2025年護(hù)士執(zhí)業(yè)資格考試題庫(kù)（急危重癥護(hù)理學(xué)專項(xiàng)）護(hù)理專業(yè)英語(yǔ)試題考試時(shí)間：______分鐘總分：______分姓名：______一、詞匯與語(yǔ)法（每題2分，共20分）1.Thenursecarefully**[________**]thepatient’svitalsignstodetectanyearlysignsofdeterioration.A.examinedB.observedC.monitoredD.palpitated2.Whenadministeringmedication,thenurseshouldensurethatthepatient**[________**]themedicationcorrectly.A.understandsB.ingestsC.absorbsD.retains3.Thenurseneedsto**[________**]thepatient’smedicalhistorytoidentifyanypotentialdruginteractions.A.researchB.documentC.assessD.inquire4.Duringtheemergency,thenurse**[________**]thepatient’sairway,breathing,andcirculation.A.securedB.evaluatedC.managedD.supported5.Itisimportantforthenurseto**[________**]thepatient’spainlevelsthroughoutthetreatment.A.monitorB.manageC.relieveD.prevent6.Thenurseshould**[________**]thepatient’sskinregularlytopreventpressureulcers.A.inspectB.documentC.measureD.clean7.Thenurseneedsto**[________**]thepatient’sdietaryrestrictionstoensurepropernutrition.A.followB.monitorC.provideD.adapt8.Whencaringforapatientwithacentralline,thenurseshould**[________**]theinsertionsiteforsignsofinfection.A.inspectB.monitorC.assessD.document9.Thenurseshould**[________**]thepatient’semotionalstatetoprovideappropriatesupport.A.monitorB.evaluateC.supportD.document10.Thenurseneedsto**[________**]thepatient’sdischargeinstructionstoensuretheyunderstandthecaretheyneedathome.A.explainB.demonstrateC.reinforceD.provide二、閱讀理解（每題2分，共20分）Readthefollowingpassageandanswerthequestionsthatfollow.TheImportanceofCommunicationinNursingEffectivecommunicationisacrucialskillfornurses,asitplaysasignificantroleinpatientcare,teamwork,andoverallhealthcareoutcomes.Goodcommunicationskillsenablenursestoprovidehigh-qualitycare,buildtrustwithpatients,andworkeffectivelywithotherhealthcareprofessionals.Oneoftheprimaryfunctionsofcommunicationinnursingistogatherinformation.Nursesneedtoasktherightquestionstoassessthepatient’scondition,identifypotentialhealthissues,andensureaccuratediagnosis.Clearcommunicationalsohelpsnursesprovideinstructionstopatientsandtheirfamiliesregardingtreatment,medication,andcareathome.Teamworkisanothercriticalaspectofnursing,andeffectivecommunicationisessentialforsuccessfulcollaboration.Nursesoftenworkinmultidisciplinaryteams,includingphysicians,pharmacists,therapists,andotherhealthcareprofessionals.Bymaintainingopenandclearcommunication,nursescanensurethateveryoneinvolvedinthepatient’scareisonthesamepageandworkingtowardsthesamegoals.Goodcommunicationskillsalsocontributetopatientsatisfactionandsafety.Whenpatientsfeelthattheirconcernsarebeingheardandaddressed,theyaremorelikelytotrustthehealthcareteamandfollowtreatmentplans.Additionally,effectivecommunicationcanpreventmedicalerrors,asnursesarebetterabletoidentifyandclarifypotentialissues.Inthissection,wewilldiscusssomekeyaspectsofcommunicationinnursing,includingactivelistening,nonverbalcommunication,andculturalcompetence.11.Whatisthemainpurposeofcommunicationinnursing?A.ToprovidemedicalcareB.TobuildtrustwithpatientsC.ToensureaccuratediagnosisD.Alloftheabove12.Howdoeseffectivecommunicationcontributetopatientsatisfaction?A.Byprovidinghigh-qualitycareB.BybuildingtrustwithpatientsC.BypreventingmedicalerrorsD.Alloftheabove13.Whatisoneofthekeyfunctionsofcommunicationinnursing?A.ToprovideinstructionstopatientsB.ToworkeffectivelywithotherhealthcareprofessionalsC.ToensureaccuratediagnosisD.Alloftheabove14.Whatistheprimarybenefitofeffectivecommunicationinteamwork?A.ToprovidemedicalcareB.TobuildtrustwithpatientsC.ToensureaccuratediagnosisD.Tomaintainopenandclearcommunication15.WhichofthefollowingisNOTakeyaspectofcommunicationinnursing?A.ActivelisteningB.NonverbalcommunicationC.CulturalcompetenceD.Medicationadministration16.Howdoeseffectivecommunicationcontributetopatientsafety?A.BypreventingmedicalerrorsB.BybuildingtrustwithpatientsC.ToensureaccuratediagnosisD.Byprovidinghigh-qualitycare17.Whyisculturalcompetenceimportantinnursing?A.ToprovideculturallyappropriatecareB.ToensureaccuratediagnosisC.ToworkeffectivelywithotherhealthcareprofessionalsD.Tomaintainopenandclearcommunication18.Whatisthemaingoalofactivelisteninginnursing?A.TogatherinformationB.ToprovideinstructionsC.TomaintainopenandclearcommunicationD.Todemonstrateempathy19.Whichofthefollowingisanexampleofnonverbalcommunicationinnursing?A.WritingaprescriptionB.MaintainingeyecontactC.Askingopen-endedquestionsD.Providingpatienteducation20.Whatistheoverallpurposeofthispassage?A.TodiscusstheimportanceofcommunicationinnursingB.ToprovidestrategiesforimprovingcommunicationskillsC.TodescribetherolesofvarioushealthcareprofessionalsD.Toexplaintheprocessofpatientcare四、護(hù)理病例分析（每題5分，共25分）1.A45-year-oldmalepatientisadmittedtotheemergencydepartmentwithachiefcomplaintofchestpain.Thepainisdescribedassevere,sharp,andradiatingtotheleftarmandneck.Thepatienthasahistoryofhypertensionandhyperlipidemia.Onphysicalexamination,thepatient’sbloodpressureis180/100mmHg,heartrateis100bpm,andtheelectrocardiogram(ECG)showsST-segmentelevationintheinferiorleads.Thenurseisresponsibleforprovidinginitialcare.Listthefollowingstepsthenurseshouldtake:A.Administeraspirinandnitroglycerin.B.Performa12-leadECG.C.Preparethepatientforpossiblecardiaccatheterization.D.Callforacodeblue.E.Assessthepatient’spainlevelusingtheNumericRatingScale(NRS).F.Monitorthepatient’scardiacoutput.G.Provideemotionalsupporttothepatient.2.A75-year-oldfemalepatientisadmittedtothehospitalwithadiagnosisofpneumonia.Thepatienthasahistoryofchronicobstructivepulmonarydisease(COPD)andiscurrentlyonoxygentherapy.Thepatient’svitalsignsareasfollows:temperature102°F,heartrate110bpm,respiratoryrate24breaths/min,andbloodpressure88/54mmHg.Thenurseisresponsibleformanagingthepatient’scare.Listthefollowinginterventionsthenurseshouldimplement:A.Increasethepatient’soxygenflowrate.B.Administerantibiotics.C.Monitorthepatient’soxygensaturationlevels.D.Encouragethepatienttoperformdeepbreathingexercises.E.Providepainmanagementasneeded.F.Assessthepatient’slevelofhydration.G.Educatethepatientontheimportanceoffollowingtheprescribedtreatmentplan.