【医学类职业资格】美国护士资格认证(CGFNS)-9及答案解析.doc

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1、美国护士资格认证(CGFNS)-9 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 teaches the client with peptic ulcer disease about how to effectively adjust his response to work-related stress. Which of the following statements by the client indicates that the education is effective?A. “My job is

2、 too stressful. I will have to find a different career. “B. “I dont have any control over my stressors at work. My coworkers are difficult to work with. “C. “Well, I guess this ulcer means I wont be able to work toward a promotion. “D. “I will have to improve my ability to cope with stress. /（分数：1.0

3、0）A.B.C.D.2.Which nursing diagnosis would be the most appropriate for a client with coronary artery disease (CAD) ?A. Ineffective thermoregulation.B. Impaired gas exchange.C. Risk for injury.D. Decreased cardiac output.（分数：1.00）A.B.C.D.3.At what gestational age would a primigravida expect to feel “q

4、uickening“?A. 12 weeks.B. 16 to 18 weeks.C. 20 to 22 weeks.D. By the end of the 26th week.（分数：1.00）A.B.C.D.4.Hormonal effects of the antipsychotic medications include which of the following?A. Retrograde ejaculation and gynecomastia.B. Dysmenorrhea and increased vaginal bleeding.C. Polydipsia and dy

5、smenorrhea.D. Akinesia and dysphasia.（分数：1.00）A.B.C.D.5.From an analysis of the data collected about the client who has had a gastric resection, the nurse formulates the nursing diagnosis Risk for ineffective airway clearance. Based on which of the following postoperative factors would the nurse mak

6、e this diagnosis?A. Incisional pain.B. Nausea.C. Progressive ambulation.D. Maintenance of a semi-Fowlers position.（分数：1.00）A.B.C.D.6.The nurse discusses with the 4-year-old child and parents the plan of care that will be implemented when the child returns from the throat surgery. Which of the follow

7、ing interventions should the nurse emphasize?A. Need for frequent coughing.B. Use of acetylsalicylic acid for pain, as needed.C. Ability to have ice cream right after surgery.D. Use of sips of clear liquids when awake and alert.（分数：1.00）A.B.C.D.7.Which of the following criteria would be a reliable i

8、ndicator of improvement in a patient who has a diagnosis of anorexia nervosa?A. Electrolyte balance.B. Energy level.C. Fluid intake.D. Desire to eat.（分数：1.00）A.B.C.D.8.The nurse identifies a clients responses to actual or potential health problems during which step of the nursing process?A. Assessme

9、nt.B. Analysis.C. Planning.D. Evaluation.（分数：1.00）A.B.C.D.9.After 5 days of hospitalization, the client who is receiving morphine sulfate for pain control asks for more pain medication with increasing frequency and exhibits increased anxiety and restlessness. His physical condition is stable. What i

10、s the probable cause of his behavior?A. His morphine dosage is too high.B. His coping mechanisms are exhausted.C. He is becoming addicted to the narcotic.D. He has developed tolerance to his narcotic dosage.（分数：1.00）A.B.C.D.10.An assisted birth using forceps or a vacuum extractor may be performed fo

11、r ineffective pushing, for large neonates, to shorten the second stage of labor, or for a malpresentation. When caring for the mother following an assisted birth, the nurse should keep which of the following in mind?A. A vacuum extractor is safer than forceps because it causes less trauma to the neo

12、nate and the mothers perineum.B. The neonate will develop a cephalohematoma as a result of the instrumentation.C. The use of instruments during the birth process is a fairly rare occurrence.D. Additional nursing interventions are needed to ensure an uncomplicated postpartum.（分数：1.00）A.B.C.D.11.A 20-

13、year-old woman has just been diagnosed with Crohns disease. She has lost 10 lb (4.5kg) and has cramps and occasional diarrhea. The nurse should include which of the following when doing a nutritional assessment?A. Let the client eat as desired during hospitalization.B. Weigh the client daily.C. Ask

14、the client to list what she eats during a typical day.D. Place the client on IO status and draw blood for electrolyte levels.（分数：1.00）A.B.C.D.12.Which of the following nursing interventions is most important postoperatively for an infant who has received a ventriculoperitoneal shunt?A. Monitoring in

15、take and output.B. Initiating oral feedings.C. Allowing the infant to rest undisturbed.D. Providing age-appropriate diversionary activities.（分数：1.00）A.B.C.D.13.Nursing care for a client after electroeonvulsive therapy (ECT) should include which of the following?A. Nothing by mouth for 24 hours after

16、 the treatment because of the anesthetic agent.B. Bed rest for the first 8 hours after a treatment.C. Assessment of short-term memory loss.D. No special care.（分数：1.00）A.B.C.D.14.After receiving large doses of an ovulatory stimulant such as menotropins (Pergonal), a client comes in for her office vis

