广东美国护士资格认证(CGFNS)考试模拟练习卷（新版）.docVIP

广东美国护士资格认证(CGFNS)考试真题卷 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 planning care for a client after a tracheostomy. One of the client’s goals is to overcome verbal communication impairment. Which of the following interventions should the nurse include in the care plan（） A. Make an effort to read the client’s lips to foster communication.B. Encourage the client’s communication attempts by allowing him time to select or write words.C. Answer questions for the client to reduce his frustration.D. Avoid using a tracheostomy plug because it blocks the airway. 参考答案：B The nurse should allow ample time for the client to respond and shouldn’t speak for him. She should use as many aids as possible to assist the client with communicating and encourage the client when he attempts to communicate. When the client is ready, the nurse can use a tracheostomy plug to facilitate speech. The other options are inappropriate. 2.The nurse in the emergency department is assessing a 64-year-old client experiencing substernal chest pain. The client’s electrocardiogram shows evidence of myocardial ischemia. Which statement should indicate to the nurse that the client may be a candidate for thrombolytic therapy（） A. I have had chest pain for 2 days. B. My chest pain started 3 hours ago. C. My chest pain stops when I take a nitroglycerin pill. D. I have had chest pain on and off all week. 参考答案：B Because it takes 4 to 6 hours for myocardial cells to die, thrombolytic therapy should be given within 6 hours of the onset of chest pain to achieve the best results in an acute myocardial infarction. The client who has waited 2 days to be treated for chest pain won’t benefit from thrombolytic therapy. Chest pain that’s relieved by nitroglycerin is most likely due to angina and not an indication for thrombolytic therapy. Chest pain for 1 week is also beyond the 6-hour time limit. 3.A mother brings her 5-month-old female child to the pe