2021年浙江美国护士资格认证(CGFNS)考试模拟卷.docx

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1、2021年浙江美国护士资格认证(CGFNS)考试模拟卷本卷共分为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.Which laboratory test results would the nurse expect to find in a client diagnosed with Hashimotos thyroiditisAThyroxine (T4), 22g/dL; triiodothyronine (T3), 320ng/dL; thyroid-stimulating hormone (

2、TSH) undetectable.BT4, 22g/dL; T3, 200ng/dL; TSH,0.1IU/mL.CT4, 2g/dL; T3, 200ng/dL; TSH,5.9IU/mL.DT4, 2g/dL; T3, 35ng/dL; TSH,45IU/mL. 2.A 45-year-old auto mechanic comes to the physicians office because an exacerbation of his psoriasis is making it difficult to work. He tells the nurse that his fin

3、ger joints are stiff and sore in the morning. The nurse should respond byAinquiring further about this problem because psoriatic arthritis can accompany psoriasis vulgaris.Bsuggesting he take aspirin for relief because its probably early rheumatoid arthritis.Cvalidating his complaint but assuming it

4、s an adverse effect of his vocation.Dasking him if he has been diagnosed or treated for carpal tunnel syndrome. 3.The physician prescribes amoxicillin suspension 100 mg every 8 hours for a child who weighs 33 lb (15 kg). The drug is supplied in a bottle labeled 250 rag/teaspoon (1mL=50 mg). How many

5、 milliliters should the nurse administerA2 mL.B2.5 mL.C5 mL.D7.5 mL. 4.Before a transesophageal echocardiogram, a client is given an oral topical anesthetic spray. Upon return from the procedure, the nurse observes that the client has no active gag reflex. In response, the nurse shouldAinsert an ora

6、l airway.Bwithhold food and fluids.Cposition the client on his side.Dintroduce a nasogastric (NG) tube. 5.In an industrial accident, a client who weighs 155 lb (70.3 kg) sustained full-thickness burns over 40% of his body. Hes in the burn unit receiving fluid resuscitation. Which observation shows t

7、hat the fluid resuscitation is benefiting the clientAA urine output consistently above 100 mL/hr.BA weight gain of 4 lb (1.8 kg) in 24 hours.CBody temperature readings all within normal limits.DAn electrocardiogram (ECG) showing no arrhythmias. 6.When planning care for a 7-year-old boy with Down syn

8、drome, the nurse shouldAplan interventions at the developmental level of a 7-year-old child because that is the childs age.Bplan interventions at the developmental level of a 5-year-old because the child will have developmental delays.Cassess the childs current developmental level and plan care acco

9、rdingly.Ddirect all teaching to the parents because the child cant understand. 7.A child, age 5, with an IQ of 65 is admitted to the hospital for evaluation. When planning care, the nurse should keep in mind that this child isAwithin the lower range of normal intelligence.Bmildly retarded but educab

10、le.Cmoderately retarded but trainable.Dcompletely dependent on others for care. 8.The nurse caring for a 3-day-old neonate notices that he looks slightly jaundiced. Although not a normal finding, its an expected finding of physiologic jaundice and is caused by which of the followingAPoor clotting me

11、chanism.BHigh hemoglobin (Hb) levels between 14 and 20 g/dL per 100 mL of blood.CPersistent fetal circulation.DLarge, immature liver. 9.During the night, a 50-year-old Vietnam veteran with posttraumatic stress syndrome wakens shaking and tells you that someone is trying to smother him. What is the a

12、ppropriate response for the nurse in this situationAIt was a bad dream. You are safe. Ill stay here with you until you go back to sleep. BWe can talk about it tomorrow. Try to see if you can get back to sleep. CIt was only a dream. Theres nothing to be frightened about. DIll call the physician and s

13、ee whether I can get you medication to help you go back to sleep. 10.What is the nurses most important role in caring for a client with a mental health disorderATo offer advice.BTo know how to solve the clients problems.CTo establish trust and rapport.DTo set limits with the client. 11.A client is a

14、dmitted with atrial fibrillation. The physician noted a pulse deficit. The pulse deficit measures which of the followingAThe difference between apical and radial pulse rates.BThe difference between systolic and diastolic blood pressures.CThe amount of blood ejected from the left ventricle per minute

