北京张博士医考护士出国考试辅导之——CGFNS自我测试（四）

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Unit 4 1. The mother of a child who just returned from a cardiac catheterization asks the nurse why her son has to keep his leg straight for 4-6 hours. The nurse‘s response includes which of the following statements？

A.“This will maintain circulation.”

B.“This will minimize pain and discomfort.”

C.“This will facilitate healing of the vessel.”

D.“This will promote adequate rest for the heart.”

2. While caring for a client diagnosed with schizophrenia，the nurse knows that the client may have trouble with A. staff who are cheerful. B. violent behaviors. C. simple direct sentences. D. multistage commands. 3. A nurse is caring for a patient who underwent a transurethral resection of the prostate（TURP）several hours ago. The patient experiences nausea，confusion，elevated blood pressure and decreased pulse rate. The nurse would most likely suspect which of the following conditions to develop in the patient？

A. Bladder spasms B. Dehydration C. Hyponatremia D. Sepsis 4. A woman phones the psychiatric department nurses‘station and tells a nurse that her husband was brought to the hospital yesterday after taking an overdose of Aspirin. The woman asks the nurse how her husband is doing. The most appropriate action of the nurse is to A. tell the patient that a woman who says she is his wife is on the phone and ask him if he wants the nurse to talk to her. B. report the woman to the patient’s primary doctor. C. give the wife a brief accurate report on her husband‘s condition. D. explain to the woman that she cannot release information about psychiatric patients. 5. Immediately after delivery，a newborn is given to the nurse. Which of the following interventions would the nurse perform first with the newborn？

A. Dry thoroughly B. Obtain the weight C. Apply an identification band D. Check the number of umbilical vessels 6. An elderly postoperative patient is disoriented to time and place. During rounds，the night charge nurse finds him standing at the side of the bed. The patient says to the nurse，“I‘m waiting for the bus.”Which of the following interventions by the nurse would be most appropriate？

A. Place the patient in a wheelchair and allow him to sit in front of the nurses‘station B. Re-orient the patient，assist him back to bed and observe him closely C. Assist the patient back to bed and put on a posey jacket D. Call the patient’s family to come and sit with him 7. A nurse is giving change of shift report and the nurses from the next shift start talking about the birthday party for a co-worker. The best approach for the nurse giving the report is to A. speak more loudly and continue the report. B. stop giving the report and wait for the others to finish their discussion. C. state that she would like to continue with the report. D. join in the discussion. 8. When discussing diet with a newly diagnosed pregnant woman who is diabetic and taking insulin，the nurse should A. confirm that dietary and insulin needs may vary throughout the pregnancy thus requiring close follow-up. B. emphasize the normalcy of pregnancy and the fact that her prescribed pre-pregnancy diet will be suitable. C. explain that pregnancy increases the need for protein and calcium but that will be the only needed diet adjustment. D. instruct her to self-regulate her diet and insulin based on daily urine tests for glucose. 9. Neuroleptic malignant syndrome（NMS）is a potentially lethal complication of treatment with antipsychotic drugs. Which of the following manifestations should the nurse recognize as an early sign of NMS？

A. Difficulty swallowing B. Unstable blood pressure C. Respiratory depression D. Muscle stiffness 10. A nurse should be aware that morphine sulfate is administered to a patient who has pulmonary edema in order to A. decrease pain. B. diminish venous return to the heart. C. decrease the respiratory rate. D. reduce the glomerular filtration rate.

Unit 4 Answers：A B C D A / B C A D B

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