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2025年護(hù)士執(zhí)業(yè)資格考試題庫(kù)(兒科護(hù)理學(xué)專項(xiàng))兒科護(hù)理學(xué)專業(yè)英語(yǔ)試題型考試時(shí)間:______分鐘總分:______分姓名:______一、詞匯與語(yǔ)法選擇1.Thechildpresentswithahigh-pitchedcoughanddifficultybreathing.Thenurseshouldprioritizeassessingthepatient's:a)Bloodpressureb)Oxygensaturationc)Bloodglucoseleveld)Heartrate2.Whichofthefollowingphrasesisthemostappropriatewaytoexplaintheneedforhandwashingtoapreschooler?a)"Remembertocleanyourhandswithsoapeverytimeyouseethemdirty."b)"Washyourhandsreallywellsothegermsgoaway."c)"It'simportanttoscrubyourhandsforatleastoneminute."d)"Youmustusehandsanitizeraftertouchinganysurface."3.Thenurseisdocumentingthattheinfantreceived"ORSsolutionviaNGtubeat10mL/kg."Whichabbreviationisusedcorrectly?a)ORSb)mL/kgc)NGd)Alloftheabove4.Selectthebestantacidtoadministertoachildwithmildgastroesophagealrefluxdisease(GERD)basedontheorder:"GiveMaalox5mLPOevery4hoursasneededforheartburn."a)Famotidineb)Sucralfatec)Aluminumhydroxideandmagnesiumhydroxided)Pantoprazole5.Thephysicianorders"Ibuprofen10mg/kgPOevery6hoursforfeverandpain."Thechildweighs20kg.Thenursepreparesthecorrectdoseofibuprofenwhichisavailablein200mgtablets.Thenurseshouldadminister:a)One200mgtabletb)Halfofa200mgtabletc)Two200mgtabletsd)Four200mgtablets6.Whichtermbestdescribesachildwhoisshorterthanthe3rdpercentilefortheirage?a)Overweightb)Underweightc)Atriskfordevelopmentaldelayd)Acuteill二、閱讀理解Readthefollowingscenarioandanswerquestions7-10.Ms.Johnson,a35-year-oldmother,bringsher18-month-oldson,Daniel,totheclinicforhiswell-childvisit.Danielisgainingweightappropriatelybutisslightlydelayedinhislanguagedevelopment;heprimarilyusessinglewords.ThenursenotesthatDanielisinteractiveandrespondstohismother'svoice.Ms.Johnsonexpressesconcernabouthisspeechandasksthenurseforadvice.Thenurseexplainsthatatthisage,variationexists,butsuggestsmonitoringhisprogressandprovidinglanguage-richinteractionsathome.7.Accordingtothescenario,whichassessmentfindingismostconcerningforthischildatthisage?a)Weightgainappropriateforageb)Respondstohismother'svoicec)Usesprimarilysinglewordsforcommunicationd)Showsinterestininteractiveplay8.Whatisthenurse'slikelyrationaleforsuggestinglanguage-richinteractionsforDaniel?a)Toencouragebettersleeppatternsb)Toimprovehisfinemotorskillsc)Toenhancehisreceptiveandexpressivelanguagedevelopmentd)Toincreasehisdailycaloricintake9.ThenurseisplanningtoeducateMs.Johnsononpromotinglanguagedevelopment.Whichactivitywouldbemostappropriatetosuggest?a)ReadingpicturebooksaloudtoDanielb)EncouragingDanieltowatcheducationalcartoonsforanhourdailyc)LettingDanielplayalonetodevelopindependenced)Focusingonlyoncountingobjectsduringplay10.ThenurseobservesthatDanielpointstoobjectshewants.WhatcommunicationstrategyisDaniellikelydemonstrating?a)Gesturalcommunicationb)Spokenlanguagec)Writtencommunicationd)Non-verbalrelaxation三、翻譯TranslatethefollowingsentencesintoEnglish:11.請(qǐng)監(jiān)測(cè)患兒體溫,每4小時(shí)測(cè)量一次。12.給予患兒口服補(bǔ)液鹽,每次10ml/kg,每8小時(shí)一次。13.向家長(zhǎng)解釋疫苗接種的常見(jiàn)副作用,如紅腫、發(fā)熱。14.確?;純涸诨顒?dòng)期間佩戴好安全帽。15.鼓勵(lì)患兒多飲水,以幫助排尿。四、溝通與交流Thenurseneedstoexplaintoa6-year-oldchildtheprocedureforhavingablooddrawforaroutinebloodtest.Thenurseshouldusewhichofthefollowingsentencestopreparethechild?(Choosethebestoption)a)"Itwilljustfeellikealittlepinch,andthenit'salloververyfast."b)"Youneedtoholdverystillforalongtime,itmighthurtabit."c)"Weneedtotakeyourtemperaturewithasharpneedletoday."d)"Don'tworry,thenursewillgiveyouashottomakeitgoaway."