?？漆t院護理醫學英語能力考核試卷考生姓名：答題日期：得分：判卷人：

本次考核旨在評估?？漆t院護理人員在實際工作中運用英語進行護理交流的能力，包括醫療術語的正確使用、病情描述的準確性以及與患者和同事的溝通技巧。

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

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中，至少有一項是符合題目要求的）

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，正確的請在答題括號中畫√，錯誤的畫×）

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.請簡述在?？漆t院護理工作中，英語溝通能力對于護理人員的重要性，并結合具體場景舉例說明。

2.設計一個針對專科醫院護理人員的英語口語情景對話，要求包括患者病情描述、護理措施和醫囑傳達等內容。

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

4.針對專科醫院護理人員英語書面表達能力的提升，提出一種具體的培訓計劃，包括培訓內容、方法和評估方式。

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科?；颊呷朐簳r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。請根據以下情況，用英語描述患者的病情并給出相應的護理措施。

患者病情描述：

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

護理措施：

Nursinginterventions:

-Monitorvitalsignsevery30minutesinitially,thenasindicated.

-Administeraspirinandanticoagulantsasperprotocol.

-Providesupplementaloxygenifnecessary.

-Ensurebedrestandambulationastolerated.

-Assessforsignsofcomplicationssuchascardiogenicshockorpulmonaryedema.

-Educatethepatientaboutsymptomstowatchforandwhentoseekimmediatemedicalattention.

2.案例題：

患者，女性，72歲，因慢性阻塞性肺疾病（COPD）急性加重入院?；颊呷朐簳r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。請根據以下情況，用英語列出患者的護理診斷、護理目標和護理措施。

患者護理診斷：

Nursingdiagnoses:

-IneffectiveBreathingPatternrelatedtochronicobstructivepulmonarydiseaseasevidencedbyshortnessofbreathanddecreasedoxygensaturation.

-RiskforInfectionrelatedtoincreasedsputumproductionandcough.

護理目標：

Nursinggoals:

-ThepatientwillmaintainaneffectivebreathingpatternandachieveanSpO2of92%orgreater.

-Thepatientwillnotexperienceanewinfection.

護理措施：

Nursinginterventions:

-Administersupplementaloxygenasprescribed.

-Encouragedeepbreathingexercisesandcoughingtechniquestopromotelungexpansion.

-Monitorrespiratorystatusandassessforsignsofinfection.

-Provideeducationonsmokingcessationandtheimportanceofgoodhygiene.

-Administerantibioticsifinfectionissuspectedorconfirmed.

標準答案

一、單項選擇題

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