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2011(秋)年级护理专科毕业理论综合考试模拟卷(3)  

2013-08-06 14:55:50|  分类: 远程毕业考试 |  标签: |举报 |字号 订阅

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上海交通大学网络学院医学院分院

2011(秋)年级毕业理论综合考试练习卷(3

 

专业:护  理 (专科)

一、英语(30%

Part I  Vocabulary and Structure

Directions: There are 25 incomplete sentences in this part. For each sentence there are four choices marked A, B, C, and D. Choose the one that best completes the sentence.

1In the nineteenth century peole thought it was a(n) ______ way to travel when Henry Ford built his first car.

      A. liberal               B. reliable               C. individual                   D. unique

2 On the March ______ of Time, there was an interesting article about cloning.

      A. response              B. tradition              C. description             D. issue

3In Jane Austin’s novel “Pride and Prejudice” when Darcy asked Elizabeth to marry him, she wanted to know what his ______ were.

      A. compliments             B. privileges            C. intentions                   D. attitudes

4 It is almost ______ that so much snow fell in such a short time.

      A . original               B. incredible                   C. sincere                D. radical

5 The president of the Apple company told Hardy : _____ the good work, and you will be rewarded for it.

      A. Wear out          B. Count out                     C. Bring up              D. Keep up

6 Mama told Janet: Don’t ______ the guests, because it was getting dark., they had to leave now.

      A. pull into             B. hold up               C. take over               D. bring about

7 We would prefer to go with James; ______ we don’t want to go with you.

      A. in theory           B. in other words         C. as a result           D. on the other hand

8 Because all the members of the team had tried his best, the work team ____________ the task within the shortest time.

      A. committed         B. accomplished   C. endured                 D. occupied

9 If you have to go through a smoke-filled area, you'd better ______ with your head low.

      A. crawl                  B. retreat                   C. proceed                     D. drag

10Mother ________ my brother to keep his voice down but he ignored her.

      A. remarked            B. motioned               C. shrugged                 D. impressed

11If doing one thing gives you an unpleasant feeling, the normal ________ would be to stop doing it.

      A. perspective        B. emotion          C. reaction                 D. function

12His house is in a wealthy ____________ with a school, a hospital, banks and shops.

      A. neighborhood           B. basis                  C. route                          D. occasion

13As the power station was damaged by the earthquake, all the foodstuffs in the refrigerator became ___________ .

      A. empty                      B. bare                   C. stale                           D. dumb

 

14 The project manager ______ told us that we could leave early today.  It was _____ to think about what I could do with this extra time.

      A. excitedly … exciting                             B. excitedly … excited

C. excitingly … exciting                                   D. excitingly … excited

15______ until you have finished your homework ______ have the ice-cream.

      A. Not … you may                                          B. It is not … you may

      C. Not … may you                                          D. It is not … may you

16.In the exam, the ______ you are, the ______ mistakes you’ll make.

A. careful, little                                               B. more careful, less          

C. more careful, few                                       D. more careful, fewer

17.The little boy was so frightened that he didn’t know ______ next.

A. how to do                                                  B. what should he do  

C. what he will do                                    D. what to do

 

18.Please talk about the countries ______ you have read about.

A. who                B. where              C. which                    D. when

19.Breathing equipment ______ protecting firemen from smoke.

A. used to            B. is used for        C. is used to                D. use to

20.We still remember ______ that hill with our teacher.

A. climbed            B. climbing               C. to climb                   D. climb

21.The bottle is full ______ air.  He is going to fill it ______ water.

A. at, of                B. with, with               C. off, by                D. of, with

22.She was heard ______ a song at home.

A. singing             B. sing                   C. to sing                   D. sung

23.Bill and Mike are brothers.  But Mike seems ______.

A. more cleaverer                                  B. a little cleverer            

C. the cleverest                                             D. very clever

24.How many chapters ______ this book ______?

A. is … consisted of                                     B. does…consist of

C. does…make up of                                   D. are…made up of

25.Can you see there is ______  letter of  “s” in the word “hospital”.