五、指令與醫(yī)囑理解Thephysicianwritesthefollowingorderonthenursingchart:"Amoxicillin125mgPOBIDfor10daysforotitismedia."Basedonthisorder,whichstatementiscorrect?a)Themedicationshouldbegiventwiceadayfor10days.b)Thechildweighs25kg,sothedoseisappropriateas125mgisthestandarddoseforotitismedia.c)Thenurseshouldadministerthemedicationonlyinthemorning.d)AmoxicillinisanIVmedicationandshouldbegiveninthehospitalsetting.試卷答案一、詞匯與語(yǔ)法選擇1.b2.b3.d4.c5.c6.b二、閱讀理解7.c8.c9.a10.a三、翻譯11.Monitorthechild'stemperatureevery4hours.12.Giveoralrehydrationsolution(ORS)10mL/kgevery8hours.13.Explaincommonsideeffectsofvaccinationtotheparent,suchasrednessandswellingattheinjectionsite,andfever.14.Ensurethechildwearsahelmetproperlyduringactivities.15.Encouragethechildtodrinkmorefluidstohelpwithurination.四、溝通與交流a五、指令與醫(yī)囑理解a解析一、詞匯與語(yǔ)法選擇1.解析:Thechildpresentswithahigh-pitchedcoughanddifficultybreathing,whichareclassicsignsofrespiratorydistress.Assessingoxygensaturationiscrucialtodeterminetheseverityoftherespiratorycompromiseandthechild'soxygen-carryingcapacity.2.解析:OptionBusessimple,concretelanguage("Washyourhandsreallywellsothegermsgoaway")thatiseasierforapreschoolertounderstandandremembercomparedtotheotheroptionswhichareeithertooabstractortoodetailedforayoungchild.3.解析:"ORS"standsforOralRehydrationSalts,"mL/kg"standsformillilitersperkilogram,and"NG"standsfornasogastric.Allthreeabbreviationsarecommonlyusedandacceptedinmedicaldocumentation.4.解析:Maaloxcontainsaluminumhydroxideandmagnesiumhydroxide,whichareantacidsthatworkbyneutralizingstomachacid.ItissuitableformildGERD.FamotidineisanH2blocker,sucralfateformsaprotectivebarrier,andpantoprazoleisaPPI,typicallyusedformoresevereGERD.5.解析:Thechildweighs20kg.Thedoseis10mg/kg.Calculation:10mg/kg*20kg=200mg.Themedicationisavailableas200mgtablets,soonefulltabletisneededforthedose.6.解析:Beingbelowthe3rdpercentileindicatesthechildissignificantlyshorterthan97%ofchildrenofthesameage,whichfallsunderthecategoryofbeingunderweightforage.二、閱讀理解7.解析:At18months,whilevariationexists,usingprimarilysinglewordsisconsidereddelayedcomparedtotypicaldevelopmentwhichofteninvolvesusingtwo-wordphrases.Theotherfindings(weightgain,responsiveness,interaction)arewithinnormalexpectationsforthisage.8.解析:Providinglanguage-richinteractions(likereadingaloud)exposesthechildtovocabulary,sentencestructure,andconversationalturn-taking,whichareessentialstimuliforpromotingbothreceptive(understanding)andexpressive(speaking)languagedevelopment.9.解析:Readingpicturebooksaloudisaneffectivewaytoengageayoungchildinlanguage.Itprovidesvocabulary,modelssentenceformation,andencouragesinteraction,allofwhichsupportlanguagedevelopment.Theotheroptionsarelesseffectiveorinappropriateforthispurpose.10.解析:Pointingtoobjectstocommunicateadesireorneedisacommonformofnon-verbalcommunicationusedbyyoungchildrenwhoarenotyetspeakingfluently.Thisisknownasgesturalcommunication.三、翻譯11.解析:Thistranslatesdirectlytomonitorthechild'stemperature(tocheck體溫),every4hours(every4小時(shí)),andmeasure(測(cè)量).12.解析:Thistranslatestogive(給予)oralrehydrationsolution(oral補(bǔ)液鹽/ORS),10mL/kg(10ml/kg),every8hours(每8小時(shí)一次),andvia(via在此處通常指口服PO-bymouth).13.解析:Thistranslatestoexplain(解釋)commonsideeffects(common副作用,effects影響),ofvaccination(of疫苗接種),to(to給)theparent(家長(zhǎng)).14.解析:Thistranslatestoensure(確保)thechild(患兒),wears(佩戴),ahelmet(安全帽),properly(好),during(在...期間)activities(活動(dòng)).15.解析:Thistranslatestoencourage(鼓勵(lì))thechild(患兒),todrink(多飲水),morefluids(更多液體),tohelp(幫助),withurination(排尿).四、溝通與交流解析:OptionAisthemostappropriatebecauseitusessimple,reassuringlanguage("justapinch,""alloververyfast")thatisunderstandableandlessfrighteningfora6-year-old.OptionBemphasizesthepainandduration,potentiallyincreasinganxiety
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