2022年河北美国护士资格认证(CGFNS)考试模拟卷（9）.docx

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1、2022年河北美国护士资格认证(CGFNS)考试模拟卷（9）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.Of the following signs and symptoms of bowel obstruction, which is related primarily to small bowel obstruction rather than large bowel obstructionA. Profuse vomiting.B. Cramping abdominal pain.

2、C. Abdominal distention.D. High-pitched bowel sounds above the obstruction. 2.The immobile adolescent with a recent fractured femur suddenly complains chest pain, dyspnea, diaphoresis, and tachycardia. Which of the following would the nurse suspectA. Atelectasis.B. Pneumonia.C. Pulmonary edema.D. Pu

3、lmonary embol3.In developing a plan of care for a client with rheumatoid arthritis, the nurse should consider that clients with rheumatoid arthritis should be positioned so as toA. prevent flexion deformities of the joints.B. decrease edema around the joints.C. promote maximum comfort.D. prevent ven

4、ous stasis. 4.By age 7 months, an infant most likely will develop which of the following motor skillA. Walk with one hand held.B. Eat successfully with a spoon.C. Stand while holding onto furniture.D. Sit alone using the hands for support. 5.The nurse is assessing an elderly client for dementia. Whi

5、ch of the following is a primary symptom of dementiaA. Neurosis.B. Loss of impulse control.C. Psychosis.D. Memory loss.6.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 allo

6、wances of nutrients, 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

7、. Inform the client that snacks are available only if he eats properly at mealtim 7.A client with recurred cancer is planned to take internal radiation treatment with a radium implant. The client tells the nurse that she is concerned about being radioactive and has been having nightmares about the t

8、reatment. What would be a reasonable explanation for the nurse to give to the clientA. Careful shielding prevents the area above your waist from radioactivity. B. These nightmares indicate that youre in the denial phase of accepting the diagnosis. C. The radioactive material is controlled and stays

9、with the source; once the material is removed, no radioactivity will remain. D. The radioactivity will gradually decrease, and you will be discharged when the radioactive material reaches its half-life. 8.To assess the clients dorsalis pedis pulse, the nurse should palpate theA. medial surface of th

10、e ankle.B. lateral surface of the ankle.C. ventral aspect of the top of the foot.D. medial aspect of the dorsum of the foot. 9.A client is admitted to the psychiatric unit with a diagnosis of anorexia nervosa. Although she is 57 and weighs only 100 lb, she keeps on telling the nurse about how fat sh

11、e is. What should the nurse do firstA. Discuss cultural stereotypes regarding thinness and attractiveness.B. Explore the reasons why the client doesnt eat.C. Teach the client about nutrition, calories, and a balanced diet.D. Establish a trusting relationship with the client.10.A multigravida at 36 w

12、eeks gestation visits the emergency department because her boyfriend has beaten her severely. What should the nurse do firstA. Contact the authorities.B. Ensure the clients safety.C. Identify a support person.D. Photograph the clients injuries. 11.A 30-year-old primigravida tells the nurse that her

13、hemorrhoids have become itchy and painful. The nurse instructs the client about relief measures. From which of the following statements by the client would the nurse suspect that the client needs further instructionsA. I should sit in a warm sitz bath daily. B. I can use a topical ointment for relie

14、f. C. I should apply an ice pack at night. D. I should decrease my fluid intake. 12.A client with heart failure asks the nurse about the reason for taking enalapril maleate. The nurse would explain that the medication is prescribed for which of the following reasonA. Lower the blood pressure by incr

15、easing peripheral vasoconstriction.B. Lower the heart rate by slowing the conduetion system.C. Block the conversion of angiotensin to angiotensin .D. Increase myocardial contractility, thereby improving cardiac output. 13.The nurse is teaching the client how to use a cane. Which of the following sta

16、tements is most inaccurateA. The client should hold 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.Sedative-hypnotic drugs are used to

17、 treat which of the following problemsA. Hallucinations and delusions.B. Anxiety and insomnia.C. Obsessive-compulsive disorder (OCD).D. Attention deficit hyperactivity disorder (ADHD). 15.A client takes prednisone for an acute exacerbation of her rheumatoid arthritis. The nurse teaches the client ab

18、out how to take this drug. Which of the following statements by the client indicates that the education is effectiveA. I can stop taking the prednisone 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 conce

19、rned if I lose a little weight while I take the prednisone. D. It is best if I take this medication with some food. 16.The second morning after surgery for a below-the-knee amputation of the left leg, the client says, This sounds weird, but I feel pain on my left feet. The nurse knows the client is

20、experiencing aA. denial reaction.B. hallucination.C. phantom-limb sensation.D. body image disturbanc 17.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 incl

21、uded in the neonates plan of careA. Reassuring them that surgery will correct the defect.B. Encouraging the parents to visit more frequently.C. Showing them pictures of babies before and after corrective surgery.D. Allowing them to complete their grieving process before seeing the infant again. 18.A

22、 client who was found huddled in her apartment by the police is admitted to the clinic. The client stares toward one corner of the room and seems to be responding to something not visible to others. She appears hyperalert and scared. Which of the following conclusion by the nurse is most appropriate

23、 according to the situationA. Nothing is wrong because the client isnt a threat to society.B. The client is malingering.C. The client may be hallucinating.D. The client is suicidal. 19.After the nurse has taught the parents of a 5-year-old boy who has leukemia how to talk with their child about deat

24、h and dying, which of the following would indicate that the parents have age-appropriate expectations about their childs reaction to his impending deathA. He is too young to understand what is happening to him. B. He might think he can cause his death because he has misbehaved. C. He will accept his

