2023年辽宁美国护士资格认证(CGFNS)考试考前冲刺卷本卷共分为1大题50小题，作答时间为180分钟，总分100分，60分及格。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.When developing the postoperative plan of care for a child who is scheduled to have a tympanostomy tubes inserted into the right ear, which of the following interventions would the nurse identify to accomplish the goal of facilitating drainageAApplying warm compresses to the right ear.BApplying a gauze dressing to the left ear.CApplying an ice pack to the left ear.DPositioning the child to lie on the right side. 2.A client with intrauterine growth retardation is admitted to the labor and delivery unit and started on an IV infusion of oxytocin (Pitocin). Which of the following is LEAST likely to be included in her plan of careAMonitoring vital signs, including assessment of fetal well-being, every 15 to 30 minutes.BAllowing the client to ambulate as tolerated.CHelping the client use breathing exercises to manage her contractions.DCarefully titrating the oxytocin based on her pattern of labor. 3.Vasodilation or vasoconstriction produced by an external cause will interfere with an accurate assessment of a client with peripheral vascular disease (PVD). Therefore, the nurse shouldAkeep the client warm.Bmaintain room temperature at 78F (25.6).Ckeep the client uncovered.Dmatch the room temperature with the clients body temperature. 4.Which of the following is not a contributing factor to unstable blood sugars in the neonateAPrematurity.BRespiratory distress.CPostdated infant.DCesarean delivery. 5.A client had a nephrectomy 2 days ago and is now complaining of abdominal pressure and nausea. What should the nurse do firstAAuscultate for bowel sounds.BPalpate the abdomen.CChange the clients position.DInsert a rectal tube. 6.A client is to be discharged from an acute care facility after treatment of right leg thrombophlebitis. The nurse notes that the clients leg is pain free, without redness or edema. The nurses actions reflect which step in the nursing processAAssessment.BAnalysis.CImplementation.DEvaluation. 7.The nurse is instructing a client with angina about sublingual nitroglycerin. Which of the following points should be includedAThe shelf life of nitroglycerin is long, it keeps for up to 2 years.BStore the tablets in a tight, light-resistant container.CUse the tablets only when the pain is severe.DThe drug will cause increased urine output. 8.Otorrhea and rhinorrhea are most commonly seen with which type of skull fractureABasilar.BTemporal.COccipital.DParietal. 9.Mr. Smith has had a cast applied to his arm as an outpatient in the emergency room. Which of the following home care instructions should the nurse advice for his cast careAUse a ruler to reach inside and scratch under the cast.BApply a heating pad to the arm for 24 hours after the injury.CUse powder on the skin around the cast.DSmell the cast for foul odors. 10.A multigravida at 36 weeks gestation visits the emergency department because her boyfriend has beaten her severely. What should the nurse do firstAContact the authorities.BEnsure the clients safety.CIdentify a support person.DPhotograph the clients injuries. 11.Which of the following findings is suggestive of myocardial infarction (MI)ABelow-normal erythrocyte sedimentation rate.BElevated white blood cell count.CElevated serum cholesterol value.DElevated creatine phosphokinase (CPK) value. 12.Which one of the following observation would the nurse evaluate as an expected outcome for a client who has undergone surgical repair of an inguinal herniaAThe client will remain on a soft diet until the wound is healed.BThe clients voiding patterns will return to normal within 6 months after surgery.CThe client will use a cane for assistance with ambulation for 2 to 6 weeks after surgery.DThe client will verbalize understanding of instructions to avoid lifting for 2 to 6 weeks 13.For a client with a head injury whose neck has been stabilized, the preferred bed position isATrendelenburgs.B30-degree head elevation.Cflat.Dside-lying. 14.The nurse is caring for a client who is experiencing auditory hallucinations. What would be most critical for the nurse to assessAPossible hearing impairment.BFamily history of psychosis.CContent of the hallucinations.DPossible sella turcica tumors. 15.Which of the following signs or symptoms would lead the nurse to suspect that a 10-year-old child is experiencing early salicylate toxicityAChest pain.BPink-colored urine.CSlowed pulse rate.DDizziness. 16.Which of the following signs and symptoms is classic for a patient with