17、it. Assessment reveals the following: 6 lb (2.7 kg) weight gain, ascites, and pedal edema. These findings indicate which of the following?A. They are normal signs of an ovulatory stimulant.B. The client is demonstrating signs of hyperstimulation syndrome.C. The client is having a reaction to the men

18、otropins.D. The client is probably pregnant.（分数：1.00）A.B.C.D.15.A client, a gravida 3 para 2 at 35 weeks gestation, comes in to the antepartum clinic for a check-up. She has been experiencing backaches after standing all day at her job as a grocery clerk. Which of the following exercise would the nu

19、rse suggest to relieve backache?A. The pelvic tilt.B. Squatting.C. Stretching.D. Walking.（分数：1.00）A.B.C.D.16.A 68-year-old woman is admitted to the general surgical unit for removal of a breast mass malignancy. In the presurgical assessment of the client, which of the following choices would be most

20、 appropriate for the nurse to ask when assessing her self-concept?A. “Lets talk about what youd like to do that you havent done. “B. “List for me your accomplishments and achievements in life. “C. “Tell me how this breast surgery will make you feel about yourself. “D. “What does your husband say whe

21、n he compliments you?/（分数：1.00）A.B.C.D.17.A 58-year-old client complaining of difficulty driving at night states that the “lights bother my eyes“ even though he wears corrective glasses. The nurse would suspect that the client is experiencing a deficiency in which of the following vitamins?A. Vitami

22、n .B. Vitamin complex.C. Vitamin .D. Vitamin .（分数：1.00）A.B.C.D.18.The primary reason for withholding food and fluids from a client who will receive general anesthesia is to help preventA. constipation during the immediate postoperative period.B. vomiting and possible aspiration of vomitus during sur

23、gery.C. pressure on the diaphragm with poor lung expansion during surgery.D. gas pains and distention during the immediate postoperative period.（分数：1.00）A.B.C.D.19.The nurse is caring for a client who has a history of alcohol abuse. Why would the client act as if he didnt have a problem?A. The clien

24、t has never taken the CAGE questionnaire.B. Denial is a defense mechanism commonly used by alcoholics.C. Thought processes are distorted.D. Alcohol is expensive.（分数：1.00）A.B.C.D.20.For a child receiving steroids in therapeutic doses over a long period, the nurse should pay more attention on which of

25、 the following?A. Monitor the childs serum glucose level.B. Decrease the childs ingestion of potassium-rich foods.C. Give the drug on an empty stomach.D. Monitor the childs temperature to assess for infection.（分数：1.00）A.B.C.D.21.A client is admitted for an overdose of amphetamines. When assessing th

26、is client, the nurse should expect to have which of the following findings?A. Tension and irritability.B. Slow pulse.C. Hypotension.D. Constipation.（分数：1.00）A.B.C.D.22.A client with newly diagnosed type 1 diabetes mellitus is learning about diabetic foot care. Which of the following statements by th

27、e client indicates further instruction is needed?A. “I should use lotions. “B. “I should use antiperspirants. “C. “I should use foot soaks. “D. “I should use nail files. /（分数：1.00）A.B.C.D.23.What is the nurses most important role in caring for a client with a mental health disorder?A. To offer advic

28、e.B. To know how to solve the clients problems.C. To establish trust and rapport.D. To set limits with the client.（分数：1.00）A.B.C.D.24.A client with testicular cancer is scheduled for a right orchiectomy. The day before surgery, the client asks the nurse whether losing a testicle will have influence

29、on his manhood. Which of the following facts about orchiectomy should form the basis for the nurses response?A. Testosterone levels are decreased.B. Sexual drive and libido are unchanged.C. Sperm count increases in the remaining testicle.D. Secondary sexual characteristics change.（分数：1.00）A.B.C.D.25

30、.Which of the following would be most important to teach a client older than 65 years to prevent a recurrence of bacterial pneumonia?A. Change current diet habits.B. Seek prompt antibiotic therapy for viral infections.C. Receive prophylactic antibiotic therapy.D. Obtain annual influenza and pneumoco

31、ccal vaccines.（分数：1.00）A.B.C.D.26.Which of the following laboratory tests is considered the most reliable indicator of renal function?A. BUN.B. Urinalysis.C. Serum potassium.D. Serum creatinine.（分数：1.00）A.B.C.D.27.When assessing a client as a candidate for crutch walking, the nurse should take into

32、account that for some elderly people, crutch walking is an impractical goal primarily because which of the following reason?A. Decreased reaction time.B. Decreased visual acuity.C. Decreased motor coordination.D. Decreased level of comprehension.（分数：1.00）A.B.C.D.28.To help promote independence in th

33、e area of feeding for a school-aged child in skeletal traction, the nurse would help the child choose which of the following meals?A. Carrot sticks, celery with cream cheese, roast beef and gravy, peas, gelatin, and milk in a cup.B. Chicken noodle soup with crackers, grilled cheese sandwich, cole sl

