CGFNS考試樣題國(guó)際護(hù)理資格培訓(xùn)考試

1、CGFNS 自我測(cè)試 100 題根據(jù)易、中、難均勻分布原則，我們精選了“5th Edition of OfficialStudy Guide for the Qualifying Exam道”題目1,040以外并覆蓋CGFNS內(nèi)、外、婦、兒、精以及法律、倫理和護(hù)理管理等領(lǐng)域的100 道真題。為了便于練習(xí)，我們將100 道題分為 10 個(gè)單元，供準(zhǔn)備參加近期CGFNS 考試的考生作自我測(cè)試所用。根據(jù)以往經(jīng)驗(yàn)，能做對(duì)其中65題以上的學(xué)生可以有把握獲得CGFNS 正式考試 400 分以上的成績(jī)，而做不對(duì) 50 道以上的學(xué)生不要匆忙赴考，以免浪費(fèi)時(shí)間和金錢(qián)，建議他們參加 “上海護(hù)士國(guó)際港 ”舉辦的 C

2、GFNS 強(qiáng)化訓(xùn)練班，詳細(xì)信息和報(bào)名方式可登錄 查詢(xún)。Unit 11. A patient on the psychiatric unit tells the nurse that people want toinfect him with AIDS because he has the secret to preventing famine in the world. Which of these comments, if made by the nurse, would be therapeutic?A. "Tell me more about this."B. &qu

3、ot;When did you start believing this?"C. "I know that idea seems real to you, don't see it that way.D.“ I can't imagine anyone mean enough to want to prevent you fromimproving food supply.”2. Which of these goals would be most important for a female patientwho has a borderline pers

4、onality disorder while the patient is in group therapy?A. The patient will be able to explain the motivation for her behavior B. The patient will select her own activitiesC. The patient will interact with more peopleD. The patient will consider consequences before acting3. To discuss methods of stre

5、ss reduction with a patient, the nurse should use which of these approaches first?A. Explain to the patient the physiological effects of stress B. Teach the patient relaxation techniques that reduce stress C. Determine if the patient is able to identify sources of stressD. Describe to the patient th

6、e benefits of active exercise in coping with stress4. A woman who is thirty weeks pregnant and who is attending the prenatal clinic has symptoms of pregnancy-induced hypertension. Which of these findings is indicative of this problem?A. She says, "I've been getting short of breath when I cl

7、imb the second flight of stairs to my family' s apartment."B. She says, "I've had a craving for salty food lately."C. She has a blood pressure of 124/80mmHg compared with 90/60mmHg a month agoD. She has gained three pounds( 1.4kg) during the past month5. During the fourth stag

8、e of labor, the nurse notes that the patient's uterine fundus is boggy and in the midline. Which of these actions should the nurse take first?A. Massage the patient's uterine fundusB. Apply downward pressure to the patient's uterine fundus while she is voidingC. Discuss with the physicia

9、n the patient's need for an oxytocic medicationD. Check the characteristics of the patient's lochia6. A patient has just been hospitalized for treatment of compulsive hand washing. The nurse should intervene if staff members are seen behaving in which of these ways?A. Whispering to one anoth

10、er within the patient's view7. Which of these goals would be appropriate for a patient who has a diagnosis of Alzheimer' s disease?A. To develop social skillsB. To increase motivation for serf-careC. To keep oriented to realityD. To protect from injury8. A patient has + + + + of albumin in h

11、is urine. The nurse should expect that he might have which of these symptoms?A. Pulmonary ralesB. Distended neck veinsC. Muffled heart soundsD. Peripheral edema9. A patient is scheduled for an intravenous pyelogram (IVP). Which of these assessments of the patient would be most important to make prio

12、r to this scheduled IVP?A. Does he have a history of allergies?B. Does a member of his family have renal disease?10. A client returns from a cardiac catheterization with a bandage over the right groin. An unlicensed personnel (UP) assigned to the clientreports that the client s right foot is cool to

