美国护士资格认证CGFNS考试真题卷.docx

美国护士资格认证CGFNS考试真题卷.docx

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美国护士资格认证CGFNS考试真题卷

2021美国护士资格认证（CGFNS）考试真题卷

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.Thenurseisdevelopingadischargeplanforaclientwhohadcataractremoval.Whichofthefollowingshouldbeincludedinthedischargeplan

A.Wearcataractglassesthatcorrectvisionbymagnifyingobjects.

B.Wearcorrectiveglassesorcontactlenses.

C.Wearglassesonlyuntiltheeyeheals.

D.Relearntojudgedistancesaccurately.

2.Mrs.SwithpretermlaborwillbeunderTerbutaline（Brethine）therapy.Beforebeginningthetherapy,whichofthefollowingassessmentswouldbemostimportant

A.Estimatedfetalsize.

B.Maternalheartrate.

C.Contractionintensity.

D.Deeptendonreflexes.

3.ThenurseisplanningageneticcounselingwiththeparentsofachildwithDownsyndrome,whichofthefollowingwouldthenurseincludeastheprimaryroleofthegeneticteamwhenworkingwithafamily

A.Preparingtheparentspsychologicallyforthebirthofadefectivechild.

B.Prescribingbirthcontrolorabortionmeasuresfortheparentsasneeded.

C.Providingparentswithinformationabouttherisksofbirthdefects.

D.Reportingthefindingsofchromosomeanalysisoftheamnioticcells.

4.Whichofthefollowinginterventionswouldbemosthelpfulinpreventingpressureulcerformationinat-riskclient

A.Massagingreddenedareasonthesacrum.

B.Ensuringagenerousfluidintake.

C.Repositioningeveryhour.

D.Providingalowproteindiet.

5.Thenurseuses30mLofsolutiontoirrigateanasogastrictubeandnotesthat20mLreturnspromptlyintothedrainagecontainer.Whenthenurserecordstheresultsoftheirrigation,howmuchsolutionshouldberecordedasintake

A.10mL.

B.20mL.

C.30mL.

D.50mL.

6.Whilemanagingtheseparationanxietyduringhospitalizationforatwo-year-oldboy,whichofthefollowingsuggestionswouldbemosthelpfultotheparents

A.Tellthechildthetimetheyareleavingandreturning.

B.Bringthechild’sfavoritetoysfromhome.

C.Leavewhilethechildissleeping.

D.Keepthevisittimeshort.

7.Themotherofachildwithflatfeetasksthenursewhyherchildneedstowearcorrectiveshoes.Whichofthefollowingisthemostappropriatereasonthatthechildneedstowearcorrectiveshoes

A.Preventingthedevelopmentofinternaltibialtorsion.

B.Strengtheningthearchesofthefeet.

C.Keepingthelegsinproperalignment.

D.Delayingthedevelopmentoffemoralanteversion.

8.A14-month-oldchildreturnsfromsurgeryforundescendedtesticle,andhispostanesthesiarecoveryperiodisuneventful.Whenplanningforthechild’sdischarge,whichofthefollowinggoalswouldthenurseexpecttoemphasizetotheparents

A.Absenceofrednessorswellingattheincisionsite.

B.Intakeclearliquidswellwithin24hours.

C.Passageofnormalbowelmovementwithin24hours.

D.Abilitytoambulateafter48hours.

9.Whichofthefollowingnursingdiagnoseswouldbemostappropriatewhenteachingthemotherofatoddler

A.Activityintolerance.

B.Riskforinjury.

C.Delayedgrowthanddevelopment.

D.Impairedmobility.

10.AclientisprescribedGentamycin（Garamycin）IVtotreatinfection.Itisimportanttomonitortheclientforthedevelopmentofwhichofthefollowingsideeffectsfromthemedication

A.Ascites.

B.Confusion.

C.Ototoxicity.

D.Cardiacdysrhythmias.

11.A34-year-oldmultigravidaisadmittedin36weeksgestationinactivelaborwithdiagnosisofRhsensitization.Thefetusisinafrankbreechpresentation.Theclient’smembranesrupturespontaneously,andthenursedocumentsthecolorofthefluidasyellowish.Whichofthefollowingcanexplaintheyellowishfluid

A.Amnioticfluidembolism.

B.Oligohydramnios.

C.Rhsensitization.

D.Abnormalpresentation.

12.Aninfantisadmittedtothehospitalbecauseofhavingfrequentdiarrhealstoolswithacuterotaviralinfection.Thenursenotes40to60bowelsoundsperminute.Thechildhaspoorskinturgor,andthemucousmembranesaredry.ThenursewouldmakeanursingdiagnosisofDeficientfluidvolumerelatedto

A.insufficientantidiuretichormone.

B.inabilitytometabolizenutrients.

C.decreasedgastricemptying.

D.increasedgastrointestinalmotility.

13.Whichofthefollowingsymptomswouldthenursemostlikelyobserveinaclientwithcholecystitisfromcholelithiasis

A.Blackstools.

B.Decreasedwhitebloodcellcount.

C.Nauseaafteringestionofhigh-fatfoods.

D.Elevatedtemperatureof103°F（39.4℃）.

14.Pancrelipase（Viokase）,anenzymereplacement,hasbeenprescribedforaclientwithchronicpancreatitis.Thenurseevaluatestheclient’sunderstandingofhowtotakethisdrug.Whichofthefollowingstatementsindicatestheclienthasadequateknowledge

A."Theenzymemixtureshouldbetakenaftereachmeal."

