2021臺灣美國護士資格認證(CGFNS)考試考前沖刺卷

1、第 頁2021臺灣美國護士資格認證(CGFNS)考試考前沖刺卷本卷共分為1大題37小題，作答時間為180分鐘，總分100分，60分及格。一、單項選擇題（共37題，每題2分。每題的備選項中，只有一個最符合題意） 1.The nurse is working in a support group for clients with acquired immunodeficiency syndrome (AIDS). Which point is most important for the nurse to stress ？（）AAvoiding the use of recreational dr

2、ugs and alcohol.BRefraining from telling anyone about the diagnosis.CFollowing safer-sex practices.DTelling potential sex partners about the diagnosis, as required by law.2.The nurse is providing care for a client who underwent mitral valve replacement. The best example of a measurable client outcom

3、e goal is to （）.Achange his own dressing.Bwalk in the hallway.Cwalk from his room to the end of the hall and back before discharge.Deat a special diet.3.A pregnant client is taking folic acid. During prenatal teaching, which of the following foods would the nurse recommend as high in folic acid ？（）A

4、Egg yolks.BFruit.CBread.DMilk.4.The nurse is developing a care plan for a client in her 34th week of gestation who is experiencing premature labor. What nonpharmacologic intervention should the plan include to halt premature labor ？（）AEncouraging ambulation.BServing a nutritious diet.CPromoting adeq

5、uate hydration.DPerforming nipple stimulation.5.A neonate of a client with type 1 diabetes mellitus is at high risk for hypoglycemia. An initial sign the nurse should recognize as indicating hypoglycemia in a neonate is （）.Aperipheral acrocyanosis.Bbradycardia.Clethargy.Djaundice.6.A client with ant

6、isocial personality disorder refuses to take a shower for 3 days. Which response by the nurse is best ？（）AIts policy here for all clients to bathe daily.BIts time for your shower. Ill help you with it.CDont worry about your shower until tomorrow.DDo you want people to make fun of you7.The nurse is d

7、eveloping a teaching plan for a client with genital herpes. She should include information about （）.Aacyclovir (Zovirax).Bpenicillin.Cdoxycycline.Dtetracycline.8.A client who has sustained a head injury is to receive mannitol (Osmitrol) by IV push. In evaluating the effectiveness of the drug, the nu

8、rse should expect to find （）.Aincreased lung expansion.Bdecreased cerebral edema.Cdecreased cardiac workload.Dincreased cerebral circulation.9.A child with type 1 diabetes mellitus develops diabetic ketoacidosis and receives a continuous insulin infusion. Which condition represents the greatest risk

9、 for this child ？（）AHypercalcemia.BHyperphosphatemia.CHypokalemia.DHypernatremia.10.When caring for a client with the nursing diagnosis Impaired swallowing related to neuromuscular impairment, the nurse should （）.Aposition the client in a supine position.Belevate the head of the bed 90 degrees durin

10、g meals.Cencourage the client to remove dentures.Dencourage thin liquids for dietary intake.11.The nurse is developing a teaching plan for a client with diabetes mellitus. A client with diabetes mellitus should （）.Ause commercial preparations to remove corns.Bcut toenails by rounding edges.Cwash and

11、 inspect feet daily.Dwalk barefoot at least once each day.12.For a client with bulimia, which assessment is least important in the care plan ？（）AObserve the client after eating for 1 hour.BNote the clients intake.CNote changes in appetite.DNote changes in respiratory rate.13.A nurse instructs a pren

12、atal class about the importance of doing Kegel exercises frequently. Kegel exercises help to （）.Apromote better breathing by strengthening the diaphragm muscle.Bmaintain good perineal muscle tone by tightening the pubococcygeus muscle.Cminimize leg cramps by strengthening the calf muscles.Dprepare t

13、he mother for pushing by strengthening the abdominal muscles.14.The nurse is caring for a 45-year-old male client admitted with a retinal detachment in his left eye. What symptoms would the nurse expect to find during assessment ？（）AFlashing lights in the visual field.BSudden eye pain.CLoss of color

14、 vision.DColored halos around lights.15.The physician prescribes a monoamine oxidase (MAO) inhibitor for a client. Which of the following nursing diagnostic categories would be most appropriate to focus on during client teaching ？（）ARisk for injury.BDisturbed thought processes.CDeficient fluid volum

15、e.DDisturbed sleep pattern.16.The nurse is assessing a client diagnosed with appendicitis. Which of the following signs or symptoms should the nurse expect to find ？（）ARigid abdomen, Levines sign, pain relief leaning forward.BRebound tenderness, McBurneys sign, low-grade fever.CRight lower quadrant

16、pain, Chvosteks sign, muscle guarding.DPeriumbilical pain, Trousseaus sign, pain relief with pressure.17.What is the normal pH range for arterial blood ？（）A7.00 to 7.49.B7.35 to 7.45.C7.50 to 7.60.D7.55 to 7.65.18.A 13-year-old visits the school nurse because hes experiencing back pain, fatigue, and

17、 dyspnea. The nurse suspects that the child may have scoliosis. The nurse should first （）.Asend the child home to recover.Binspect the child for uneven shoulder height or uneven hip height.Carrange for the child to have spinal X-rays as soon as possible.Dask the childs parent to take him to a physic