五、選擇題（每題2分，共20分）1.Whichofthefollowingisacommoncauseofventilator-associatedpneumonia(VAP)?A.AspirationofgastriccontentsB.InadequatehandhygieneC.UseofanendotrachealtubeD.Alloftheabove2.Thenurseiscaringforapatientwithacentralline.Whichofthefollowingsignsindicateapotentialinfectionattheinsertionsite?A.RednessandswellingB.IncreasedheartrateC.FeverD.Alloftheabove3.Apatientwithahistoryofdiabetesmellitusisadmittedtothehospitalforafootulcer.Whichofthefollowinginterventionsismostimportantforpreventinginfection?A.KeepingthefootcleananddryB.ApplyingantibioticointmentC.ElevatingthefootD.Alloftheabove4.Thenurseisprovidingcareforapatientwithasuspectedallergicreaction.Whichofthefollowingmedicationsshouldbeadministeredimmediately?A.AntihistaminesB.SteroidsC.EpinephrineD.Alloftheabove5.Apatientisexperiencingsevereabdominalpainandvomiting.Whichofthefollowingfindingsismostindicativeofapossiblesurgicalemergency?A.DistendedabdomenB.TendernessonpalpationC.DiarrheaD.Alloftheabove6.Thenurseiscaringforapatientwithaspinalcordinjury.Whichofthefollowingprecautionsshouldbetakentopreventpressureulcers?A.RegularlyrepositioningthepatientB.Usingaspecializedpressure-relievingmattressC.EnsuringpropernutritionD.Alloftheabove7.Apatientwithahistoryofheartfailureisadmittedtothehospitalwithworseningshortnessofbreath.Whichofthefollowingassessmentsismostimportanttoperform?A.BloodpressureB.HeartrateC.OxygensaturationlevelsD.Alloftheabove8.Thenurseiscaringforapatientwithaheadinjury.Whichofthefollowinginterventionsismostimportantforpreventingsecondarybraininjury?A.AdministeringpainmedicationB.MaintainingproperheadpositionC.MonitoringintracranialpressureD.Alloftheabove9.Apatientwithahistoryofasthmaisexperiencinganacuteexacerbation.Whichofthefollowingmedicationsshouldbeadministeredfirst?A.Short-actingbeta-agonistB.Long-actingbeta-agonistC.SteroidsD.Alloftheabove10.Thenurseisprovidingcareforapatientwithatraumaticbraininjury.Whichofthefollowingsignsindicateapossibleincreaseinintracranialpressure?A.AlteredlevelofconsciousnessB.DilatedpupilsC.SeizuresD.Alloftheabove六、簡(jiǎn)答題（每題5分，共25分）1.Describetheimportanceofhandhygieneinpreventinghealthcare-associatedinfections.2.Explaintheroleofthenurseinprovidingpainmanagementforpatients.3.Discussthestepsinvolvedinthenursingprocesswhencaringforapatientwithachroniccondition.4.Describethesignsandsymptomsofshock,andexplaintheimmediatenursinginterventionsthatshouldbetaken.5.Discusstheimportanceofpatienteducationinpromotingself-careandpreventingrehospitalization.本次試卷答案如下：一、詞匯與語(yǔ)法1.A解析：選項(xiàng)A"examined"意為“檢查”，符合護(hù)士監(jiān)測(cè)生命體征的情境。2.A解析：選項(xiàng)A"understands"意為“理解”，符合護(hù)士確保患者正確服用藥物的要求。3.D解析：選項(xiàng)D"inquire"意為“詢問(wèn)”，符合護(hù)士了解患者病史以識(shí)別潛在藥物相互作用的要求。4.C解析：選項(xiàng)C"managed"意為“管理”，符合護(hù)士在緊急情況下管理患者生命體征的情境。5.A解析：選項(xiàng)A"monitor"意為“監(jiān)測(cè)”，符合護(hù)士監(jiān)測(cè)患者疼痛水平的要求。6.A解析：選項(xiàng)A"inspect"意為“檢查”，符合護(hù)士定期檢查患者皮膚以預(yù)防壓瘡的要求。7.A解析：選項(xiàng)A