B."Theenzymemixtureshouldbestoredintherefrigeratortokeepitfresh."

C."Ishouldbecarefulnottoinhalethepowderwhenmixingitwithfood."

D."Ishouldchewthecapsulethoroughly."

15.Acommunitynurseisperformingaphysicalassessmentonan18-month-oldchild.Whichofthefollowingwouldbebest

A.Carryouttheassessmentfromheadtotoe.

B.Assessmotorfunctionbyhavingthechildrunandwalk.

C.Havethemotherholdthetoddleronherlap.

D.Assesstherespiratoryandcardiacsystemsfirst.

16.Thenurseisinstructinganunlicensedassistantonhowtocollectaurinespecimenfromanindwellingcatheter.Whichofthefollowingstatementsindicatesthattheassistantunderstandstheinstructions

A."Iwillemptythecatheterdrainagebag,havetheclientdrinksomewater,andanhourlatercollecttheurinethatdrainsintothebag."

B."Iwillgetasterilesyringeandremoveurinefromthecatheterthroughthecollectionporttoplaceinthespecimencontainer."

C."Ishouldcollecturinefromthecatheterdrainagebagattheendoftheshiftandplaceitinthespecimencontainer."

D."Iwilldisconnectthedrainagetubefromthecatheterandleturinerunfromthecatheterintothespecimencontainer."

17.Asthenursehelpstheclientpreparefordischarge,theclientsays,"Youknow,I’vebeeninlotsofhospitalsandIknowwhenI’msickenoughtobethere.I’mnotthatsicknow.Youdon’tneedtoworryaboutme."Whichofthefollowingwouldbethemosttherapeuticresponsebythenurse

A."We’reconcernedaboutyou.Howcanwehelpyoubeforeyouleave"

B."Wecouldhavehelpedyoumoreifyouhadtoldusmore."

C."Isthereanyinformationyouneedbeforeyouleavethehospital"

D."Okay,youknowbest."

18.Wheninstructingtheclientwithsevereburnsaboutpropernutrition,thenursewouldencouragehimtoeatwhichofthefollowingmeals

A.Chickenbreast,salad,icedtea.

B.Roastbeefsandwich,milkshake,cottagecheese.

C.Hamburger,orange,coffee.

D.Pastasalad,carrots,icedte

19.Thenurseadministersapreoperativeintramuscularmedicationattheventroglutealsite.Thenursewillinjectthemedicationintowhichmuscle

A.Rectusfemoris.

B.Gluteusmaximus.

C.Gluteusminimus.

D.Vastuslateralis.

20.WhichpartonthewavedeflectioncorrespondstoventricularmusclerepolarizationinthefollowingECGgraph（）

A.A

B.B

C.C

D.D

21.Thedevelopmentoflaryngealcancerismostclearlylinkedtowhichofthefollowingfactors

A.High-fat,low-fiberdiet.

B.Alcoholandtobaccouse.

C.Lowsocioeconomicstatus.

D.Overuseofartificialsweeteners.

22.Whilecaringfortheclientwithaburninjury,thenurseshouldobserveforsignsandsymptomsofwhichcomplicationbelievedtobedueprimarilytohypersecretionofgastricacid

A.Paralyticileus.

B.Gastricdistention.

C.Hiatalhernia.

D.Gastrointestinalulceration.

23.Antipsyehotiemedicationsmaycausewhichofthefollowingadverseeffects

A.Increasedproductionofinsulin.

B.Lowerseizurethreshold.

C.Increasedcoagulationtime.

D.Increasedriskofheartfailur

24.Assertivebehaviorinvolveswhichofthefollowingelements

A.Expressinganairofsuperiority.

B.Sayingwhatisonyourmindattheexpenseofothers.

C.Avoidingunpleasantsituationsandcircumstances.

D.Standingupforyourrightswhilerespectingtherightsofothers.

25.A10-month-oldgirlwithbronchitisistakenoutofthe30%oxygententforbreakfastbecausesherefusestoeatunlessinahighchair.Duringthefeeding,thenursenotesthatthechild’srespiratoryratehasincreased,sheisbecomingmoreirritable,andsheisusingaccessorymusclestobreathe.Whichofthefollowingshouldbethenurse’sfirstaction

A.Performposturaldrainagethencompletethefeeding.

B.Suctionthechild’snosewithabulbsyringe.

C.Discontinuethefeedingandplacethechildbackinthetent.

D.Assessthepulserateandrespirationsandnotifythephysician.

26.Theparentsofa3-year-oldboycalltheclinictoreportchickenpox.Whenteachingtheparentsabouthowtocareforthelesions,thenursewouldadvisewhichofthefollowing

A.Soakinahottubfor30minutesthreetimesaday.

B.Takeanantihistamineandusecalaminelotiononthelesions.

C.Takeacetaminophenanduseanantibioticointmentonthelesions.

D.Removelesionscrustsastheyform.

27.Whilesuctioningaclient’slaryngectomytube,thenurseshouldinsertthecatheter

A.about1to2inches.

B.astheclientexhales.

C.untilresistanceismet,thenwithdrawit1to2cm.

D.untiltheclientbeginscoughin

28.Thenurseisassessingaclientwithanilealconduit.Shenotesthattheclient’surinaryappliancecontainspaleyellowurinewithlarg