【医学类职业资格】美国护士资格认证(CGFNS)-4及答案解析.doc
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1、美国护士资格认证(CGFNS)-4 及答案解析(总分:53.00,做题时间:90 分钟)一、Part One(总题数:30,分数:30.00)1.In teaching a female client who is HIV-positive about pregnancy, the nurse would know more teaching is necessary when the client says,A. “The baby can get the virus from my placenta. “B. “Im planning on starting on birth contro
2、l pills. “C. “Not everyone who has the virus gives birth to a baby who has the virus. “D. “Ill need to have a C-section if I become pregnant and have a baby. /(分数:1.00)A.B.C.D.2.After a client receives an IM injection, he complains of burning pain in the injection site. Which nursing action would be
3、 the best to take at this time?A. Apply a cold compress to decrease swelling.B. Apply a warm compress to dilate the blood vessels.C. Massage the area to promote absorption of the drug.D. Instruct the client to tighten his gluteal muscles to promote better absorption.(分数:1.00)A.B.C.D.3.A client with
4、a pneumothorax receives a chest tube attached to a Pleur-evac. The nurse notices that the fluid of the second chamber of the Pleur-evac isnt bubbling. Which nursing assumption would be most invalid?A. The tubing from the client to the chamber is blocked.B. There is a leak somewhere in the tubing sys
5、tem.C. The clients affected lung has reexpanded.D. The tubing needs to be cleared of fluid.(分数:1.00)A.B.C.D.4.The nurse assesses a client with urticaria. The nurse understands that urticaria is another name forA. hives.B. a toxin.C. a tubercle.D. a virus.(分数:1.00)A.B.C.D.5.A client reveals to the nu
6、rse that hes sexually impotent. Which statement best expresses what the nurse should understand her client to mean?A. Hes disinterested in sexual intimacy.B. Hes unable to attain or retain an erection.C. His ejaculate is void of sperm.D. His semen isnt potent enough to impregnate.(分数:1.00)A.B.C.D.6.
7、The nurse is teaching the mother of an infant with tetralogy of Fallot. The mother asks what to do when her infant becomes very blue and has trouble breathing after crying. The nurse should tell the mother,A. “Leave the infant alone until the crying stops. “B. “Put the infant in the knee-chest posit
8、ion. “C. “Offer the infant a bottle of formula. “D. “Take the infant for a ride in the car. /(分数:1.00)A.B.C.D.7.Two middle-aged sisters have been diagnosed with Huntingtons disease. The children of these clients want to know what their chances are of developing this genetic disorder. The nurses best
9、 response would be.A. “Only women become symptomatic. “B. “This disorder is an autosomal dominant disorder, so each child has a 50% chance of inheriting it. “C. “This disorder is an autosomal recessive disorder, so each child has a 25% chance of inheriting it. “D. “Women are symptomatic and men are
10、carriers of this disorder. /(分数:1.00)A.B.C.D.8.Because antianxiety agents such as chlordiazepoxide (Librium) can potentiate the effects of other drugs, the nurse should incorporate which of the following instructions in her teaching plan?A. Avoid mixing antianxiety agents with alcohol or other centr
11、al nervous system (CNS) depressants.B. Avoid taking antianxiety agents at bedtime.C. Avoid taking antianxiety agents on an empty stomach.D. Avoid consuming aged cheese when taking antianxiety agents.(分数:1.00)A.B.C.D.9.A 26-year-old male is admitted to an inpatient psychiatric hospital after having b
12、een picked up by the local police while walking around the neighborhood at night without shoes in the snow. He appears confused and disoriented. Which of the following is the most immediate nursing action?A. Assess and stabilize the clients medical needs.B. Assess and stabilize the clients psycholog
13、ical needs.C. Attempt to locate the nearest family member to get an accurate history.D. Arrange a transfer to the nearest medical facility.(分数:1.00)A.B.C.D.10.Before administering a tube feeding to a toddler, which of the following methods should the nurse use to check the placement of a nasogastric
14、 (NG) tube?A. Abdominal X-rays.B. Injection of a small amount of air while listening with a stethoscope over the abdominal area.C. A check of the pH of fluid aspirated from the tube.D. Visualization of the measurement mark on the tube made at the time of insertion.(分数:1.00)A.B.C.D.11.The nurse carin
15、g for a 3-day-old neonate notices that he looks slightly jaundiced. Although not a normal finding, its an expected finding of physiologic jaundice and is caused by which of the following?A. Poor clotting mechanism.B. High hemoglobin (Hb) levels between 14 and 20 g/dL per 100 mL of blood.C. Persisten
16、t fetal circulation.D. Large, immature liver.(分数:1.00)A.B.C.D.12.When caring for children who are sick, who have sustained traumas, or who are suffering from nutritional inadequacies, the nurse should know the correct hemoglobin (Hb) valuesfor children. Which of the following ranges would be inaccur
17、ate?A. Neonates. 10.6 to 16.5.B. 3 months. 10.6 to 16.5.C. 3 years. 9.4 to 15.5.D. 10 years. 10.7 to 15.5.(分数:1.00)A.B.C.D.13.During a clients chemotherapy regimen for breast cancer, which is important for the nurse to include in her plan of care?A. Instruct the client to consume plenty of raw fruit
18、s and vegetables.B. Take rectal temperatures for greater accuracy.C. Tell the client to avoid crowds and infected individuals.D. Ask friends and relatives not to visit during the course of chemotherapy.(分数:1.00)A.B.C.D.14.After taking glipizide (Glucotrol) for 9 months, a client experiences secondar
19、y failure. Which of the following would the nurse expect the physician to do?A. Initiate insulin therapy.B. Switch the client to a different oral antidiabetic agent.C. Prescribe an additional oral antidiabetic agent.D. Restrict carbohydrate intake to less than 30% of the total caloric intake.(分数:1.0
20、0)A.B.C.D.15.The nurse is caring for a 40-year-old woman who is a black Muslim. Which of the following choices is a concept on which black Muslims focus?A. Celibacy.B. Prophecy.C. Reincarnation.D. Self-esteem.(分数:1.00)A.B.C.D.16.When a client being seen in a fertility clinic doesnt respond to the cl
21、omiphene citrate, the physician prescribes IM menotropins (Pergonal). This drug increases her risk of producing multiple follicles that could mature to ovulation. To reduce the high risk of multifetal pregnancy and its possible adverse effects the nurse should monitorA. ultrasound study results and
22、serum estradiol levels.B. ultrasound study results and serum progesterone levels.C. results of tests to detect luteinizing hormone (LH) in urine.D. serum levels of human chorionic gonadotropin (HCG).(分数:1.00)A.B.C.D.17.A client in acute renal failure is admitted to the nephrology unit. The period of
23、 oliguria in these clients usually lasts about t0 days. Which of the following assessments of kidney function would the nurse make during the oliguric phase?A. No urine output; kidneys in a state of suppression.B. Urine output of 30 to 60 mL/hr.C. Urine output of less than 400 to 600 mL in 24 hours.
24、D. Urine output directly related to the amount of IV fluids infused.(分数:1.00)A.B.C.D.18.A client with thyroid cancer undergoes a thyroidectomy. After surgery, the client develops peripheral numbness and tingling and muscle twitching and spasms. The nurse should expect to administerA. thyroid supplem
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