【医学类职业资格】美国护士资格认证(CGFNS)-8及答案解析.doc
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1、美国护士资格认证(CGFNS)-8 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.A client with a spinal cord injury and subsequent urine retention receives intermittent catheterization every 4 hours. The average catheterized urine volume has been 550mL. What should the nurse do?A. Increase the frequency of
2、the catheterizations.B. Insert an indwelling urinary catheter.C. Place the client on fluid restrictions.D. Use a condom catheter instead of an invasive one.(分数:1.00)A.B.C.D.2.While inspecting the clients chest, the nurse notes that the chest wall contracts on inspiration and bulges on expiration. Th
3、e nurse suspects which of the following problem from this assessment?A. Hemothorax.B. Flail chest.C. Pneumothorax.D. Tension pneumothorax.(分数:1.00)A.B.C.D.3.A neonate receives an Apgar score at 1 and 5 minutes after birth. The 5-minute Apgar score is more predictive for which of the following?A. Res
4、idual neurologic damage.B. Residual respiratory depression.C. Congenital heart defects.D. Gestational age of the neonate.(分数:1.00)A.B.C.D.4.The nurse is caring for a client who complains of chronic pain. Given this complaint, why would the nurse simultaneously evaluate both general physical and psyc
5、hosocial problems?A. Depression is commonly characterized by pain disorders and somatic complaints.B. Combining evaluations will save time and allow for quicker delivery of health care.C. Most insurance plans wont cover evaluation of both as separate entities.D. The physician doesnt have the trainin
6、g to evaluate for psychosocial considerations.(分数:1.00)A.B.C.D.5.The nurse is caring for a client who exhibits signs of somatization. Which of the following statements is most relevant?A. Clients with somatization are cognitively impaired.B. Anxiety rarely coexists with somatization.C. Somatization
7、exists when medical evidence supports the symptoms.D. Clients with somatization often have lengthy medical records.(分数:1.00)A.B.C.D.6.The nurse is administering sublingual nitroglycerin (Nitrostat) to the client. Immediately afterward, the client may experience which of the following symptoms?A. Ner
8、vousness or paresthesia.B. Throbbing headache or dizziness.C. Drowsiness or blurred vision.D. Tinnitus or diplopia.(分数:1.00)A.B.C.D.7.A client with a history of panic attacks seeks to increase social interaction. Each time the client tries to go to the dayroom, she begins to perspire and becomes sho
9、rt of breath. Which action by the nurse will help ease the clients feelings of panic?A. Have other clients volunteer to accompany the client.B. Tell the client she has to overcome her fear.C. Allow the client to stay in her room.D. Walk with the client and stay with her while shes in the dayroom.(分数
10、:1.00)A.B.C.D.8.The client is taking lithium (Lithobid). Which instruct should the nurse give to the client?A. Drink at least six to eight glasses of water per day and to avoid caffeine.B. Limit the use of salt in his diet.C. Discontinue medicine when feeling better.D. Increase the amount of sodium
11、in his diet.(分数:1.00)A.B.C.D.9.The mother of a 9-month-old asks about adding new foods to his diet. The child is being breast-fed and takes formula and cereal when at the sitters. Which of the following would the nurse instruct the mother to do?A. Mix new foods with formula or breast milk.B. Mix new
12、 foods with more familiar foods.C. Offer new foods one at a time.D. Offer new foods after giving formula or breast milk.(分数:1.00)A.B.C.D.10.Which of the following drugs may be abused because of tolerance and physiologic dependence?A. Lithium (Lithobid) and divalproex (Depakote).B. Verapamil (Calan)
13、and chlorpromazine (Thorazine).C. Alprazolam (Xanax) and phenobarbital (Luminal).D. Clozapine (Clozaril) and amitriptyline (Elavil).(分数:1.00)A.B.C.D.11.The client with cirrhosis is put on a sodium-restricted diet and a diuretic. The nurse would expect to administer a potassium-sparing diuretic. Whic
14、h of the follow is a potassium-sparing diuretic?A. Furosemide (Lasix).B. Spironolactone (Aldactone).C. Hydrochlorothiazide (HydroDIURIL).D. Ethacrynic acid (Edecrin).(分数:1.00)A.B.C.D.12.While caring for a healthy neonate female, the nurse notices red stains on the diaper after the neonate voids. Whi
15、ch of the following should the nurse do?A. Call the physician to report the problem.B. Encourage the mother to feed the neonate to decrease dehydration.C. Check the neonates urine for hematuria.D. Do nothing because this is normal.(分数:1.00)A.B.C.D.13.A 16-year-old girl comes to the school nurse comp
16、laining of cramps, backache, and nausea with her periods. The nurse most likely would interpret these symptoms as which of the following?A. Pathologic.B. Physiologic.C. Psychogenic.D. Psychosomatic.(分数:1.00)A.B.C.D.14.The nurse observes that the clients total parenteral nutrition (TPN) solution is i
17、nfusing too slowly. The nurse calculates that the client has received 300 mL less than was ordered for the day. What should the nurse do next?A. Assess the infusion system, note the clients condition, and notify the physician.B. Discontinue the solution and administer dextrose in 5% water until the
18、infusion problem is resolved.C. Increase the flow rate to infuse an additional 300 mL over the next hour.D. Maintain the flow rate at the current rate and document any discrepancy in the chart.(分数:1.00)A.B.C.D.15.When caring for a client with ulcerative colitis, the nurse should include which of the
19、 following nursing interventions in the plan of care?A. Encouraging the use of stool softeners.B. Suggesting sitz baths as needed.C. Arrange for the client to have a private bathroom.D. Wearing a gown to provide direct care.(分数:1.00)A.B.C.D.16.The nurse discusses discharge plan with the parents of a
20、 child following a sickle cell crisis. Which of the following would the nurse emphasize the need to seek prompt health care?A. Headaches and nausea.B. Fatigue and lassitude.C. Skin rash and itching.D. Sore throat and fever.(分数:1.00)A.B.C.D.17.Which of the following factors would be most important in
21、 selecting the needle length to use for a subcutaneous injection of hydromorphone hydrochloride?A. The diameter of the needle.B. The amount of adipose tissue at the administration site.C. The amount of medication to be administered.D. The viscosity of the solution to be injected.(分数:1.00)A.B.C.D.18.
22、A woman who is 10 weeks pregnant complains about her fatigue and frequent urination. What would be the nurses response?A. Recognize these as normal early pregnancy signs and symptoms.B. Question her further about these signs and symptoms.C. Tell the client that shell need blood work and urinalysis.D
23、. Tell the client that she may be excessively worried.(分数:1.00)A.B.C.D.19.For which type of schizophrenia should the nurse expect to provide the most physical care?A. Disorganized type.B. Catatonic type.C. Paranoid type.D. Undifferentiated type.(分数:1.00)A.B.C.D.20.The nurse must assess judgment to d
24、etermine a clients mental status. Which test best accomplishes this?A. Interpreting proverbs.B. Spelling words backward.C. Counting by serial sevens.D. Discussing hypothetical ethical situations.(分数:1.00)A.B.C.D.21.The nurse is assessing a pregnant woman in the clinic. In the course of the assessmen
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