2021美国护士资格认证(CGFNS)考试模拟卷（3）.docx

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1、2021美国护士资格认证(CGFNS)考试模拟卷（3）本卷共分为1大题23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23题，每题2分。每题的备选项中，只有一个最符合题意） 1.A child with leukemia presents with peteehiae; gums, lips, and nose that bleed easily; and bruising on various parts of her body. Which of the following laboratory test results would the nurse corr

2、elate with these findings()A. Platelet count of 80×103/mm3.B. Serum calcium level of 5 mg/dL.C. Fibrinogen level of 75 mg/dL.D. Partial thromboplastin time (PTT) of 38 seconds.2.The client with benign prostatic hypertrophy is prepared for admission to the hospital Which of the following inform

3、ation reported by the emergency room nurse would be most helpful to the nurse responsible for admitting the client()A. A urine specimen was obtained from the client and sent to the laboratory for analysis.B. The client was catheterized, and 1100 mL of urine was obtained. The urine appeared cloudy, a

4、nd a specimen was sent to the laboratory.C. The client is very cooperative. He is comfortable now that his bladder has been emptied. He had no ill effects from catheterization.D. The client was in the emergency room for 3 hours because of bladder distention. He is fine now but is being admitted as a

5、 possible candidate for surgery. 3.The nurse is making a plan of care for the child with juvenile rheumatoid arthritis to reduce joint pain in the morning just after arising. Which of the following interventions would be included in the plan()A. Awakening the child once nightly to exercise the joint

6、s.B. Having the child sleep in a sleeping bag.C. Having the child sleep with the joints flexed.D. Increasing pain medication at bedtime.4.Which of the following findings would indicate that the goals for total parenteral nutrition (TPN) are being achieved for the client()A. Serum glucose level of 96

7、.B. Weight gain of 0.5 pounds/day.C. Urine negative for glucose.D. Serum potassium level of 4 mEq/L.5.The mother of a 4-year-old asks about dental care for her child. I help brush her teeth every day and her teeth look healthy. When should I take her to see a dentist Which of the following responses

8、 would be most appropriate()A. Because you help brush her teeth, there’s no need to see a dentist right now.B. Ideally she should have seen a dentist already, but it’s still not too late.C. Your child doesn’t need to see the dentist until she starts school.D. A dental checkup is a

9、good idea even if no problems are noticeable. 6.The nurse is caring for a 35-year-old multipara who delivered a full-term infant by cesarean delivery because of a breech presentation. The nurse recognizes that which of the following events would be the most important contribution to preventing throm

10、boembolism()A. Increasing oral fluid intake.B. Providing oxygen therapy.C. Encouraging frequent ambulation.D. Administering pain medications as needed.7.A client receiving haloperidol (Haldol) complains of a stiff jaw and difficulty swallowing. Which of the following should be the nurses first actio

11、n()A. Reassure the client and administer as-needed lorazepam (Ativan) IM.B. Administer as-needed dose of benztropine (Cogentin) by mouth as ordered.C. Administer as-needed dose of benztropine (Cogentin) IM as ordered.D. Administer as-needed dose of haloperidol (Haldol) by mouth.8.A 34-year-old clien

12、t is 34 weeks pregnant and is experiencing bleeding caused by placenta previa. The fetal heart sounds are normal and the client isnt in labor. Which of the following nursing interventions should be of priority()A. Monitor the amount of vaginal blood loss.B. Allow the client to ambulate with assistan

13、ce.C. Perform a vaginal examination to cheek for cervical dilation.D. Notify the physician for a fetal heart rate of 130 beats/minute.9.When developing the postoperative plan of care for a child who is scheduled to have a tympanostomy tubes inserted into the right ear, which of the following interve

14、ntions would the nurse identify to accomplish the goal of facilitating drainage()A. Applying warm compresses to the right ear.B. Applying a gauze dressing to the left ear.C. Applying an ice pack to the left ear.D. Positioning the child to lie on the right side.10.A mother asks the nurse about how to

15、 manage her childs morning hyperglycemia. Which of the following would be most appropriate response by the nurse()A. Question the mother if her child has been avoiding sweets.B. Tell the mother that this is normal and to continue with the ordered doses.C. Ask the mother what her child’s blood

16、glucose levels have been for the last few days.D. Inform the mother that this is unusual and the child needs to be seen in the emergency room now.11.To assess orientation to place in a client suspected of having Alzheimers the nurse should ask()AWhere are youBWho brought you hereCDo you know where y

