2022年河北美国护士资格认证(CGFNS)考试模拟卷（7）.docx

2022年河北美国护士资格认证(CGFNS)考试模拟卷（7）本卷共分为1大题22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22题，每题2分。每题的备选项中，只有一个最符合题意） 1.A client who has been using crutches at home for t week reports that he is having trouble using the crutches because his armpits hurt and his fingers tingle. What would be the nurses most appropriate response（）A. You need to do more arm exercises. It sounds like your muscles need strengthening.B. That’s normal. As you adjust to the crutches, the discomfort will diminish.C. Be sure to take your pain medication before ambulating. That will help your discomfort.D. Let me watch you ambulate. Your crutches or technique may need some adjustment.2.To check for arterial insufficiency when a client is in a supine position, the nurse should elevate the extremity at a 45-degree angle and then have the client sit up. The nurse suspects arterial insufficiency if the assessment reveals which of the following（）A. Elevational rubor.B. No rubor for 10 seconds after the maneuver.C. Dependent pallor.D. A 30-second filling time for the veins.3.Parents of a child with cystic fibrosis demonstrate knowledge of the effects of hot weather on their child when they state that hot weather is hazardous because the child has which of the following（）A. Poor ability to concentrate urine.B. Little skin pigment to prevent sunburn.C. Poorly functioning temperature control center.D. Abnormally high salt loss through perspiration.4.Which of the following would the nurse teach the mother of a child with leukemia who has an absolute neutrophil count of 900/mm3（）A. The child should wear gloves when in contact with others.B. The child should stay away from crowds of people.C. The child should eat raw fruits and vegetables.D. Anyone in direct contact with the child must wear a gown and mask.5.Most antipsychotic medications exert which of the following effects on the central nervous system (CNS) （）A. Stimulate the CNS by blocking postsynaptic dopamine, norepinephrine, and serotonin receptors.B. Sedate the CNS by stimulating serotonin at the synaptic cleft.C. Depress the CNS by blocking the postsynaptic transmission of dopamine, serotonin, and norepinephrine.D. Depress the CNS by stimulating the release of acetylcholine.6.The nurse is caring for a client with acute pulmonary edema. To immediately promote oxygenation and relieve dyspnea, which of the following interventions is appropriate（）A. Administer oxygen.B. Have the client take deep breaths and cough.C. Place the client in high Fowler’s position.D. Perform chest physiotherapy.7.The client was admitted with severe head injury resulting from a motor vehicle accident. The client is presently unconscious. To facilitate rehabilitation when the clients condition allows, the nurse shouldA. maintain limbs in the position of function.B. apply restraints to arms and legs to control spasms. C. exercise just the arms as the legs maintain their tone longer. D. notify physical therapy as soon as the physician orders passive range of motion. 8.The nurse is preparing the client with a cerebrovascular accident for discharge to home. The nurse should recognize which of the following factors would most likely influence the clients continuing progress in rehabilitation at home（）A. The family’s ability to provide support to the client.B. The client’s ability to ambulate.C. The availability of a home health aide to care for the client.D. The frequency of follow-up visits with the physician.9.A 23-year-old client in the manic phase of bipolar disorder is admitted to the facility. Which of the following agents would be appropriate for this client（）A. Bupropion (Wellbutrin) and lithium (Lithobid).B. Lithium (Lithobid) and valproic acid (Depakene).C. Haloperidol (Haldol) and fluphenazine (Prolixin).D. Risperidone (Risperdal) and clozapine (Clozaril).10.A client is scheduled to undergo percutaneous transluminal coronary angioplasty (PTCA). The nurse explains the procedure to the client. Which of the following statements by the nurse is most appropriate（）A. PTCA involves opening a blocked artery with an inflatable balloon located on the end of a catheter.B. PTCA involves cutting away blockages with a special catheter.C. PTCA involves passing a catheter through the coronary arteries to find blocked arteries.D. PTCA involves inserting grafts to divert blood from blocked coronary arteries.11.The nurse