18、ian immediately.19.A first-time mother-to-be is in the labor room, her husband at her bedside. The client states that her contractions began 6 hours ago. Which of the following assessment findings would confirm that the client is in true labor ？（）ADiscomfort located chiefly in the abdomen.BConstant

19、intensity of contractions.CContractions occurring every 10 to 15 minutes and lasting 20 to 30 seconds.DCervix that is 100% effaced and 2 cm dilated.20.The nurse is caring for a client in the manic phase of bipolar disorder who is ready for discharge from the psychiatric unit. As the nurse begins to

20、terminate the nurse-client relationship, which client response is most appropriate ？（）AExpressing feelings of anxiety.BDisplaying anger, shouting, and banging the table.CWithdrawing from the nurse in silence.DRationalizing the termination, saying that everything comes to an end.21.A persons psychoso

21、cial needs during the dying process of a relative may include （）.Aflexible visitation, participation in client care, and rest breaks.Bflexible visitation, denial of imminent death, and rest breaks.Climited visitation, participation in client care, and rest breaks.Dshort, frequent, limited periods of

22、 visitation; participation in client care; and rest breaks.22.A nurse needs assistance transferring an elderly, confused client to bed. The nurse leaves the client to find someone to assist her with the transfer. While the nurse is gone, the client falls and hurts herself. The nurse is at fault beca

23、use she hasnt （）.Aproperly educated this client about safety measures.Brestrained the client.Cdocumented that she left the client.Darranged for continual care of the client.23.A mother brings her 5-month-old female child to the pediatric clinic. The child has had recurrent middle-ear infections sinc

24、e she was 3 months old. Which of the following areas is most important to assess ？（）AHow well the client eats.BThe clients weight gain since her last visit.CWhether the client received all of her prescribed antibiotic at the time of the last infection.DThe clients temperature.24.The nurse is teachin

25、g a group of patient-care attendants about infection-control measures. The nurse tells the group that the first line of intervention for preventing the spread of infection is （）.Awearing gloves.Badministering antibiotics.Cwashing hands.Dassigning private rooms for clients.25.A client on an inpatient

26、 psychiatric unit at a community mental health center is pacing the hallway and appears agitated. When the nurse approaches him, he says loudly, Leave me alone. Whats the nurses best approach ？（）ASay nothing and pace with the client.BSay You sound upset. Id like to help.CSay okay and walk away.DSumm

27、on help in case the client becomes aggressive.26.Which intervention will best help to prevent a client from falling ？（）AMonitor the client regularly or continually if his condition warrants it.BKeep the bed at a level where the nurse can easily provide care.CMake sure the side rails of the clients b

28、ed are down.DRestrain the client to prevent him from getting out of bed and falling.27.A psychiatric client who was voluntarily admitted now wishes to be discharged from the hospital, against medical advice. Whats the most important assessment the nurse should make of the client ？（）AAbility to care

29、for himself.BDegree of danger to self and others.CLevel of psychosis.DIntended compliance with aftercare.28.A mother complains to the nurse that her 4-year-old son often lies. Whats the nurses best response ？（）ALet the child know that hell be punished for lying.BAsk him why he isnt telling the truth

30、.CIts probably due to his vivid imagination and creativity.DAcknowledge him by saying, Thats a pretend story.29.Several children in a kindergarten class have been treated for pinworm. To prevent the spread of pinworm, the school nurse meets with the parents and explains that they should （）.Atell the

31、 children not to bite their fingernails.Bnot let children share hairbrushes.Ctell the children to cover their mouths and noses when they cough or sneeze.Dhave their children immunized.30.A hospitalized client taking 30 mg of tranylcypromine (Parnate) twice per day complains of a stiff neck and heada

32、che. Which action would be best for the nurse to take ？（）ANote the complaints as usual adverse effects.BWithhold the next dose of medication.CAdminister an analgesic, as needed and as prescribed.DHelp the client relax.31.The nurse is providing preoperative care to a client scheduled for an appendect

33、omy. Which statement regarding pain control is most appropriate ？（）ATheres no need to ask for pain medication, youll receive it on a schedule.BTake your pain medication after walking so that you wont feel dizzy.CTake your pain medication before your pain becomes intense.DUse as little pain medicatio

34、n as possible to avoid addiction.32.During afternoon rounds, the nurse finds a male client using a pencil to scratch inside his knee-to-toe cast. The client is complaining of severe itching in the ankle area. Which action should the nurse take ？（）AAllow him to continue to scratch inside the cast wit

35、h a pencil.BGive him a sterile metal object to use for scratching instead of the pencil.CEncourage him to avoid scratching, and obtain an order for diphenhydramine (Benadryl) if severe itching persists.DObtain an order for a sedative, such as diazepam (Valium), to prevent him from scratching.33.The

36、physician inserts a chest tube into a client to treat a pneumothorax. The tube is connected to water-seal drainage. The nurse can prevent chest tube air leaks by （）.Akeeping the chest drainage system below the level of the chest.Bkeeping the head of the bed slightly elevated.Cchecking and taping all connections.Dchecking patency of the chest tube.34.What laboratory finding is the primary diagnostic indicator for p