2021湖北美国护士资格认证(CGFNS)考试模拟卷.docx

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1、2021湖北美国护士资格认证(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.A parent group is discussing different types of punishment. The parents ask the nurse to discuss corporeal punishment. What would be the nurses response()A. Corporeal punishment does not physically

2、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. 2.Which of the following functions would the n

3、urse expect to be unrelated to the placenta()A. Production of estrogen and progesterone.B. Detoxification of some drugs and chemicals.C. Exchange site for food, gases, and waste.D. Production of maternal antibodies.3.The immobile adolescent with a recent fractured femur suddenly complains chest pain

4、, dyspnea, diaphoresis, and tachycardia. Which of the following would the nurse suspect()A. Atelectasis.B. Pneumonia.C. Pulmonary edema.D. Pulmonary emboli.4.The nurse is preparing an elderly client to get out of bed on the first postoperative day after a total hip replacement. Which of the followin

5、g activities would be most helpful to the client()A. Demonstrate the use of a walker with partial weight bearing.B. Explain to the client that she will be lifted out of bed to a chair.C. Reassure the client that she will be assisted to walk to the hall.D. Demonstrate the swing-through crutch-walking

6、 gait with limited weight hearing.5.Which of the following situations is more likely to predispose a client to postpartum hemorrhage()A. Birth of a 7 lb (3,175g) infant.B. Prolonged first stage of labor.C. Pregnancy-induced hypertension (PIH).D. Birth of twins.6.The nurse is teaching a new mental he

7、alth aide. For which of the following clients is setting limits most important()A. A depressed client.B. A manic client.C. A suicidal client.D. An anxious client.7.The nurse is assessing an elderly client for dementia. Which of the following is a primary symptom of dementiaA. Neurosis.B. Loss of imp

8、ulse control.C. Psychosis.D. Memory loss.8.A client takes prednisone for an acute exacerbation of her rheumatoid arthritis. The nurse teaches the client about how to take this drug. Which of the following statements by the client indicates that the education is effectiveA. I can stop taking the pred

9、nisone as soon as my joints feel better. B. It is important for me to increase my sodium intake while I am taking this medication. C. I should not be concerned if I lose a little weight while I take the prednisone. D. It is best if I take this medication with some food. 9.A mother brings her 2-year-

10、old adopted Korean child to the clinic for an initial checkup. The child has been living with the adopted family for several weeks. The nurse notes an irregular area of deep blue pigment on the childs buttocks extending into the sacral area. What should the nurse do()A. Ask the mother in private how

11、 the bruise occurred.B. Notify social services of a case of possible child abuse.C. Question the mother about the family’s discipline style.D. Do nothing concerning this finding.10.A woman tells the nurse that her 6-year-old daughter has severe nosebleeds. Which of the following instructions s

12、hould the nurse give this woman to manage nosebleeds()A. Help the child assume a comfortable position with her head tilted backward.B. Tilt the child’s head backward and place firm pressure on the nose.C. Help the child lie on her stomach and collect the blood on a clean towel.D. Place the chi

13、ld in a sitting position with her neck bent forward and apply firm pressure on the nasal septum.11.Assessment of a client in active labor reveals meconium-stained amniotic fluid and fetal heart sounds in the upper right quadrant. Which of the following is the most likely cause of this situation()A.

14、Breech position.B. Late decelerations.C. Entrance into the second stage of labor.D. Multiple gestation.12.Nitroglycerin is also available in ointment or paste form. Before applying nitroglycerin ointment, what should the nurse do first()A. Cleanse the skin with alcohol where the ointment will be pla

15、ced.B. Obtain the client’s pulse rate and rhythm.C. Remove the ointment previously applied.D. Instruct the client to expect pain relief in the next 15 minutes.13.The nurse is teaching the client how to use a cane. Which of the following statements is most inaccurate()A. The client should hold

16、the cane on the involved side.B. The client should hold the cane close to his body.C. The stride length and the timing of each step should be equal.D. The nurse should stand behind the client to prevent falls.14.Of the following signs and symptoms of bowel obstruction, which is related primarily to

