考研英語護理真題及答案

一、單項選擇題（每題2分，共10題）1.Thenurseiscaringforaclientwhohasadiagnosisofdiabetesmellitus.Whichofthefollowingactionsshouldthenursetakefirst?A.CheckthebloodglucoselevelB.AdministerinsulinC.Monitortheclient'svitalsignsD.Assesstheclient'sknowledgeofdiabetesmanagement答案：A2.Aclientwithanewdiagnosisofhypertensionisbeingeducatedaboutlifestylemodifications.Whichofthefollowingstatementsbytheclientindicatesanunderstandingoftheteaching?A."Iwillneedtotakemedicationfortherestofmylife."B."Ishouldavoidallhigh-sodiumfoods."C."IcanstilldrinkalcoholifIlimitmyintake."D."Iwillnotneedtomonitormybloodpressureathome."答案：B3.Thenurseisassessingaclientwhohasahistoryofschizophrenia.Whichofthefollowingfindingswouldindicateanimprovementintheclient'scondition?A.HallucinationsB.DisorganizedspeechC.ImprovedsocialinteractionD.Agitation答案：C4.Aclientisadmittedtothehospitalwithadiagnosisofpneumonia.Whichofthefollowinginterventionsshouldthenurseprioritize?A.AdministeringoxygenB.ProvidingrespiratoryexercisesC.ElevatingtheheadofthebedD.Administeringantibiotics答案：D5.Thenurseiscaringforaclientwhoispostoperativeandatriskfordevelopingapressureulcer.Whichofthefollowingactionsshouldthenursetaketopreventthiscomplication?A.Positiontheclientinbedevery2hoursB.Applyapressure-reducingmattressC.Keeptheclient'sskindryandcleanD.Alloftheabove答案：D6.Aclientwithadiagnosisofosteoporosisisbeingtaughtaboutbone-protectivemeasures.Whichofthefollowingstatementsbytheclientindicatesanunderstandingoftheteaching?A."Ishouldavoidweight-bearingexercises."B."Ishouldtakecalciumsupplementsdaily."C."Ishouldhaveabonedensitytesteveryyear."D."Ishouldavoiddairyproducts."答案：B7.Thenurseisassessingaclientwhohasadiagnosisofchronickidneydisease.Whichofthefollowingfindingswouldindicateaworseningoftheclient'scondition?A.IncreasedurineoutputB.DecreasedbloodpressureC.ElevatedserumcreatininelevelsD.Normalelectrolytelevels答案：C8.AclientwithadiagnosisofCOPDisexperiencinganacuteexacerbation.Whichofthefollowinginterventionsshouldthenurseprioritize?A.AdministeringbronchodilatorsB.ProvidingsupplementaloxygenC.EncouragingdeepbreathingexercisesD.Alloftheabove答案：D9.Thenurseiscaringforaclientwhohasadiagnosisofbreastcancerandisundergoingchemotherapy.Whichofthefollowinginterventionsshouldthenurseimplementtopreventinfection?A.EncouragingtheclienttowearasurgicalmaskB.AdministeringprophylacticantibioticsC.Keepingtheclient'sroomtemperaturebetween68-72°FD.Alloftheabove答案：D10.Aclientwithadiagnosisofdiabetesmellitusisbeingtaughtaboutfootcare.Whichofthefollowingstatementsbytheclientindicatesanunderstandingoftheteaching?A."Ishouldcheckmyfeetdailyforanychanges."B."Ishouldusehotwatertobathemyfeet."C."Ishouldtrimmytoenailsstraightacross."D."Ishouldweartight-fittingshoestosupportmyfeet."答案：A二、多項選擇題（每題2分，共10題）1.Whichofthefollowingarecommonsymptomsofdepression?A.PersistentsadnessB.LossofinterestinactivitiesC.ChangesinappetiteD.InsomniaorhypersomniaE.Fatigueorlossofenergy答案：A,B,C,D,E2.Thenurseiscaringforaclientwhohasadiagnosisofheartfailure.Whichofthefollowinginterventionsshouldthenurseimplementtomanagetheclient'ssymptoms?A.AdministeringdiureticsB.EncouragingfluidrestrictionC.MonitoringforedemaD.AdministeringACEinhibitorsE.Providingoxygentherapy答案：A,B,C,D,E3.Whichofthefollowingareriskfactorsforstroke?A.HypertensionB.DiabetesmellitusC.SmokingD.HighcholesterolE.Atrialfibrillation答案：A,B,C,D,E4.Thenurseiscaringforaclientwhohasadiagnosisofasthma.Whichofthefollowinginterventionsshouldthenurseimplementtomanagetheclient'ssymptoms?A.AdministeringinhaledbronchodilatorsB.ProvidingoxygentherapyC.EncouragingdeepbreathingexercisesD.AdministeringcorticosteroidsE.Monitoringforwheezingandshortnessofbreath答案：A,C,D,E5.Whichofthefollowingarecommoncomplicationsofdiabetesmellitus?A.HypoglycemiaB.HyperglycemiaC.RetinopathyD.NephropathyE.Neuropathy答案：A,B,C,D,E6.Thenurseiscaringforaclientwhohasadiagnosisofschizophrenia.Whichofthefollowinginterventionsshouldthenurseimplementtomanagetheclient'ssymptoms?A.AdministeringantipsychoticmedicationsB.ProvidingsupportivetherapyC.EncouragingsocialinteractionD.MonitoringformedicationsideeffectsE.Maintainingastructuredenvironment答案：A,B,C,D,E7.Whichofthefollowingarecommonsymptomsofanxietydisorders?A.ExcessiveworryB.RestlessnessC.FatigueD.DifficultyconcentratingE.Muscletension答案：A,B,C,D,E8.Thenurseiscaringforaclientwhohasadiagnosisofcancer.Whichofthefollowinginterventionsshouldthenurseimplementtomanagetheclient'ssymptoms?A.AdministeringpainmedicationB.ProvidingemotionalsupportC.EncouragingnutritionalintakeD.MonitoringforsignsofinfectionE.Providingeducationaboutcancertreatment答案：A,B,C,D,E9.Whichofthefollowingarecommonsideeffectsofchemotherapy?A.NauseaandvomitingB.HairlossC.FatigueD.IncreasedriskofinfectionE.Anemia答案：A,B,C,D,E10.ThenurseiscaringforaclientwhohasadiagnosisofHIV/AIDS.Whichofthefollowinginterventionsshouldthenurseimplementtomanagetheclient'ssymptoms?A.AdministeringantiretroviraltherapyB.ProvidingeducationaboutsafesexpracticesC.MonitoringforopportunisticinfectionsD.EncouragingahealthylifestyleE.Providingemotionalsupport答案：A,B,C,D,E三、判斷題（每題2分，共10題）1.Thenurseshouldalwaysreportanychangesinaclient'smentalstatustothehealthcareprovider.答案：正確2.Aclientwithadiagnosisofdiabetesmellitusshouldalwaysmonitortheirbloodglucoselevelsbeforemeals.答案：錯誤3.ThenurseshouldencourageaclientwithadiagnosisofCOPDtoengageinregularphysicalactivity.答案：正確4.Aclientwithadiagnosisofosteoporosisshouldavoidweight-bearingexercises.答案：錯誤5.Thenurseshouldadministerantibioticstopreventinfectioninallclientswithadiagnosisofcancer.答案：錯誤6.Aclientwithadiagnosisofschizophreniashouldbeplacedinaquiet,structuredenvironment.答案：正確7.Thenurseshouldencourageaclientwithadiagnosisofanxietydisordertoavoidcaffeine.答案：正確8.Aclientwithadiagnosisofheartfailureshouldbeplacedonstrictbedrest.答案：錯誤9.Thenurseshouldadministerpainmedicationtoallclientswithadiagnosisofcancer.答案：錯誤10.Thenurseshouldavoiddiscussingsensitivetopicswithclientswhohaveadiagnosisofdementia.答案：錯誤四、簡答題（每題5分，共4題）1.Describethenursingassessmentfindingsforaclientwithadiagnosisofpneumonia.答案：Thenursewouldassessforsymptomssuchascough,shortnessofbreath,chestpain,andfever.Physicalexaminationfindingsmayincludecrackles,decreasedbreathsounds,andincreasedrespiratoryrate.Thenursewouldalsomonitorvitalsigns,includingbloodpressure,heartrate,andoxygensaturationlevels.2.Explaintheimportanceoffootcareforclientswithdiabetesmellitus.答案：Footcareisimportantforclientswithdiabetesmellitustopreventfootulcersandinfections.Thenurseshouldteachclientstoinspecttheirfeetdailyforanychanges,keeptheirfeetcleananddry,wearproperfootwear,andavoidsmoking.Regularfootcarecanhelppreventcomplicationsandmaintainoverallfoothealth.3.Describethenursinginterventionsforaclientwithadiagnosisofheartfailure.答案：Thenurseshouldmonitortheclient'svitalsigns,includingbloodpressure,heartrate,andoxygensaturationlevels.Interventionsmayincludeadministeringdiuretics,providingoxygentherapy,monitoringforedema,administeringACEinhibitors,andprovidingeducationaboutfluidrestrictionandsodiumintake.Thenurseshouldalsoassessforsignsofworseningheartfailureandreportanychangestothehealthcareprovider.4.Explaintheroleofantipsychoticmedicationsinthemanagementofschizophrenia.答案：Antipsychoticmedicationsareusedtomanagethesymptomsofschizophrenia,suchashallucinations,delusions,anddisorganizedthinking.Thesemedicationsworkbyblockingdopaminereceptorsinthebrain,whichcanhelpreducesymptomsandimprovetheclient'soverallfunctioning.Thenurseshouldmonitorformedicationsideeffects,suchasextrapyramidalsymptoms,andprovideeducationabouttheimportanceoftakingmedicationasprescribed.五、討論題（每題5分，共4題）1.Discusstheimportanceofpatienteducationinthemanagementofchronicdiseases.答案：Patienteducationiscrucialinthemanagementofchronicdiseasesasitempowersclientstotakeanactiveroleintheircare.Educatedclientsaremorelikelytoadheretotreatmentplans,makelifestylemodifications,andrecognizesignsofcomplications.Thenurseshouldprovidecomprehensiveeducationaboutthediseaseprocess,medicationmanagement,self-monitoringtechniques,andavailableresources.Effectivepatienteducationcanimproveoutcomesandqualityoflifeforclientswithchronicdiseases.2.Discussthechallengesfacedbynursesinprovidingcaretoclientswithmentalhealthdisorders.答案：Nursesfaceseveralchallengesinprovidingcaretoclientswithmentalhealthdisorders.Thesechallengesincludestigmaassociatedwithmentalillness,limitedresourcesandsupport,complexsymptommanagement,andtheneedforspecializedknowledgeandskills.Nursesmustalsonavigatelegalandethicalconsiderations,suchasclientconfidentialityandinformedconsent.Despitethesechallenges,nursesplayavitalroleinprovidingcompassionateandholisticcaretoclientswithmentalhealthdisorders.3.Discusstheroleofthenurseinpromotinghealthylifestylebehaviorsinclients.答案：Thenurseplaysacrucialroleinpromotinghealthylifestylebehaviorsinclients.Thisincludesassessingclients'currentbehaviors,identifyingareasforimprovement,anddevelopingindividualizedcareplans.Thenurseshouldprovide