34、aw, and chocolate milk in a carton.C. Chicken nuggets with sauce, carrot sticks, French-fried potatoes, ice cream sandwich, and milk in a carton.D. Spaghetti and meat sauce, cherry cobbler, and apple juice in a can.（分数：1.00）A.B.C.D.29.Oxytocin (Pitocin) is administrated to a client during labor. Whi

35、ch of the following is the most serious adverse effect associated with oxytocin?A. Water intoxication.B. Tetanic contractions.C. Elevated blood pressure.D. Early decelerations of fetal heart rate.（分数：1.00）A.B.C.D.30.The nurse notices that a clients abdominal wound has eviscerated. Which of the follo

36、wing would the nurse do first?A. Notify the clients physician immediately.B. Reinsert the protruding viscera into the abdominal cavity.C. Place the client in reverse Trendelenburgs position.D. Cover the wound with sterile saline-moistened dressings.（分数：1.00）A.B.C.D.二、Part Two(总题数：23，分数：23.00)31.When

37、 preparing a client for a scheduled colonoscopy, which of the following nursing interventions would the nurse include?A. Inserting a nasogastric tube 12 hours before the procedure.B. Cleansing the bowel with laxatives or enemas.C. Administering an antibiotic to decrease the risk of infection.D. Spra

38、ying a local anesthetic into the clients throat to calm the gag reflex.（分数：1.00）A.B.C.D.32.The nurse is caring for a client with an exacerbation of ulcerative colitis. Which of the following nursing measures should be included in the plan of care?A. Encourage regular use of antidiarrheal medications

39、.B. Incorporate frequent rest periods into the clients schedule.C. Have the client maintain a high-fiber diet.D. Wear a gown when providing direct client care.（分数：1.00）A.B.C.D.33.Which of the following is appropriate to include in a teaching plan for a 9-year-old who has had diabetes for several yea

40、rs?A. Beginning recognition of symptoms of hypoglycemia.B. Measurement of insulin accurately in the syringe.C. Beginning ability to give own injections with adult supervision.D. Assumption of responsibility for self-care.（分数：1.00）A.B.C.D.34.The nurse is caring for a client who is experiencing audito

41、ry hallucinations. What would be most critical for the nurse to assess?A. Possible hearing impairment.B. Family history of psychosis.C. Content of the hallucinations.D. Possible sella turcica tumors.（分数：1.00）A.B.C.D.35.The nurse is caring for a client with mild active bleeding from placenta previa.

42、Which of the following observations indicates that an emergency cesarean section may be necessary?A. Increased maternal blood pressure of 150/90 mmHg.B. Decreased amount of vaginal bleeding.C. Fetal heart rate of 80 beats per minute.D. Maternal heart rate of 65 beats per minute.（分数：1.00）A.B.C.D.36.A

43、 new mother is concerned because her breast-feeding neonate wants to “nurse all the time. “ Which of the following responses best indicates the normal neonates breast-feeding behavior?A. “Breast milk is ideal for your baby, so his stomach will digest it quickly, requiring more feedings. “B. “Let me

44、call the lactation consultant to make sure that your baby is feeding properly. “C. “Dont worry; your baby is an aggressive feeder and needs a lot of sucking satisfaction. “D. “It seems as if your baby is hungry. Why dont you provide your baby with some formula after the feeding to make sure hes gett

45、ing enough nourishment?/（分数：1.00）A.B.C.D.37.An 8-year-old child with asthma is being switched from parenteral steroid therapy to a daily dose of oral prednisone. Which of the following instructions would the nurse give to the parents?A. Have the child take the dose with meals to prevent gastric irri

46、tation.B. Make sure the pill is given intact to maintain the enteric coating.C. Administer the dose before bedtime to minimize side effects.D. Give the medication according to the childs response.（分数：1.00）A.B.C.D.38.A client undergoes a total laryngectomy and tracheostomy formation. On discharge, wh

47、ich instruction should the nurse give to the client and family?A. “Clean the tracheostomy tube with alcohol and water. “B. “Family members should continue to talk to the client. “C. “Oral intake of fluids should be limited for 1 week only. “D. “Limit the amount of protein in the diet. /（分数：1.00）A.B.

48、C.D.39.Which nursing measure would be most effective in helping the client cough and deep breathe after a cholecystectomy?A. Having the client take rapid, shallow breaths to decrease pain.B. Having the client lay on the left side while coughing and deep breathing.C. Teaching the client to use a fold

49、ed blanket or pillow to splint the incision.D. Withholding pain medication so the client can be alert enough to follow the nurses instructions.（分数：1.00）A.B.C.D.40.Which of the following would the nurse interpret as indicating that a child is receiving too much intravenous fluid too rapidly?A. Marked increase in abdominal girth.B. Evidence of protein in the urine.C. Dark amber colored urine.D. Moist crackles in the lung fields.（分数：1.00）A.B.C.D.41.Which of the following observations indicates that the mother of a child receiving home intravenous ampicillin thera