2021江西美国护士资格认证(CGFNS)考试模拟卷.docx

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1、2021江西美国护士资格认证(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.In providing discharge teaching for the client after a modified radical mastectomy, the nurse should instruct the client that she might need to modify or avoid which of the following activities()A.

2、Shampooing her dog.B. Caring for her tropical fish.C. Working in her rose garden.D. Taking a late-evening swim.2.A client with iron-deficiency anemia is prescribed liquid iron supplements. The nurse teaches the clients about how to take this drug. Which of the following statements by the client indi

3、cates that the education is effective()A. I will report any black stools to the physician.B. I will dilute the medication and drink it with a straw.C. I will check my gums for any bleeding.D. I can use antidiarrheal drugs if I develop diarrhea. 3.A 24-year-old primipara decides to breast-feed her ba

4、by but says, Im worried that I wont be able to breast-feed my baby because my breasts are so small. Which of the following is appropriate response by the nurse()A. Because her breasts are small, she will have to feed the baby more often.B. Breast size poses no influence on a woman’s ability to

5、 breast-feed a baby.C. Breast milk can be enhanced by occasional formula feeding.D. The woman’s motivation to breast-feed is less important than breast size.4.The nurse plans to administer an injection of heparin to a client. Which of the following techniques for heparin administration is appr

6、opriate()A. Selects a 1.5-inch, 21-gauge needle for the injection.B. Makes the injection into the deltoid muscle.C. Applies gentle pressure to the site for 5 to 10 seconds after the injection.D. Aspirates with the plunger to check for entry into the blood vessel before injecting the heparin.5.The nu

7、rse evaluates the clients understanding of myasthenia gravis. The nurse would judge that the client has formed a realistic concept of her condition when she says()A. By taking medication and pacing activities, I will live longer, but ultimately the disease will cause my death.B. By taking medication

8、 and pacing activities, my fatigue will be relieved, but I should expect occasional periods of muscle weakness.C. By taking medication and pacing activities, my symptoms will be controlled and eventually the disease will be cured.D. By taking medication and pacing activities, I should be able to con

9、trol the disease and enjoy a healthy lifestyle. 6.Which of the following symptoms would the nurse most likely observe in a client with cholecystitis from cholelithiasisA. Black stools.B. Decreased white blood cell count.C. Nausea after ingestion of high-fat foods.D. Elevated temperature of 103F(39.4

10、).7.The nurse instructs the female client concerning hormone replacement therapy for menopausal symptoms. Which of the following points should the nurse include in the clients teaching plan()A. Estrogen therapy eliminates the need for supplemental calcium intake.B. Estrogen therapy can reduce the ri

11、sk of menopausal bone loss.C. The risk of uterine cancer is decreased after menopause.D. Smoking is associated with a later onset of menopause.8.Pancrelipase (Viokase), an enzyme replacement, has been prescribed for a client with chronic pancreatitis. The nurse evaluates the clients understanding of

12、 how to take this drug. Which of the following statements indicates the client has adequate knowledge()A. The enzyme mixture should be taken after each meal.B. The enzyme mixture should be stored in the refrigerator to keep it fresh.C. I should be careful not to inhale the powder when mixing it with

13、 food.D. I should chew the capsule thoroughly. 9.The nurse is caring for a client in an acute manic state. Whats the most effective nursing action for this client()A. Assigning him to group activities.B. Reducing his stimulation.C. Assisting him with self-care.D. Helping him express his feelings.10.

14、Which part on the wave deflection corresponds to ventricular muscle repolarization in the following ECG graph()A. AB. BC. CD. D11.During the evening shift on the day of the clients surgery, the nurse notices that the nasogastric tube drains 500 mL of green-brown fluid. What should the nurse do()A. R

15、ecord the amount of drainage on the client’s chart.B. Irrigate the tube with normal saline solution.C. Call the physician immediately.D. Increase the intravenous infusion rate.12.Emergency restraints or seclusion may be implemented without a physicians order under which of the following condit

16、ions()A. When a written order will be obtained from the primary physician within 1 hour.B. If a voluntary client wants to leave against medical advice.C. When a minor child is out of control.D. Never.13.The development of laryngeal cancer is most clearly linked to which of the following factors()A.