25、 death as caused by his disease. D. He will understand how much his siblings will miss him. 20.The nurse is caring a client in an acute care mental health program. The client refuses his morning dose of an oral antipsychotic medication and believes hes being poisoned. What should the nurse doA. Crus

26、hing 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. 21.A client who recently developed paralysis of the arms is diagnosed with conversion disorder after t

27、ests fail to uncover a physical cause for the paralysis. When preparing the plan of care for the client, which of the following interventions should be included in the planA. Teaching the client how to use nonpharmacologic pain-control methods.B. Exercising the clients arms regularly.C. Insisting th

28、at the client eat without assistance.D. Working with the client rather than the family. 22.On initial assessment of a 7-year-old with rheumatic fever, which of the following would require the nurse to contact the physician immediatelyA. Heart rate of 150 bpm.B. Twitching in the extremities.C. Red ra

29、sh on the trunk.D. Swollen and painful knee joints. 23.A breast-feeding neonate will turn his head toward the mothers breast in a natural instinct to find food. What is the name of this reflexA. Tonic neck reflex.B. Moros reflex.C. Grasp reflex.D. Rooting reflex. 24.The nurse is caring for a client

30、after a closed renal biopsy. Which of the following nursing measures should be included in the plan of careA. Maintaining the client on strict bed rest in a supine position for 6 hours.B. Administering intravenous narcotic medications to promote comfort.C. Inserting an indwelling catheter to monitor

31、 urine output.D. Applying a sandbag to the biopsy site to prevent bleedin 25.Which of the following findings would indicate that the goals for total parenteral nutrition (TPN) are being achieved for the clientA. Serum glucose level of 96.B. Weight gain of 0.5 pounds/day.C. Urine negative for glucose

32、.D. Serum potassium level of 4 mEq/L. 26.The nurse teaches the parents of a child being treated with antibiotics for an ear infection for a follow-up visit after the child completes the course of therapy. Which of the following statements by the parents indicates that they understand the reason for

33、the follow-up visitA. 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 the antibiotics. C. We need to make sure that her ear infection has completely cleared. D. She needs to get another prescription for second course

34、of antibiotics. 27.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 situationA. Breech position.B. Late decelerations.C. Entrance into the second stage of labor.D

35、. Multiple gestation. 28.A 35-year-old client is undergoing a brain computed tomography (CT) scan because of continued migraine headaches. Hes placed in the CT scanner and suddenly begins to complain of palpitations, sweating, shortness of breath, and shaking. The client is most likely experiencing

36、（）.Aan allergic reaction.Ba myocardial infarction (MI).Ca panic attack.Da hypoglycemic episode.29.A primigravida in labor for 13 hours clenches her fists, tightens her muscles, and screams during every contraction. Her reaction to labor seems exaggerated compared to the contraction pattern recording

37、 from the electronic fetal monitor (EFM). Whats the nurses best response ？（）AExplain to the client that the EFM shows mild contractions, so she should just relax and let the contractions work.BTake over as her coach because her husband isn’t helping her properly.CIgnore her reactions, realizin

38、g that this is her first time in labor and her reactions will soon match the intensity of contractions shown on the EFM.DPalpate her abdomen to determine the intensity of labor contractions as they’re taking place.30.The nurse is assigned to care for a postoperative client who has diabetes mel

39、litus. During the assessment interview, the client reports that hes impotent and says that hes concerned about its effect on his marriage. In planning this clients care, the most appropriate intervention would be to （）.Aencourage the client to ask questions about personal sexuality.Bprovide time for

40、 privacy.Cprovide support for the spouse or significant other.Dsuggest referral to a sex counselor or other appropriate professional.31.The nurse-manager of a hospital unit holds monthly staff meetings. During these meetings, she maintains control over the meeting and agenda, resists consensus decis

41、ion making, and uses discipline and coercion to elicit desired behavior from staff. This manager uses what type of leadership style ？（）AAutocratic.BDemocratic.CParticipative.DLaissez-faire.32.37-year-old teacher is hospitalized with complaints of weakness, incoordination, dizziness, and loss of bala

42、nce. The diagnosis is multiple sclerosis (MS). Which of the following signs and symptoms, discovered during the history and physical assessment, is typical of MS ？（）ADiplopia, history of increased fatigue, and decreased or absent deep tendon reflexes.BFlexor spasm, clonus, and negative Babinski&rsqu

43、o;s reflex.CBlurred vision, intention tremor, and urinary hesitancy.DHyperactive abdominal reflexes and history of unsteady gait and episodic paresthesia in both legs.33.Shortly after being admitted to the coronary care unit with an acute myocardial infarction (MI), a client reports midsternal chest

44、 pain radiating down the left arm. The nurse notices that the client is restless and slightly diaphoretic, and measures a temperature of 99. 6F (37.6), a heart rate of 102 beats/minute; regular, slightly labored respirations at 26 breaths/minute; and a blood pressure of 150/90mmHg. Which nursing dia

45、gnosis takes highest priority ？（）ARisk for imbalanced body temperature.BDecreased cardiac output.CAnxiety.DAcute pain.34.A client with hypotonic labor dysfunction is receiving oxytoein augmentation. Her contractions become more frequent and intense. Dilation progresses to 8 cm, but the fetal head re

46、mains at station +1. The nurse notes a soft bulge just above the symphysis. Which of the following actions is best ？（）ARe-evaluate the fetal presentation.BChange the client’s position.COffer a narcotic analgesic.DHelp the client urinate.35.The nurse walks into the room of a client who has had

47、surgery for testicular cancer. The client says that hell be undesirable to his wife, and he becomes tearful. He expresses that hes spoiled a happy, satisfying sex life with his wife, and says that he thinks it might be best if he would just die. Based on these signs and symptoms, which nursing diagnosis would be most appropriate for planning purposes ？（）ASituational low self-esteem.B