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浙江美国护士资格认证(CGFNS)考试模拟卷
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.Which laboratory test results would the nurse expect to find in a client diagnosed with Hashimotos thyroiditis
A.Thyroxine (T4), 22μg/dL; triiodothyronine (T3), 320ng/dL; thyroid-stimulating hormone (TSH) undetectable.B.T4, 22μg/dL; T3, 200ng/dL; TSH,0.1μIU/mL.C.T4, 2μg/dL; T3, 200ng/dL; TSH,5.9μIU/mL.D.T4, 2μg/dL; T3, 35ng/dL; TSH,45μIU/mL.
参考答案:DNormal thyroid function tests are as follows: T4, 5 to 12 μg/dL; T3, 65 to 195 μg/dL; TSH 0.3 to 5.4μIU/mL. With Hashimotos thyroiditis, T4 and T3 levels are typically subnormal and TSH is elevated. With primary hyperthyroidism, T4 and T3 levels are elevated and TSH is subnormal (options A and B). With hypothyroidism, T4 is subnormal and T3 and TSH levels are elevated (option C).
2.A 45-year-old auto mechanic comes to the physicians office because an exacerbation of his psoriasis is making it difficult to work. He tells the nurse that his finger joints are stiff and sore in the morning. The nurse should respond by
A.inquiring further about this problem because psoriatic arthritis can accompany psoriasis vulgaris.B.suggesting he take aspirin for relief because its probably early rheumatoid arthritis.C.validating his complaint but assuming its an adverse effect of his vocation.D.asking him if he has been diagnosed or treated for carpal tunnel syndrome.
参考答案:AAnyone with psoriasis vulgaris who reports joint pain should be evaIuated for psoriatic arthritis. Approximately 15% to 20% of individuals with psoriasis will also develop psoriatic arthritis, which can be painful and cause deformity. It would be incorrect to assume that his pain is caused by early rheumatoid arthritis or his vocation without asking more questions or performing diagnostic studies. Carpal tunnel syndrome causes sensory and motor changes in the fingers rather than localized pain in the joints.
3.The physician prescribes amoxicillin
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