【医学类职业资格】美国护士资格认证(CGFNS)-7及答案解析.doc
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1、美国护士资格认证(CGFNS)-7 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.The nurse assesses the client to determine the cause of autonomic dysreflexia. Which of the following is the most common stimulus for an autonomic dysreflexia episode?A. Rising intracranial pressure.B. Bowel distention.C. Bladd
2、er distention.D. Anxiety.(分数:1.00)A.B.C.D.2.The nurse is teaching a client with chronic bronchitis about breathing exercises. Which of the following should the nurse include in the teaching?A. Make inhalation longer than exhalation.B. Exhale through an open mouth.C. Use diaphragmatic breathing.D. Us
3、e chest breathing.(分数:1.00)A.B.C.D.3.A 6-week-old female infant exhibits dry scaly skin and a protruding tongue after having trouble breast-feeding. A diagnosis of congenital hypothyroidism is made. The mother asks the nurse why the child was not diagnosed with this condition at birth. Which of the
4、following would be the nurses best response?A. “We had the results of the newborn screen, but you did not bring the baby in for the 2-week checkup. “B. “We could not reach you at home to give you the results of tests taken at birth. “C. “Your baby had little need for thyroid hormone until she was 1
5、month old. “D. “Newborns generally receive enough thyroid hormone from the mother to get by the first few weeks. /(分数:1.00)A.B.C.D.4.Which of following would lead the nurse to suspect that a clients labor is moving quickly and that the physician should be notified?A. An increased sense of rectal pre
6、ssure.B. An increase in fetal heart rate variability.C. A decrease in intensity of contractions.D. Episodes of nausea and vomiting.(分数:1.00)A.B.C.D.5.The nurse is developing a plan of care for a client with anorexia nervosa. Which action should the nurse include in the plan?A. Set up a strict eating
7、 plan for the client.B. Encourage the client to exercise, which will reduce her anxiety.C. Restrict visits with the family until the client begins to eat.D. Provide privacy during meals.(分数:1.00)A.B.C.D.6.Which of the following would be best to help prepare a preschool-aged child for an injection?A.
8、 Having an older child explain that shots do not hurt.B. Helping the child to imagine she is in a different place.C. Giving the child a play syringe and a bandage to give a doll injections.D. Giving the child a pounding board to encourage expressions of anger.(分数:1.00)A.B.C.D.7.The nurse assesses th
9、e clients urinary stoma regularly for edema. Which of the following signs and symptoms might indicate excessive stomal edema?A. Elevated temperature.B. Urine output below 30 mL/hour.C. Urine dribbling from the stoma.D. Complaints of discomfort around the stoma.(分数:1.00)A.B.C.D.8.Which of the followi
10、ng nursing diagnoses would be most appropriate for a client newly diagnosed with non-insulin-dependent diabetes mellitus?A. Risk for infection related to newly diagnosed diabetes.B. Altered nutrition, more than body requirements related to overproduction of insulin.C. Altered health maintenance rela
11、ted to lack of knowledge of proper foot care.D. Pain related to elevated blood glucose levels.(分数:1.00)A.B.C.D.9.When completing an assessment of a healthy adolescent client, which of the following would be most appropriate?A. Obtain a detailed account of the adolescents prenatal and early developme
12、ntal history.B. Discuss sexual preferences and behaviors with the parents present for legal reasons.C. Discuss the clients smoking with parents present in the room.D. Assess the adolescent in private; gather additional information from the parents.(分数:1.00)A.B.C.D.10.Which of the following case meet
13、s the criteria for involuntary commitment?A. A single parent who leaves her minor children unattended and stays out all night drinking.B. A person who lives alone and isnt able to care for himself and has schizophrenia with delusions of persecution.C. A man who threatens to kill his wife.D. A person
14、 with depression who says hes tired of living but doesnt have a suicide plan.(分数:1.00)A.B.C.D.11.A client diagnosed with a peptic ulcer undergoes an upper gastrointestinal endoscopy to help the physician visualize the ulcers location and severity. Immediately after the endoscopy, what would be a pri
15、ority for the nurse to assess?A. Return of the gag reflex.B. Bowel sounds.C. Peripheral pulses.D. Intake and output.(分数:1.00)A.B.C.D.12.The nurse is caring for a client with bipolar disorder in a manic state. Which of the following nursing interventions should be included in the plan of care?A. Allo
16、wing the client to exhibit hyperactive, demanding, manipulative behavior without setting limits.B. Listening attentively with a neutral attitude and avoiding power struggles.C. Offering high-calorie meals and strongly encouraging the client to finish all food.D. Insisting that the client remain acti
17、ve through the day so that hell sleep at night.(分数:1.00)A.B.C.D.13.Which of the following would the nurse expect to find in a client diagnosed with hyperparathyroidism?A. Hypocalcemia.B. Hypercalcemia.C. Hyperphosphatemia.D. Hypophosphaturia.(分数:1.00)A.B.C.D.14.The nurse would teach the client to im
18、plement which of the following nasal care measures after the nasal packing is removed?A. Irrigate the nares with normal saline solution daily.B. Remove old blood from inside the nares with cotton-tipped applicators.C. Avoid cleaning the nares for at least 2 days.D. For comfort lubricate the membrane
19、s with a water-soluble lubricant.(分数:1.00)A.B.C.D.15.A client with type 1 (insulin-dependent) diabetes mellitus who is a multigravida visits the clinic at 28 weeks gestation. Which of the following instruction by the nurse is appropriate for the client?A. Nonstress testing is performed weekly until
20、32 weeks gestation.B. Weekly fetal movement counts are made by the mother.C. Contraction stress testing is performed weekly.D. Induction of labor is begun at 34 weeks gestation.(分数:1.00)A.B.C.D.16.Labor is divided into how many stages?A. Two.B. Three.C. Four.D. Five.(分数:1.00)A.B.C.D.17.A respectable
21、 lawyer is admitted to an acute care facility with epigastric pain. Since admission, the client has called the nurse every 15 minutes with one request or another. Which of the following could explain this clients behavior?A. Repression.B. Somatization.C. Regression.D. Conversion.(分数:1.00)A.B.C.D.18.
22、A client with multiple sclerosis has been prescribed baclofen. The nurse teaches the client about the action of the drug. Which of the following is an accurate instruction regarding this drugs action?A. “Baclofen will decrease your fatigue and help increase your energy levels. “B. “Baclofen will hel
23、p relieve the muscle spasms that you have been experiencing. “C. “It is an antibiotic that will help treat your urinary tract infection. “D. “Taking this drug will help decrease the visual problems you have been having. /(分数:1.00)A.B.C.D.19.For the child experiencing excessive vomiting secondary to
24、pyloric stenosis, the nurse should assess the child for which of the following acid-base imbalances?A. Respiratory alkalosis.B. Respiratory acidosis.C. Metabolic alkalosis.D. Metabolic acidosis.(分数:1.00)A.B.C.D.20.The nurse is administering magnesium sulfate to a client with preeclampsia. The nurse
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