2025年護士執業資格考試題庫（內科護理學專項）——護理專業英語案例分析試題考試時間：______分鐘總分：______分姓名：______一、護理專業英語案例分析試題要求：請根據以下病例，用英語回答問題。PatientInformation:Name:JohnSmithAge:65Gender:MaleAdmissionDate:January10,2025AdmissionDiagnosis:ChronicObstructivePulmonaryDisease(COPD)exacerbationCaseDescription:JohnSmithisa65-year-oldmaleadmittedtothehospitalwithadiagnosisofCOPDexacerbation.Hehasahistoryofsmokingfor50yearsandhasbeendiagnosedwithCOPDforthepast10years.Hissymptomsincludeshortnessofbreath,cough,andincreasedsputumproduction.Onphysicalexamination,hehasarespiratoryrateof24breathsperminute,aheartrateof120beatsperminute,andabloodpressureof150/90mmHg.Hisoxygensaturationis88%onroomair.1.WhatisthemostlikelycauseofJohn'sCOPDexacerbation?A.PneumoniaB.UpperrespiratorytractinfectionC.Gastroesophagealrefluxdisease(GERD)D.Allergicbronchitis2.WhichofthefollowingisacommonsignofCOPDexacerbation?A.WheezingB.RhonchiC.CracklesD.Wheezingandrhonchi3.WhatistheprimarygoalofinitialmanagementforaCOPDexacerbation?A.TorelievesymptomsB.TopreventrecurrenceC.ToimprovequalityoflifeD.Alloftheabove4.WhichofthefollowingmedicationsiscommonlyusedtotreatCOPDexacerbation?A.InhaledcorticosteroidsB.Long-actingbeta-agonistsC.Short-actingbronchodilatorsD.Alloftheabove5.WhatistherecommendedoxygentherapyforapatientwithCOPDexacerbation?A.Nasalcannulaat2litersperminuteB.High-flownasalcannulaat5litersperminuteC.Non-invasiveventilationD.Alloftheabove6.WhichofthefollowingisapotentialcomplicationofCOPDexacerbation?A.PneumothoraxB.RespiratoryfailureC.SepsisD.Alloftheabove7.Whatistherecommendedfollow-upcareforapatientwithCOPDexacerbation?A.Regularfollow-upappointmentswithaprimarycarephysicianB.PulmonaryrehabilitationC.SmokingcessationcounselingD.Alloftheabove8.WhichofthefollowingisacommoncauseofCOPDexacerbation?A.AirpollutionB.AllergensC.SmokingD.Alloftheabove9.WhatistherecommendedtreatmentforpneumoniainapatientwithCOPDexacerbation?A.AntibioticsB.OxygentherapyC.InhaledbronchodilatorsD.Alloftheabove10.Whichofthefollowingisapotentialsideeffectoflong-actingbeta-agonists?A.HypertensionB.ArrhythmiasC.OsteoporosisD.Alloftheabove二、護理專業英語案例分析試題要求：請根據以下病例，用英語回答問題。PatientInformation:Name:MariaRodriguezAge:45Gender:FemaleAdmissionDate:January12,2025AdmissionDiagnosis:AcuteMyocardialInfarction(AMI)CaseDescription:MariaRodriguezisa45-year-oldfemaleadmittedtothehospitalwithadiagnosisofAMI.Shehasahistoryofhypertensionandhyperlipidemia.Shepresentswithchestpain,shortnessofbreath,anddiaphoresis.Onphysicalexamination,shehasaheartrateof110beatsperminute,abloodpressureof140/90mmHg,andarespiratoryrateof24breathsperminute.Heroxygensaturationis94%onroomair.1.WhatisthemostlikelycauseofMaria'sAMI?A.AtherosclerosisB.HypertensionC.HyperlipidemiaD.Alloftheabove2.WhichofthefollowingisacommoninitialtreatmentforAMI?A.AspirinB.NitratesC.Beta-blockersD.Alloftheabove3.WhatistherecommendedinitialmanagementforchestpaininapatientwithAMI?A.OxygentherapyB.MorphineC.NitroglycerinD.Alloftheabove4.WhichofthefollowingisapotentialcomplicationofAMI?A.CardiogenicshockB.VentricularfibrillationC.HeartfailureD.Alloftheabove5.WhatistherecommendedtreatmentforheartfailureinapatientwithAMI?A.DiureticsB.Angiotensin-convertingenzyme(ACE)inhibitorsC.Angiotensinreceptorblockers(ARBs)D.Alloftheabove6.WhichofthefollowingisapotentialsideeffectofACEinhibitors?A.CoughB.HyperkalemiaC.AngioedemaD.Alloftheabove7.Whatistherecommendedfollow-upcareforapatientwithAMI?A.Regularfollow-upappointmentswithacardiologistB.LifestylemodificationsC.MedicationadherenceD.Alloftheabove8.WhichofthefollowingisacommonriskfactorforAMI?A.SmokingB.DiabetesC.HypertensionD.Alloftheabove9.WhatistherecommendedtreatmentforanginainapatientwithAMI?A.NitratesB.CalciumchannelblockersC.Beta-blockersD.Alloftheabove10.Whichofthefollowingisapotentialsideeffectofcalciumchannelblockers?A.HypotensionB.BradycardiaC.EdemaD.Alloftheabove三、護理專業英語案例分析試題要求：請根據以下病例，用英語回答問題。