2022年甘肃美国护士资格认证(CGFNS)考试考前冲刺卷

本文格式为Word版，下载可任意编辑2022年甘肃美国护士资格认证(CGFNS)考试考前冲刺卷一、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.Thenurseisperformingapainless,noninvasiveWhatprocedureisitA.Incentivespirometry.B.Arterialbloodgas(ABG)measurement.C.Peakflowmeasurement.D.Pulseoximetry.romeAIDSisinlaborattermInpreparinghercareplanthenurseshouldincludewhichofthefollowingnursingdiagnosesA.Riskforfetalormaternalinjuryrelatedtothe本文格式为Word版，下载可任意编辑crisisofchildbearing.B.Riskforinfectionrelatedtosuppressedimmunestatus.C.Riskfordeficientfluidvolumerelatedtodehydration.D.Riskforfetalinjuryrelatedtouteroplacentalinsufficiency.3.Whenreportingtothesurgeonthatachesttubeistubeandobtainachestradiograph.ThenurseshouldA.informthesurgeonthisisn’twithinherscopeofpractice.B.reportthesurgeontotheEthicsCommittee.C.reportthesurgeontothenursingsupervisor.D.followtheorderasrequestedbythesurgeon.4.A16-year-oldstudenthasbeenadmittedtoyourpsychiatricunitafterfaintinginphysicaleducation本文格式为Word版，下载可任意编辑diagnosiswouldbemostappropriatefortheclientA.Disturbedthoughtprocesses.B.Impairedadjustment.C.Imbalancednutrition.Lessthanbodyrequirements.D.Ineffectivesexualitypatterns.Tohelphimmanagesecretionsandavoidrespiratorydistress,thenurseshouldA.performchestphysiotherapyevery4hours.B.givepancreaticenzymesasordered.C.placethechildinanoxygententandhaveoxygenadministeredcontinuously.D.serveahigh-caloriediet.6.Thenurseiscaringforaclientwhohashemoconcentrationafterfluidloss.WhichIVfluidsforthisclientA.Distilledwater.B.Dextrose5%inwater(D5W)only.本文格式为Word版，下载可任意编辑C.DSWwith40mEqofpotassiumchloride.D.Dextrose10%insalintopicalmedicationfromaclient.Therationaleforapplyingnewmedicationsistosskin.B.allowdistributionofmedication.C.preventsoilingoftheclient’sclothes.D.avoidadministeringmorethantheprescribeddosienthasbeenprescribedmgofamitriptylinethreetimesperday.WhichnursingactiontakespriorityA.Teachingtheclientabouttheadverseeffects.B.Callingthephysicianandquestioningtheorder.C.Institutingdietaryrestrictions.D.Takingbaselinevitalsigns.本文格式为Word版，下载可任意编辑nurseisadministeringsublingualnitroglycerinemedicationA.inthecheek.B.onthetipofthetongue.C.underthetongue.D.underthelowerlidoftheeybyhisparentsbecausethey’reconcernedabouthisuentrespiratoryinfectionspoorfeedinghabitsthebabyhasfailedtogainexpectedweightandrecommendsthatthebabyhaveasweattestperformedtodetectpossiblecysticfibrosis.Topreparetheparentsforthetest,thenurseshouldexplainthatA.thebabywillneedtofastbeforethetest.B.asampleofbloodwillbenecessary.owsodiumdietisnecessaryforhoursbeforethetest.D.alow-intensity,painlesselectricalcurrentisappliedtotheskin.本文格式为Word版，下载可任意编辑oupofmentalhealthThenurseshouldteachtheaidesthatsettinglimitsismostimportantforA.adepressedclient.B.amanicclient.C.asuicidalclient.D.ananxiousclient.12.A15-year-oldprimigravidagavebirth2daysago.bewonderful.Whichnursingresponsewouldbestevaluatetheaccuracyoftheclient’sexpectationsATellmewhatyourdaywillbelikeafteryoutakeyourbabyhome."illanyonebeavailabletohelpyouathomewiththebaby"returntoschool"ksgestationwho本文格式为Word版，下载可任意编辑hastestedpositiveforthehumanimmunodeficiencyshesaysthatshewantstobreast-feedherneonateandgethealthier.theneonate.C.Encouragebreast-feedingtofacilitatebonding.D.Discouragebreast-feedingbecauseHIVcanbetransmittedthroughbreastmilk.14.Thenurseisassignedtocareforapostoperativeinterview,theclientreportsthathe’simpotentandsaysthathe’sconcernedaboutitseffectonhismarriage.Inplanningthisclient’scare,themostappropriateinterventionwouldbetosexuality.B.providetimeforprivacy.D.suggestreferraltoasexcounselororother本文格式为Word版，下载可任意编辑appropriateprofessional.aborHercervixis5cmdilatedand75%effaced;thefetusisat0discomfortofcontractions,andthephysicianprescribesanepiduralregionalblock.WhatpositionshouldthenursehelptheclienttoassumewhentheepiduralisadministeredA.Lithotomy.B.Supine.C.Prone.D.Lateral.16.Aclientisadmittedfordetoxificationafteracocaineoverdose.Theclienttellsthenursethatheifhechooses.WhichcopingmechanismisheusingA.Withdrawal.B.Logicalthinking.C.Repression.D.Denial.