A. a                 B. an                  C. the                             D. /

 

 

Part II  Reading Comprehension  (阅读理解)

Directions: There is a passage in this part. The passage is followed by some questions or unfinished statements. For each of them there are four choices marked A, B, C, and D. You should choose the best answer to each question based on the passage.

Passage

Ever since humans have inhabited the earth, they have made use of various forms of communication.  Generally, this expression of thoughts and feelings has been in the form of oral speech.  When there is a language barrier, communication is accomplished through sign language in which motions stand for letters, words, and ideas,  Tourists, the deaf, and the mute have had to resort to (使用) this form of expression.  Many of these symbols of whole words are very picturesque and exact and can be used internationally; spelling, however, cannot.

       Body language transmits ideas or thoughts by certain actions, either intentionally or unintentionally.  A wink can be a way of flirting or indicating that the party is only joking.  A nod signifies approval, while shaking the head indicates a negative reaction.

       Other forms of nonlinguistic language can be found in Braille (a system of raised dots read with the fingertips), signal flags, Morse code, and smoke signals.  Road maps and picture signs also guide, warn, and instruct people.

       While verbalization (说出来) is the most common form of language, other systems and techniques also express human thoughts and feeling.

 

26Which of the following statements is not true?

A. There are many forms of communication in existence today.

B. Verbalization is the most common form of communication.

C. The deaf and mute use an oral form of communication.

D. Ideas and thoughts can be transmitted by body language.

 

27Which form other than oral speech would be most commonly used among blind people?

A.picture signs       B.Braille       C.body language      D.signal flags

 

28Sign language is said to be very picturesque and exact and can be used internationally except for

A.spelling          B.ideas         C.whole words        D. expressions

 

29Certain actions was transmited by:

A.  body language                         B. sign language

C.  vocal language                         D. written language

 

30People very often express their negative attitude by

A. nodding their heads                     B. shaking their heads

C. closing their eyes                       D. shutting their mouths

 

 

二、健康评估:(25%

A型题(在一组备选答案中,选择一个最佳答案):

31.在护理诊断陈述时常用到的字母E表示:                  

A.诊断名称     B.分类     C.相关因素    D.临床表现    E.实验结果

32.关于问诊(会谈),正确的是:                  

A.用医学术语提问,使之准确、精练

B.多采用封闭式提问,让患者简要回答“是”或“否”

C.当患者回答有困难时,给予诱导或提示

D.提问可以重复,以便加深印象

E.会谈应有目的、有层次、有顺序,一般先从主诉开始

33.身体评估时,住院患者与评估者采取的适宜位置,最常用的是:      

A.患者侧卧位,评估者站在患者右侧      B.患者平卧位,评估者站在患者左侧

C.患者仰卧双腿屈曲位,评估者站在患者右侧

D.患者坐位,评估者面对患者            E.患者坐位,评估者站于患者身后

34.腹部评估的主要方法是:

A.视诊       B 触诊         C.叩诊        D.听诊      E.嗅(闻)诊   

35.下列属于发热患者体温下降期的临床表现的是:            

A.畏寒、寒战               B.皮肤苍白、肌肉酸痛         C.神疲乏力

D.皮肤灼热、呼吸深快                                E.多汗、皮肤潮湿

36.青年男性,剧烈运动时突发一侧胸部撕裂样疼痛,进而胸闷,进行性呼吸困难。最可能发生的情况是:                                        

A.肋软骨炎    B.带状疱疹   C.多发肋骨骨折    D.自发性气胸   E.心绞痛

37.原发性支气管肺癌所致咯血常表现为                       

A.大咯血    B 痰中带血    C 中等量咯血    D.隐性咯血    E.小量咯血

38.以下不属于水肿产生的原因的是:                       

