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江苏美国护士资格认证(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。
严格遵守考试纪律,维护考试秩序!
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 caring for a client in an acute manic state. What’s the most effective nursing action for this client
A. Assigning him to group activities.B. Reducing his stimulation.C. Assisting him with self-care.D. Helping him express his feelings.
参考答案:BReducing stimuli helps to reduce hyperactivity during a manic state. Group activities would provide too much stimulation. Trying to assist the client with self-care could cause increased agitation. When in a manic state, these clients can’t express their inner feelings in a productive, introspective manner. The focus of treatment for a client in the manic state is behavior control.
2.A pregnant client is admitted to the hospital at 34 weeks gestation and is receiving intravenous tocolytic therapy for preterm labor. The physician orders betamethasone (Celestone) intramuscularly for her. After administering the drug, the nurse would assess the client for which of the following as a possible side effect
A. Decreased skin turgor.B. Infection.C. Urinary frequency.D. Hypoglycemi
参考答案:BMaternal side effects of betamethasone (Celestone, Soluspan) include increased risk of infection, initiation of lactation, gastrointestinal bleeding, weight gain, edema, and pulmonary edema when used concurrently with tocolytic agents.
3.Which one of the following nursing interventions should be included in a plan of care for a client with a T tube
A. Maintain client in a supine position while T tube is in place.B. Keep T tube clamped except for during mealtimes.C. Inspect skin around the T tube daily for irritation.D. Irrigate the T tube every 4 hours to maintain patency.
参考答案:CBile is erosive and extremely irritating to the skin. Therefore, it is essential that skin around the T tube be kept clean and dry.
4.A mother is discussing with the nurse her 4-year-old boy’s strange eating habits including not finishing
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