2025年護士執業資格考試題庫（急危重癥護理學專項）護理專業英語試題考試時間：______分鐘總分：______分姓名：______一、詞匯與短語填空要求：在空格中填入適當的單詞或短語，使句子意思完整。1.Thenursecarefully__________thepatient'svitalsignsbeforestartingtheprocedure.2.Thedoctor__________totheemergencydepartmentforfurtherassessment.3.Itiscrucialto__________thepatient'sairwaybeforeadministeringoxygen.4.Thenurse__________thepatient'sbloodpressureandheartrateregularly.5.Thepatient'scondition__________rapidly,requiringimmediateintervention.6.Thenurse__________thepatient'sintravenouslinetoensureproperhydration.7.Thedoctor__________thepatientforfurtherevaluationandtreatment.8.Thenurse__________thepatient'spainlevelandadministeredappropriatepainrelief.9.Thepatient'sfamilywasinformedofthe__________situationandprovidedemotionalsupport.10.Thenurse__________thepatient'soxygensaturationlevelandadjustedtheoxygentherapyaccordingly.二、閱讀理解要求：閱讀短文，根據文章內容回答問題。Thepatient,a65-year-oldmale,wasadmittedtotheemergencydepartmentwithseverechestpain.Uponarrival,thenurseimmediatelyassessedthepatient'svitalsigns,whichrevealedaheartrateof120beatsperminuteandabloodpressureof90/60mmHg.Thepatient'srespiratoryratewas30breathsperminute,andhisoxygensaturationlevelwas88%.Thepatient'smedicalhistoryincludedhypertension,hyperlipidemia,andarecentmyocardialinfarction.Thenurseimmediatelyinitiatedcardiacmonitoringandbeganadministeringoxygentherapy.Thedoctorwasnotified,andthepatientwastransportedtothecardiaccatheterizationlaboratoryforfurtherevaluation.11.Whatwasthepatient'sinitialheartrateuponarrival?12.Whatwasthepatient'sbloodpressureuponarrival?13.Whatwasthepatient'srespiratoryrateuponarrival?14.Whatwasthepatient'soxygensaturationleveluponarrival?15.Whatwasthepatient'smedicalhistory?16.Whatimmediateinterventionswereinitiatedbythenurse?17.Whatwasthedoctor'sresponsetothepatient'scondition?18.Whatwasthepatient'sdestinationaftertheinitialassessment?19.Whatwasthenurse'sroleinmanagingthepatient'scondition?20.Howwasthepatient'sfamilyinvolvedinthecareprocess?四、多項選擇題要求：從每個問題后面的選項中選擇一個或多個最合適的答案。1.Whichofthefollowingareimmediateinterventionsforapatientexperiencingamyocardialinfarction?A.AdministeringaspirinB.AdministeringheparinC.Administeringbeta-blockersD.AdministeringnitroglycerinE.Placingthepatientinaproneposition2.Whichofthefollowingvitalsignsarecriticaltomonitorinapatientwithanasthmaexacerbation?A.RespiratoryrateB.HeartrateC.SystolicbloodpressureD.OxygensaturationlevelE.Temperature3.Whataretheindicationsforintubatingapatientwithasevereheadinjury?A.AirwayobstructionB.SevererespiratorydistressC.DecreasedlevelofconsciousnessD.EvidenceofaspirationE.Alloftheabove4.Whichofthefollowingarepotentialcomplicationsofprolongedintubation?A.PneumoniaB.TrachealstenosisC.UlcersD.StridorE.Alloftheabove5.Inthemanagementofapatientwithdiabeticketoacidosis,whichofthefollowingfluidsaretypicallyadministered?A.NormalsalineB.DextroseC.PotassiumchlorideD.SodiumbicarbonateE.Alloftheabove五、簡答題要求：簡要回答以下問題。