2022山西美国护士资格认证(CGFNS)考试真题卷（3）.docx

2022山西美国护士资格认证(CGFNS)考试真题卷（3）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.Following an earthquake, a client who was rescued from a collapsed building is seen in the emergency department. He has blunt trauma to the thorax and abdomen. Which nursing observation most suggests the client is bleedingAProlonged partial thromboplastin time (PTT).BRecent history of warfarin (Coumadin) usage.CDiminished breath sounds.DOrthostatic hypotension. 2.Which of the following home care activities would be appropriate for a client with a laryngectomyAKeep the stoma opening covered at all times.BParticipate in activities such as walking and golfing.CStay inside in an air-conditioned environment in the summer.DAvoid showering; take tub baths instead. 3.The nurse teaches the mother of an infant diagnosed with congenital hypothyroidism about daily oral levothyroxine sodium (Synthroid) therapy. Which of the following signs and symptoms would indicate an overdoseAAnorexia.BConstipation.CSweating.DSleepiness. 4.A client has been told to take ibuprofen (Motrin, Advil) to relieve the pain of her rheumatoid arthritis. Which of the following statements indicates the client understands how to take this drug safely and effectivelyA"I should not take aspirin with this drug unless my physician says to. "B"I should not take this drug with antacids or food products. "C"I do not need to worry about this medicine irritating my stomach. "D"I should notice the effects of this medicine within the first few days. " 5.The nurse is caring for a client with an acute bleeding cerebral aneurysm. Which of the following activities is not appropriate in nursing careAPosition the client to prevent airway obstruction.BKeep the client in one position to decrease bleeding.CAdminister IV fluid as ordered and monitor the client for signs of fluid volume excess.DMaintain the client in a quiet environment. 6.The nurse is teaching a group of couples in a childbirth class. The nurse describes normal labor, including the premonitory signs of labor. Which of the following comments from the client indicates that further teaching is necessaryA"My membranes won't rupture until I'm ready to deliver. "B"I may feel Braxton Hicks contractions as my pregnancy progresses. "C"Lightening usually occurs 2 weeks before labor begins in a first pregnancy. "D"I'll begin to see a bloody mucus vaginal discharge as my cervix begins to dilate. " 7.The nurse is caring for a client with acute pulmonary edema. To immediately promote oxygenation and relieve dyspnea, which of the following interventions is appropriateAAdminister oxygen.BHave the client take deep breaths and cough.CPlace the client in high Fowler's position.DPerform chest physiotherapy. 8.Which of the following would be LEAST appropriate to assess in a mother who is breast-feedingAThe attachment of the neonate to the breast.BThe mother's comfort level with positioning the neonate.CAudible swallowing.DThe neonate's lips smacking. 9.A 9-month-old, well-nourished boy who lives with his extensive extended family tests positive for tuberculosis. Which of the following is a risk factor for tuberculosis in this clientAMale sex.BThe infant is in the 95th percentile for height and weight.CHis mother did not receive prenatal care until the second trimester of her pregnancy.DAge. 10.A new mother is concerned because her breast-feeding neonate wants to "nurse all the time. " Which of the following responses best indicates the normal neonate's breast-feeding behaviorA"Breast milk is ideal for your baby, so his stomach will digest it quickly, requiring more feedings. "B"Let me call the lactation consultant to make sure that your baby is feeding properly. "C"Don't worry; your baby is an aggressive feeder and needs a lot of sucking satisfaction. "D"It seems as if your baby is hungry. Why don't you provide your baby with some formula after the feeding to make sure he's getting enough nourishment" 11.A client who is planning a pregnancy asks the nurse about ways to promote a healthy pregnancy. Which of the following would be the nurse's best responseA"Pregnancy is a human process; you don't have to worry. "B"You practice good health habits; just follow them and you'll be fine. "C"There is nothing you can do to have a healthy pregnaney; it's all up to nature. "D"Folic acid, 400 mcg(1mcg= 10g), improves pregnancy outcomes by preventing certain complications. " 12.The nurse is caring for a client with cirrhosis. Which manifestations indicate deficient vitamin K absorption caused by cirrhosisADyspnea and fatigue.BAscites and orthopnea.CPurpura and petechiae.DGynecomastia and testicular atrophy. 