13、 the touch. The first action ofthe nurse should be toA. check the foot every 15 minutes.B. call the provider and report the findings.C. loosen the bandage.D. check the client s groin.Unit 1 Answers:CDCCA/BCDAAUnit 21When caring for a patient who is receiving mechanical ventilation with positive ende

14、xpiratory pressure (PEEP), which of the following blood test results would indicate to a nurse that the treatment is having the desired effect?A. PaO2, 88 mm HgB. pCO2, 50 mm HgC. Oxygen saturation, 86%D. HCO3 20 mEq/L2. To which of the following nursing diagnoses would a nurse give priority when ca

15、ring for a patient who has syndrome of inappropriate secretion of antidiuretic hormone (SIADH)?A. Decreased cardiac output B. Altered nutritionC. Urinary incontinence D. Fluid volume excess3 Which of the following findings in a 13-year-old girl who has Crohn s disease would indicate that corticoster

16、oid therapy has been effective?A. Decreased complaints of abdominal painB. Increase in the number of stoolsC. Moon-like appearance of the faceD. Expansion of muscle mass4 A nurse is observed taking all of the following actions when suctioning a patient who has a newly-placed tracheostomy tube. Which

17、 of the following actions require intervention?A. Applying suction for less than 15 seconds at one time B. Administering 100% oxygen prior to starting suctioningC. Utilizing negative pressure of 120 mm Hg during suctioningD. Deflating the tracheostomy cuff for three minutes before initiating suction

18、5 Which of the following criteria would indicate improvement in an outpatient who has anorexia nervosa?A. The patient reports putting“ thin ” clothes on display in her room as areminder to maintain proper weight.B. The patient develops a plan to control negative feelings.C. The patient identifies th

19、e relationship between emotions and eating behaviors.D. The patient avoids contact with her dysfunctional family.6 A 10-year-old boy who is in the terminal stages of Duchenne muscular dystrophy is being cared for at home. When evaluating for major complications of this disease, a nurse would give pr

20、iority to assessing which of the following body systems?A. IntegumentaryB. NeurologicalC. RespiratoryD. Gastrointestinal7 The parent of a 12-year-old child, who is on acetylsalicylic acid (Aspirin) therapy for juvenile rheumatoid arthritis, tells a nurse, just read an article that said Aspirin shoul

21、d not be given to children. of the following responses by the nurse is most appropriate?A.“ Stop the Aspirin only if your child is diagnosed with a viral illness.B.“ Your child can take a different anti-inflammatory instead of aspirin.”C. “ Because the Aspirin dose your child receives is so small, t

22、he risk is minimal. ”D.“ The benefits of Aspirin for your child outweigh the risks.”8 When teaching the caregivers of a patient who has dementia of the Alzheimer type, a nurse should stress the importance ofA. increased stimuli.B. a predictable environment.C. restricted activities.D. independent dec

23、ision-making.9The post-prandial serum glucose level of a pregnant woman who is at24 weeks gestation160is mg/dL. A nurse would expect the woman to have which of the following tests performed?A. Fasting blood glucoseB. Glycosated hemoglobinC. Plasma glucagon levelD. Qualitative urine glucose10. Which

24、of the following symptoms is consistent with a diagnosis of borderline personality disorder?A. Magical thinkingB. Intense, labile affectC. Avoidance of relationshipsD. Multiple somatic complaintsUnit 2 Answers:ADADC/CDBABUnit 31An infant who weighs 11 lb (5 kg) is to receive 750 mg of antibiotic in

25、a 24-hour period. The liquid antibiotic comes in a concentration of 125 mg per 5 ml. If the antibiotic is to be given three times each day, how many milliliters would the nurse administer with each dose?A. 2B. 5C. 6.25D. 102A nurse would assess a patient who experiences prolonged vomiting for signs

