2023年重庆美国护士资格认证(CGFNS)考试考前冲刺卷.docx

2023年重庆美国护士资格认证(CGFNS)考试考前冲刺卷本卷共分为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.A client is prescribed Gentamycin (Garamycin) IV to treat infection. It is important to monitor the client for the development of which of the following side effects from the medicationAAscites.BConfusion.COtotoxicity.DCardiac dysrhythmias. 2.Which of the following would be an appropriate expected outcome of nursing care for the client with ulcerative colitisAThe client experiences decreased frequency of constipation.BThe client accepts that an ileostomy will be necessary.CThe client maintains an ideal body weight.DThe client verbalizes the importance of restricting fluids. 3.The client complains a continuous bladder irrigation after a transurethral resection. Which of the following is the major goal of nursing interventions related to the irrigationARecognize signs of prostate cancer.BPerform activities of daily living.CMaintain catheter patency.DReduce incisional bleeding. 4.The correct procedure for auscultating the client's abdomen for bowel sounds would includeApalpating the abdomen first to determine correct stethoscope placement.Bencouraging the client to cough to stimulate movement of fluid and air through the abdomen.Cplacing the client on the left side to aid auscultation.Dlistening for 5 minutes in all four quadrants to confirm absence of bowel sounds. 5.The nurse observes that a depressed client has bathed, is wearing a clean blouse and slacks, and has combed her hair. Which statement by the nurse would be most helpful for the clientA"I like your blouse and slacks. "B"You look good today. "C"I'm glad you're feeling better today. "D"I'm glad you combed your hair today. " 6.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 careADisturbed sensory perception related to decreased level of consciousness.BIneffective airway clearance related to inability to remove respiratory secretions.CImpaired gas exchange related to shallow irregular breathing.DRisk for injury related to disorientation and decreased level of consciousness. 7.Nitroglycerin is also available in ointment or paste form. Before applying nitroglycerin ointment, what should the nurse do firstACleanse the skin with alcohol where the ointment will be placed.BObtain the client's pulse rate and rhythm.CRemove the ointment previously applied."DInstruct the client to expect pain relief in the next 15 minutes. 8.A client is prescribed 1000 mL of an antibiotic solution to be given over 6 hours. What would be the flow rate The infusion set administers 15 gtts/mL.A28 gtts/min.B35 gtts/min.C42 gtts/min.D45 gtts/min. 9.The head nurse is observing a new graduate nurse instill eye drops into a client's eyes. The head nurse evaluates that the new graduate is using appropriate technique when which of the following steps is incorporated into the procedureAThe client is instructed to apply pressure to the eyes after instillation of the eye drops.BThe nurse's hand is stabilized on the client's forehead while instilling the drops.CThe medication is placed onto the client's sclera.DThe client is instructed to look at the nurse while the drops are being instilled. 10.The nurse plans to administer an injection of heparin to a client. Which of the following techniques for heparin administration is appropriateASelects a 1.5-inch, 21-gauge needle for the injection.BMakes the injection into the deltoid muscle.CApplies gentle pressure to the site for 5 to 10 seconds after the injection.DAspirates with the plunger to check for entry into the blood vessel before injecting the heparin. 11.After a gastrectomy, the client will have a nasogastric tube in place for several days postoperatively. The nurse explains to the client that the nasogastric tube is for which of the following reasonsAPrevent excessive pressure on suture lines.BPrevent the development of ascites.CProvide enteral feedings in the immediate postoperative period.DEnable administration of antacids to promote healing of the anastomosis. 12.Which of the following nursing interventions is most important postoperatively for an infant who has received a ventriculoperitoneal shuntAMonitoring intake and output.BAllowing the infant to rest undisturbed.CProviding age-appropriate diversionary activities.DInitiating oral feedings. 13.By age 7 months, an infant most likely will develop which of the following motor skillAWalk with one hand held.BEat successfully with a spoon.CStand while holding onto furniture.DSit alone using the hands for support. 