本文格式为Word版，下载可任意编辑17.Thenurseisadministeringwarfarin(Coumadin)toaclientwithdeepveinthrombophlebitis.WhichA.Partialthromboplastintime(PTT)to2timesthecontrol.B.Prothrombintime(PT)to2timesthecontrol.C.Internationalnormalizedratio(INR)of3to4.D.Hematocritof32%.18.Thenurseiscaringforaclientwhoissuicidal.houldA.givehimprivacyinthebathroom.B.allowhimtoshave.D.observehim.19.Thenurseprovidesfluidreplacementforaclient本文格式为Word版，下载可任意编辑heburnsoccurredHisbloodpressureismmHglseisbeatsminuteUrineoutputwasmLduringthepasthour.Whatordersshouldthenurseexpecttoreceivefromthephysiciantoreassessvitalsignsandurineoutputhourly.signsandurineoutputhourly.signsandurineoutputhourly.D.Administeravasoconstrictor,andreassessvitalsignsandurineoutputhourly.rseisteachingaclientaboutusingvaginalmedications.Thenurseshouldinstructtheclienttoabsorption.C.neverrefrigeratesuppositories.D.useonlyawater-solublelubricantwheninsertingasuppository.本文格式为Word版，下载可任意编辑21.WhichfindingisconsiderednormalinaneonateduringthefirstfewdaysafterbirthA.Weightlossof25%.B.Birthweightof2,000to2,500g.C.Weightlossthenreturntobirthweight.D.Weightgainof25%.22.Amultigravidainher34thweekofgestationpresentsintheemergencydepartmentcomplainingofnurse’sfirstactionA.EstablishIVaccess.B.Assessfetalheartrate(FHR)andmaternalbloodpressure.C.Preparetheclientforacesareandelivery.D.AssessmaternalheartrateandrespiratoryratadministrationthenurseshouldbealertforA.respiratorydistress.B.profoundtachycardia.本文格式为Word版，下载可任意编辑C.signsofimprovedoxygenation.D.diminishedcyanosis.24.Wheninsertingaurinarycatheter,thenursecanfacilitatetheinsertionbyaskingtheclienttoA.initiateastreamofurine.B.breathedeeply.C.turntotheside.D.holdthelabiaorshaftofpenis.25.Thenursewalksintotheroomofaclientwhohaslifewithhiswife,andsaysthathethinksitmightsymptoms,whichnursingdiagnosiswouldbemostappropriateforplanningpurposesA.Situationallowself-esteem.B.Unilateralneglect.C.Socialisolation.D.Riskforloneliness.本文格式为Word版，下载可任意编辑outleukemia.Whichofthefollowingwouldbethebestroomarthritis.B.Witha5-year-oldboywhoishavingatonsillectomy.C.Witha4-year-oldgirlwhohasleukemia.D.Aloneinaprivateroom.shouldbealertforwhichsignsandsymptomsskin.bradycardia.C.Polyuria,polydipsia,hypotension,andhypernatremia.DPolyuriapolydipsiapolyphagiaandweightloss.28.Thenurseiscaringforaclientinfectedwithmethicillin-resistantStaphylococcusaureus(MRSA).Whatsthemajorinfectioncontrolmeasuretoreduceensinahealthcare本文格式为Word版，下载可任意编辑settingAUsingantibacterialsoapwhenbathingclientswithMRSA.B.Conductingculturesurveysperiodically.aftercontactwitheveryclient.D.UsingspecifichousekeepingpracticesforenvironmentalcleaninTheclientistoreceiveanIVinfusionofmLofdextroseandnormalsalinesolutionover24hours.solutionrunscontinuouslyatthisratetheinfusionwillbecompletedinA.12hours.B.20hours.C.24hours.D.50hours.WhichofthefollowingassessmentsindicatesfetaldistressA.FetalscalppHof7.14.