17、ou areDDo you know the day you arrived12.An elderly nursing home resident with the diagnosis of Alzheimers likes to talk about older days and at times has a tendency to confabulate. The nurse should recognize that this behavior serves to()APrevent regressionBIncrease self-esteemCAttract the attentio

18、n of othersDReminisce about achievements13.When planning care for a 72-year-old client who has been admitted to the hospital because of bizarre behavior, forgetfulness, and confusion, the nurse should give priority to()APreserving the dignity of the clientBPromoting a structured environmentCLimiting

19、 the acceleration of symptomatologyDDetermining or ruling out an organic etiology14.An elderly nursing home resident with the diagnosis of dementia of the Alzheimers type hoards lefto ver food from the meal tray and other seemingly valueless articles and stuffs them into pockets so the others wont s

20、teal them. The nurse should plan to()ARemove unsafe and soiled articles from the resident’s belongings during the nightBGive the resident a small bag in which to place selected personal articles and foodCExplain to the resident why the nursing home’s policy for cleanliness and safety mus

21、t be followedDTell the resident that the staff is required to keep harmful objects out of reach in the resident’s closet15.A 54-year-old client has demonstrated increasing forgetfulness, irritability, and antisocial behavior. After being found disoriented and seminaked walking down a street, t

22、he client is admitted to the hospital, and a diagnosis of Alzheimers disease is made. The client expresses fear and anxiety. Considering the clients diagnosis, the best approach would be for the nurse to()AInitiate a program of planned interaction and activityBReassure the client by the frequent pre

23、sence of staffCExplore in depth the reasons for the client’s concernsDExplain the purpose of the unit and why admission was necessary16.Nursing management of a forgetful, disoriented client with the diagnosis of Alzheimers disease should be directed toward()ARechanneling the client’s exc

24、essive energiesBManaging the client’s somewhat bizarre behaviorsCRestricting all gross motor activity to prevent injuryDPreventing further deterioration in the client’s condition17.An elderly female client is admitted to a nursing home from the general hospital with a diagnosis of dement

25、ia of the Alzheimers type. One morning, after being in the nursing home for several days, the client is going to join a group of residents in recreational therapy. The nurse notes that the client has laid out several dresses on her bed but has not changed from her nightclothes. It would be most help

26、ful for the nurse to()ARemind the client to dress more quickly to avoid delaying the other residentsBHelp the client select appropriate attire and offer her assistance in getting dressedCHelp the client dress and tell her what time the residents are expected at the activityDAllow the client as much

27、time as she needs but explain that she is too late to attend this activity18.In the management planning of a patient with a delusional disorder, the nursing goals would include that the patient will()ADevelop a trusting relationship with the nurseBDecrease the frequency of delusional content in his

28、speechCIngest medications and nutrition and socialize with the nurse and othersDAll of the above19.An elderly resident with the diagnosis of dementia of the Alzheimers type frequently talk about the good old days at the ranch as a child. On the basis of an understanding of the residents diagnosis, t

29、he nurses most appropriate action at this time would be to()AInvolve the resident in interesting diversional activities in a small groupBAllow the resident to reminisce about the past and listen with interest to the storiesCGently remind the resident that those good old days are past and thinking sh

30、ould focus on the presentDIntroduce the resident to other residents of the same age so that they can mutually share their past experiences20.Which of the following is a actor indicating high risk or vulnerability to schizophrenia()AHyperactivity in the preschool ageBPresence of intimate peer relatio

31、nships during early adolescenceCLoss of a loving oneDDisorganized, disruptive families21.How should a psychiatric nurse respond when a delusional patient fearfully tells her that people are waiting outside the hospital to kill him()AYou don’t have to worry because you are safe here.BYou know a

32、s well as I do that no one is trying to kill you.CYou should rest now and, when you wake up, I’m certain you’ll feel less afraid.DI understand how frightened you feel but when you are better you will see things in a different way. 22.What is the main symptom of hebephrenic schizophrenia(

33、)AThe inappropriate affect of the personBAbnormal and postural movementsCDelusions and extreme suspiciousnessDUndifferentiated symptoms23.Which of the followings distinguish the schizophrenic from the non-schizophrenic()AA heightened capacity for pleasureBA strong tendency to be dependent on othersCA disturbance in mental functioningDAn impairment in social competence第13页 共13页第 13 页 共 13 页第 13 页 共 13 页第 13 页 共 13 页第 13 页 共 13 页第 13 页 共 13 页第 13 页 共 13 页第 13 页 共 13 页第 13 页 共 13 页第 13 页 共 13 页第 13 页 共 13 页