CGFNS Practice Test

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Question 1
When monitoring the blood glucose level of a patient receiving parenteral nutrition, the nurse finds a blood glucose level of 220 mg/dL.  The nurse should respond by:
Administering intravenous dextrose
Notifying the physician and slowing the infusion rate
Restricting fluids and administering a diuretic
Notifying the physician and administering oxygen
Question 1 Explanation: 
The client has an elevated blood glucose level, suggesting the patient is experiencing hyperglycemia. The nurse should notify the physician, slow the infusion rate, administer insulin as prescribed, and monitor blood glucose levels.
Question 2
A client has been provided an order for Bupropion (Wellbutrin).  When should the nurse administer the order?
Early in the day
On an empty stomach
Immediately before bed
When the patient requests it
Question 2 Explanation: 
Bupropion (Wellbutrin) should be administered once a day, early in the day, in an amount according to the prescription. Maximum dosage of 400 mg per day.
Question 3
A nurse is instructing a group of school children on Lyme disease prevention prior to an outdoor nature lesson.  Which of the following statements by a student indicates that the student has not been listening?
“I should stay on the path and not wander into tall grasses”
“I should bring insect repellent to keep insects away”
“I should wear a hat”
“I should wear a t-shirt and shorts so I can see if I have been bitten”
Question 3 Explanation: 
The student stating that, "I should wear a t-shirt and shorts" was not listening, because proper attire should cover skin to prevent bites. Other responses indicate proper prevention techniques, including using bug repellent, staying out of tall grass, and wearing a hat.
Question 4
Which of the following is not a potential source of acquired immunity?
Antibodies received from the mother
Animal serum
Prescribed multivitamins
Antibodies received in response to disease
Question 4 Explanation: 
Vitamins cannot result in immunity. Acquired immunity can come from animal serum, antibodies received in response to disease, and antibodies received from the mother.
Question 5
The therapy that where a focus on the therapist-client relationship is used to modify a client's feelings, attitude, and behaviors is:
Cognitive therapy
Behavior therapy
Family therapy
Interpersonal psychotherapy
Question 5 Explanation: 
Interpersonal psychotherapy focuses on the therapist-client relationship to modify a client's feelings, attitude, and behaviors.
Question 6
If a client taking procainamide (Procanbid) intravenously complains of dizziness, the first nursing intervention is to:
Measure the heart rate on the rhythm strip
Administer ordered nitroglycerin tablets
Auscultate the client's apical pulse and obtain a blood pressure
Obtain a 12-lead electrocardiogram immediately
Question 6 Explanation: 
Side effects of procainamide (Procanbid) include severe dizziness, fainting, and low blood pressure. The nurse should first check the blood pressure of the client to ensure that it has not dropped to a dangerous level. Other side effects of procainamide (Procanbid) include fever, sore throat, sore mouth, infection, wheezing, chest pain, usual bruising, dark urine, and hallucinations.
Question 7
The nurse is in the preinteraction phase of the nurse-client relationship where the client has been sexually assaulted.  During this phase, the nurse should:
Identify responses related to termination and separation
Explore personal ideas, stereotypes, and biases that my affect the nurse-client relationship
Identify themes of patterns of patient behavior and possible coping mechanisms
Actively listen to the client express his thoughts and feelings
Question 7 Explanation: 
During the preinteraction phase the nurse should explore personal ideas, stereotypes, and biases that my affect the nurse-client relationship. An understanding of personal values and how they may factor into the nurse-client relationship is essential for success in later stages.
Question 8
Which of the following is the priority assessment in the client being treated for acute congestive heart failure with bumetanide (Bumex) intravenously?
Monitoring urine output
Monitoring potassium level
Monitoring blood pressure
Monitoring weight loss
Question 8 Explanation: 
Bumetanide (Bumex) is used for to treat mild and moderate hypertension in patients with congestive heart failure. The nurse should monitor that Bumetanide is having a therapeutic effect by lowering blood pressure.
Question 9
The nurse anticipates the following laboratory study to assess the therapeutic effect in the client taking heparin intravenously:
Prothrombin time
Activated partial thromboplastin time
Question 9 Explanation: 
Activated partial thromboplastin time is used by the nurse to assess the therapeutic effect of Heparin. Heparin on average increases a patient's activated partial thromboplastin time by 1.5 to 2 times the time without Heparin, where the average value is 25-30 seconds.
Question 10
Before restructuring the nursing assignment process, the nursing manager seeks formal input from every nurse before making a decision.  This is an example of which leadership style?
Autocratic leadership
Laissez-faire leadership
Democratic leadership
Situational leadership
Question 10 Explanation: 
Democratic leadership, also called participative leadership, is where members of the group take a participative role in the decision-making process. Under this leadership style, group members are encouraged to share ideas and opinions, even though the leader retains final say over decisions.
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