1.Describetheimportanceofmaintainingapatentairwayinapatientwithsevererespiratorydistress.2.Explainthepurposeofcontinuouscardiacmonitoringinapatientwhohashadarecentmyocardialinfarction.3.Discussthenursingcareplanforapatientwithasuspectedallergicreactiontoamedication.六、情景分析題要求：根據以下情景，回答提出的問題。A72-year-oldfemalepatientwithahistoryofchronicobstructivepulmonarydisease(COPD)isadmittedtotheemergencydepartmentwithacuteexacerbation.Thepatientisbreathingrapidly(respiratoryrateof30breathsperminute),andheroxygensaturationlevelis88%onroomair.Sheisdiaphoreticandhasaproductivecough.1.Whatimmediateinterventionsshouldthenurseprioritize?2.Howshouldthenurseassessthepatient'sairway,breathing,andcirculation?3.Whatadditionalinformationshouldthenursegatheraboutthepatient'smedicalhistoryandcurrentcondition?本次試卷答案如下：一、詞匯與短語填空1.Thenursecarefully**monitored**thepatient'svitalsignsbeforestartingtheprocedure.解析：此處需要填入一個動詞，表示護士在開始程序前對患者的生命體征進行了觀察和記錄。2.Thedoctor**wascalled**totheemergencydepartmentforfurtherassessment.解析：此處需要填入一個動詞，表示醫生被召喚到急診室進行進一步的評估。3.Itiscrucialto**secure**thepatient'sairwaybeforeadministeringoxygen.解析：此處需要填入一個動詞，表示在給予氧氣之前，確保患者的氣道是安全的。4.Thenurse**monitors**thepatient'sbloodpressureandheartrateregularly.解析：此處需要填入一個動詞，表示護士定期監測患者的血壓和心率。5.Thepatient'scondition**isdeteriorating**rapidly,requiringimmediateintervention.解析：此處需要填入一個動詞的現在進行時，表示患者的狀況正在迅速惡化。6.Thenurse**inspects**thepatient'sintravenouslinetoensureproperhydration.解析：此處需要填入一個動詞，表示護士檢查患者的靜脈輸液線以確保適當的液體補充。7.Thedoctor**ordered**thepatientforfurtherevaluationandtreatment.解析：此處需要填入一個動詞，表示醫生下令對患者進行進一步的評估和治療。8.Thenurse**assesses**thepatient'spainlevelandadministeredappropriatepainrelief.解析：此處需要填入一個動詞，表示護士評估患者的疼痛程度并給予適當的疼痛緩解。9.Thepatient'sfamilywasinformedofthe**critical**situationandprovidedemotionalsupport.解析：此處需要填入一個形容詞，表示患者的情況是危急的。10.Thenurse**adjusts**thepatient'soxygensaturationlevelandadjustedtheoxygentherapyaccordingly.解析：此處需要填入一個動詞，表示護士調整患者的氧飽和度并相應地調整氧療。二、閱讀理解11.Whatwasthepatient'sinitialheartrateuponarrival?答案：120beatsperminute解析：根據文章，患者到達急診室時的心率是120次/分鐘。12.Whatwasthepatient'sbloodpressureuponarrival?答案：90/60mmHg解析：根據文章，患者到達急診室時的血壓是90/60毫米汞柱。13.Whatwasthepatient'srespiratoryrateuponarrival?答案：30breathsperminute解析：根據文章，患者到達急診室時的呼吸頻率是30次/分鐘。14.Whatwasthepatient'soxygensaturationleveluponarrival?答案：88%解析：根據文章，患者到達急診室時的氧飽和度是88%。15.Whatwasthepatient'smedicalhistory?答案：Hypertension,hyperlipidemia,andarecentmyocardialinfarction.解析：根據文章，患者的病史包括高血壓、高脂血癥和最近的心肌梗死。16.Whatimmediateinterventionswereinitiatedbythenurse?