13.A client is receiving a radiation implant for the treatment of bladder cancer. Which of the following interventions is appropriateAFlush all urine down the toilet.BRestrict the client's fluid intake.CPlace the client in a semiprivate room.DMonitor the client for signs and symptoms of cystitis. 14.A toddler with croup is given a vaponefrin updraft because of increasing respiratory distress. The nurse evaluates the treatment as being effective when see which of the followingAThe child's color is normal.BThe child's retractions are less severe.CThe child's heart rate is 100 bpm.DThe child's pulse oximeter reads 90. 15.In performing a routine fundal assessment, the nurse finds a client's fundus to be "boggy. " What action should the nurse take firstACall the physician.BMassage the fundus.CAssess lochia flow.DStart methylergonovine as ordered. 16.Which of the following is the most appropriate activity for the nurse to assess motor strength for a neurologically injured clientACompare equality of hand grasps.BObserve spontaneous movements.CObserve the client feed himself.DAsk the client to signal if he feels pressure applied to his feet. 17.Signs and symptoms of retinal detachment include which of the followingAPainless decrease in vision, a veil over the visual field, and flashing lights.BA veil over the visual field, increased intraocular pressure, and yellow-green halos around visual images.CPhotophobia, yellow-green halos around visual images, and blurred vision.DUnilateral eye inflammation, a cloudy cornea, and a moderately dilated pupil. 18.A client has a nasogastric tube inserted at the time of abdominal perineal resection with permanent colostomy. This tube will most likely be removed when the client demonstrates which of the followingAAbsence of nausea and vomiting.BAbsence of stomach drainage for 24 hours.CPassage of mucus from the rectum.DPassage of flatus and feces from the colostomy. 19.Which nursing measure would be most effective in helping the client cough and deep breathe after a cholecystectomyAHaving the client take rapid, shallow breaths to decrease pain.BHaving the client lay on the left side while coughing and deep breathing.CTeaching the client to use a folded blanket or pillow to splint the incision.DWithholding pain medication so the client can be alert enough to follow the nurse's instructions. 20.The nurse instructs the client with hemorrhoids about how to decrease the discomfort. Which of the following interventions would be most likely recommended by the nurseADecrease fiber in the diet.BDecrease physical activity.CTake laxatives to promote bowel movements.DUse warm sitz baths. 21.A client undergoes extracorporeal shock wave lithotripsy (ESWL) to break up and remove renal calculi. Which of the following nursing measures is appropriate for the postoperative care of this clientAMaintain client on strict bed rest for 48 hours after the procedure.BInstruct client to anticipate a decrease in urinary output.CInstruct client to anticipate hematuria for about 24 hours after the procedure.DLimit fluid intake to 1000 mL/day until all stone fragments have been passed. 22.On reviewing the child's laboratory results, the nurse notes a serum potassium level of 3.3mEq/L. Which of the following would the nurse encourage the child to drinkACranberry juice.BApple juice.CGrape juice.DOrange juice. 23.Which of the following would the nurse expect to include in the plan of care for a client with diabetes who is in laborAMeasuring urine output every 4 hours.BMonitoring blood glucose levels every hour.CAdministering insulin subcutaneously every 4 hours.DChecking deep tendon reflexes every 2 hours. 24.Trimethobenzamide (Tigan) 150 mg IM has been ordered to treat a client's nausea and vomiting. The nurse has an ampule of Tigan labeled 200 mg/mL. How many mL should the nurse prepare to give the clientA0.50 mL.B0.75 mL.C1.0 mL.D1.5 mL. 25.A client has had a cerebrovascular accident (CVA). Because the CVA affected the left side of the client's brain, the nurse should anticipate that the client would most likely experienceAdyslexia.Bapraxia.Cagnosia.Dexpressive aphasia. 26.The nurse is evaluating the effectiveness of airway suctioning. Which of the following outcome criteria is most appropriateARespirations unlabored.BDecreased mucus production.CHollow sound on chest percussion.DBreath sounds clear on auscultation. 27.A pregnant client who is diabetic is at risk for having a large-for-gestational-age infant because of which of the followingAExcess sugar causing reduced placental functioning.BInsulin acting as a growth hormone on the fetus.CMaternal dietary intake of high calories.DExcess insulin reducing placental functioning. 