新整理山西美国护士资格认证(CGFNS)考试模拟练习卷（3）.docVIP

山西美国护士资格认证(CGFNS)考试真题卷（3） 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.Following an earthquake, a client who was rescued from a collapsed building is seen in the emergency department. He has blunt trauma to the thorax and abdomen. Which nursing observation most suggests the client is bleeding A．Prolonged partial thromboplastin time (PTT).B．Recent history of warfarin (Coumadin) usage.C．Diminished breath sounds.D．Orthostatic hypotension. 参考答案：DBleeding is a volume-loss problem, which causes a drop in blood pressure. As the bleeding persists and the bodys ability to compensate declines, orthostatic hypotension becomes evident. A prolonged PTT and a history of warfarin usage are causes of bleeding but arent evidence of bleeding. As bleeding persists and the clients level of consciousness declines, breathing will become more shallow and breath sounds will diminish; however, this is a late and unreliable manifestation of bleeding. 2.Which of the following home care activities would be appropriate for a client with a laryngectomy A．Keep the stoma opening covered at all times.B．Participate in activities such as walking and golfing.C．Stay inside in an air-conditioned environment in the summer.D．Avoid showering; take tub baths instead. 参考答案：BThe client should be encouraged to participate in activities such as walking, golfing, and other moderate recreational sports. 3.The nurse teaches the mother of an infant diagnosed with congenital hypothyroidism about daily oral levothyroxine sodium (Synthroid) therapy. Which of the following signs and symptoms would indicate an overdose A．Anorexia.B．Constipation.C．Sweating.D．Sleepiness. 参考答案：CSweating, insomnia, rapid pulse, dyspnea, irritability, fever, and weight loss are all signs indicating levothyroxine (Synthroid) overdose. 4.A client has been told to take ibuprofen (Motrin, Advil) to relieve the pain of her rheumatoid arthritis. Which of the following statements indicate