17、small bowel obstruction rather than large bowel obstruction()A. Profuse vomiting.B. Cramping abdominal pain.C. Abdominal distention.D. High-pitched bowel sounds above the obstruction.15.The nurse teaches the parents of a child being treated with antibiotics for an ear infection for a follow-up visit

18、 after the child completes the course of therapy. Which of the following statements by the parents indicates that they understand the reason for the follow-up visit()A. Her hearing needs to be checked to see if the infection has done any damage.B. The doctor wants to make certain she has taken all t

19、he antibiotics.C. We need to make sure that her ear infection has completely cleared.D. She needs to get another prescription for second course of antibiotics. 16.The nurse is caring a client in an acute care mental health program. The client refuses his morning dose of an oral antipsychotic medicat

20、ion and believes hes being poisoned. What should the nurse do()A. Crushing the medication and putting it in his food.B. Consulting with the physician about a plan of care.C. Administering the medication by injection.D. Omitting the dose and trying again the next day.17.To obtain a good monitor traci

21、ng on a client in labor, the mother lies on her back. Suddenly, she complains of feeling light-headed and becomes diaphoretic. Which of the following should be the nurses first action()A. Reposition the client to her left side.B. Immediately take the client’s blood pressure and call the physic

22、ian.C. Start oxygen at 6 L via nasal cannula.D. Increase the IV fluids to correct the client’s dehydration.18.Sedative-hypnotic drugs are used to treat which of the following problems()A. Hallucinations and delusions.B. Anxiety and insomnia.C. Obsessive-compulsive disorder (OCD).D. Attention d

23、eficit hyperactivity disorder (ADHD).19.The decision to get married might indicate that Johnny is in which of Freuds psychosexual stages()ALatencyBOralCGenitalDPhallic20.Susan changed her major three times in college, and now that she has graduated, she still cannot decide what type of job she wants

24、. Erik Eriekson would describe Susan as going through a period of()AShame and doubtBIdentity confusionCDespairDGenerativity and stagnation21.If a developmental psychologist believes that 6-year-olds solve logical problems more efficiently and accurately than 3-year-olds because their memory holds mo

25、re information and works more rapidly, this belief is consist with which of the following theories()AInformation processingBEricksonCKohlbergDPiaget22.According to Kohlberg, postconventional morality involves()AUnquestioning obedience to authority figuresBAffirmation of self-defined ethical principl

26、esCStrong concern for social approvalDBehavior based on self-interest23.John often finds herself daydreaming about boys and wondering what her life will be like when she gets married. According to Piaget, John is likely in which stage()ASensorimotor stageBPreoperational stageCConcrete operational st

27、ageDFormal operational stage24.A person who does not cheat on her income tax because she might get caught and sent to jail is demonstrating Kohlbergs () stage of morality.APostconventionalBPreconventionalCFormal operationalDConventional25.Mr. Lambers refuses to pay income taxes because his conscienc

28、e will not allow him to support a government that spends billions of dollars on military weapons. Mr. Lamberss reasoning best illustrates Kohlbergs () stage.AEgocentricBPreconventionalCPostconventionalDConventional26.Fred, an elderly man who now lives in a nursing home, was just treated to a visit w

29、ith his newborn great-granddaughter. After the family leaves, having encountered this generation of his offspring gets Fred pondering whether or not he has led a productive life. He wonders if his work and presence in the world before retirement have left it a better place, especially for his own fa

30、mily, or if he has merely been wasting time in his life, filling it up. At this point, which stage of Ericksons Psychosocial Stages of Development best describes Freds situation()AIndustry vs inferiorityBIntimacy vs isolationCIntegrity vs despairDAutonomy vs shame and doubt27.An infant left to cry i

31、n her crib for long periods of time might, according to Erickson, develops()AAutonomyBGuiltCTrustDMistrust28.Mrs. Pearson cut judys hot dog into eight pieces and Sylvias into six pieces. Sylvia cried because she felt she wasnt getting as much hot dog as Judy. Piaget would say that Sylvia doesnt unde

32、rstand the principle of()AConservationBAccommodationCEgocentrismDObject permanence29.Cindy obeys her father because she knows that she will be punished for disobeying. Kohlberg would describe Cindys moral behavior as()AImmoralBConventionalCPreconventionalDPostconventional30.When Tommys mother hides

