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1、2023年陕西美国护士资格认证(CGFNS)考试真题卷（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.What is the most appropriate nursing diagnosis for the client with acute pancreatitisADeficient fluid volume.BExcess fluid volume.CDecreased cardiac output.DIneffective gastrointestinal tissue p
2、erfusion. 2.After assessing a newly admitted 5-year-old child, the nurse makes the nursing diagnosis of Parental role conflict related to childs hospitalization. Which defining characteristic would most suggest this diagnosisASupportive child-parent interaction (speaking, listening, touching, and ey
3、e-to-eye contact).BParents active participation in childs physical or emotional care.CParents failure to use available support systems or agencies to assist in coping.DEvidence of adaptation to parental role changes. 3.When caring for a client who is having her second baby, the nurse can anticipate
4、the clients labor will be which of the followingAShorter than her first labor.BAbout half as long as her first labor.CAbout the same length of time as her first labor.DA length of time that cant be determined based on her first labor. 4.The nurse is caring for a primigravida who is scheduled for a f
5、etal acoustic stimulation test (FAST). The nurse should explain to the client that the primary purpose of this test is toAinduce contractions.Binduce fetal heart rate accelerations.Cshorten the contraction stress test.Ddetermine fluid volume. 5.The nurse is caring for a client whom she suspects is p
6、aranoid. How would the nurse confirm this assessmentAIndirect questioning.BDirect questioning.CLead-in sentences.DOpen-ended sentences. 6.A client refuses his evening dose of haloperidol (Haldol) then becomes extremely agitated in the day room while other clients are watching television. He begins c
7、ursing and throwing furniture. The nurses first action is toAcheck the clients medical record for an order for an IM as needed dose of medication for agitation.Bplace the client in full leather restraints.Ccall the physician and report the behavior.Dremove all other clients from the day room. 7.A cl
8、ient is admitted to the hospital with a productive cough, night sweats, and a fever. Which action is most important in the initial plan of careAAssessing the clients temperature every 8 hours.BPlacing the client in respiratory isolation.CMonitoring the clients fluid intake and output.DWearing gloves
9、 during all client contact. 8.Following a transsphenoidal hypophysectomy, the nurse should assess the client carefully for which conditionAHypocortisolism.BHypoglycemia.CHyperglycemia.DHypercalcemia. 9.Which nursing intervention would most likely lead to a hyposmolar stateAPerforming nasogastric (NG
10、) tube irrigation with normal saline solution.BWeighing the client daily.CAdministering tap water enema until the return is clear.DEncouraging the client with excessive perspiration to drink broth. 10.Which of the following would be the best approach when trying to take a crying toddlers temperature
11、AIgnore the crying and screaming.BEncourage the mother to hold the child.CTalk to the mother first and then to the toddler.DBring extra help so it can be done quickly. 11.The nurse is providing care for a pregnant client in her second trimester. Glucose tolerance test results show a blood glucose le
12、vel of 160 mg/dL. The nurse should anticipate that the client will need toAstart using insulin.Bstart taking an oral antidiabetic drug.Cmonitor her urine for glucose.Dbe taught about diet. 12.Which of these signs suggests that a client with syndrome of inappropriate antidiuretic hormone (SIADH) secr
13、etion has developed complicationsATetanic contractions.BNeck vein distention.CWeight loss.DPolyuria. 13.In a group therapy setting, one member is very demanding, repeatedly interrupting others, and taking most of the group time. The nurses best response would be,AWill you briefly summarize your poin
14、t because others need time alsoBYour behavior is obnoxious and drains the group. CTo ignore the behavior and allow him to vent.DIm so frustrated with your behavior. 14.The nurse notices that a client with obsessive-compulsive disorder washes his hands for long periods each day. How should the nurse
15、respond to this compulsive behaviorABy designating times during which the client can focus on the behavior.BBy urging the client to reduce the frequency of the behavior as rapidly as possible.CBy calling attention to or attempting to prevent the behavior.DBy discouraging the client from verbalizing anxieties. 15.The nurse is interviewing a client about his med
