?？漆t(yī)院護(hù)理醫(yī)學(xué)英語能力考核試卷

專科醫(yī)院護(hù)理醫(yī)學(xué)英語能力考核試卷考生姓名：答題日期：得分：判卷人：

本次考核旨在評(píng)估?？漆t(yī)院護(hù)理人員在實(shí)際工作中運(yùn)用英語進(jìn)行護(hù)理交流的能力，包括醫(yī)療術(shù)語的正確使用、病情描述的準(zhǔn)確性以及與患者和同事的溝通技巧。

一、單項(xiàng)選擇題（本題共30小題，每小題0.5分，共15分，在每小題給出的四個(gè)選項(xiàng)中，只有一項(xiàng)是符合題目要求的）

1.Thepatientisexperiencingasuddenonsetofseverechestpain.WhatisthemostappropriatetermtouseinEnglish?

A)Angina

B)Myocardialinfarction

C)Pulmonaryembolism

D)Appendicitis

2.Whenreportingapatient'sbloodpressure,thecorrectEnglishtermfor"systolic"is:

A)Diastolicpressure

B)Meanarterialpressure

C)Systolicpressure

D)Pulsepressure

3.Whichofthefollowingisthecorrectwaytosay"thepatient'stemperatureis38degreesCelsius"inEnglish?

A)Thepatienthasatemperatureof38degreesCelsius

B)Thepatient'stemperatureis38Celsius

C)Thepatientis38degreesCelsiusintemperature

D)38degreesCelsiusisthepatient'stemperature

4.InEnglish,howwouldyoudescribeapatientwhoisconsciousbutcannotrespondtostimuli?

A)Unconscious

B)Comatose

C)Awakeandalert

D)Semiconscious

5.Thepatienthasbeendiagnosedwithchronicobstructivepulmonarydisease(COPD).WhatistheEnglishabbreviationforCOPD?

A)COPD

B)CEPD

C)COP

D)COPD

6.Whendiscussingapatient'sfluidintakeandoutput,whatistheEnglishtermfor"intake"?

A)Output

B)Inflow

C)Output

D)Intake

7.Thepatienthasahistoryofasthma.WhatistheEnglishtermfor"asthmaattack"?

A)Bronchospasm

B)Exacerbation

C)Pneumonia

D)Hypoxia

8.Thepatient'sheartrateisirregularandtherhythmisnotnormal.WhatistheEnglishtermforthiscondition?

A)Bradycardia

B)Tachycardia

C)Atrialfibrillation

D)Cardiacarrest

9.Whendescribingthelevelofconsciousness,whichEnglishtermisusedtoindicateapatientisawakeandfullyalert?

A)Comatose

B)Stuporous

C)Confused

D)Alert

10.Thepatienthasafeverandissweating.WhatistheEnglishtermforsweatingcausedbyfever?

A)Diaphoresis

B)Anhidrosis

C)Hyperhidrosis

D)Hypothermia

11.Thepatientisexperiencingdifficultybreathing.WhatistheEnglishtermforshortnessofbreath?

A)Dyspnea

B)Apnea

C)Bradypnea

D)Tachypnea

12.Thepatient'sskinispaleandcooltothetouch.WhatistheEnglishtermforthissign?

A)Cyanosis

B)Pallor

C)Jaundice

D)Erythema

13.Whenthepatienthasafracture,whatistheEnglishtermforthecondition?

A)Bruise

B)Fracture

C)Sprain

D)Dislocation

14.Thepatientisreceivingintravenousfluids.WhatistheEnglishtermforthefluidbeingadministered?

A)Saline

B)Dextrose

C)IVfluid

D)Blood

15.Thepatienthasbeendiagnosedwithdiabetesmellitus.WhatistheEnglishabbreviationfordiabetesmellitus?

A)DM

B)DMV

C)DMS

D)DM2

16.Whendiscussingthepatient'sdiet,whatistheEnglishtermfor"dietaryrestrictions"?

A)Dietplan

B)Dietaryrestrictions

C)Nutritionguidelines

D)Foodrestrictions

17.Thepatientisonaliquiddiet.WhatistheEnglishtermforadietconsistingonlyofliquids?

