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1、2021陕西美国护士资格认证(CGFNS)考试模拟卷（3）本卷共分为1大题50小题，作答时间为180分钟，总分100分，60分及格。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.A client calls the physicians office 2 days after a herniorrhaphy to report that his scrotum is swollen and painful. Which of the following instruction by the nurse could promote comfort for the
2、clientAApply a snug binder on his abdomen.BHave him wear a truss to support the scrotum.CHave him lie on his side and place a pillow between his legs.DElevate the scrotum and place ice bags on the area intermittently. 2.A hospitalized client craves a drink while withdrawing from alcohol. Which of th
3、e following measures is the best way to help the client resist the urge to drinkAA routine search of visitors.BA locked-door policy.COne-to-one supervision by the staff.DSupport from other alcoholic clients. 3.A client receiving morphine for long-term pain management develops tolerance. When the cli
4、ent asks the nurse what it means, which of the following should the nurse responseATolerance is an allergic reaction to a medication. BTolerance is an ability to take the same drug for extended periods of time. CTolerance is an increased response to a medication. DTolerance is a diminished response
5、to a drug so that more is required to reach the same effect. 4.Which of the following is the most important aspect of nursing care in the postpartum periodASupporting the mothers ability to successfully feed and care for her neonate.BProviding group discussions on infant care.CMonitoring the normal
6、progression of lochia.DInvolving the family in the teaching. 5.To obtain a good monitor tracing on a client in labor, the mother lies on her back. Suddenly, she complains of feeling light-headed and becomes diaphoretic. Which of the following should be the nurses first actionAReposition the client t
7、o her left side.BImmediately take the clients blood pressure and call the physician.CStart oxygen at 6 L via nasal cannula.DIncrease the IV fluids to correct the clients dehydration. 6.In caring for the client with hepatitis B, which of the following situations would most likely expose the nurse to
8、the virusAContact with fecal material.BA blood splash into the nurses eyes.CDisposing of syringes and needles without recapping.DTouching the clients arm with ungloved hands while taking blood pressure. 7.A client is admitted to the psychiatric unit with a diagnosis of anorexia nervosa. Although she
9、 is 57 and weighs only 100 lb, she keeps on telling the nurse about how fat she is. What should the nurse do firstADiscuss cultural stereotypes regarding thinness and attractiveness.BExplore the reasons why the client doesnt eat.CTeach the client about nutrition, calories, and a balanced diet.DEstab
10、lish a trusting relationship with the client. 8.Which of the following situations is more likely to predispose a client to postpartum hemorrhageABirth of a 7 lb (3,175g) infant.BProlonged first stage of labor.CPregnancy-induced hypertension (PIH).DBirth of twins. 9.The parents report that the child
11、has a runny nose, fever, cough, and is irritable and constantly rubbing his ears. Which findings of the tympanic membrane would the nurse would expect to seeABulging and red.BClear and inverted.CPearly gray.DScarred. 10.A client with a history of alcoholism returns to the hospital 3 hours later than
12、 he supposed to be. His breath smells of alcohol and his gait is unsteady. Which of the following would be the best response by the nurseAIm disappointed that you werent responsible with your day pass. BPlease go to bed now. Well talk in the morning. CWhy are you 3 hours lateDHow much did you drink
13、tonight Drinking is against the rules. 11.The neonates big toe dorsiflexes and the other toes fan when the nurse gently strokes the sole of the foot. The nurse should interpret this positive finding as which of the followingAStepping reflex.BPlantar grasp.CGalant reflex.DBabinski sign. 12.The nurse
14、is caring for a client in the first 4 weeks of pregnancy. The nurse should expect to collect which assessment findingsAPresence of menses.BUterine enlargement.CBreast sensitivity.DFetal heart tones. 13.David, a hyperkinetic 5-year-old, exhibits signs of extreme restlessness, short attention span, an
15、d impulsiveness. In order to alter the childs milieu that would likely be most therapeutic for him, what could the nurse doADefine behaviors of the child that will be acceptable and those that will be unacceptable.BAllow the child freedom to choose activities in which to participate and other childr