PatientInformation:Name:MichaelJohnsonAge:30Gender:MaleAdmissionDate:January15,2025AdmissionDiagnosis:DiabeticKetoacidosis(DKA)CaseDescription:MichaelJohnsonisa30-year-oldmaleadmittedtothehospitalwithadiagnosisofDKA.Hehasahistoryoftype1diabetesmellitus.Hepresentswithpolyuria,polydipsia,nausea,vomiting,andabdominalpain.Onphysicalexamination,hehasaheartrateof120beatsperminute,abloodpressureof90/60mmHg,andarespiratoryrateof24breathsperminute.Hisbloodglucoselevelis16.7mmol/L,andhisbloodketonelevelis4.0mmol/L.1.WhatisthemostlikelycauseofMichael'sDKA?A.InsulindeficiencyB.InfectionC.DehydrationD.Alloftheabove2.WhichofthefollowingistheprimarytreatmentforDKA?A.IntravenousfluidsB.InsulintherapyC.ElectrolytereplacementD.Alloftheabove3.WhatistherecommendedinitialfluidresuscitationforDKA?A.0.9%salineB.5%dextroseinwaterC.0.45%salineD.0.9%salinewith5%dextrose4.WhichofthefollowingisapotentialcomplicationofDKA?A.BrainedemaB.HypokalemiaC.MetabolicacidosisD.Alloftheabove5.WhatistherecommendedtreatmentformetabolicacidosisinDKA?A.SodiumbicarbonateB.PotassiumchlorideC.CalciumgluconateD.Alloftheabove6.WhichofthefollowingisapotentialsideeffectofinsulintherapyinDKA?A.HypoglycemiaB.HypokalemiaC.HypomagnesemiaD.Alloftheabove7.Whatistherecommendedfollow-upcareforapatientwithDKA?A.Regularfollow-upappointmentswithanendocrinologistB.EducationondiabetesmanagementC.MedicationadherenceD.Alloftheabove8.WhichofthefollowingisacommoncauseofDKA?A.InfectionB.StressC.MissedinsulindosesD.Alloftheabove9.WhatistherecommendedtreatmentforhypokalemiainDKA?A.PotassiumchlorideB.SodiumbicarbonateC.CalciumgluconateD.Alloftheabove10.Whichofthefollowingisapotentialsideeffectofsodiumbicarbonate?A.MetabolicalkalosisB.HyperkalemiaC.HypocalcemiaD.Alloftheabove四、護理專業英語案例分析試題要求：請根據以下病例，用英語回答問題。PatientInformation:Name:EmilyWangAge:50Gender:FemaleAdmissionDate:January18,2025AdmissionDiagnosis:CongestiveHeartFailure(CHF)CaseDescription:EmilyWangisa50-year-oldfemaleadmittedtothehospitalwithadiagnosisofCHF.ShehasahistoryofhypertensionandhasbeendiagnosedwithCHFforthepast5years.Shepresentswithdyspneaonexertion,edemainherlowerextremities,andfatigue.Onphysicalexamination,shehasaheartrateof100beatsperminute,abloodpressureof110/70mmHg,andarespiratoryrateof20breathsperminute.Herjugularvenouspressureiselevated,andshehaspittingedemainherlowerextremities.1.WhatisthemostcommoncauseofCHF?A.MyocardialinfarctionB.HypertensionC.ValvularheartdiseaseD.Alloftheabove2.WhichofthefollowingisakeycomponentofinitialmanagementforCHF?A.DiureticsB.ACEinhibitorsC.Beta-blockersD.Alloftheabove3.WhatistherecommendeddietforapatientwithCHF?A.Low-sodiumdietB.Low-proteindietC.Low-carbohydratedietD.Alloftheabove4.WhichofthefollowingisapotentialsideeffectofdiureticsinCHF?A.HypokalemiaB.HypomagnesemiaC.ElectrolyteimbalancesD.Alloftheabove5.WhatistherecommendedtreatmentforchronickidneydiseaseinapatientwithCHF?A.Angiotensinreceptorblockers(ARBs)B.NephrotoxicantibioticsC.LoopdiureticsD.Alloftheabove6.Whatistherecommendedfollow-upcareforapatientwithCHF?A.Regularfollow-upappointmentswithacardiologistB.PulmonaryrehabilitationC.SmokingcessationcounselingD.Alloftheabove五、護理專業英語案例分析試題要求：請根據以下病例，用英語回答問題。