A)Soliddiet

B)Semi-liquiddiet

C)Liquiddiet

D)Pureediet

18.Thepatienthasalegulcer.WhatistheEnglishtermforanopensoreontheskin,oftencausedbypoorcirculation?

A)Bruise

B)Ulcer

C)Rash

D)Infection

19.Thepatientisallergictopenicillin.WhatistheEnglishtermforasubstancethatcausesanallergicreaction?

A)Allergen

B)Anaphylaxis

C)Hypersensitivity

D)Autoimmune

20.Thepatientisexperiencingnauseaandvomiting.WhatistheEnglishtermforthefeelingofnausea?

A)Nausea

B)Vomiting

C)Diarrhea

D)Constipation

21.Thepatienthasbeendiagnosedwithhyperthyroidism.WhatistheEnglishtermforanoveractivethyroidgland?

A)Hyperthyroidism

B)Hypothyroidism

C)Thyroiditis

D)Goiter

22.Thepatienthasaheadache.WhatistheEnglishtermforpaininthehead?

A)Cephalgia

B)Migraine

C)Vertigo

D)Syncope

23.Thepatienthasasorethroat.WhatistheEnglishtermforinflammationofthethroat?

A)Pharyngitis

B)Laryngitis

C)Tonsillitis

D)Strepthroat

24.Thepatienthasbeendiagnosedwithcancer.WhatistheEnglishtermforagroupofcellsthatgrowoutofcontrol?

A)Tumor

B)Lesion

C)Mass

D)Infection

25.Thepatientisexperiencingbackpain.WhatistheEnglishtermforpainintheback?

A)Lumbarpain

B)Cervicalpain

C)Myalgia

D)Neuralgia

26.Thepatienthasbeendiagnosedwithdepression.WhatistheEnglishtermforamentalhealthdisordercharacterizedbypersistentsadnessandlossofinterest?

A)Depression

B)Anxiety

C)Bipolardisorder

D)Schizophrenia

27.Thepatienthasbeendiagnosedwithhypertension.WhatistheEnglishtermforhighbloodpressure?

A)Hypertension

B)Hypotension

C)Bradycardia

D)Tachycardia

28.ThepatienthasbeendiagnosedwithHIV/AIDS.WhatistheEnglishtermforthehumanimmunodeficiencyvirus?

A)HIV

B)HCV

C)HSV

D)HPV

29.Thepatienthasaskinrash.WhatistheEnglishtermforanareaofskinthatlooksdifferentfromthesurroundingskin?

A)Lesion

B)Rash

C)Bruise

D)Wound

30.Thepatientisexperiencingjointpain.WhatistheEnglishtermforpaininthejoints?

A)Myalgia

B)Arthralgia

C)Neuralgia

D)Cephalgia

二、多選題（本題共20小題，每小題1分，共20分，在每小題給出的選項(xiàng)中，至少有一項(xiàng)是符合題目要求的）

1.WhencommunicatingwithapatientwhohaslimitedEnglishproficiency,whichofthefollowingstrategiesismosteffective?

A)Speakingslowlyandclearly

B)Usingmedicaljargontodemonstrateprofessionalism

C)Utilizinggesturesandnon-verbalcues

D)ProvidingwritteninstructionsinbothEnglishandthepatient'snativelanguage

2.Whichofthefollowingareessentialcomponentsofapatient'smedicalhistoryinEnglish?

A)Pastmedicalhistory

B)Medicationhistory

C)Allergies

D)Familyhistory

3.InEnglish,whatarethepossiblestagesoflabor?

A)Latentphase

B)Activephase

C)Transitionphase

D)Secondstage

4.Whenassessingapatient'spain,whichofthefollowingpainscalesarecommonlyusedinEnglish-speakinghealthcaresettings?

A)NumericRatingScale(NRS)

B)VisualAnalogScale(VAS)

C)Wong-BakerFACESPainRatingScale

D)Alloftheabove

5.WhichofthefollowingaresignsofdehydrationinEnglish?

