第第PAGE\MERGEFORMAT1頁共NUMPAGES\MERGEFORMAT1頁護理專業(yè)知識英文版題庫及答案解析（含答案及解析）姓名：科室/部門/班級：得分：題型單選題多選題判斷題填空題簡答題案例分析題總分得分

一、單選題（共20分）

1.Whichofthefollowingistheprimaryresponsibilityofanursewhenadministeringmedication?

(A)Prescribingmedicationbasedonpatientsymptoms

(B)Monitoringthepatient’sresponsetomedication

(C)Determiningtheappropriatedosageofmedication

(D)Explainingthesideeffectsofmedicationtothepatient

______

2.Whatisthemosteffectivewaytopreventthespreadofhospital-acquiredinfections(HAIs)?

(A)Usingsingle-usemedicalequipmentforeachpatient

(B)Increasingthefrequencyofhandwashingamonghealthcareworkers

(C)Limitingpatientmovementwithinthehealthcarefacility

(D)Disinfectingsurfacesonlywhentheyappeardirty

______

3.Whichofthefollowingnursinginterventionsismostappropriateforapatientwithafeverof39.5°C?

(A)Administeringasedativetoreducediscomfort

(B)Applyingacoldcompresstothepatient’sforehead

(C)Increasingtheroomtemperaturetomakethepatientmorecomfortable

(D)Withholdingfluidstopreventfurthersweating

______

4.Inwhichstageofthenursingprocessdoesthenurseassessthepatient’scurrenthealthstatus?

(A)Planning

(B)Implementation

(C)Evaluation

(D)Assessment

______

5.Whichofthefollowingisakeycomponentofculturallycompetentnursingcare?

(A)Treatingallpatientsidenticallyregardlessoftheirculturalbackground

(B)Avoidingdirecteyecontacttoshowrespect

(C)Askingopen-endedquestionstounderstandpatientpreferences

(D)Referringtothepatient’sfamilyas"interference"

______

6.Whatisthepurposeofanursingcareplan?

(A)Todocumentthenurse’spersonalnotesaboutthepatient

(B)Tooutlinethepatient’sdiagnosisandtreatmentgoals

(C)Totrackthenurse’sshifthoursandtasks

(D)Tobillinsurancecompaniesforservicesrendered

______

7.Whichofthefollowingsymptomswouldindicateaneedforimmediatemedicalinterventioninapatientwithapulmonaryembolism?

(A)Mildshortnessofbreath

(B)Chestpain

(C)Fatigue

(D)Alloftheabove

______

8.Whatisthecorrectwaytopositionapatientwithahipfracturetopreventfurtherinjury?

(A)Allowingthepatienttositupindependently

(B)Placingapillowbetweenthepatient’skneeswhenlyingontheirback

(C)Encouragingthepatienttowalkwithcrutches

(D)Keepingtheaffectedlegelevatedaboveheartlevel

______

9.Whichofthefollowingisacommonsignofdehydrationinelderlypatients?

(A)Drymouthandskin

(B)Increasedurineoutput

(C)Confusion

(D)Alloftheabove

______

10.Whatistheprimarygoalofpainmanagementinnursing?

(A)Toeliminateallpainimmediately

(B)Toreducepaintoamanageablelevel

(C)Toavoidmedicationtopreventdependency

(D)Toencouragepatientstotoleratepainwithoutmedication

______

11.Whichofthefollowingisanexampleofnon-pharmacologicalpainrelief?

(A)Administeringmorphinetoapatientwithseverepain

(B)Applyingaheatingpadtoamusclestrain

(C)Prescribingpainmedicationevery4hours

(D)Restrictingthepatient’smobility

______

12.Whatistheroleofanurseinadischargeplanningprocess?

(A)Todecidewhenthepatientisreadytoleavethehospital

(B)Tocoordinatefollow-upcarewithhealthcareproviders

(C)Tobillthepatientforhospitalcharges

(D)Tosupervisethepatient’sfamilyduringtheirstay

______

13.Whichofthefollowingisakeyprincipleofconfidentialityinnursing?

