ISPN & CGFNS CGFNS Qualifying Exam Preparation 2 — Questions and Answers
Question 1: Which area of the CGFNS-QE covers nursing interventions related to pain management?
- Physiological Integrity — Basic Care and Comfort (Correct answer)
- Psychosocial Integrity
- Safe and Effective Care Environment — Management of Care
- Health Promotion and Maintenance
Correct answer: Physiological Integrity — Basic Care and Comfort
Pain management falls under Physiological Integrity, specifically the Basic Care and Comfort subcategory, which addresses comfort and rest interventions.
Question 2: What does the CGFNS-QE result report indicate to a state board of nursing?
- The likelihood that the nurse will pass the NCLEX-RN (Correct answer)
- The nurse's final US licensure status
- The nurse's immigration visa approval
- A guarantee of employment in the state
Correct answer: The likelihood that the nurse will pass the NCLEX-RN
The CGFNS-QE result indicates the probability of the nurse passing the NCLEX-RN; a passing score signals readiness, but licensure itself is granted by the state board.
Question 3: Which infection control concept is commonly tested on the CGFNS-QE under the Safe Care Environment category?
- Standard and transmission-based precautions (Correct answer)
- Advanced pharmacogenomics
- Surgical suture techniques
- Radiation oncology protocols
Correct answer: Standard and transmission-based precautions
Standard and transmission-based precautions are fundamental infection control measures heavily tested under the Safe and Effective Care Environment category.
Question 4: Which nursing action reflects the CGFNS-QE principle of management of care?
- A nurse correctly delegates a blood glucose check to a certified nursing assistant (Correct answer)
- A nurse administers IV chemotherapy independently
- A nurse diagnoses a psychiatric disorder
- A nurse performs an appendectomy under supervision
Correct answer: A nurse correctly delegates a blood glucose check to a certified nursing assistant
Correctly delegating appropriate tasks to assistive personnel is a management of care competency tested on both the CGFNS-QE and NCLEX-RN.
Question 5: A CGFNS-QE question asks about the correct action when a patient's oxygen saturation drops to 88%. What category does this fall under?
- Physiological Adaptation (Correct answer)
- Health Promotion
- Psychosocial Integrity
- Safe Environment — Safety and Infection Control
Correct answer: Physiological Adaptation
Responding to a declining oxygen saturation is a physiological adaptation scenario involving recognition and management of acute physiological changes.
Question 6: When preparing for the CGFNS-QE, why is understanding US nursing scope of practice important?
- Because exam questions are based on US standards of nursing practice, which may differ from the nurse's home country (Correct answer)
- Because CGFNS only accepts candidates from countries that mirror US nursing laws
- Because US scope of practice is tested as trivia about American history
- Because passing requires knowledge of US immigration law
Correct answer: Because exam questions are based on US standards of nursing practice, which may differ from the nurse's home country
Questions are written according to US nursing scope of practice standards, so candidates from other countries must understand how US nursing roles and responsibilities are defined.
Which area of the CGFNS-QE covers nursing interventions related to pain management?