A)Drymouth

B)Decreasedurineoutput

C)Sunkeneyes

D)Dryskin

6.InEnglish,whatarethecommoncausesofconstipationinadults?

A)Lackoffiberinthediet

B)Sideeffectofcertainmedications

C)Inadequatefluidintake

D)Alloftheabove

7.Whendescribingapatient'svitalsigns,whichofthefollowingareconsiderednormalrangesinEnglish?

A)Bloodpressure:120/80mmHg

B)Heartrate:60-100beatsperminute

C)Respiratoryrate:12-20breathsperminute

D)Bodytemperature:36.6-37.2°C

8.Whichofthefollowingareconsiderednursinginterventionsforapatientwithafever?

A)Administeringantipyretics

B)Providingacoolenvironment

C)Monitoringvitalsigns

D)Encouraginghydration

9.InEnglish,whataresomecommonsymptomsofaurinarytractinfection(UTI)?

A)Frequencyofurination

B)Urgencyofurination

C)Painduringurination

D)Bloodintheurine

10.WhichofthefollowingareconsiderednursinginterventionsforapatientwithaUTI?

A)Encouragingfluidintake

B)Administeringantibiotics

C)Monitoringforsideeffectsofantibiotics

D)Educatingthepatientongoodhygienepractices

11.Whencaringforapatientwithaheartfailure,whichofthefollowingareimportantnursingconsiderationsinEnglish?

A)Monitoringfluidbalance

B)Administeringdiuretics

C)Assessingforsignsofexacerbation

D)Educatingthepatientonlifestylemodifications

12.WhichofthefollowingaresignsofrespiratorydistressinEnglish?

A)Flaringofthenostrils

B)Nasalflaring

C)Useofaccessorymuscles

D)Increasedrespiratoryrate

13.InEnglish,whataresomecommonrespiratorymedicationsusedinhealthcaresettings?

A)Bronchodilators

B)Steroids

C)Antihistamines

D)Antibiotics

14.Whichofthefollowingarenursinginterventionsforapatientwithdiabetesmellitus?

A)Monitoringbloodglucoselevels

B)Administeringinsulin

C)Educatingthepatientoncarbohydratecounting

D)Encouragingregularphysicalactivity

15.InEnglish,whatarethepossiblecomplicationsofdiabetesmellitus?

A)Nephropathy

B)Retinopathy

C)Neuropathy

D)Alloftheabove

16.Whencaringforapatientwithastroke,whichofthefollowingareimportantnursingconsiderationsinEnglish?

A)Assessingforneurologicaldeficits

B)Managingbloodpressure

C)Administeringanticoagulants

D)Providingmobilityassistance

17.WhichofthefollowingaresignsofaheartattackinEnglish?

A)Chestpain

B)Shortnessofbreath

C)Diaphoresis

D)Nausea

18.InEnglish,whataretheimmediatenursinginterventionsforasuspectedheartattack?

A)Administeringaspirin

B)Providingoxygen

C)Callingforemergencymedicalservices

D)Monitoringvitalsigns

19.Whencaringforapatientwithamentalhealthdisorder,whichofthefollowingareimportantnursingconsiderationsinEnglish?

A)Assessingforriskofself-harm

B)Administeringpsychiatricmedications

C)Providingasafeandsupportiveenvironment

D)Educatingthepatientoncopingstrategies

20.InEnglish,whataresomecommonsymptomsofaskininfection?

A)Redness

B)Swelling

C)Pain

D)Pus

三、填空題（本題共25小題，每小題1分，共25分，請(qǐng)將正確答案填到題目空白處）

1.Thepatient'sheartrateis__________beatsperminute.

2.Normalbodytemperatureistypicallyaround__________degreesCelsius.

3.Apatient'sbloodpressurereadingconsistsoftwonumbers:the__________pressureandthe__________pressure.

4.Thetermforasudden,sharppainis__________.

5.Apatientwithan__________ischaracterizedbydifficultyinbreathing.

6.__________istheconditionwheretheheartcannotpumpenoughbloodtomeetthebody'sneeds.