(A)Sharingpatientinformationwithfriendsandfamily

(B)Recordingpatientdatainaneasilyaccessiblelocation

(C)Discussingpatientcasesinpublicareas

(D)Ensuringpatientprivacywhencommunicatingsensitiveinformation

______

14.Whatisthemosteffectivewaytoassessapatient’srespiratorystatus?

(A)Askingthepatienthowtheyfeel

(B)Observingthepatient’sbreathingrateanddepth

(C)Checkingthepatient’sbloodpressure

(D)Reviewingthepatient’smedicalhistoryonly

______

15.Whichofthefollowingisapotentialcomplicationofimmobilityinalong-termcarepatient?

(A)Weightgain

(B)Pressureulcers

(C)Improvedmobility

(D)Enhancedappetite

______

16.Whatisthepurposeofapatient’sadvancedirective?

(A)Tooutlinethepatient’sfinancialwishes

(B)Tospecifythemedicaltreatmentsthepatientdoesnotwant

(C)Toauthorizethenursetomakeallhealthcaredecisions

(D)Tolistthepatient’spreferredhealthcareproviders

______

17.Whichofthefollowingisabestpracticeforpreventingmedicationerrors?

(A)Fillingprescriptionsquicklytomeetdemand

(B)Double-checkingthepatient’sidentityandmedicationorder

(C)Allowingunlicensedpersonneltoadministermedications

(D)Avoidingmedicationreconciliation

______

18.Whatistheroleofanurseinamultidisciplinaryhealthcareteam?

(A)Tomakeallhealthcaredecisionsindependently

(B)Tocoordinatecarewithphysicians,therapists,andsocialworkers

(C)Tosuperviseallotherhealthcareteammembers

(D)Tobillforservicesprovidedbytheteam

______

19.Whichofthefollowingisasignofeffectivecommunicationinnursing?

(A)Speakingloudlytoensurethepatienthears

(B)Usingmedicaljargontodemonstrateexpertise

(C)Listeningactivelytopatientconcerns

(D)Interruptingthepatienttosavetime

______

20.Whatisthemostimportantaspectofanurse’sroleinpatienteducation?

(A)Providingdetailedmedicalinformationwithoutexplanation

(B)Focusingonlyonthepatient’sabilitytofollowinstructions

(C)Empoweringthepatienttomakeinformedhealthcaredecisions

(D)Repeatingthesameinformationindifferentwaysuntilthepatientmemorizesit

______

二、多選題（共15分，多選、錯選均不得分）

21.Whichofthefollowingarekeycomponentsofanursingassessment?

(A)Physicalexamination

(B)Reviewofmedicalhistory

(C)Patient’sself-reportedsymptoms

(D)Family’smedicalopinions

(E)Vitalsigns

______

22.Whatarecommonstrategiesformanaginganxietyinpatients?

(A)Providingaquietenvironment

(B)Encouragingdeepbreathingexercises

(C)Administeringsedativeswithoutconsent

(D)Keepingthepatient’sfamilyinformed

(E)Avoidingeyecontacttoappearlessthreatening

______

23.Whichofthefollowingaresignsofeffectivewoundhealing?

(A)Decreasingrednessandswelling

(B)Pusdrainagefromthewound

(C)Newtissueformationoverthewound

(D)Asteadydecreaseinpain

(E)Increasedwoundsize

______

24.Whataretheresponsibilitiesofanursewhenprovidingend-of-lifecare?

(A)Ensuringthepatient’scomfort

(B)Respectingthepatient’swishesregardinglife-sustainingtreatment

(C)Administeringunnecessarymedicationsto"makethepatientfeelbetter"

(D)Communicatingwiththepatient’sfamilyaboutcarepreferences

(E)Documentingallcaredecisions

______

25.Whichofthefollowingarepotentialrisksofimmobilityinelderlypatients?

(A)Muscleatrophy

(B)Deepveinthrombosis

(C)Improvedmobility

(D)Pressureulcers

(E)Enhancedappetite

______

三、判斷題（共10分，每題0.5分）

26.Nursesareallowedtodelegatemedicationadministrationtounlicensedassistivepersonnel.

