北京张博士医考护士出国考试辅导——CGFNS自我测试（十一）

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1.When caring for a patient who is receiving mechanical ventilation with positive endexpiratory pressure（PEEP），which of the following blood test results would indicate to a nurse that the treatment is having the desired effect？

A. PaO2，88 mm Hg B. pCO2，50 mm Hg C. Oxygen saturation，86% D. HCO3 20 mEq/L

2. To which of the following nursing diagnoses would a nurse give priority when caring for a patient who has syndrome of inappropriate secretion of antidiuretic hormone（SIADH）？

A. Decreased cardiac output B. Altered nutrition C. Urinary incontinence D. Fluid volume excess

3.Which of the following findings in a 13-year-old girl who has Crohn‘s disease would indicate that corticosteroid therapy has been effective？

A. Decreased complaints of abdominal pain B. Increase in the number of stools C. Moon-like appearance of the face D. Expansion of muscle mass

4.A nurse is observed taking all of the following actions when suctioning a patient who has a newly-placed tracheostomy tube. Which of the following actions require intervention？

A. Applying suction for less than 15 seconds at one time B. Administering 100% oxygen prior to starting suctioning C. Utilizing negative pressure of 120 mm Hg during suctioning D. Deflating the tracheostomy cuff for three minutes before initiating suction

5.Which of the following criteria would indicate improvement in an outpatient who has anorexia nervosa？

A. The patient reports putting“thin”clothes on display in her room as a reminder to maintain proper weight. B. The patient develops a plan to control negative feelings. C. The patient identifies the relationship between emotions and eating behaviors. D. The patient avoids contact with her dysfunctional family.

6.A 10-year-old boy who is in the terminal stages of Duchenne muscular dystrophy is being cared for at home. When evaluating for major complications of this disease，a nurse would give priority to assessing which of the following body systems？

A. Integumentary B. Neurological C. Respiratory D. Gastrointestinal

7.The parent of a 12-year-old child，who is on acetylsalicylic acid（Aspirin）therapy for juvenile rheumatoid arthritis，tells a nurse，“I just read an article that said Aspirin should not be given to children.”Which of the following responses by the nurse is most appropriate？

A.“Stop the Aspirin only if your child is diagnosed with a viral illness.”

B.“Your child can take a different anti-inflammatory instead of aspirin.”

C.“Because the Aspirin dose your child receives is so small，the risk is minimal.”

D.“The benefits of Aspirin for your child outweigh the risks.”

8.When teaching the caregivers of a patient who has dementia of the Alzheimer type，a nurse should stress the importance of A. increased stimuli. B. a predictable environment. C. restricted activities. D. independent decision-making.

9.The post-prandial serum glucose level of a pregnant woman who is at 24 weeks‘gestation is 160 mg/dL. A nurse would expect the woman to have which of the following tests performed？

A. Fasting blood glucose B. Glycosated hemoglobin C. Plasma glucagon level D. Qualitative urine glucose

10. Which of the following symptoms is consistent with a diagnosis of borderline personality disorder？

A. Magical thinking B. Intense，labile affect C. Avoidance of relationships D. Multiple somatic complaints

Answers：C D C C A / B C D A A

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