2022美国护士资格认证(CGFNS)考试模拟卷.docx

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1、2022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 client is receiving a radiation implant for the treatment of bladder cancer. Which of the following interventions is appropriate（）A. Flush all urine down the toilet.B. Restrict the client’s fl

2、uid intake.C. Place the client in a semiprivate room.D. Monitor the client for signs and symptoms of cystitis.2.A voluntary client in a health care facility decides to leave the unit before treatment is complete. To detain the client, the nurse refuses to return the clients personal effects. This is

3、 an example of which of the following（）A. False imprisonment.B. Limit setting.C. Slander.D. Violation of confidentiality.3.Which classification of drugs is the most potentially fatal if the client takes an overdose（）A. Antihistamines.B. Dopaminergics.C. Phenothiazine antipsychotics.D. Tricyclic anti

4、depressants.4.A client with ulcerative colitis is chatting with the nurse. Which of the following statements indicates the client understands the lifestyle modifications he needs to make（）A. I will have to stop smoking.B. I can eat popcorn for an evening snack.C. I may have coffee with my meals.D. I

5、 am allowed to have alcohol as long as I only drink wine. 5.The client is taking medication to control his cancer pain. Which of the following statements indicates that the client needs further instruction（）A. I should take my medication around-the-clock to control my pain.B. I should skip doses per

6、iodically so I don’t get hooked on my drugs.C. It is okay to take my pain medication even if I am not having any pain.D. I should contact the oncology nurse if my pain is not effectively controlled. 6.The client is taking carbamazepine (Tegretol) to treat his trigeminal neuralgia. While prepar

7、ing the clients teaching plan, which of the following instructions should the nurse include（）A. Limit physical activity while taking the drug.B. Eliminate caffeine from the diet while taking drug.C. Arrange to have a CBC drawn weekly.D. Take the drug on an empty stomach.7.Which of the following inte

8、rventions would likely be most effective for the client to use at home when 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.8.A preschool-aged child who is h

9、ospitalized with gastroenteritis has been NPO. The physician has written an order to advance the diet as tolerated. Which of the following food is the most appropriate for the first feeding the nurse should offer the child（）A. Clear lemon carbonated beverage.B. Toast.C. Cooked cereal.D. Ice cream sh

10、ake.9.The client is advised by the physician to have mammography screening annually. Which of the following is the best measure to improve adherence with mammography screeningA. Making sure that the individual barriers to screening are minimized.B. Emphasizing that mammography screening can prevent

11、breast cancer.C. Emphasizing that mammography screening is a low-cost approach to cancer prevention. D. Informing the client that she is at high risk for breast cancer and needs to follow the physicians recommendation. 10.The nurse is caring for a child with leukemia. Which of the following should t

12、he 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.11.Three weeks after the application of the spica cast following surgery for an infant, the mother told the n

13、urse that the infants toes are swollen and cool to the touch. Which of the following would the nurses suspect（）A. Cotton wadding lining of the cast has shrunk.B. An infection has developed under the cast.C. Child’s feet were in a dependent position.D. Child has outgrown the spica cast.12.A cli

14、ent has been placed on levodopa to treat his Parkinsons disease. Which of the following is a common side effect of levodopa that the nurse should include in the clients teaching plan（）A. Pancytopenia.B. Peptic ulcer.C. Orthostatic hypotension.D. Weight loss.13.A client is prescribed Gentamycin (Gara

15、mycin) IV to treat infection. It is important to monitor the client for the development of which of the following side effects from the medication（）A. Ascites.B. Confusion.C. Ototoxicity.D. Cardiac dysrhythmias.14.The development of laryngeal cancer is most clearly linked to which of the following f

16、actors（）A. High-fat, low-fiber diet.B. Alcohol and tobacco use.C. Low socioeconomic status.D. Overuse of artificial sweeteners.15.While managing the separation anxiety during hospitalization for a two-year-old boy, which of the following suggestions would be most helpful to the parents（）A. Tell the

17、child the time they are leaving and returning.B. Bring the child’s favorite toys from home.C. Leave while the child is sleeping.D. Keep the visit time short.16.Mrs. S with preterm labor will be under Terbutaline (Brethine) therapy. Before beginning the therapy, which of the following assessmen

18、ts would be most important（）A. Estimated fetal size.B. Maternal heart rate.C. Contraction intensity.D. Deep tendon reflexes.17.Positive symptoms of schizophrenia include which of the followingA. Waxy flexibility, alogia, and apathy.B. Flat affect, avolition, and anhedonia.C. Hallucinations, delusion

19、s, and disorganized thinking.D. Somatic delusions, echolalia, and a flat affect.18.The nurse is evaluating the effectiveness of airway suctioning. Which of the following outcome criteria is most appropriate（）A. Respirations unlabored.B. Decreased mucus production.C. Hollow sound on chest percussion.

20、D. Breath sounds clear on auscultation.19.One-year-old Susan, the second child to have sickle cell disease in a 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

21、to include in the plan（）A. Intravenous fluid therapy.B. Fast-acting anticoagulant therapy.C. Parenteral iron therapy.D. Exchange transfusion.20.An adolescent is admitted to the hospital for headaches. She approaches the nurse and confides that she is being sexually abused by a family friend. Which o

22、f the following would be the nurses best initial response（）A. Can you tell me what happenedB. I believe you; you were right to tell me.C. Have you told your mother and father about thisD. Who else have you told about this21.When caring for an adolescent client diagnosed with depression, the nurse sh

23、ould remember that depression manifests differently in adolescents and adults. In an adolescent, signs and symptoms of depression are likely to include which of the following（）A. Helplessness, hopelessness, hypersomnolence, and anorexia.B. Truancy, a change of friends, social withdrawal, and opposit