14.A 15-year-old girl with anorexia refuses to eat in a mental health unit. Which of the following statements is the best response from the nurseA"Why do you think you're fat You're underweight. Here-look in the mirror. "B"You really look terrible at this weight. I hope you'll eat. "C"You don't have to eat. It's your choice. "D"I hope you'll eat your food by mouth. Tube feedings and IV lines can be uncomfortable. " 15.Which of the following denotes the primary reason that the nurse inserts an indwelling urinary (Foley) catheter in a child with severe burnsAMonitoring for a urinary tract infection.BMeasuring urine output accurately.CPreventing urinary retention.DAssessing urine specific gravity. 16.The client with a lumbar laminectomy asks to be turned onto his side. What should the nurse doAInform the client that because of his laminectomy, he may only lie supine.BAsk the client to help by using an overhead trapeze to turn himself.CTurn the client's shoulders first, followed by his hips and legs.DGet another nurse to help log roll the client into position. 17.An agitated client demands to see his chart so that he can read what has been written about him. Which of the following statements is the nurse's best response in this situationA"I'm sorry the chart is the property of the facility. We don't permit clients to read them. "B"You have the right to see your chart. Please discuss this with your primary care provider. "C"You may see your chart after you're discharged. "D"Please discuss this matter with your attorney. " 18.Which of the following is of the nurse's the primary concern for a client after cataract removal surgeryAThe client states her vision is clear.BThe client states her infection is under control.CThe client states she is able to administer parenteral pain medication.DThe client describes methods to prevent an increase in intraocular pressure. 19.Which of the following interventions will assist the client in taking phenytoin as prescribedACalling him daily for the first week after hospital discharge.BHaving a family member monitor him to ensure compliance.CProviding him with written and verbal instructions about the medicine.DEmphasizing that embarrassing seizures may occur again if he does not take the medicine. 20.A client with heart failure loses 3.2 kg while hospitalized. Approximately how many pounds has the client lostA1 pound.B3 pounds.C5 pounds.D7 pounds. 21.A parent group is discussing different types of punishment. The parents ask the nurse to discuss corporeal punishment. What would be the nurse's responseA"Corporeal punishment does not physically harm the child. "B"Corporeal punishment can result in children becoming accustomed to spanking. "C"Corporeal punishment can be beneficial in teaching children what they should do. "D"Corporeal punishment reinforces the idea that violence is not acceptable. " 22.Which abnormal laboratory value is most indicative of aplastic anemiaAA decreased hemoglobin.BAn elevated white blood cell count.CAn elevated red blood cell count.DA decreased erythrocyte sedimentation rate. 23.Immediately after a spontaneous rupture of the membranes, the nurse observes a loop of umbilical cord protruding from the vagina. What should the nurse do firstAAdminister oxygen.BNotify the physician.CDocument the deceleration.DElevate the hips on two pillows. 24.While managing the separation anxiety during hospitalization for a two-year-old boy, which of the following suggestions would be most helpful to the parentsATell the child the time they are leaving and returning.BBring the child's favorite toys from home.CLeave while the child is sleeping.DKeep the visit time short. 25.A 34-year-old client is 34 weeks pregnant and is experiencing bleeding caused by placenta previa. The fetal heart sounds are normal and the client isn't in labor. Which of the following nursing interventions should be of priorityAMonitor the amount of vaginal blood loss.BAllow the client to ambulate with assistance.CPerform a vaginal examination to cheek for cervical dilation.DNotify the physician for a fetal heart rate of 130 beats/minute. 26.A woman seeking help at a community mental health center complains of fatigue, sensitivity to criticism, decreased libido, and feeling self-conscious. She also has aches and pains. A nursing diagnosis for this client might includeADelayed growth and development.BIneffective role performance.CPosttrauma syndrome.DChronic low self-esteem. 27.During the assessment stage, a client with schizophrenia leaves his arm in the air after the nurse has taken his blood pressure. Which of the following explains his actionASomatic delusions.BWaxy flexibility.CNeologisms.DNihilistic delusions. 