PatientInformation:Name:CarlosLopezAge:60Gender:MaleAdmissionDate:January20,2025AdmissionDiagnosis:AcutePyelonephritisCaseDescription:CarlosLopezisa60-year-oldmaleadmittedtothehospitalwithadiagnosisofacutepyelonephritis.Hehasahistoryofrecurrenturinarytractinfectionsandhasbeendiagnosedwithdiabetesmellitusforthepast10years.Hepresentswithfever,chills,flankpain,anddysuria.Onphysicalexamination,hehasatemperatureof39.5°C,aheartrateof100beatsperminute,andabloodpressureof130/80mmHg.HisurinecultureshowsEscherichiacoli.1.Whatisthemostcommoncauseofacutepyelonephritis?A.EscherichiacoliB.StaphylococcussaprophyticusC.EnterococcusfaecalisD.Klebsiellapneumoniae2.Whichofthefollowingistherecommendedinitialantibiotictherapyforacutepyelonephritis?A.CiprofloxacinB.Trimethoprim-sulfamethoxazoleC.AmpicillinD.Alloftheabove3.Whatisthemostcommonrouteofinfectionforacutepyelonephritis?A.HematogenousspreadB.UrologicalinstrumentationC.AscendinginfectionD.Directextension4.Whichofthefollowingsignsandsymptomsareindicativeofacutepyelonephritis?A.HematuriaB.PyuriaC.CloudyurineD.Alloftheabove5.Whatistherecommendedfollow-upaftertreatmentforacutepyelonephritis?A.Follow-upurinecultureB.Follow-uprenalfunctiontestsC.Follow-upimagingstudiesD.Alloftheabove6.Whatistherecommendedtreatmentfordiabetesinapatientwithacutepyelonephritis?A.TightglucosecontrolB.InsulintherapyC.OralhypoglycemicagentsD.Alloftheabove六、護理專業英語案例分析試題要求：請根據以下病例，用英語回答問題。PatientInformation:Name:LisaChenAge:70Gender:FemaleAdmissionDate:January22,2025AdmissionDiagnosis:Alzheimer'sDiseaseCaseDescription:LisaChenisa70-year-oldfemaleadmittedtothehospitalwithadiagnosisofAlzheimer'sDisease.Shehasahistoryofprogressivememorylossandconfusion.Shepresentswithdisorientation,moodswings,andrepetitivequestioning.Onphysicalexamination,shehasaheartrateof80beatsperminute,abloodpressureof120/80mmHg,andarespiratoryrateof16breathsperminute.HerMini-MentalStateExamination(MMSE)scoreis18.1.WhatisthemostcommonageofonsetforAlzheimer'sDisease?A.60-70yearsB.40-50yearsC.70-80yearsD.50-60years2.WhichofthefollowingisahallmarksymptomofAlzheimer'sDisease?A.HallucinationsB.AgitationC.MemorylossD.Confusion3.WhatistherecommendedtreatmentforAlzheimer'sDisease?A.CholinesteraseinhibitorsB.AntipsychoticmedicationsC.CognitivebehavioraltherapyD.Alloftheabove4.Whichofthefollowingisapotentialsideeffectofcholinesteraseinhibitors?A.GastrointestinalupsetB.BradycardiaC.HypotensionD.Alloftheabove5.WhatistherecommendeddietforapatientwithAlzheimer'sDisease?A.High-proteindietB.Low-fatdietC.High-fiberdietD.Alloftheabove6.WhatistherecommendedcareforapatientwithAlzheimer'sDiseaseinthecommunitysetting?A.Regularmedicalcheck-upsB.ParticipationinsocialactivitiesC.HomehealthcareservicesD.Alloftheabove本次試卷答案如下：一、護理專業英語案例分析試題1.A.Pneumonia解析：根據病例描述，患者有吸煙史和COPD病史，癥狀包括呼吸困難、咳嗽和痰量增加，這些都是肺炎的典型癥狀。2.B.Rhonchi解析：羅音是COPD加重時的常見體征，它是由于支氣管狹窄和分泌物增多引起的。3.A.Torelievesymptoms解析：COPD加重的初始治療目標是緩解癥狀，包括提供足夠的氧氣和緩解呼吸困難。4.C.Short-actingbronchodilators解析：短效β2受體激動劑是治療COPD加重的常用藥物，它們可以迅速緩解支氣管痙攣。5.D.Alloftheabove解析：對于COPD加重的患者，根據病情嚴重程度，可能需要使用鼻導管、高流量鼻導管或非侵入性通氣。6.D.Alloftheabove解析：COPD加重可能導致氣胸、呼吸衰竭和敗血癥等并發癥。7.D.Alloftheab