33、his favorite toy under a blanket, he acts as though it no longer exists and makes no attempt to retrieve it. Tommy is clearly in Piagets stage:()ASensorimotorBPreoperationalCFormal operationalDConcrete operational31.When the nurse is communicating with a client with substance-induced persisting deme

34、ntia, the client cannot remember facts and fills in the facts with imaginary information. The nurse is aware that this is typical of()AConcretismBConfabulationCFlight of ideasDAssociative looseness32.An elderly client is admitted to the hospital with the diagnoses of dementia of the Alzheimers type

35、and depression. The client has all of the following symptoms. The symptom that is unrelated to the depression would be()AShallow or labile affectBNeglect of personal hygieneCI don’t know answers to questionsDApathetic response to the environment33.When planning activities for an elderly nursin

36、g home resident with a diagnosis of vascular dementia, the nurse should()APlan varied activities that will keep the resident occupiedBProvide familiar activities that the resident can successfully completeCOffer challenging activities to maintain the resident’s contact wit realityDMake sure th

37、at the resident actively participates in the unit’s daily activities34.When taking a health history from a client with moderate dementia, the nurse would expect to note the presence of()AHypervigilanceBIncreased inhibitionCEnhanced intelligenceDAccentuated premorbid traits35.An elderly clients

38、 family tells the nurse that the client has suffered some memory loss in the last few years. They say that the client is sensitive about not being able to remember and tries to cover up this loss to avoid embarrassment. When attempting to increase the clients self-esteem, the nurse should try to avo

39、id discussing events that require memory of the clients()AMarriedBWork yearsCRecent daysDYoung adulthood36.An elderly female client, who is quite confused and often does not recognize her children, is admitted to a nursing home. The client appears slovenly in attire, often soiling her clothing with

40、feces and urine. The nurse can best manage this problem by()APutting the client into orientation therapyBToileting the client at least once every 2 hoursCSupervising the client’s bathroom activities closelyDExplaining to the client how offensive her behavior is to others37.Within a few hours o

41、f alcohol withdrawal，the nurse should assess a client for the presence of()AYawning, anxiety, convulsionsBTremors, fever, profuse diaphoresisCDisorientation, paranoia, tachycardiaDAnxiety, nervousness, irritability, GI upset38.During the first month in a nursing home, an elderly client demonstrates

42、numerous behaviors related to disorientation and cognitive impairment. The nurses plan for care should continue to take into consideration the()AAssessment of the client’s orientation to time, place, and personBRealistic ability of the client to perform without becoming frustratedCIdentificati

43、on of stressors that appear to precipitate the client’s disruptive behaviorDFact that the client’s cognitive impairment will increase until adjustment to the home is accomplished39.The defense mechanism commonly used by clients who are drug addiction isADenialBProjectionCDisplacementDCom

44、pensation40.Which one is not the effect of Methadone maintenance()AKeep the patient from going into withdrawalBKeep the patient comfortable and free from craving street opioidsCRestrain the effects of street opioidsDHelp the patient cease the opioids drug immediately41.The nurse, when planning care

45、or a client recovering from an opiate overdose, should take into consideration that the clients underlying problem is probably a feeling of()AGuilt with a rejection of realityBHostility with a need for acceptanceCInferiority with strong dependency needsDAnger caused by an overwhelming need for indep

46、endence42.A client with a known history of opiate addiction is treated for multiple stab wounds to the abdomen. After surgical repair the nurse notes that the clients pain is not relieved by the prescribed IM meperidine hvdrochloride(Demerol)injections. The nurse recognizes that the failure to achie

47、ve pain relief from the Demeroi injections indicates that the client is probably experiencing the phenomenon of()AToleranceBHabituationCPhysical addictionDPsychological addiction43.With a tentative diagnosis of heroin addiction, the nurse should assess this recently hospitalized client for signs of opiate withdrawal. These signs would include()ALacrimation, vomiting, drowsinessBNausea, dilated pupils, constipationCRhinorrhea, convulsions, subnormal temperatureDMuscle aches, diarrhoea, yawning44.After a visit from several