______

27.Apatient’sadvancedirectivemustbesignedinfrontoftwowitnessestobevalid.

______

28.Painisasubjectiveexperienceandcannotbereliablyassessedbyobjectivemeasures.

______

29.Culturalcompetenceinnursingmeanstreatingallpatientsthesameway.

______

30.Anurse’sdutyofcareendswhenthepatientisdischargedfromthehospital.

______

31.Handwashingisthemosteffectivewaytopreventthespreadofinfectionsinhealthcaresettings.

______

32.Patientswithterminalillnessesshouldnotbeinformedabouttheirprognosistoavoiddistress.

______

33.Anursingcareplanshouldbeindividualizedtomeeteachpatient’suniqueneeds.

______

34.Non-pharmacologicalpainreliefmethodsarealwayslesseffectivethanmedication.

______

35.Nursesareresponsiblefordocumentingallpatientinteractionsinthemedicalrecord.

______

四、填空題（共10空，每空1分，共10分）

36.Thenursingprocessconsistsoffivesteps:__________,assessment,diagnosis,implementation,andevaluation.

______

37.Apatientwitharespiratoryinfectionmayexhibitsymptomssuchas__________,cough,andshortnessofbreath.

______

38.Theterm"HIPAA"referstotheHealthInsurancePortabilityandAccountabilityAct,whichprotects__________.

______

39.Whencaringforapatientwithahipfracture,itisimportantto__________topreventfurtherinjury.

______

40.Theprimarygoalofdischargeplanningistoensurethatthepatienthas__________andresourcestocontinuecareathome.

______

41.Anurseshoulduse__________communicationtechniquestoensurepatientsunderstandtheircareinstructions.

______

42.__________isacommonsignofdehydrationinelderlypatients.

______

43.Non-pharmacologicalpainreliefmethodsinclude__________andrelaxationtechniques.

______

44.Apatient’sadvancedirectiveoutlinestheirpreferencesfor__________care.

______

45.Theacronym__________standsfor"Assess,Plan,Implement,Evaluate."

______

五、簡答題（共15分，每題5分）

46.Describetheimportanceofculturalcompetenceinnursingcare.

______

47.Explainthedifferencebetweenaprimaryandsecondarynursingdiagnosis.

______

48.Whatarethreekeystrategiesforeffectivepainmanagementinpatients?

______

六、案例分析題（共25分）

49.CaseStudy:A78-year-oldpatientwithahistoryofdiabetesandhypertensionisadmittedtothehospitalwithshortnessofbreathandchestpain.Thepatientreportsfeelinganxiousandconfused.Thenursenotesthatthepatient’sbloodpressureis150/90mmHg,heartrateis110beatsperminute,andrespiratoryrateis24breathsperminute.Thepatient’soxygensaturationis92%onroomair.

Problem1:Whatarethreepotentialcausesofthepatient’sshortnessofbreath?

______

Problem2:Describethreenursinginterventionsthatcouldhelpalleviatethepatient’sanxiety.

______

Problem3:Whatstepsshouldthenursetaketoensurethepatient’ssafetywhileawaitingfurthermedicalevaluation?

______

Summary:Provideonekeytakeawayfromthiscasefornursingpractice.

______

參考答案及解析

一、單選題

1.B

解析：Theprimaryresponsibilityofanursewhenadministeringmedicationistomonitorthepatient’sresponsetoensureefficacyandsafety.OptionAisincorrectbecauseprescribingmedicationisthephysician’srole.OptionCisincorrectbecausedeterminingthedosageisbasedonthephysician’sorder.OptionDisincorrectbecauseexplainingsideeffectsisimportantbutnottheprimaryresponsibility.

2.B

解析：IncreasingthefrequencyofhandwashingamonghealthcareworkersisthemosteffectivewaytopreventHAIs.OptionAiscostlybutlesspractical.OptionCdoesnotaddresstherootcauseofinfections.OptionDisinsufficientforinfectioncontrol.