15、.DThe percentage of blood emptied from the ventricle during contraction. 12.The nurse is caring for a client in acute renal failure. The nurse should expect hypertonic glucose, insulin infusions, and sodium bicarbonate to be used to treatAhypernatremia.Bhypokalemia.Chyperkalemia.Dhypercalcemia. 13.A

16、 client tells the nurse that she has been working hard for the last 3 months to control her type 2 (non-insulin-dependent) diabetes mellitus with diet and exercise. To determine the effectiveness of the clients efforts, the nurse should checkAurine glucose level.Bfasting blood glucose level.Cserum f

17、ructosamine level.Dglycosylated hemoglobin (Hb) level. 14.A client delivered a healthy full-term female neonate 2 hours ago by cesarean delivery. When assessing this client, which finding requires immediate nursing actionATachycardia and hypotension.BGush of vaginal blood when the client stands up.C

18、Blood stain 2 (5 cm) in diameter on the abdominal dressing.DComplaints of abdominal pain. 15.A client with type 1 (insulin-dependent) diabetes mellitus has just learned shes pregnant. The nurse is teaching her about insulin requirements during pregnancy. Which guideline should the nurse provideAInsu

19、lin requirements dont change during pregnancy. Continue your current regimen. BInsulin requirements usually decrease during the last two trimesters. CInsulin requirements usually decrease during the first trimester. DInsulin requirements increase greatly during labor. 16.A client in acute renal fail

20、ure is admitted to the nephrology unit. The period of oliguria in these clients usually lasts about t0 days. Which of the following assessments of kidney function would the nurse make during the oliguric phaseANo urine output; kidneys in a state of suppression.BUrine output of 30 to 60 mL/hr.CUrine

21、output of less than 400 to 600 mL in 24 hours.DUrine output directly related to the amount of IV fluids infused. 17.A client has approached the nurse asking for advice on how to deal with his alcohol addiction. The nurse should tell the client that the only effective treatment for alcoholism isApsyc

22、hotherapy.Btotal abstinence.CAlcoholics Anonymous (AA).Daversion therapy. 18.A client with a pneumothorax receives a chest tube attached to a Pleur-evac. The nurse notices that the fluid of the second chamber of the Pleur-evac isnt bubbling. Which nursing assumption would be most invalidAThe tubing

23、from the client to the chamber is blocked.BThere is a leak somewhere in the tubing system.CThe clients affected lung has reexpanded.DThe tubing needs to be cleared of fluid. 19.Which of the following statements should be included when teaching clients about monoamine oxidase (MAO) inhibitor antidepr

24、essantsADont take prescribed or over-the-counter medications without consulting the physician.BAvoid strenuous activity because of the cardiac effects of the drug.CHave blood levels screened weekly for leukopenia.DDont take with aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs). 20.A 32-year-

25、old black man is admitted to the hospital in vaso-occlusive sickle cell crisis. He complains of chest pain, shortness of breath, severe myalgia, and arthralgia. Which of the following may be effective in relieving the clients joint painAApplying ice packs to the joints.BPerforming active resistive r

26、ange-of-motion exercises.CApplying warm compresses to the joints.DApplying transcutaneous electrical nerve stimulation (TENS). 21.When caring for a client with a 3-cm stage 1 pressure ulcer on the coccyx, which of the following actions can the nurse institute independentlyAUsing a povidone-iodine wa

27、sh on the ulceration three times per day.BUsing a normal saline solution and applying a protective dressing as necessary.CApplying an antibiotic cream to the area three times per day.DMassaging the area with an astringent every 2 hours. 22.A client who has discovered a breast lump is tearful and exp

28、resses concern over her situation. The best way for the nurse to respond to her is byAencouraging a discussion of her problems and fears.Basking her if she would like to talk to the chaplain.Cgiving her reassurance.Drecommending a support group. 23.Touching other people without their permission, rea

29、ding someone elses mail, and using personal possessions without asking permission are all examples ofAantisocial behavior.Bmanipulation.Cpoor boundaries.Dpassive-aggressive behavior. 24.In teaching a female client who is HIV-positive about pregnancy, the nurse would know more teaching is necessary w

30、hen the client says,AThe baby can get the virus from my placenta. BIm planning on starting on birth control pills. CNot everyone who has the virus gives birth to a baby who has the virus. DIll need to have a C-section if I become pregnant and have a baby. 25.When caring for a client with preeclampsi

31、a, which action is a priorityAMonitoring the clients labor carefully and preparing for a fast delivery.BContinually assessing the fetal tracing for signs of fetal distress.CChecking vital signs every 15 minutes to watch for increasing blood pressure.DReducing visual and auditory stimulation. 26.A 35

