北京张博士医考护士出国考试辅导——CGFNS自我测试（十）

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Unit 10 1.Which of the following nursing actions should be included in the care plan for a client with acute hypercalcemia？

A. Monitor vital signs every hour B. Administer pain medication every 4 hours C. Encourage fluid intake to >2000ml/day D. Assess for numbness and tingling of extremities

2.Which of the following changes in fetal heart rate should the nurse recognize as indicative of potential abruptio placenta in the first few hours after a client has sustained trauma in a motor vehicle accident？

A. Accelerations B. Early decelerations C. Variable decelerations D. Late decelerations

3.A nurse in the prenatal clinic has a nutritional conference with a primigravida who is ten weeks pregnant. Which of these comments，if made by the woman，would be an accurate statement about nutritional needs？

A.“Since I don‘t like to drink milk，I’ve been using it in my cooking and eating extra cheese.”

B.“I‘m being careful with my weight. I’ll be sure to gain no more than sixteen pounds with the pregnancy.”

C.“I‘ll be using a salt substitute instead of salt throughout my pregnancy.”

D.“If I take multivitamins，then it will be all right for me to continue to omit my lunch.”

4.The nurse answers a call light for a client with preterm premature rupture of membranes. The client cries，“The baby is coming.”The nurse‘s first action should be to A. perform a sterile speculum exam. B. call for the primary care provider. C. inspect the introitus. D. call the neonatal team.

5.The most appropriate approach for the staff to take with the client who demonstrate anipulative aggressive behavior is to A. allow the client‘s favorite nurse to be her primary counselor. B. set clear limits on the client’s behavior. C. sedate the client with medication at signs of aggression. D. tell the client that his behavior is disruptive to other clients.

6.Which of these observations would be most important when caring for a client who has been using cocaine？

A. Elevated blood pressure B. Anorexia C. Hallucinations D. Irritability

7.A visitor approaches the nurse in the hallway and demands to know what is going on with his mother. The nurse is not assigned to care for the visitor‘s mother. The nurse’s best response would be A.“Let me help you find out about your mother.”

B.“Your mother is not my client.”

C.“I don‘t know anything about your mother.”

D.“There‘s no need to be so upset. I am sure someone will help you.”

8.A client dies in the emergency department following a physical assault. To maintain legal integrity，the nurse‘s most important responsibility is to A. notify the medical examiner of the client’s death. B. document activities of law enforcement and staff. C. remove invasive lines from the client. D. pack up all client belongings.

9.When caring for a client with a tunneled central venous catheter，which of the following manifestations requires immediate intervention by the nurse？

A. Redness at the catheter site B. Tenderness along the track of the catheter C. A loose dressing D. A small amount of blood in the dressing

10.A 31/2 -year-old is prescribed digoxin（Lanoxin）po. In view of the child‘s age，which of these approaches by the nurse would be most effective in getting the child to take his medication？

A.“If you take your medicine，you‘ll get to go home sooner.”

B.“I know that you are a good boy and will take your medicine for me.”

C.“Here is your medicine. Do you want to take it with water or juice？”

D.“Are you ready to take your medicine now，or do you want me to come back in ten minutes？”

Unit 10 ANSWERS：C D A C B // A A B B C

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