答案：Cardiacmonitoringandadministrationofoxygentherapy.解析：根據文章，護士立即啟動了心臟監護和給予氧氣治療。17.Whatwasthedoctor'sresponsetothepatient'scondition?答案：Thedoctorwasnotified,andthepatientwastransportedtothecardiaccatheterizationlaboratoryforfurtherevaluation.解析：根據文章，醫生被通知，患者被轉運到心臟導管室進行進一步評估。18.Whatwasthepatient'sdestinationaftertheinitialassessment?答案：Thecardiaccatheterizationlaboratory.解析：根據文章，患者初步評估后的目的地是心臟導管室。19.Whatwasthenurse'sroleinmanagingthepatient'scondition?答案：Immediateassessment,initiationofcardiacmonitoring,administrationofoxygentherapy,andnotificationofthedoctor.解析：根據文章，護士在管理患者狀況中的角色包括立即評估、啟動心臟監護、給予氧氣治療和通知醫生。20.Howwasthepatient'sfamilyinvolvedinthecareprocess?答案：Thepatient'sfamilywasinformedofthecriticalsituationandprovidedemotionalsupport.解析：根據文章，患者的家人被告知了危急情況并提供了情感支持。四、多項選擇題1.Whichofthefollowingareimmediateinterventionsforapatientexperiencingamyocardialinfarction?答案：A,B,C,D解析：所有選項都是心肌梗死患者的立即干預措施。阿司匹林、肝素、β-阻滯劑和硝酸甘油都是用來治療心肌梗死的藥物。2.Whichofthefollowingvitalsignsarecriticaltomonitorinapatientwithanasthmaexacerbation?答案：A,B,D解析：呼吸頻率、心率、氧飽和度和溫度都是哮喘加重時需要密切監測的生命體征。3.Whataretheindicationsforintubatingapatientwithasevereheadinjury?答案：A,B,C,D解析：氣道梗阻、嚴重的呼吸窘迫、意識水平下降和吞咽困難都是進行氣管插管治療嚴重頭部損傷患者的指征。4.Whichofthefollowingarepotentialcomplicationsofprolongedintubation?答案：A,B,C,E解析：肺炎、氣管狹窄、潰瘍和喘鳴都是長期插管可能出現的并發癥。5.Inthemanagementofapatientwithdiabeticketoacidosis,whichofthefollowingfluidsaretypicallyadministered?答案：A,B,C,D解析：正常鹽水、葡萄糖、氯化鉀和碳酸氫鈉都是在糖尿病酮癥酸中毒患者的管理中通常給予的液體。五、簡答題1.Describetheimportanceofmaintainingapatentairwayinapatientwithsevererespiratorydistress.答案：Maintainingapatentairwayiscrucialinapatientwithsevererespiratorydistressbecauseitensuresthatthepatientcanbreatheeffectively.Itpreventsairwayobstruction,aspiration,andhypoxemia,whichcanleadtofurtherrespiratorycompromiseandevendeath.2.Explainthepurposeofcontinuouscardiacmonitoringinapatientwhohashadarecentmyocardialinfarction.答案：Continuouscardiacmonitoringisessentialinapatientwhohashadarecentmyocardialinfarctiontodetectanyrecurrenceofischemiaorarrhythmias.Itallowsforimmediaterecognitionandinterventionincaseofcardiaccomplications,suchasventriculartachycardiaoratrialfibrillation,whichcanbelife-threatening.3.Discussthenursingcareplanforapatientwithasuspectedallergicreactiontoamedication.答案：Thenursingcareplanforapatientwithasuspectedallergicreactiontoamedicationincludesimmediatediscontinuationofthesuspecteddrug,assessmentoftheseverityofthereaction,administrationofantihistaminesandcorticosteroidsasneeded,monitoringforsignsofanaphylaxis,andprovidingsupportivecaretoalleviatesymptoms.Italsoinvolveseducatingthepatientaboutpotentialallergensandtheimportanceofcarryinganepinephrineauto-injector.六、情景分析題1.Whatimmediateinterventionsshouldthenurseprioritize?答案：Immediateint