17、High-fat, low-fiber diet.B. Alcohol and tobacco use.C. Low socioeconomic status.D. Overuse of artificial sweeteners.14.Which of the following laboratory tests should be monitored closely by the nurse while the client is receiving heparin therapy()A. International normalized ratio (INR).B. Activated

18、partial thromboplastin time (APTT).C. Prothrombin time (PT).D. Thrombin time.15.A client is at risk for developing a pressure ulcer. The first warning of an impending pressure ulcer is when pressure applied to skin it turns()A. whitish.B. yellowish.C. bluish.D. reddish.16.David, a hyperkinetic 5-yea

19、r-old, exhibits signs of extreme restlessness, short attention span, and impulsiveness. In order to alter the childs milieu that would likely be most therapeutic for him, what could the nurse do()A. Define behaviors of the child that will be acceptable and those that will be unacceptable.B. Allow th

20、e child freedom to choose activities in which to participate and other children with whom to associate.C. Increase the child’s sensory stimulation and activity.D. Limit the child’s opportunities to display anger and frustration.17.A voluntary client in a health care facility decides to l

21、eave the unit before treatment is complete. To detain the client, the nurse refuses to return the clients personal effects. This is an example of which of the following()A. False imprisonment.B. Violation of confidentiality.C. Limit setting.D. Slander.18.A 10-month-old girl with bronchitis is taken

22、out of the 30% oxygen tent for breakfast because she refuses to eat unless in a high chair. During the feeding, the nurse notes that the childs respiratory rate has increased, she is becoming more irritable, and she is using accessory muscles to breathe. Which of the following should be the nurses f

23、irst action()A. Perform postural drainage then complete the feeding.B. Suction the child’s nose with a bulb syringe.C. Discontinue the feeding and place the child back in the tent.D. Assess the pulse rate and respirations and notify the physician.19.The most common symptom associated with blad

24、der cancer is()A. burning on urination.B. frequent infections.C. painless hematuria.D. decreasing urine output.20.Assertive behavior involves which of the following elements()A. Expressing an air of superiority.B. Saying what is on your mind at the expense of others.C. Avoiding unpleasant situations

25、 and circumstances.D. Standing up for your rights while respecting the rights of others.21.Which of the following nursing diagnoses would be most appropriate when teaching the mother of a toddler()A. Activity intolerance.B. Risk for injury.C. Delayed growth and development.D. Impaired mobility.22.A

26、9-year-old child is in diabetes. The nurse offers to meet with the mother and the childs teacher before school to discuss the teachers responsibilities in relation to the childs diabetes. Which of the following would the nurse expect to discuss in this meeting()A. How to perform a glucometer test.B.

27、 How to give an insulin injection.C. Signs and symptoms of hypoglycemia.D. The American Diabetic Association (ADA) diet.23.When preparing to give a neonate the first feeding by nipple, the nurse uses a 5 mL feeding of sterile water first. Which of the following is the reason for doing so()A. Ensure

28、that the neonate has the energy to take oral feedings.B. Ensure that the mother will be able to feed the neonate.C. Ascertain the patency of the neonate’s esophagus.D. Determine if the neonate can retain the feeding.24.The nurse is caring for a child with leukemia. Which of the following shoul

29、d the nurse priority pay more attention to()A. Preventing injury.B. Monitoring the child’s platelet count.C. Monitoring the child’s temperature.D. Encouraging increased fluid intake.25.Which of the following interventions would likely be most effective for the client to use at home when

30、managing the discomfort of rhinoplasty the initial 2 days after surgery()A. Applying ice compresses.B. Applying warm, moist compresses.C. Lying in a prone position.D. Blowing the nose gently.26.Which of the following signs or symptoms would be of least importance when the nurse evaluates the client

31、for postoperative peripheral nerve damage()A. Pain.B. Bleeding.C. Altered sensation.D. Pulselessness.27.Mr. W is with bipolar disorder, manic phase, with a nursing diagnosis of Imbalanced nutrition: less than body requirements. In order to help the client meet recommended daily allowances of nutrien

