北京张博士医考护士出国考试辅导——CGFNS自我测试(八)
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Unit 8 1. In which of the following situations has the nurse violated the client‘s right of privacy?
A. The nurse informed law enforcement officials about the client‘s gunshot wound. B. The nurse turned off the computer after documenting the client’s status. C. The nurse carried unprotected client information in the elevator. D. The nurse reported suspected child abuse to law enforcement officials.
2. When caring for a client with a femoral venous catheter,it is essential for the nurse to A. irrigate the catheter with sterile saline solution to maintain patency. B. maintain sterile technique when working with the catheter. C. assess the pressure dressing frequently for bleeding. D. limit the mobility of the affected limb.
3.A 70 year old client,diagnosed with type 2 diabetes,has been taking Glucophage(metformin)500 mg tid. Which of the following laboratory results should the nurse report?
A. Blood urea nitrogen of 15 mg/dl B. Serum albumin level of 3.5 g/dl C. Blood glucose level of 40 mg/dl D. Serum creatinine level of 0.6 mg/dl
4.Which of the following outcomes would indicate the most effective response by a school aged child to asthma medication?
A. Ability to participate in active sports for longer periods B. Decrease in allergy skin testing measurements C. Peak expiratory flow rate within normal limits D. Ability to eliminate breathing exercises on weekends and school holidays
5.An elderly client displays interest in alternative therapies,such as acupuncture. Which of the following interventions by the nurse would be appropriate?
A. Encourage use of more scientifically proven therapies. B. Identify a conventional therapy that can substitute for the alternative one. C. Educate the client about the risk and benefits of the alternative therapy. D. Explain that alternative therapies are not a viable option for older clients.
6.A client exhibits coughing,sneezing,dyspnea and wheezing. The nurse administers oxygen therapy to the client. Which of the following outcome measures would the nurse expect to see as a result of the oxygen therapy?
A. Improved respiratory rate and rhythm B. Delayed capillary refill C. Absence of pain D. Improved cardiac function
7.A client with type 2 diabetes complains of nausea,vomiting,diaphoresis and headache. Which of the following nursing interventions should the nurse carry out first?
A. Withhold the client‘s next insulin injection. B. Test the client’s blood glucose level. C. Administer Tylenol(acetaminophen)as ordered. D. Offer fruit juice,gelatin and chicken bouillon.
8.A woman in labor is receiving an antibiotic. She suddenly complains of trouble breathing,weakness and nausea. The nurse should recognize that these signs are usually indicative of impending A. pulmonary egophony. B. amniotic fluid embolism. C. anaphylaxis. D. bronchospasm.
9.In the absence of a signed release by the client,the mental health nurse may share information with A. the client‘s family. B. the client’s lawyer. C. other client‘s in the therapeutic group. D. those involved in the treatment plan.
10.A client is admitted for overnight observation following a blow to the head during a baseball game. Which of the following assessments warrants immediate nursing action?
A. Widening pulse pressure and bradycardia B. Narrowing pulse pressure and tachycardia C. Increasing respiration and irregular pulse rate D. Narrowing pulse deficit and decreased level of consciousness
Unit 8 Answers:C B D C C // A B C A B
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