28.The nurse would plan to use an abduction pillow (or splint) after a total hip replacement. What is the purpose for this activityATo prevent hip flexion.BTo prevent dislocation of the prosthesis.CTo increase peripheral circulation.DTo decrease formation of sacral pressure ulcers. 29.An adolescent is admitted to the hospital for headaches. She approaches the nurse and confides that she is being sexually abused by a family friend. Which of the following would be the nurse's best initial responseA"Can you tell me what happened"B"I believe you; you were right to tell me. "C"Have you told your mother and father about this"D"Who else have you told about this" 30.Which part on the wave deflection corresponds to ventricular muscle repolarization in the following ECG graphAABBCCDD 31.The nurse is assessing a 15-year-old female who is being admitted for treatment of anorexia nervosa. Which of the following clinical manifestation is the nurse most likely to find from the clientATachycardia.BCoarse hair growth.CParotid gland tenderness.DWarm, flushed extremities. 32.A 14-month-old child returns from surgery for undescended testicle, and his postanesthesia recovery period is uneventful. When planning for the child's discharge, which of the following goals would the nurse expect to emphasize to the parentsAAbsence of redness or swelling at the incision site.BIntake clear liquids well within 24 hours.CPassage of normal bowel movement within 24 hours.DAbility to ambulate after 48 hours. 33.A preschool-aged child who is hospitalized with gastroenteritis has been NPO. The physician has written an order to advance the diet as tolerated. Which of the following food is the most appropriate for the first feeding the nurse should offer the childAClear lemon carbonated beverage.BToast.CCooked cereal.DIce cream shake. 34.The nurse is assessing a client with an ileal conduit. She notes that the client's urinary appliance contains pale yellow urine with large amounts of mucus. How would the nurse best interpret these dataAThese findings are normal for the client.BThere is irritation of the stoma.CThe client is developing an infection of the urinary tract.DThe mucus is caused by elevated levels of glucose in the urine. 35.Positive symptoms of schizophrenia include which of the followingAWaxy flexibility, alogia, and apathy.BFlat affect, avolition, and anhedonia.CHallucinations, delusions, and disorganized thinking.DSomatic delusions, echolalia, and a flat affect. 36.The nurse is planning a genetic counseling with the parents of a child with Down syndrome, which of the following would the nurse include as the primary role of the genetic team when working with a familyAPreparing the parents psychologically for the birth of a defective child.BPrescribing birth control or abortion measures for the parents as needed.CProviding parents with information about the risks of birth defects.DReporting the findings of chromosome analysis of the amniotic cells. 37.A client asks the nurse to help her make out her will. In this situation, what should be the nurse's best responseA"I don't believe in getting involved in legal matters, but maybe I can find another nurse who'll help you. "B"You need to consult an attorney because I'm not trained in such matters. Is there a family lawyer I can call for you"C"I'm not a lawyer, but I'll do what I can for you. "D"You have a long way to go before you'll need to do that. Let's wait on it a while, shall we" 38.A primigravida at 28 weeks' gestation is admitted with a diagnosis of preterm labor. The client's contractions are occurring every 15 to 20 minutes, lasting 25 seconds. The membranes are intact. What should the nurse doARequest assistance from the neonatal resuscitation team.BPlace the client on bed rest on her left side.CObtain equipment for an amniotomy.DPrepare terbutaline in an intravenous solution of normal saline. 39.Which of the following is an early sign of laryngeal cancerADifficulty swallowing.BChronic foul breath.CPersistent mild hoarseness.DNagging unproductive cough. 40.The client is taking medication to control his cancer pain. Which of the following statements indicates that the client needs further instructionA"I should take my medication around-the-clock to control my pain. "B"I should skip doses periodically so I don't get hooked on my drugs. "C"It is okay to take my pain medication even if I am not having any pain. "D"I should contact the oncology nurse if my pain is not effectiv