A.低蛋白症:血浆胶体渗透压降低      B.炎症、创伤:毛细血管通透性增高

C.高血压:血液对血管壁压力增高      D.血栓性静脉炎:淋巴、静脉回流受阻

E.右心功能不全:血管内静水压增高

39.患者男性,45岁,皮肤呈暗黄色,伴有皮肤瘙痒,尿色深,粪便呈白陶土色,该患者最有可能存在:                                        

A.溶血性黄疸           B.肝细胞性黄疸              C.胆汁淤积性黄疸

D.胡萝卜素血症                                       E.以上都不是

40.以下说法,不正确的是:                                 

A.呕血一般都伴有黑便   B.黑便不一定伴有呕血   C.有黑便就有上消化道出血

D.呕血须与咯血相鉴别               E.幽门以上部位的出血多兼有呕血与黑便

41.观察黑便患者出血是否停止,以下说法错误的是:              

A.须注意排便次数、颜色的变化    

B.每天排便一次,粪便颜色3天后恢复正常,可说明出血已经停止

C.单纯根据排便情况,可以判断出血是否停止

D.血压、脉搏、意识、肠鸣音,是观察患者出血是否停止的临床表现

E.血红蛋白、红细胞计数、血细胞比容是观察患者出血是否停止的实验室指标

42.深昏迷与中度昏迷最有价值的区别是:                       

A 各种刺激无反应              B.不能唤醒            C.无自主运动  

D 深浅反射均消失                                      E.大小便失禁

43.肢端肥大症面容的典型特征是                              

A.唇舌肥厚、耳鼻增大     B.双颊紫红、口唇发绀     C.表情痛苦、面色潮红

D.面圆如满月、皮肤发红                              E.眼裂增大、眼球突出

44.体格检查时,鉴别是否为黄疸,下列正确的是:                 

A.皮肤有黄染肯定是黄疸                          B.巩膜有黄染肯定为黄疸

C.巩膜黄染仅出现在角膜缘周围是黄疸      D.皮肤黄染仅在手掌、足底是黄疸

E.巩膜均匀黄染是黄疸

 

 

 

45.有关瞳孔的叙述,以下错误的是:                           

A.正常瞳孔为圆形,双侧等大               B.光亮处瞳孔较小,暗处扩大

C.双侧瞳孔大小不等,提示颅内病变         D.瞳孔形状不规则,见于虹膜粘连

E.有机磷中毒,瞳孔扩大;服用阿托品,瞳孔变小

46.有机磷中毒的病人,口腔呈:                            

A.烂苹果味    B.血腥味    C.大蒜味     D.尿味     E.组织坏死的臭味

47.就病人而言,最需护理干预的最常见的情绪状态是:                 

A.愤怒与痛苦               B.痛苦与焦虑               C.紧张与烦恼

D.焦虑与抑郁                                            E.紧张与恐惧

48.根据Duvall模式,家庭生活周期分为:                          

A5个阶段    B6个阶段    C7个阶段    D8个阶段    E10个阶段

49.左心房肥大时P波呈         ,常被称为          P波。        

A.双峰型,二尖瓣型              B.双峰型,肺型         

C.高尖型,二尖瓣型              D.高尖型,肺型         E.以上都不是

50.某男,心电图窦性心律,R-R间期为0.75秒,他的心率是每分钟:    

A60        B70         C80        D90        E100

51.判断下述交叉配血结果正确的是:                

A.主侧和次侧均凝集能输血           B.主侧凝集,次侧不凝集能输血

C.主侧和次侧均不凝不能输血      D.主侧不凝集,次侧凝集紧急时可少量输血

E.以上都正确

52.患者血清标记物是哪种组合的阳性最能确诊为乙型肝炎?            