16、en with whom to associate.CIncrease the childs sensory stimulation and activity.DLimit the childs opportunities to display anger and frustration. 14.A client with diverticulitis is treated as an outpatient with drug therapy. Which of the following medication would most probably be included in the dr
17、ug therapyABroad-spectrum antibiotics.BOpioid analgesics.CTranquilizers.DLaxatives. 15.A client with rheumatoid arthritis has been taking large doses of aspirin to relieve her joint pain. The nurse should assess the client for which important symptom of aspirin toxicityAChest pain.BDrowsiness.CDysur
18、ia.DTinnitus. 16.Which of the following signs or symptoms would be of least importance when the nurse evaluates the client for postoperative peripheral nerve damageAPain.BBleeding.CAltered sensation.DPulselessness. 17.The nursing care plan for a client after gynecologic surgery includes nursing orde
19、rs intended to help reduce the risk of thrombophlebitis. Which is not appropriate among the following nursing interventionsAAmbulate the client.BMassage the clients legs.CHave the client wear elasticized stockings.DHave the client perform range-of-motion exercises in bed. 18.The infants skin is inel
20、astic and the upper abdomen is distended. To palpate the olive like mass most easily, the nurse palpates the epigastrium just to the right of the umbilicus at which of the following timesAJust before the infant vomits.BWhile the infant is eating.CWhen infant is lying on the left side.DWhen the stoma
21、ch is empty. 19.Which of the following is an appropriate health promotion activity to reduce the incidence of osteoporosisATeaching women to maintain adequate calcium intake.BTeaching women how to administer pain medication safely.CAvoiding estrogen replacement therapy when postmenopausal.DTeaching
22、women to increase caffeine intake as a preventive measure. 20.A 22-year-old client is diagnosed with dependent personality disorder. Which behavior is most likely evidence of ineffective individual coping ？（）AInability to make choices and decisions without advice.BShowing interest only in solitary a
23、ctivities.CAvoiding developing relationships.DRecurrent self-destructive behavior with history of depression.21.The nurse suspects that a 68-year-old client has digoxin toxicity. The nurse should assess for （）.Ahearing loss.Bvision changes.Cdecreased urine output.Dgait instability.22.The nurse is ca
24、ring for a neonate with a myelomeningocele.The priority nursing care of a neonate with a myelomeningocele is primarily directed toward （）.Aensuring adequate nutrition.Bpreventing infection.Cpromoting neural tube sac drainage.Dconserving body heat.23.The nurse is preparing to remove a previously appl
25、ied topical medication from a client. The rationale for removing previously applied topical medications before applying new medications is to （）.Adecrease the possibility of absorption on the nurse's skin.Ballow distribution of medication.Cprevent soiling of the client's clothes.Davoid admin
26、istering more than the prescribed dose.24.The nurse is preparing to discharge a child who has rheumatic fever. Which of the following medications is prescribed to prevent recurrence of rheumatic fever ？（）AGlucocorticoids.BDigoxin.CAntibiotics.DAnti-inflammatory medications.25.Which of the following
27、nutritional deficiencies may delay wound healing ？（）ALack of thiamine.BLack of vitamin C.CLack of folate.DLack of vitamin A.26.The nurse is caring for a client with adult respiratory distress syndrome (ARDS). What is the most likely laboratory finding in the early stages of this disease ？（）AIncrease
28、d carboxyhemoglobin.BDecreased partial pressure of arterial oxygen (PaO2).CIncreased partial pressure of arterial carbon dioxide (PaCO2).DDecreased bicarbonate (HCO3-).27.The nurse is providing care for a pregnant 16-year-old client. The client says that shes concerned she may gain too much weight a
29、nd wants to start dieting. The nurse should respond by saying.（）ANow isn't a good time to begin dieting because you are eating for two.BLet's explore your feelings further.C Nutrition is important because depriving your baby of nutrients can cause developmental and growth problems.DThe prena
30、tal vitamins should ensure the baby gets all the necessary nutrients.28.The nurse is assessing a 15-year-old female who is being admitted for treatment of anorexia nervosa. Which clinical manifestation is the nurse most likely to find ？（）ATachycardia.BWarm, flushed extremities.CParotid gland tendern
31、ess.DCoarse hair growth.29.The nurse is assessing a 71-year-old female client with ulcerative colitis. Which assessment finding related to the family will have the greatest impact on the clients rehabilitation after discharge ？（）AThe family's ability to take care of the client's special diet
