美国护士资格认证(CGFNS)-25
(总分50, 做题时间90分钟)
Part One
1.
A client delivered a healthy full-term female neonate 2 hours ago by
cesarean delivery. When assessing this client, which finding requires immediate
nursing action?
A B C D
2.
Which of the following is used to treat serious depression when drug
therapy has failed?
A B C D
3.
During a shock state, the renin-angiotensin-aldosterone system exerts
which effect on renal function?
A B C D
4.
The nurse is caring for a child with leukemia. Which of the following
should the nurse priority pay more attention to?
A B C D
5.
A client with intrauterine growth retardation is admitted to the labor
and delivery unit and started on an IV infusion of oxytocin (Pitocin). Which of
the following is LEAST likely to be included in her plan of care?
A B C D
6.
The client with a lumbar laminectomy asks to be turned onto his side.
What should the nurse do?
A B C D
7.
The nurse is caring for a client with a fractured hip. The client is
combative and confused, and he's trying to get out of bed. The nurse should
A B C D
8.
A client has been placed on levodopa to treat his Parkinson's disease.
Which of the following is a common side effect of levodopa that the nurse should
include in the client's teaching plan?
A B C D
9.
A disturbed client is scheduled to begin group therapy. The client
refuses to attend. The nurse should
A B C D
10.
What is the nurse's most important role in caring for a client with a
mental health disorder?
A B C D
11.
Which laboratory test results would the nurse expect to find in a
client diagnosed with Hashimoto's thyroiditis?
A B C D
12.
A client has had a total gastrectomy for gastric cancer. Which one of
the following is the most appropriate expected outcomes about nutrition?
A B C D
13.
A 6-year-old girl has been hospitalized with rheumatic fever for 4
weeks. Her symptoms have gradually subsided, and she's now ready for discharge.
Which of the following plans for her health care is most important for her
future well-being?
A B C D
14.
The nurse is teaching the mother of an infant with tetralogy of
Fallot. The mother asks what to do when her infant becomes very blue and has
trouble breathing after crying. The nurse should tell the mother,
A B C D
15.
A client with an indwelling urinary catheter is suspected of having a
urinary tract infection. The nurse should collect a urine specimen for culture
and sensitivity by
A B C D
16.
A 23-month-old child is brought to the emergency department with
suspected croup. Which assessment finding reflects increasing respiratory
distress?
A B C D
17.
One morning the nurse overhears Elma, who is admitted with BPD, having
an argument with her mother, When suppertime, Elma is very angry with the nurse
and complains nurse must say something bad to her mother about her performance
in ward. What the defense mechanism Elma is using?
A B C D
18.
The nurse is assessing a pregnant woman in the clinic. In the course
of the assessment, the nurse learns that this woman smokes one pack of
cigarettes per day. Which of the following is the first step the nurse should
take to help the woman stop smoking?
A B C D
19.
The physician orders supplemental oxygen for a client with a
respiratory problem. To provide the highest possible oxygen concentration, the
nurse expects to use which oxygen delivery device?
A B C D
20.
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 on his manhood. Which of the following facts about orchiectomy
should form the basis for the nurse's response?
A B C D
21.
While auscultating heart sounds of a client with heart failure, the
nurse hears an extra heart sound immediately after the second heart sound
(S2). The nurse should document this as
A B C D
22.
Before a transesophageal echocardiogram, a client is given an oral
topical anesthetic spray. Upon return from the procedure, the nurse observes
that the client has no active gag reflex. In response, the nurse should
A B C D
23.
Which of the following home regimens should the nurse suggest to
relieve itching in children with chicken pox?
A B C D
24.
The nurse is caring for a client who has a history of alcohol abuse.
Why would the client act as if he didn't have a problem?
A B C D
25.
Drugs to treat acute anxiety are prescribed to a client hospitalized
for an acute myocardial infarction. The client is reluctant to take anti-anxiety
drugs. The nurse suspects that the client is holding the drugs under his tongue
and disposing of them after she has left the room. What should the nurse do
first?
A B C D
26.