32、ts, which of the following nursing interventions should be included in the plan of careA. Tell the client to sit alone at mealtime so that he wont be distracted by others.B. Teach the client about proper nutrition.C. Give the client half of a meat and cheese sandwich between meals.D. Inform the clie

33、nt that snacks are available only if he eats properly at mealtime.28.A client exhibits confusion and severe memory loss. At 11:30 AM, he tells the nurse that he is going to work and proceeds to walk toward the door. Which of the following actions should be the nurse take()A. Remind him that he retir

34、ed from his job 10 years ago.B. Tell him that she’ll accompany him for a short walk outdoors.C. Divert his attention toward the dining room where lunch is being served.D. Tell him that he does not have to go to work today.29.One-year-old Susan, the second child to have sickle cell disease in a

35、 family of five children, is admitted to the hospital with sickle cell crisis. When preparing the plan of care for her, which of the following treatments would the nurse most likely expect to include in the plan()A. Intravenous fluid therapy.B. Fast-acting anticoagulant therapy.C. Parenteral iron th

36、erapy.D. Exchange transfusion.30.Which of the following would be an appropriate expected outcome of nursing care for the client with ulcerative colitis()A. The client experiences decreased frequency of constipation.B. The client accepts that an ileostomy will be necessary.C. The client maintains an

37、ideal body weight.D. The client verbalizes the importance of restricting fluids.31.Which pregnancy-related physiologic change would place the client with a history of cardiac disease at the greatest risk for developing severe cardiac problems()A. Decreased heart rate.B. Decreased cardiac output.C. I

38、ncreased plasma volume.D. Increased blood pressure.32.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 include()A. Delayed gro

39、wth and development.B. Ineffective role performance.C. Posttrauma syndrome.D. Chronic low self-esteem.33.Which one of the following nursing interventions should be included in a plan of care for a client with a T tube()A. Maintain client in a supine position while T tube is in place.B. Keep T tube c

40、lamped except for during mealtimes.C. Inspect skin around the T tube daily for irritation.D. Irrigate the T tube every 4 hours to maintain patency.34.The correct procedure for auscultating the clients abdomen for bowel sounds would include()A. palpating the abdomen first to determine correct stethos

41、cope placement.B. encouraging the client to cough to stimulate movement of fluid and air through the abdomen.C. placing the client on the left side to aid auscultation.D. listening for 5 minutes in all four quadrants to confirm absence of bowel sounds.35.If none of the following bed positions is con

42、traindicated, which position would be preferred for the client with hypovolemic shock()A. Supine.B. Semi-Fowler’s.C. Trendelenburg’s.D. Supine with the legs elevated 15 degrees.36.During the first 48 to 72 hours of fluid resuscitation therapy after a major burn injury, the intravenous in

43、fusion rate will be adjusted by evaluating which of the following observationA. Daily body weight.B. Hourly urine output.C. Hourly urine specific gravity.D. Hourly body temperature.37.After a gastrectomy, the client will have a nasogastric tube in place for several days postoperatively. The nurse ex

44、plains to the client that the nasogastric tube is for which of the following reasonsA. Prevent excessive pressure on suture lines.B. Prevent the development of ascites.C. Provide enteral feedings in the immediate postoperative period.D. Enable administration of antacids to promote healing of the ana

45、stomosis.38.Which nursing diagnosis would the nurse anticipate as having the highest priority for the client with gestational diabetes in labor()A. Risk for infection related to invasive procedures during labor.B. Risk for injury to fetus related to the effects of diabetes on uteroplacental function

46、ing.C. Deficient knowledge related to lack of information about care during labor.D. Interrupted family processes related to diabetes increasing the client’s risk of complications.39.The clinic nurse is instructing a group of parents about emergency treatment for accidental poisoning and injur

47、y. Which of the following statements by one of the mothers indicates that she needs further instructionA. I should flush my childs eye with room temperature tap water for 15 to 20 minutes if a caustic material gets into it. B. I should save the emesis if my child vomits. C. I should call the poison

48、control center if there are any symptoms. D. I should give 2 to 5 teaspoons of clear fluids after administering ipecac. 40.The parents of a neonate with a cleft lip are shocked when they see their child for the first time. In order to help the parents accept their infants anomaly, which of the following should be included in the neonates plan of care()A. Reassuri