3.B

解析：Applyingacoldcompresscanhelpreducefeverbyconstrictingbloodvessels.OptionAmayworsenfever.OptionCcanincreasesweating.OptionDcanleadtodehydration.

4.D

解析：Assessmentisthefirststepinthenursingprocess,wherethenurseevaluatesthepatient’shealthstatus.

5.C

解析：Askingopen-endedquestionsshowsrespectandunderstandingofculturalpreferences.OptionAisunethical.OptionBmaybeinappropriateinsomecultures.OptionDignoresfamilyinvolvement.

6.B

解析：Anursingcareplanoutlinesthepatient’sdiagnosis,goals,andinterventions.

7.D

解析：Allsymptoms(A,B,andC)indicateapotentialpulmonaryembolismandrequireimmediateattention.

8.B

解析：Placingapillowbetweenthepatient’skneeshelpsmaintainhipalignmentandpreventsfurtherinjury.

9.D

解析：Alllistedsigns(A,C,andB)indicatedehydration.

10.B

解析：Thegoalofpainmanagementistoreducepaintoamanageablelevelwithoutcausingharm.

11.B

解析：Applyingaheatingpadisanon-pharmacologicalmethod.

12.B

解析：Coordinatingfollow-upcareisessentialforcontinuityofcare.

13.D

解析：Ensuringpatientprivacyiscrucialformaintainingconfidentiality.

14.B

解析：Observingbreathingrateanddepthisthemostdirectwaytoassessrespiratorystatus.

15.B

解析：Pressureulcersareacommonriskofimmobility.

16.B

解析：Anadvancedirectivespecifiesmedicaltreatmentsthepatientdoesnotwant.

17.B

解析：Double-checkingtheorderandpatientidentityreducesmedicationerrors.

18.B

解析：Nursescollaboratewithotherteammemberstoprovidecomprehensivecare.

19.C

解析：Activelisteningshowsrespectandensurespatientconcernsareaddressed.

20.C

解析：Empoweringpatientstomakeinformeddecisionsenhancestheirparticipationincare.

二、多選題

21.A,B,C,E

解析：Anursingassessmentincludesphysicalexamination,medicalhistory,patientsymptoms,andvitalsigns.OptionDisnotpartoftheassessmentprocess.

22.A,B,D

解析：Quietenvironments,deepbreathing,andfamilycommunicationhelpmanageanxiety.OptionCisinappropriatewithoutconsent.OptionEmayincreaseanxiety.

23.A,C,D

解析:Redness,newtissue,anddecreasedpainindicatehealing.Pusdrainage(B)andincreasedsize(E)aresignsofpoorhealing.

24.A,B,D,E

解析:Ensuringcomfort,respectingpreferences,communicatingwithfamily,anddocumentingcarearekeyresponsibilities.OptionCisunethical.

25.A,B,D

解析:Muscleatrophy,DVT,andpressureulcersarerisksofimmobility.OptionCisincorrect.OptionEisunrelated.

三、判斷題

26.×

解析:Delegatingmedicationadministrationtounlicensedpersonnelisillegalinmostjurisdictions.

27.√

解析:Anadvancedirectivemustbesignedinfrontoftwowitnessestobevalid.

28.×

解析:Paincanbeassessedusingobjectivemeasureslikevitalsignsandpainscales.

29.×

解析:Culturalcompetencerequiresunderstandingandrespectingindividualdifferences.

30.×

解析:Nurseshaveadutyofcareevenafterdischarge,includingfollow-upandeducation.

31.√

解析:Handwashingisthemosteffectivewaytopreventinfections.

32.×

解析:Patientsshouldbeinformedabouttheirprognosistomakeinformeddecisions.

33.√

解析:Individualizedcareplansaddressuniquepatientneeds.

34.×

解析:Non-pharmacologicalmethodscanbeaseffectiveasmedication.

35.√

解析:Nursesmustdocumentallpatientinteractions.

四、填空題

36.Nursingprocess

解析:Thenursingprocessconsistsofassessment,diagnosis,planning,implementation,andevaluation.

37.Fever

解析:Respiratoryinfectionsoftencaus