2023年甘肃美国护士资格认证(CGFNS)考试考前冲刺卷

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1、2023年甘肃美国护士资格认证(CGFNS)考试考前冲刺卷本卷共分为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.The nurse is performing a painless, noninvasive procedure to measure arterial oxygen saturation (SaO2). What procedure is itA. Incentive spirometry.B. Arterial blood gas (ABG) measurement.C. Peak

2、 flow measurement.D. Pulse oximetry. 2.A primigravida client with acquired immunodeficiency syndrome (AIDS) is in labor at term. In preparing her nursing care plan, the nurse should include which of the following nursing diagnosesA. Risk for fetal or maternal injury related to the crisis of childbea

3、ring.B. Risk for infection related to suppressed immune status.C. Risk for deficient fluid volume related to dehydration.D. Risk for fetal injury related to uteroplacental insufficiency. 3.When reporting to the surgeon that a chest tube is malfunctioning, the nurse is ordered to reposition the tube

4、and obtain a chest radiograph. The nurse shouldA. inform the surgeon this isnt within her scope of practice.B. report the surgeon to the Ethics Committee.C. report the surgeon to the nursing supervisor.D. follow the order as requested by the surgeon. 4.A 16-year-old student has been admitted to your

5、 psychiatric unit after fainting in physical education class. She has a diagnosis of anorexia nervosa, weighs 88 lb (40 kg), and is 54 (1.6 m) tall. She has been weighing herself several times per day at home and has lost 30 lb (13.5 kg) in the past 3 months. Which nursing diagnosis would be most ap

6、propriate for the clientA. Disturbed thought processes.B. Impaired adjustment.C. Imbalanced nutrition. Less than body requirements.D. Ineffective sexuality patterns. 5.A 7-year-old boy is hospitalized with cystic fibrosis. To help him manage secretions and avoid respiratory distress, the nurse shoul

7、dA. perform chest physiotherapy every 4 hours.B. give pancreatic enzymes as ordered.C. place the child in an oxygen tent and have oxygen administered continuously.D. serve a high-calorie diet. 6.The nurse is caring for a client who has hemoconcentration after fluid loss. Which IV fluids would be the

8、 most appropriate fluid replacement therapy for this clientA. Distilled water.B. Dextrose 5% in water (D5W) only.C. DSW with 40 mEq of potassium chloride.D. Dextrose 10% in salin 7.The nurse is preparing to remove a previously applied topical medication from a client. The rationale for removing prev

9、iously applied topical medications before applying new medications is toA. decrease the possibility of absorption on the nurses skin.B. allow distribution of medication.C. prevent soiling of the clients clothes.D. avoid administering more than the prescribed dos 8.A client has been prescribed 75 mg

10、of amitriptyline (Elavil) at bedtime and 15 mg of phenelzine (Nardil) three times per day. Which nursing action takes priorityA. Teaching the client about the adverse effects.B. Calling the physician and questioning the order.C. Instituting dietary restrictions.D. Taking baseline vital signs. 9.The

11、nurse is administering sublingual nitroglycerin to a client with chest pain. The nurse should place the medicationA. in the cheek.B. on the tip of the tongue.C. under the tongue.D. under the lower lid of the ey 10.A 4-month-old infant is brought to the pediatrician by his parents because theyre conc

12、erned about his frequent respiratory infections, poor feeding habits, frequent vomiting, and colic. The physician notes that the baby has failed to gain expected weight and recommends that the baby have a sweat test performed to detect possible cystic fibrosis. To prepare the parents for the test, t

13、he nurse should explain thatA. the baby will need to fast before the test.B. a sample of blood will be necessary.C. a low-sodium diet is necessary for 24 hours before the test.D. a low-intensity, painless electrical current is applied to the skin. 11.The nurse is teaching a new group of mental healt

14、h aides. The nurse should teach the aides that setting limits is most important forA. a depressed client.B. a manic client.C. a suicidal client.D. an anxious client. 12.A 15-year-old primigravida gave birth 2 days ago. She tells the nurse that having her own little baby will be wonderful. Which nurs

15、ing response would best evaluate the accuracy of the clients expectationsA. Tell me what your day will be like after you take your baby home. B. Will anyone be available to help you at home with the babyC. Have you had any experience taking care of babiesD. What are you planning to do with your baby when you return to school 13.The nurse has a client at 30 weeks gestation who has tested positive for the human immunodeficiency virus (HIV). What should the nurse tell

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