本文格式为Word版，下载可任意编辑B.Fetalheartrate(FHR)of144beats/minute.C.AccelerationofFHRwithcontractions.D.Long-termvariability.ThisclientwillhaveabloodglucoselevelA.below70mg/dL.B.between70and120mg/dL.C.between120and180mg/dL.D.above180mg/dL.semanagerofahospitalunitholdsmonthlystaffmeetings.Duringthesemeetings,shemaintainsdecisionmaking,andusesdisciplineandcoerciontoelicitdesiredbehaviorfromstaffThismanageruseswhattypeofleadershipstyleA.Autocratic.B.Democratic.C.Participative.D.Laissez-fair本文格式为Word版，下载可任意编辑A.30-year-oldwomantakingoralcontraceptivepills.B.45-year-oldwomanwhohasneverbeenpregnant.C.40-year-oldwomanwiththreechildren.34.WhichprocedureorpracticeisassociatedwithsurgicalasepsisA.Handwashing.B.Nasogastrie(NG)tubeirrigation.C.Colostomyirrigation.D.IVcatheterinsertion.35.Thenurseisprovidingpostprocedurecareforaprocedure,anultrasonicprobeinsertedthroughanephrostomytubeintotherenalpelvisgeneratesultra-high-frequencysoundwavestoshatterrenalcalculi.ThenurseshouldinstructtheclienttoA.limitoralfluidintakefor1to2weeks.B.reportthepresenceoffine,sandlikeparticlesthroughthenephrostomytube.本文格式为Word版，下载可任意编辑Cnotifythephysicianaboutcloudyorfoul-smellingurine.htpinkurinewithinhoursaftertheprocedur36.ThenurseisprovidinghomecaretoaclientwithetomaculardegenerationThenursencernedabouttheclientssafetyWhichofthectivitieswouldhelptolessentheclientsriskoffallingclientcanusethemforguidanceandsupport.B.Encouragingtheclienttowearamedicalidentificationbraceletthatdescribestheclient’svisualdeficit.C.Installingaflashinglighttoindicatewhenthephoneordoorbellisringing.onsteps.37.Thenurseisperformingwoundcare.Whichofthefollowingpracticesviolatessurgicalasepsis本文格式为Word版，下载可任意编辑A.Holdingsterileobjectsabovethewaist.B.Consideringa1"(2.5cm)edgearoundthesterilefieldasbeingcontaminated.C.Pouringsolutionontoasterilefieldcloth.fromthebody.38.Aclientwithaneurogenicbladderisbeginningbladdertraining.WhichofthefollowingnursingactionsismostimportantA.Setupspecifictimestoemptythebladder.B.Forcefluids.C.Provideadequateroughage.r39.ThenurseisprovidingcareforanimmobilizedeffectivenursinginterventionwouldbeAgettingtheclientoutofbedandintoachairfor30minutes,twicedaily.B.avoidingrepositioningtheclientifhe’scomfortable.本文格式为Word版，下载可任意编辑every2hours.D.positioningtheclientwiththegreatestpressureatthebonyprominencchronicillness.WhichfactorprovidesthebestattheclientisatriskfordifficultyincopingwithhisillnessA.Poorsleepinghabits.B.Lackofsocialsupport.C.Adversedrugeffects.D.Presenceofpanicdisorder.41.ThenurseiscaringforaneonatewithcongenitalmemberofthehealthcareteamwillmostlikelyhelptheneonatewithlegandankleexercisesandprovidehisparentswithahomeexerciseregimenA.Occupationaltherapist.B.Physicaltherapist.本文格式为Word版，下载可任意编辑C.Recreationaltherapist.D.Speechtherapist.hepatitisAvirus(HAV).Familymemberswereexposedtotheclientand,therefore,shouldreceiveimmunoglobulin.ThenurseshouldtellthefamilymembersthatimmunoglobulinA.preventshepatitisinfectioninallpeople.B.providesimmunityforlife.C.mustbeadministeredwithin2weeksofexposure.D.shouldbeadministeredevenifthepersonhasanti-HAVantibodies.43.Aclientwithhypotoniclabordysfunctionisreceivingoxytoeinaugmentation.HercontractionsfrequentandintenseDilationprogressesofthefollowingactionsisbestA.Re-evaluatethefetalpresentation.B.Changetheclient’sposition.本文格式为Word版，下载可任意编辑C.Offeranarcoticanalgesic.D.Helptheclienturinatdeffaced,andthefetalheadisat0station.She’shavingmoderatelystrong0-secondcontractionseveryminutesSheseemsratheranxiousandbecomesverypainrelief,whatshouldthenursedonextA.Determinethesourceofheranxietyandinstituteinterventionstohelpherrelax.B.Immediatelycheckthephysician’sorderandgivehertheanalgesicordered.willbegiven.contractionsareonlymoderatelystrongandthatsheshouldwaituntillatertotakemedication.45.Aclientwhoagreedtobecomeanorgandonoris本文格式为Word版，下载可任意编辑tisthemostimportantfactorinselectingatransplantrecipientA.Bloodrelationship.B.Sexandsize.