28.While suctioning a client's laryngectomy tube, the nurse should insert the catheterAabout 1 to 2 inches.Bas the client exhales.Cuntil resistance is met, then withdraw it 1 to 2 cm.Duntil the client begins coughing. 29.Which information is most important for the nurse to include in a teaching plan for a schizophrenic client taking clozapine (Clozaril)AMonthly blood tests will be necessary.BReport a sore throat or fever to the physician immediately.CBlood pressure must be monitored for hypertension.DStop the medication when symptoms subside. 30.Which of the following is not a contributory factor to thermoregulation in the preterm neonateAImmature central nervous system (CNS).BLarge skin surface area.CLack of subcutaneous (S. . ) and brown fat.DTendency toward capillary fragility. 31.When assessing a client as a candidate for crutch walking, the nurse should take into account that for some elderly people, crutch walking is an impractical goal primarily because which of the following reasonADecreased reaction time.BDecreased visual acuity.CDecreased motor coordination.DDecreased level of comprehension. 32.A mother asks the nurse about how to manage her child's morning hyperglycemia. Which of the following would be most appropriate response by the nurseAQuestion the mother if her child has been avoiding sweets.BTell the mother that this is normal and to continue with the ordered doses.CAsk the mother what her child's blood glucose levels have been for the last few days.DInform the mother that this is unusual and the child needs to be seen in the emergency room now. 33.A community nurse is performing a physical assessment on an 18-month-old child. Which of the following would be bestACarry out the assessment from head to toe.BAssess motor function by having the child run and walk.CHave the mother hold the toddler on her lap.DAssess the respiratory and cardiac systems first. 34.Following a precipitous delivery, examination of the client's vagina reveals a fourth-degree laceration. Which of the following would be contraindicated when caring for this clientAApplying cold to limit edema during the first 12 to 24 hours.BInstructing the client on the use of sitz-baths if ordered.CInstructing the client about the importance of perineal (Kegel) exercises.DInstructing the client to use two or more peripads to cushion the area. 35.A multigravid client in active labor is about to deliver. The nurse has no help immediately available. What should the nurse do firstAPrepare a clean area on which to deliver the neonate.BLower the head of the bed to a flat position.CHave the client push with a contraction.DAsk the client to take a deep breath and hold it. 36.The nurse applies a fetal monitor to a 15-year-old primagravida admitted to the hospital with possible pregnancy-induced hypertension. Which monitor pattern would the nurse expect to observe if the client is experiencing uteroplacental insufficiencyALate deceleration.BEarly deceleration.CVariable deceleration.DFetal acceleration. 37.The most common symptom associated with bladder cancer isAburning on urination.Bfrequent infections.Cpainless hematuria.Ddecreasing urine output. 38.The nurse is preparing a gastric lavage for a comatose victim of the car accident. Which of the following positions would be most appropriate for the client during this procedureATrendelenburg's.BLithotomy.CLateral.DSupine. 39.The nurse in the substance abuse unit is trying to encourage a client to attend Alcoholics Anonymous (AA) meetings. When the client asks the nurse what he must do to become a member, which of the following the best response from the nurseA"Admit you're powerless over alcohol and that you need help. "B"You must bring along a friend who will support you. "C"You must first stop drinking. "D"Your physician must refer you to this program. " 40.A psychotic client reports to the evening nurse that the day nurse put something suspicious in his water with his medication. The nurse replies, "You're worried about your medication" The nurse's communication isAan example of presenting reality.Breinforcing the client's delusions.Cfocusing on emotional content.Da nontherapeutic technique called mind reading. 41.While a client with hypertension is being assessed, he says to the nurse, "I really don't know why I'm here. I feel fine and haven't had any symptoms. " Which of the following would be the nurse's best responseA"Symptoms of hypertension are often not present. "B"Symptoms of hypertension signify a high