One day, the nurse sits by a depressed client's bed and states, "I
will be spending some time with you today. " The client responds angrily, "Go
talk to someone else. They need you more. " The most therapeutic response by the
nurse would he:
A B C D
27.
Which of the following discharge instructions should the nurse give
the parents of an infant with a temporary colostomy?
A B C D
28.
Oxytocin (Pitocin) is administrated to a client during labor. Which of
the following is the most serious adverse effect associated with oxytocin?
A B C D
29.
A client asks the nurse to help her make out her will. In this
situation, what should be the nurse's best response?
A B C D
30.
The decision to get married might indicate that Johnny is in which of
Freud's psychosexual stages?
A B C D
Part Two
31.
Which of the following would be least likely to indicate anticipated
bonding behaviors by new parents?
A B C D
32.
Which pregnancy-related physiologic change would place the client with
a history of cardiac disease at the greatest risk for developing severe cardiac
problems?
A B C D
33.
After gastric resection surgery, which of the following signs and
symptoms would alert the nurse to the development of a leaking anastomosis?
A B C D
34.
A primigravida at 36 weeks' gestation tells the nurse that she has
moderate breast tenderness. The nurse teaches the client with some suggestions
for relief measures. Which of the following statements by the client suggests
the nurse that the client needs further instructions?
A B C D
35.
The parents of a 4-year-old with sickle cell anemia tell the nurse that
they would like to have other children, but they're concerned about passing
sickle cell anemia on to them. Which health care team member would be the most
appropriate person for the nurse to refer them to?
A B C D
36.
Which nursing action is most effective in defusing a client's impending
violent behavior?
A B C D
37.
During her first prenatal visit, a client expresses concern about
gaining weight. Which of the following would be the nurse's best action?
A B C D
38.
A 4-year-old child with pain and itching around the rectum has just
been diagnosed with a pinworm infestation. The physician prescribes mebendazole
(Vermox). When teaching the child's parents about the treatment regimen, the
nurse should emphasize which instruction?
A B C D
39.
In developing a plan of care for a client with rheumatoid arthritis,
the nurse should consider that clients with rheumatoid arthritis should be
positioned so as to
A B C D
40.
Which of the following should the nurse include in a postoperative
teaching plan for a client with a laryngectomy?
A B C D
41.
A 19-year-old pregnant client tells the nurse she's concerned that she
may not be able to take care of herself during her pregnancy. She states that
prenatal care is expensive and her job doesn't provide insurance. The nurse
should recognize which of the following?
A B C D
42.
A psychotic client reports to the evening nurse that the day nurse put
something suspicious in his water with his medication. The nurse replies,
"You're worried about your medication?" The nurse's communication is
A B C D
43.
The immobile adolescent with a recent fractured femur suddenly
complains chest pain, dyspnea, diaphoresis, and tachycardia. Which of the
following would the nurse suspect?
A B C D
44.
A boy, age 
, develops a fever
and rash and is diagnosed with rubella. His mother has just given birth to a
girl. Which statement by the mother best indicates that she understands the
implications of rubella?
A B C D
45.
A nurse instructs a prenatal class about the importance of doing Kegel
exercises frequently. Kegel exercises help to
A B C D
46.
Mr. Smith is admitted to the psychiatric hospital for evaluation after
numerous incidents of threatening, angry outbursts and two episodes of hitting a
coworker at the grocery store where he works. He is very anxious and tells the
nurse, "I didn't mean to hit him. He made me so mad that I just couldn't help
it. I hope I don't hit anyone here. " Which of the following is the nurse's best
response?
A B C D
47.
Lochia normally progresses in which pattern?
A B C D
48.
A client with antisocial personality disorder refuses to take a shower
for 3 days. Which response by the nurse is best?
A B C D
49.
The mother of a hospitalized 3-year-old girl expresses concern because
her daughter is wetting the bed. What should the nurse tell her?
A B C D
50.
An 18-year-old primagravida tells the nurse that the physician told
her that she needed to increase her intake of thiamine (vitamin Bi) in her diet.
Which of the following foods should the nurse instruct the client to consume
more?
A B C D
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