sandwich, and milk in a carton.D. Spaghetti and meat sauce, cherry cobbler, and apple juice in a can. 37.A client is being admitted to the labor unit. Because shes well advanced in labor, the nurse must prioritize the admission questions. Which information is most important to obtain when birth is imminentA. Duration of previous labor.B. Frequency of contractions.C. Presence of bloody show.D. Expected due dat 38.The nurse is administering magnesium sulfate to a client with preeclampsia. The nurse explains to the client that this drug is given for which of the following reasonA. To prevent seizures.B. To reduce blood pressure.C. To slow the process of labor.D. To increase diuresis.39.Which of the following pieces of equipment would do best job to help prevent external rotation of the clients right leg postoperativelyA. Sandbags.B. A high footboard.C. A rubber air ring.D. A metal bed cradl 40.A client who suffered blunt chest trauma in a car accident complains of chest pain, which is exacerbated by deep inspiration. On auscultation, the nurse detects a pericardial friction rub-a classic sign of acute pericarditis. To relieve chest pain associated with pericarditis, the nurse should encourage the client to assume which positionA. Semi-Fowlers.B. Leaning forward while sitting.C. Supine.D. Pron 41.Nursing care for a client after electroeonvulsive therapy (ECT) should include which of the followingA. Nothing by mouth for 24 hours after the treatment because of the anesthetic agent.B. Bed rest for the first 8 hours after a treatment.C. Assessment of short-term memory loss.D. No special car 42.The nurse is caring for a client who undergoes a total right knee replacement. The nurse would anticipate which of the following activity orders for this client on the first postoperative