26、ofA. water intoxication.B. hypovolemic shock.C. metabolic acidosis.D. potassium excess.3 Which of the following actions should a nurse take when making the first contact with a paranoid patient?A. Introduce self and avoid touching the patientB. Avoid eye contact and shake hands with the patientC. Cl

27、ose the door to the interview room and remain standing D. Wait for the patient to initiate communication4If child abuse is suspected in a family, which of the following approaches would a nurse take when beginning to interview the child? A. Speaking to the child by using specific, anatomically-corre

28、ct terminologyB. Expressing concern to the child that something like this could have happenedC. Assuring the child that any information given will be kept confidential D. Providing a private place to talk with the child about the incident5. A client is 1 day postoperative after a total hip replaceme

29、nt. The client should be placed in which of these positions for meals?A. OrthopneicB. Semi-Fowler sC. SupineD. Trendelenburg6The nurse is caring for a client with increased intracranial pressure. Which of the following nurse interventions is related to the goal of establishing cerebral tissue perfus

30、ion? A. Perform passive ROM to the neck.B. Elevate the head of the bed 30.C. Suction every 2 hours and prn.D. Encourage coughing and deep breathing.7. Nursing care for a client with an arteriovenous (AV) fistula aimed at maintaining patency includesA. taking blood pressures in the affected arm. B. a

31、pplying heat to maintain circulation.C. palpating for a bruit.D. keeping the arm free of constriction.8. When counseling an adolescent on the healthy means to achieve weight loss, it is important toA. encourage the use of fat-free foods.B. encourage increasing intake of diet sodas for fluid intake.

32、C. encourage losing no more than 1-2 pounds per week. D.encourage increasing dietary intake of complex carbohydrates.9. A schizophrenic patient says to a nurse,“You are wearing a pretty reddress. Tomatoes are red. Vegetables make you healthy. I am not healthy.A nurse should recognize that these stat

33、ements are an example ofA. echolaliaB. confabulation.C. neologisms.D. looseness of association.10. A nurse is counseling other personnel working in the pediatric department about the nursing care of children who are receiving ribavirin (Virazole). Which of the following instructions is accurate?A. T

34、his drug may cause conjunctivitis of the eye.B. The patient should be on strict isolation while receiving this drug. C. The drug must be administered at the same time each day.D. Ambient light should be kept to a minimum during administration of this drug.Unit 3 Answers:DBADC/BCCDAUnit 41. The mothe

35、r of a child who just returned from a cardiac catheterization asks the nurse why her son has to keep his leg straight for 4-6 hours. The nurse s response includes which of the following statements?A.“ This will maintain circulation.”B.“ This will minimize pain and discomfort.”C.“ This will facilitat

36、e healing of the vessel.”D.“ This will promote adequate rest for the heart.”2. While caring for a client diagnosed with schizophrenia, the nurse knows that the client may have trouble withA. staff who are cheerful. B. violent behaviors.C. simple direct sentences. D. multistage commands.3. A nurse is

37、 caring for a patient who underwent a transurethral resectionof the prostate (TURP) several hours ago. The patient experiences nausea, confusion, elevated blood pressure and decreased pulse rate. The nurse would most likely suspect which of the following conditions to developin the patient?A. Bladde

38、r spasms B. Dehydration C. Hyponatremia D. Sepsis4. A woman phones the psychiatric department nurses station and tells anurse that her husband was brought to the hospital yesterday after takingan overdose of Aspirin. The woman asks the nurse how her husband is doing. The most appropriate action of t

39、he nurse is toA. tell the patient that a woman who says she is his wife is on the phone and ask him if he wants the nurse to talk to her.B. report the woman to the patient s primary doctor.C. give the wife a brief accurate report on her husbandD. explain to the woman that she cannot release informat

40、ion aboutpsychiatric patients. s condition.5. Immediately after delivery, a newborn is given to the nurse. Which of the following interventions would the nurse perform first with the newborn?A. Dry thoroughly B. Obtain the weightC. Apply an identification bandD. Check the number of umbilical vessels