AALTAST         BHBsAg、抗HBCHBeAg        C.抗HBs、抗HBe   

DHBc、抗HBs                                         EALT、抗HBs

53.腹泻伴里急后重示病变部位在                     

A.直肠、乙状结肠      B.小肠    C.横结肠      D.升结肠     E.十二指肠

54. 正常成人的血红蛋白含量为

A150-180g/L 130-160g/L           B120-160g/L110-150g/L       

C110-150g/L 100-130g/L           D100-130g/L90-120g/L      

E 90-130g/L   80-120g/L 

55.发生输血反应时,首先应立即采取的措施是              

A.重作血型鉴定              B.寻找责任人         C.重作交叉配血     

D.中止输血                                         E.立即注射皮质激素

 

 

 

 

三、内、外科护理学:(45%

A型题(在一组备选答案中,选择一个最佳答案):

56.支气管哮喘最典型的临床表现是:  

A.流清鼻涕,连打喷嚏     B.发作性吸气性呼吸困难     C.混合性呼吸困难

D.端坐呼吸                                      E.发作性呼气性呼吸困难

57.急性心梗后第1-2周期间,下列活动中患者最不宜的是:

A.自行进食         B.入厕排便       C.床旁椅子上坐20分钟,每日3-5

D.自行走楼梯                                           E.病区走廊散步

58.再生障碍性贫血的诊断主要依靠:

A.外周血检查             B.染色体检查                  C.同位素骨扫描

D.临床表现                                             E.骨髓穿刺及活检

59.某慢性支气管炎并发肺气肿患者,于一阵剧咳后突感左上胸剧烈刺痛,出现明显的呼吸困难,不能平卧。听诊左肺呼吸音明显减弱,心率增快达130/分。你考虑发生的情况是:           

A.急性肺炎    B.渗出性胸膜炎   C.自发性气胸   D.肺不张     E.心肌梗死

60.患者突然发作心动过速,心率为170/分,压迫眼球后心率下降为70/分,基本规则。上述快速心律应诊断为:

A.窦性心动过速        B.室上性心动过速        C.室性心动过速   

D.心房颤动                                   E.心房扑动

61.患者,女性,18岁,诊断为Ⅰ型糖尿病,近日来食欲减退、多饮、烦渴、多尿、皮肤粘膜干燥。空腹血糖10.5mmol/L,尿糖(++),酮体(+++),CO2CP18mmol/L。该患者最可能是:

A尿毒症酸中毒           B糖尿病高渗昏迷              C乳酸性酸中毒               

D呼吸性碱中毒                                       E糖尿病酮症酸中毒

62.病人,40岁,男性,近1年时感乏力,纳差,近3月常有牙龈出血,腹胀,体检:面色黝黑,肝掌,上胸部有蛛蜘痣,移动性浊音(+),脾肋下3cm。该病人的饮食护理的原则是:             

A低热量、低蛋白、高维生素                 B高热量、低蛋白、高维生素

C高热量、高蛋白、高维生素                 D高热量、低蛋白、低维生素

E高热量、低脂肪、低维生素

63.我国引起慢性肺心病最常见的病因是:         

A.慢性支气管炎、肺气肿            B.重症肺结核            C.肺间质纤维化

D.支气管扩张                                          E.原发性肺动脉高压

64.有关糖尿病饮食治疗,下列说法错误的是:

A.饮食治疗是糖尿病治疗的基础              B.病人自己才是饮食治疗的主宰   

C.饮食控制要求病人严格遵守固定配方        D.医生只能起指导作用          

E.家属在饮食治疗中能发挥积极作用

6522岁,女性,肺结核史5年,3小时前突然咯血不止,惊恐、大汗淋漓,即来就诊。体检,口唇发绀,不能说话,用手指指向喉部。最关键的抢救措施是:      

A.立即进行人工呼吸   B.立即开放静脉,输血、输液    C.立即使用鼻导管给氧      

D.立即采取解除呼吸道梗阻的措施                   E.立即使用呼吸中枢兴奋剂

66.病人,45岁,女性,因高热伴尿频、尿急、尿痛1天来院就诊,诊断为“慢性肾盂肾炎急性发作”,不正确的护理措施是:   

    A.进食清淡并富有营养的食物      B.补充多种维生素      C.分散病人注意力

    D.多饮水,每天饮水量为500ml左右                         E.避免过度劳累

67患者女性,45岁。反复低热、夜尿增多2年,2次血培养为大肠杆菌生长,为确诊需进一步进行的检查为:

A肾小球滤过率                 B肾脏B              C腹部平片    

D静脉肾盂造影                                           E放射性肾图

 

 

 

68.风心二狭病人,43岁,劳累后心悸气促1年,昨晚2时突然呼吸困难,不能平卧,咳出大量粉红色泡沫痰,体查:口唇发绀,肺部布满大量哮鸣音和湿性罗音。该病人最可能的诊断是: 

  A风心二狭,肺部感染                        B风心二狭、支气管哮喘

  C风心二狭,右心衰竭      D风心二狭,左心衰竭              E以上都不是

69.慢性呼衰时,给氧的要求是:                  

A高浓度吸入每日一次       B湿化瓶中加入酒精吸入     C高浓度持续给氧   

D低浓度持续给氧                                        E以上都不是

70.急性心梗早期引起死亡最常见的主要原因为:

A心律失常      B心力衰竭      C休克      D心包填塞     E低血钾

71.消化性溃疡急性穿孔极少出现:

A突然腹痛   B腹部压痛及反跳痛    C呕吐宿食    D休克   E腹肌紧张

72.下列哪项不是胃溃疡癌变的特点?           

A.进行性贫血,消瘦           B.食欲减退                C.返酸烧心加重

D.大便潜血持续阳性                                  E.上腹痛的规律性消失

73.以下为甲状腺功能亢进的临床表现,但一般不出现:

A.体重下降   B.易激动     C.多食善饥     D.月经量增加     E.疲乏无力

74.针对尿毒症患者的皮肤瘙痒,下列哪项护理措施是错误的?

A.保持皮肤清洁            B.勤用温水洗皮肤          C.常用肥皂酒精擦身   

D.勤换衣裤                                            E.勤剪指甲

75.脑血栓形成患者溶栓治疗最好选择在:

A24小时以内                B12小时以内              C10小时以内   

D8小时以内                                             E6小时以内

76.关于高血压的药物治疗方法,错误的是:

A.从小剂量开始,逐步递增到血压水平满意      B.选择长效制剂可以减少血压波动

C.联合用药可减少药物不良反应               D.血压控制满意后,可以停药

E.三种降压药物联合治疗,除有禁忌症外必须包括利尿剂

77.网织红细胞减少,主要见于:         

A.缺铁性贫血             B.出血性贫血                C.再生障碍性贫血

D.溶血性贫血             E.巨幼红细胞贫血
78
.胃肠道手术,术前禁食的主要目的是

A.减少手术困难          B.减少手术后腹胀      C.预防麻醉中呕吐造成窒息

D.防止术后吻合口瘘                                      E.早期恢复肠蠕动

79.对急性消化道失液的病人,医嘱有下列液体,应首先输入的是:

A5%葡萄糖盐水           B5%葡萄糖液              C10%葡萄糖液 

D.右旋糖酐                                            E5%碳酸氢钠

80.关于中心静脉压,下列哪种说法是错误的

AVP指右心房及上腔静脉的压力

B.测CVP的目的在于调控补液量与速度

C.正常值为0.588-1.177kPa(6-12cmH2O)

DCVP<0.588kPa(6cmH2O)表示血容量不足,需继续补液

ECVP>1.471kPa(15cmH2O)提示血容量已足或心功能不佳

 

 

81.患者,男,严重创伤后血压降低,脉搏细速,面色苍白,诊断为休克。治疗时重点应注意:

A.急性肾功能衰竭的发生        B.及时扩充血容量        C.及时使用甘露醇

D.避免使用血管收缩药                                E.药物对各脏器的毒性

82.不宜做直肠指检的是:

A. 肛瘘      B.直肠癌      C.直肠息肉      D.肛裂       E.直肠脱垂

83.骑跨伤容易损伤尿道的:

A.球部      B.膜部       C.膜上部        D.前列腺部      E.阴茎部

84.膀胱镜检查后的护理,下列哪项是错误的

A.卧床休息                B.应用抗生素            C.尿道疼痛可给止痛剂

D.嘱病人少饮水,减少因排尿引起的不适感              E.观察血尿情况

85.患者女性,53岁,反复发作右上腹痛,发热,黄疸2年余。2周前再次发作,经用药后缓解。如病人突发高热39.5℃,巩膜黄染,神志不清,血压70/50mmHg,脉搏140/分,最可能的诊断是:

A.急性胆囊炎            B.急性梗阻性化脓性胆管炎        C.感染性休克

D.肝门静脉炎                                            E.胆汁性腹膜炎

86.下列哪项常导致低渗性缺水?                                             

A.应用大量噻嗪类利尿药、利尿酸或速尿      B.尿崩症      C.大量出汗   

D.弥漫性腹膜炎                                            E.急性肠梗阻

87.最常用作局部浸润麻醉的药物是:                                              

A0.5% ~ 1% 普鲁卡因           B0.15%丁卡因            C1% 利多卡因     

D2% 普鲁卡因                                           E1.5% 利多卡因

88.全胃肠外营养(TPN)不适用于哪些病人?                 

A.严重化疗、放疗反应的肿瘤病人         B.估计5-7天以上不能正常进食的病人

C.严重创伤、感染、大面积灼伤的病人                D.胃肠道功能障碍的病人 

E.严重内环境紊乱的休克期病人

89.刘某,女,左小腿有10cm×5cm的肉芽组织水肿伤面,换药时,选用的湿敷药液是:

A.等渗盐水              B0.02%呋喃西林            C0.1%雷佛奴尔

D.硼酸溶液(优琐溶液)                              E5%10%盐水

90.某男,20岁.头颈及胸腹部烧伤,其烧伤面积是:

A18%          B22%           C25%          D30%            E35%

91.大面积严重烧伤病人转运时首先应:                     

A.持续中心静脉压测定        B.彻底清创              C.建立静脉输液途径

D.消毒敷料包扎创面以免再污染          E.汽车运送时,伤员应与行驶方向平行

92.胃肠减压的适应症除外的是:

A.肠梗阻    B.胃肠道穿孔    C.胆道疾病    D.急性胃肠炎   E.急性腹膜炎

93.胸部手术后的护理措施,下列哪项欠妥?                                                    

A.术后24h内每1~2h测一次呼吸、脉搏、血压

B.术后24h内每1~2h作一次深呼吸和有效咳嗽

C.术后12h内由于血压不稳定,故需采取平躺仰卧姿态

D.术后清醒,无恶心呕吐,即可给少量开水

E.术后可以常规给氧

94.目前常用于治疗外科休克的血管活性药物是:      

A.多巴胺     B.酚妥拉明     C.异丙肾上腺素      D.肾上腺素    E.阿托品

 

95.观察休克患者时,下列哪项是反映组织灌流量最简单有效的指标:

A.血压         B.脉搏        C.神志        D.尿量       E.肢端温度

96.提示重度营养不良的血清白蛋白测量值应低于:                               

A45g/L              B40g/L      C35g/L            D20g/L       E10g/L

97.浸泡吸引瓶所用的有效氯浓度为:

A500mg/l    B1000mg/l    C2000mg/l    D3000mg/l      E4000mg/l

98.某青年女子,疑为甲亢,清晨起床前静卧测得血压为18.6/9.3kPa,脉搏为100/分,应属于:

A.甲状腺功能低下   B.正常   C.轻度甲亢    D.中度甲亢     E.重度甲亢

99.术后尿潴留的处理首先是:                     

A.诱导排尿                B.严格无菌操作下导尿         C.耻骨上穿刺  

D.禁止水的摄入                                           E.应用利尿剂

100.要素饮食护理,错误的是:

A.要素饮食配置后要在室温下保存           B.要素饮食配置后要在24h内用完

C.由小量、低浓度、低速度开始输入                 D.每日冲洗管饲导管2

E.观察有无水、电解质紊乱发生

 

 

 

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