7.InEnglish,__________isusedtodescribeapatientwhoisawakebutconfused.

8.__________istheamountoffluidapatienttakesinandtheamounttheyexcrete.

9.__________istheadministrationofmedicationthroughavein.

10.Apatientwith__________hasanoveractivethyroidgland.

11.__________istheinflammationoftheliningoftheheart.

12.__________isachronicconditionthataffectstheairways.

13.__________isagroupofcellsthatgrowoutofcontrolandcanspreadtootherpartsofthebody.

14.__________isatermusedtodescribeapatientwhoisunabletomoveorrespond.

15.__________isthestudyofdiseasesandtheircauses.

16.__________isthescienceoftreatingdiseases.

17.__________isaskinconditioncharacterizedbyitchy,redpatches.

18.__________isaconditionwherethebloodpressureistoolow.

19.__________isaconditionwherethebloodpressureistoohigh.

20.__________isthefeelingofnauseaortheurgetovomit.

21.__________istheinflammationofthethyroidgland.

22.__________isaconditionwheretheimmunesystemattacksthebody'sowncells.

23.__________istheinflammationofthetonsils.

24.__________isaconditionwherethebodydoesnotproduceenoughinsulin.

25.__________isaconditionwherethebodyproducestoomuchinsulin.

四、判斷題（本題共20小題，每題0.5分，共10分，正確的請(qǐng)?jiān)诖痤}括號(hào)中畫√，錯(cuò)誤的畫×）

1.Apatientwithafevershouldalwaysbegivenantipyreticsimmediately.()

2.ItisappropriatetousemedicaljargonwhencommunicatingwithpatientswhodonotspeakEnglish.()

3.Apatientwithaheartrateof120beatsperminuteisconsideredtohavebradycardia.()

4.Diaphoresisisacommonsymptomofdehydration.()

5.Apatientwithaurinarytractinfection(UTI)willalwayshaveahighwhitebloodcellcount.()

6.Theterm"pallor"referstoabluishdiscolorationoftheskin.()

7.Itisnormalforapatienttoexperienceshortnessofbreathduringexercise.()

8.Apatientwithdiabetesmellituscansafelyconsumeanyamountofsugar.()

9.Apatientwithastrokeshouldbeplacedinapronepositiontoreducebrainswelling.()

10.Theterm"aphasia"referstothelossoftheabilitytospeak.()

11.Apatientwithafractureshouldbeimmobilizeduntilacastorbracecanbeapplied.()

12.Itisessentialtomonitorapatient'sbloodglucoselevelswhentheyareoninsulintherapy.()

13.Apatientwithaskinrashshouldalwaysbereferredtoadermatologist.()

14.Apatientwithhypertensionshouldavoidsaltintheirdiet.()

15.Itiscommonforapatientwithasthmatohaveapeakflowmetertomonitortheirlungfunction.()

16.Apatientwithamentalhealthdisordershouldbegivenpsychiatricmedicationsassoonaspossible.()

17.Theterm"hypothermia"referstoabodytemperaturebelow36.6°C.()

18.Apatientwithaheadinjuryshouldbeobservedforsignsofincreasedintracranialpressure.()

19.Apatientwithalegulcershouldbeencouragedtowalkregularlytoimprovecirculation.()

20.Itissafetogiveapatientwithaknownallergytopenicillinanantibioticwithasimilarname.()

五、主觀題（本題共4小題，每題5分，共20分）

1.請(qǐng)簡述在?？漆t(yī)院護(hù)理工作中，英語溝通能力對(duì)于護(hù)理人員的重要性，并結(jié)合具體場(chǎng)景舉例說明。

2.設(shè)計(jì)一個(gè)針對(duì)?？漆t(yī)院護(hù)理人員的英語口語情景對(duì)話，要求包括患者病情描述、護(hù)理措施和醫(yī)囑傳達(dá)等內(nèi)容。

3.論述如何提高?？漆t(yī)院護(hù)理人員英語聽力理解能力，提出至少兩種有效的訓(xùn)練方法。

4.針對(duì)?？漆t(yī)院護(hù)理人員英語書面表達(dá)能力的提升，提出一種具體的培訓(xùn)計(jì)劃，包括培訓(xùn)內(nèi)容、方法和評(píng)估方式。