32、 needs.BThe family's expectation that the client will resume responsibilities and role-related activities.CEmotional support from the family.DThe family's ability to understand the ups and downs of the illness.30.The nurse is taking the health history of an 85-year-old client. Which informat
33、ion will be most useful to the nurse for planning care ？（）AGeneral health for the last 10 years.BCurrent health promotion activities.CFamily history of diseases.DMarital status.31.Which nursing action takes priority when admitting a elient with right lower lobe pneumonia ？（）AElevating the head of th
34、e bed 45 to 90 degrees.BAuscultating the chest for adventitious sounds.CObtaining a sputum specimen for culture.DNotifying the physician of the client's admission.32.The nurse is teaching a psychiatric client about her prescribed drugs, chlorpromazine and benztropine. Why is benztropine administ
35、ered ？（）ATo reduce psychotic symptoms.BTo reduce extrapyramidal symptoms.CTo control nausea and vomiting.DTo relieve anxiety.33.The nurse is caring for a client whos hypoglycemic. This client will have a blood glucose level （）.Abelow 70 mg/dL.Bbetween 70 and 120 mg/dL.Cbetween 120 and 180 mg/dL.Dabo
36、ve 180 mg/dL.34.The nurse is caring for a client with otosclerosis scheduled to undergo a stapedectomy. The client asks the nurse when her hearing will improve. Which response by the nurse is most appropriate ？（）AYour hearing may not improve but you'll no longer be bothered by tinnitus.BYour hea
37、ring may be dramatically improved right after surgery.CYou may notice improved hearing within 1 to 2 weeks.DYour hearing may improve 3 to 6 weeks after surgery.35.A client in her 7th month of pregnancy has been complaining of back pain and wants to know what can be done to relieve it. Which of the f
38、ollowing responses by the nurse is most effective ？（）AYou need to lie down more during the day to get off your feet.BAvoid lifting heavy loads, and try using the pelvic tilt exercise.CHave others pick things up for you so you don't have to bend over so much.DYour back pain will go away after the
39、 baby is born.36.The nurse administers racemic epinephrine to a child. Ten minutes after administration, the nurse should be alert for （）.Arespiratory distress.Bprofound tachycardia.Csigns of improved oxygenation.Ddiminished cyanosis.37.A client with a neurogenic bladder is beginning bladder trainin
40、g. Which of the following nursing actions is most important ？（）ASet up specific times to empty the bladder.BForce fluids.CProvide adequate roughage.DEncourage the use of an indwelling urinary catheter.38.The nurse is administering warfarin (Coumadin) to a client with deep vein thrombophlebitis. Whic
41、h laboratory value indicates warfarin is at therapeutic levels ？（）APartial thromboplastin time (PTT)to 2 times the control.BProthrombin time (PT) to 2 times the control.CInternational normalized ratio (INR) of 3 to 4.DHematocrit of 32%.39.When prioritizing a clients care plan based on Maslows hierar
42、chy of needs, the nurses first priority would be （）.Aallowing the family to see a newly admitted client.Bambulating the client in the hallway.Cadministering pain medication.Dplacing wrist restraints on the client.40.The nurse is teaching a client about using vaginal medications. The nurse should ins
43、truct the client to （）.Ause a tampon after insertion to increase medication absorption.Brelease and pull up on the applicator before removal.Cnever refrigerate suppositories.Duse only a water-soluble lubricant when inserting a suppository.41.Which of the following positions is most appropriate for a
44、 neonate with congenital hip dislocation ？（）ASemi-Fowler's with both legs flexed.BLegs adducted with head elevated.CSwaddled in a baby carrier.DProne position with hips abducted.42.The nurse is preparing a treatment plan for a client taking oral corticosteroids to control severe chronic asthma.
45、Which statement indicates that the client understands his treatment plan ？（）AI should take corticosteroids on an empty stomach.BI need to take corticosteroids to help build up my immune system.CI should stop taking corticosteroids if I haven't had an asthma attack for 1 week.DI'll tell my ot
46、her health care providers that I'm taking a corticosteroid.43.A 10-year-old girl visits the clinic for a checkup before entering school. The childs mother questions the nurse about what to expect of her daughters growth and development at this stage. Which response is most appropriate ？（）AHer physical development will be rapid at this stage, and rapid development will continue from now on.BShe'll become more independent and won't require parental supervision.CDon't anticipate any changes at this