32、-year-old female client who complains of weight gain, facial hair, absent menstruation, frequent bruising, and acne is diagnosed with Cushings syndrome. Cushings syndrome is most likely caused by which of the followingAAn ectopic corticotropin-secreting tumor.BAdrenal carcinoma.CA corticotropin-secr

33、eting pituitary adenoma.DAn inborn error of metabolisrn. 27.A 23-month-old child is brought to the emergency department with suspected croup. Which assessment finding reflects increasing respiratory distressAIntercostal retractions.BBradycardia.CDecreased level of consciousness.DFlushed skin. 28.The

34、 nurse is teaching the mother of a neonate. The nurse should instruct the mother to introduce her infant to solid foods at what ageA2 months.B4 months.C6 months.D8 months. 29.Which action should the nurse include in a plan of care for a client with a fiberglass cast on the right armAKeep the casted

35、arm warm with a light blanket.BAvoid handling the cast for 24 hours or until dry.CAssess pedal and posterior tibial pulses every 2 hours.DAssess movement and sensation in the fingers of the right hand. 30.A client with a myocardial infarction (MI) develops pulmonary crackles and dyspnea. A chest X-r

36、ay shows evidence of pulmonary edema. The specific type of MI the client had is most probablyAanterior.Bposterior.Clateral.Dinferior. 31.A child, age 4, is admitted with a tentative diagnosis of congenital heart disease. When assessment reveals a bounding radial pulse coupled with a weak femoral pul

37、se, the nurse suspects that the child hasApatent ductus arteriosus.Bcoarctation of the aorta.Ca ventricular septal defect.Dtruncus arteriosus. 32.An 82-year-old female is transferred to the hospital from a long-term care facility because of severe diarrhea. She is weak and dehydrated. Which acid-bas

38、e imbalance could the client develop as a result of diarrheaARespiratory acidosis.BMetabolic acidosis.CCarbonic acid deficit.DMetabolic alkalosis. 33.During a morning assessment, the nurse percusses tympany. The nurse understands that tympany is a loud, high-pitched, moderately long sound with a dru

39、mlike, musical quality thats most commonly heard over theAheart.Bliver.Cpancreas.Dstomach. 34.Before administering a tube feeding to a toddler, which of the following methods should the nurse use to check the placement of a nasogastric (NG) tubeAAbdominal X-rays.BInjection of a small amount of air w

40、hile listening with a stethoscope over the abdominal area.CA check of the pH of fluid aspirated from the tube.DVisualization of the measurement mark on the tube made at the time of insertion. 35.The physician orders supplemental oxygen for a client with a respiratory problem. To provide the highest

41、possible oxygen concentration, the nurse expects to use which oxygen delivery deviceANasal cannula.BVenturi mask.CPartial rebreathing mask.DNonrebreathing mask. 36.A client who survived an airplane crash has a diagnosis of posttraumatic stress disorder (PTSD). He has a history of nightmares, depress

42、ion, hopelessness, and alcohol abuse. Which option offers the client the most lasting relief for his symptomsAThe opportunity to verbalize memories of trauma to a sympathetic listener.BFamily support.CPrescribed medications taken as ordered.DAlcoholics Anonymous (AA) meetings. 37.The nurse is caring

43、 for a 40-year-old woman who is a black Muslim. Which of the following choices is a concept on which black Muslims focusACelibacy.BProphecy.CReincarnation.DSelf-esteem. 38.Which of the following would not be an indication of placental detachmentAAn abrupt lengthening of the cord.BAn increase in the

44、number of contractions.CRelaxation of the uterus.DIncreased vaginal bleeding. 39.After striking his head on a tree while falling from a ladder, a young man is admitted to the emergency department. Hes unconscious and his pupils are nonreactive. Which intervention would be the most dangerous for the

45、clientAGive him a barbiturate.BPlace him on mechanical ventilation.CPerform a lumbar puncture.DElevate the head of his bed. 40.A client seeks care for low back pain of 2 weeks duration. Which assessment finding suggests a herniated intervertebral diskAPain that radiates down the posterior thigh.BBack pain when the knees are flexed.CAtrophy of the lower leg muscles.DPositive Homans sign. 41.A client is admitted to the hospital with an exacerbation of his chronic gastritis. When assessing his nutritional status, the nurse should expect a deficiency inAvitamin .Bvitamin 6.