六、案例題（本題共2小題，每題5分，共10分）

1.案例題：

患者，男性，45歲，因急性心肌梗死入住心內(nèi)科?；颊呷朐簳r(shí)血壓為150/90mmHg，心率110次/分，體溫37.5°C，患者主訴胸骨后劇烈疼痛，并向左肩部放射。請(qǐng)根據(jù)以下情況，用英語描述患者的病情并給出相應(yīng)的護(hù)理措施。

患者病情描述：

Patient,male,45yearsold,admittedwithacutemyocardialinfarction.Uponadmission,bloodpressurewas150/90mmHg,heartrate110bpm,bodytemperature37.5°C.Thepatientreportsseverechestpainbehindthesternum,radiatingtotheleftshoulder.

護(hù)理措施：

Nursinginterventions:

-Monitorvitalsignsevery30minutesinitially,thenasindicated.

-Administeraspirinandanticoagulantsasperprotocol.

-Providesupplementaloxygenifnecessary.

-Ensurebedrestandambulationastolerated.

-Assessforsignsofcomplicationssuchascardiogenicshockorpulmonaryedema.

-Educatethepatientaboutsymptomstowatchforandwhentoseekimmediatemedicalattention.

2.案例題：

患者，女性，72歲，因慢性阻塞性肺疾?。–OPD）急性加重入院。患者入院時(shí)呼吸困難，SpO288%，咳嗽，痰量增多?；颊哂虚L期吸煙史，既往有COPD病史。請(qǐng)根據(jù)以下情況，用英語列出患者的護(hù)理診斷、護(hù)理目標(biāo)和護(hù)理措施。

患者護(hù)理診斷：

Nursingdiagnoses:

-IneffectiveBreathingPatternrelatedtochronicobstructivepulmonarydiseaseasevidencedbyshortnessofbreathanddecreasedoxygensaturation.

-RiskforInfectionrelatedtoincreasedsputumproductionandcough.

護(hù)理目標(biāo)：

Nursinggoals:

-ThepatientwillmaintainaneffectivebreathingpatternandachieveanSpO2of92%orgreater.

-Thepatientwillnotexperienceanewinfection.

護(hù)理措施：

Nursinginterventions:

-Administersupplementaloxygenasprescribed.

-Encouragedeepbreathingexercisesandcoughingtechniquestopromotelungexpansion.

-Monitorrespiratorystatusandassessforsignsofinfection.

-Provideeducationonsmokingcessationandtheimportanceofgoodhygiene.

-Administerantibioticsifinfectionissuspectedorconfirmed.

標(biāo)準(zhǔn)答案

一、單項(xiàng)選擇題

1.A

2.C

3.A

4.D

5.A

6.D

7.B

8.C

9.D

10.A

11.A

12.B

13.B

14.C

15.A

16.B

17.C

18.A

19.B

20.A

21.C

22.A

23.A

24.A

25.B

26.A

27.A

28.A

29.B

30.B

二、多選題

1.A,C,D

2.A,B,C,D

3.A,B,D

4.A,B,C,D

5.A,B,C

6.A,B,C

7.A,B,C,D

8.A,B,C,D

9.A,B,C,D

10.A,B,C,D

11.A,B,C,D

12.A,B,C

13.A,B,D

14.A,C,D

15.A,B,C,D

16.A,B,C,D

17.A,B,C

18.A,B,C

19.A,B,C

20.A,B,C

三、填空題

1.60-100

2.36.6-37.2

3.Systolic,Diastolic

4.Angina

5.Dyspnea

6.Heartfailure

7.Confused

8.Fluidintakeandoutput

9.Intravenoustherapy

10.Hyperthyroidism

11.Pericarditis

12.Chronicobstructivepulmonarydisease(COPD)

13.Cancer

14.Unresponsive

15.Medicine

16.Treatment

17.Eczema

18.Hypotension

19.Hypertension

20.Nausea

21.Thyroiditis

22.Autoimmune