41、6. An elderly postoperative patient is disoriented to time and place. During rounds, the night charge nurse finds him standing at the side ofthe bed. The patient says to the nurse,“ I m waiting for the bus.of the following interventions by the nurse would be most appropriate? A. Place the patient in

42、 a wheelchair and allow him to sit in front of the nurses stationB. Re-orient the patient, assist him back to bed and observe him closely C. Assist the patient back to bed and put on a posey jacketD. Call the patient s family to come and sit with him7. A nurse is giving change of shift report and th

43、e nurses from the next shift start talking about the birthday party for a co-worker. The best approach for the nurse giving the report is toA. speak more loudly and continue the report.B. stop giving the report and wait for the others to finish their discussion. C. state that she would like to conti

44、nue with the report.D. join in the discussion.8. When discussing diet with a newly diagnosed pregnant woman who is diabetic and taking insulin, the nurse shouldA. confirm that dietary and insulin needs may vary throughout the pregnancy thus requiring close follow-up.B. emphasize the normalcy of preg

45、nancy and the fact that her prescribed pre-pregnancy diet will be suitable.C. explain that pregnancy increases the need for protein and calcium but that will be theonly needed diet adjustment.D. instruct her to self-regulate her diet and insulin based on daily urine tests for glucose.9. Neuroleptic

46、malignant syndrome (NMS) is a potentially lethal complication of treatment with antipsychotic drugs. Which of the following manifestations should the nurse recognize as an early sign of NMS?A. Difficulty swallowingB. Unstable blood pressure C. Respiratory depression D. Muscle stiffness10. A nurse sh

47、ould be aware that morphine sulfate is administered to a patient who has pulmonary edema in order toA. decrease pain.B. diminish venous return to the heart. C. decrease the respiratory rate.D. reduce the glomerular filtration rate.Unit 4 Answers:ABCDA/BCADBUnit 51. Which of the following blood value

48、s on the laboratory report should a nurse expect when assessing a patient who has emphysema?A. pCO2, 52 mm HgB. pH, 7.48C. pO2, 94 mm HgD. HCO3, 21 mEq/L2. Which of the following laboratory results, if identified in a patient who is experiencing vomiting and diarrhea, is most suggestive of hypovolem

49、ic shock?A. Potassium, 5.6 mEq/L B. Hematocrit, 58%C. Hemoglobin, 11 g/dL D. Calcium, 6 mEq/L3. To encourage a client with type 2 diabetes to comply with his prescribed diet, the nurse should obtain the answer to which of these questions?A. Does the client include at least one serving of each of the

50、 basic food groups in every meal?B. At what times does the client eat meals?C. What are the client s food preferences?D. What method of food preparation does the client use?4. Before the Sengstaken-Blakemore tube is inserted, you must be prepared toA. Administer an antacidB. Administer atropine sulf

51、ate IMC. Start an IV of normal salineD. Lavage the stomach with ice normal saline5. A 10-month-old infant who has short bowel syndrome is receiving long term total parenteral nutrition (TPN). Which of the following laboratory results would be most important for a nurse to assess?A. Aspartate aminotr

52、ansferase B. AmylaseC. Blood urea nitrogen D. Hematocrit6. A client on the psychiatric unit who has a diagnosis of schizophrenia spends his days sitting alone staring into space. Which of these changesin the client s behavior would indicate his readiness for a rehabilitationprogram?A. He approaches

53、the nurse at frequent intervals.B. He goes to the coffee shop alone more often.C. He seldom hallucinates.D. He is able to sleep through the night.7. Two weeks after a 10-year-old has been treated in the hospital for anacute asthma attack, he asks the nurse,“ Can I rejoin my baseball teambecause practice starts in two weeks?” Whichnsesofthesewouldrespobe appropriate for the nurse to make?A. “ You should participate mainly in sedentary and noncompetitiveactivities.”B.“ You should continue in any activities that you can tolerate.”C.“ It would be best fo