assesses the clients burned right arm and notes increasing edema, absence of a radial pulse, and decreased sensation in the fingers. What should be the nurses priority response（）A. Document findings and recheck in 1 hour.B. Elevate extremity on one pillow.C. Implement passive range-of-motion exercises.D. Notify the physician immediately.12.A psychotic client reports to the evening nurse that the day nurse put something suspicious in his water with his medication. The nurse replies, "Youre worried about your medication" The nurses communication is（）A. an example of presenting reality.B. reinforcing the client’s delusions.C. focusing on emotional content.D. a nontherapeutic technique called mind reading.13.Directions: The question below is followed by six choices numbered 260-265. If a choice is correct, mark A in the space provided. If a choice is not correct, mark B. Blacken one circle on your answer sheet for each number. The nurse is teaching an adolescent with inflammatory bowel disease about treatment with corticosteroids. Which adverse effects are concerns for this clientAcne. 14.Which of the following is the most appropriate activity for the nurse to assess motor strength for a neurologically injured client（）A. Compare equality of hand grasps.B. Observe spontaneous movements.C. Observe the client feed himself.D. Ask the client to signal if he feels pressure applied to his feet.15.Which of the following would the nurse expect to include in the plan of care for a client with diabetes who is in laborA. Measuring urine output every 4 hours. B. Monitoring blood glucose levels every hour. C. Administering insulin subcutaneously every 4 hours. D. Checking deep tendon reflexes every 2 hours. 16.A client is placed in full leather restraints. How often must the nurse check the clients circulation（）A. Once per hour.B. Once per shift.C. Every 10 to 15 minutes.D. Every 2 hours.17.A client with an incomplete small bowel obstruction is to be treated with a Cantor tube. Which of the following measures would most likely be included in the clients care once the Cantor tube has passed into the duodenum（）A. Maintain bed rest with bathroom privileges.B. Advance the tube 2 to 4 inches at specified times.C. Provide frequent mouth care.D. Provide ice chips for the client to suck.18.Directions: The question below is followed by six choices numbered 260-265. If a choice is correct, mark A in the space provided. If a choice is not correct, mark B. Blacken one circle on your answer sheet for each number. The nurse is teaching an adolescent with inflammatory bowel disease about treatment with corticosteroids. Which adverse effects are concerns for this clientHirsutism. 19.Directions: The question below is followed by six choices numbered 260-265. If a choice is correct, mark A in the space provided. If a choice is not correct, mark B. Blacken one circle on your answer sheet for each number. The nurse is teaching an adolescent with inflammatory bowel disease about treatment with corticosteroids. Which adverse effects are concerns for this clientMood swings. 20.Directions: The question below is followed by six choices numbered 260-265. If a choice is correct, mark A in the space provided. If a choice is not correct, mark B. Blacken one circle on your answer sheet for each number. The nurse is teaching an adolescent with inflammatory bowel disease about treatment with corticosteroids. Which adverse effects are concerns for this clientGrowth spurts. 21.Directions: The question below is followed by six choices numbered 260-265. If a choice is correct, mark A in the space provided. If a choice is not correct, mark B. Blacken one circle on your answer sheet for each number. The nurse is teaching an adolescent with inflammatory bowel disease about treatment with corticosteroids. Which adverse effects are concerns for this clientOsteoporosis. 22.Directions: The question below is followed by six choices numbered 260-265. If a choice is correct, mark A in the space provided. If a choice is not correct, mark B. Blacken one circle on your answer sheet for each number. The nurse is teaching an adolescent with inflammatory bowel disease about treatment with corticosteroids. Which adverse effects are concerns for this clientAdrenal suppression.第10页 共10页第 10 页 共 10 页第 10 页 共 10 页第 10 页 共 10 页第 10 页 共 10 页第 10 页 共 10 页第 10 页 共 10 页第 10 页 共 10 页第 10 页 共 10 页第 10 页 共 10 页第 10 页 共 10 页