24、ional behavior.C. Curfew breaking, stealing from family members, truancy, and oppositional behavior.D. Hypersomnolence, obsession with body image, and valuing of peers’ opinions.22.During the assessment stage, a client with schizophrenia leaves his arm in the air after the nurse has taken his

25、blood pressure. Which of the following explains his action（）A. Somatic delusions.B. Waxy flexibility.C. Neologisms.D. Nihilistic delusions.23.The most significant sign of acute renal failure is（）A. elevated body temperature.B. increased blood pressure.C. decreased urine output.D. increased urine spe

26、cific gravity.24.A client has had a cerebrovascular accident (CVA). Because the CVA affected the left side of the clients brain, the nurse should anticipate that the client would most likely experience（）A. dyslexia.B. apraxia.C. agnosia.D. expressive aphasia.25.A young man is remanded by the courts

27、for psychiatric treatment. From his police record the nurse notices that the client has records of delinquency, running away, auto theft, and vandalism in his early teenage years. He dropped out of school at age 16 and has been living on his own since then. His history suggests maladaptive coping. W

28、hich of the following problems is most associated with maladaptive coping（）A. Antisocial personality disorder.B. Borderline personality disorder.C. Obsessive-compulsive personality disorder.D. Narcissistic personality disorder.26.Trimethobenzamide (Tigan) 150 mg IM has been ordered to treat a client

29、s nausea and vomiting. The nurse has an ampule of Tigan labeled 200 mg/mL. How many mL should the nurse prepare to give the client（）A. 0.50 mL.B. 0.75 mL.C. 1.0 mL.D. 1.5 mL.27.A mother of an ill child tells the nurse that her child isnt eating well. Which of the following strategies devised by the

30、mother to help increase the childs intake is not appropriate（）A. Asking the child to say why he is not eating.B. Telling the child he must eat or else he will not get better.C. Allowing the child to choose his meals from an acceptable list of foods.D. Letting the child to substitute items on his tra

31、y for other nutritious foods.28.The nurse noticed that an 8-month-old childs posterior fontanel is slightly open. Which of the following should the nurse do next（）A. Check the child’s head circumference.B. Question the mother about the child’s delivery.C. Schedule an X-ray of the child&r

32、squo;s head.D. Document this as a normal finding.29.A 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 i

33、n this meeting（）A. How to perform a glucometer test.B. How to give an insulin injection.C. Signs and symptoms of hypoglycemia.D. The American Diabetic Association (ADA) diet.30.To encourage adequate nutritional intake for a client with Alzheimers disease, what should the nurse do（）A. Stay with the c

34、lient and encourage him to eat.B. Help the client fill out his menu.C. Give the client privacy during meals.D. Fill out the menu for the client.31.The client with a head injury receives mannitol (Osmitrol) during surgery to help decrease intracranial pressure. Which of the following nursing observat

35、ions would most likely indicate that the drug is having the desired effect（）A. Urine output increases.B. Pulse rate decreases.C. Blood pressure decreases.D. Muscular relaxation increases.32.The parents of a child being discharged from the day surgery center after insertion of tympanostomy tubes ask

36、the nurse. What will happen to the tubes in my childs ears Which of the following would be the nurses best responseA. The tubes usually dissolve on their own in about 1 year. B. The tubes must remain permanently in place. C. Youll probably see them fall out in about 6 months. D. Call for an appointm

37、ent to have them removed in about 6 months. 33.The nurse is caring for a client in the first 4 weeks of pregnancy. The nurse should expect to collect which assessment findings（）A. Presence of menses.B. Uterine enlargement.C. Breast sensitivity.D. Fetal heart tones.34.Which of the following fluid and

38、 electrolyte imbalances would the nurse anticipate that the client would be particularly susceptible to in the emergent phase of burn care（）A. Metabolic alkalosis.B. Hemodilution.C. Hypernatremia.D. Hyperkalemia.35.To assess the clients dorsalis pedis pulse, the nurse should palpate the（）A. medial s

39、urface of the 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.36.Which of the following is an appropriate health promotion activity to reduce the incidence of osteoporosisA. Teaching women to maintain adequate calcium intake.B

40、. Teaching women how to administer pain medication safely.C. Avoiding estrogen replacement therapy when postmenopausal.D. Teaching women to increase caffeine intake as a preventive measure.37.A client is admitted to the psychiatric unit with a diagnosis of anorexia nervosa. Although she is 57 and we

41、ighs only 100 lb, she keeps on telling the nurse about how fat she is. What should the nurse do first（）A. Discuss cultural stereotypes regarding thinness and attractiveness.B. Explore the reasons why the client doesn’t eat.C. Teach the client about nutrition, calories, and a balanced diet.D. E

42、stablish a trusting relationship with the client.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 effect

43、s of diabetes on uteroplacental functioning.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.To obtain a good monitor tracing on a client in labor, the mother lies

44、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 physician.C. Start oxygen at 6 L via nasal cann

45、ula.D. Increase the IV fluids to correct the client’s dehydration.40.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

46、 around the joints.C. promote maximum comfort.D. prevent venous stasis.41.A hospitalized client craves a drink while withdrawing from alcohol. Which of the following measures is the best way to help the client resist the urge to drink（）A. A routine search of visitors.B. A locked-door policy.C. One-t

47、o-one supervision by the staff.D. Support from other alcoholic clients.42.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 placed.B. Obtain the client’s

48、 pulse rate and rhythm.C. Remove the ointment previously applied.D. Instruct the client to expect pain relief in the next 15 minutes.43.Of the following signs and symptoms of bowel obstruction, which is related primarily to small bowel obstruction rather than large bowel obstruction()A. Profuse vomiting.B. Cramping abd