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2011(秋)年级护理专科毕业理论综合考试模拟卷(4)  

2013-08-06 15:05:52|  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(4

 

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.

1______ 50 years since my parent got married.

      A. It is                   B. There are                C. It was                   D. There have been

2 The explorer ______ red is easier to be seen in the snow.

      A. with                  B. on                           C. in                          D. under

3 He ______ be in the library because it is closed today for the holiday.

      A. mustn’t             B. can’t                    C. shouldn’t                D. oughtn’t to

4The man limped to the stable ______ beaten by robbers.

      A. instead of          B. even though           C. in spite of              D. as thought

5_____ that each member of the family will share the cost of the gift for their grandmother.

      A. Agreeing           B. Having agreed  C. To agree               D. It is agreed

6The Indians have their rights, so the Americans who forced them off their land ______ have done that!

      A. mustn’t             B. wouldn’t             C. shouldn’t                  D. couldn’t

7______ could he decide what we all were going to do?

      A. Whom              B. What                      C. How                       D. Which

8Don’t you see the “Don’t ____________” sign on my door? I’m in bed now.   

      A. confuse             B. interrupt                  C. exclaim                   D. disturb

9We requested that they ____________ for her to be operated on.                          

      A. attempt             B. inspect                    C. enable                     D. arrange

10Some social problems are caused by the widening ____________ between the rich  and the poor.

      A. gap               B. attitude                     C. disgrace                  D. potential

11Regular review is important. Devote some time during each study hour to

     reviewing material ____________ learned.

      A. scarcely           B. eventually         C. previously       D. exactly

12He’s already made his ____________ clear. He’s here to look around himself, not

     to listen to our report.

      A. incentive           B. intention                  C. implication                D. privilege

13"We have monitored in the area and there is no ________ to health," she said.

     A. suggestion         B. hazard          C. compliment               D. recipe

14As Christmas ____________, many shops begin their sales campaigns to attract

     shoppers.                         

      A. sets off              B. draws near              C. comes through             D. holds up

15By sending the “Pathfinder” to Mars, American scientists have taken another step in ____________ the possibility of any form of life on the planet.

      A. looking into                                                B. turning out         

      C. coming up with                                    D. taking advantage of

16Mr. Trump would not ________ details of his plan for a new factory to make mobile phones in China.

      A. expose              B. reveal         C. indicate                        D. enclose

17There are fewer books in my bag than ______.

A. yours               B. in mine                 C. in yours                         D. you

18.Paul has made a lot of kites, but ______ can fly in the sky.

A. little                 B. a little         C. few                          D. a few

19.The doctors have done everything they can ______ the man’s life.

A. save                 B. saving              C. to save                           D. for saving

20.The question ______ at the next meeting is very important.

A. being discussed                                        B. to be discussed          

C. discussed                                                 D. which is discussing

21.We have learned about ______ during these years.

A. several thousand English words                B. thousand of English words

C. three thousands English words                  D. thousands of English word

22.We usually have dumplings ______ dinner ______ Chinese New Year’s Eve.

A. with…on           B. for…at             C. at…on                   D. for…on

23. This kind of skirt looks ______ and sells ______.

A. nice, well           B. nice, good           C. well, well          D. good, nice

24.That is ______ a good book ______ all of us like to read it.

A. so, that           B. too, to              C. such, that                  D. very so

25.The medicine ______ cool, clean and dry.

A. must keep                                          B. must be kept            

C. must be carried                                         D. must be in

 

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

Today most people speak English when they meet foreigners. It has become the international language.

There are many reasons why English has become so popular. One of them is that English has become the language of business. Another important reason is that popular American culture, like movies, music, and McDonald's, has quickly spread throughout the world. It has brought its language with it.

Is it good that English has spread to all parts of the world so quickly? I don't know. It's important to have a language that the people of the earth have in common. Our world has become very global and we need to communicate with one another. On the other hand, English is a quite complicated language to learn and it brings its culture with it. Do we really need that?

Scientists have already tried to create an artificial language that isn't too difficult and doesn't include anyone group's culture. It is called Esperanto. But it hasn't become popular. But maybe the popularity of English won't last that long either. Who knows? There are more people in the world who speak Chinese than any other language. Maybe someday Chinese will be the new international language.

 

26According to the author, one reason for the popularity of English is that

       _______________.

      A.   American culture is spreading throughout the world

      B.    American people like to do business with foreigners

      C.   English is a beautiful language

      D.   English is not difficult to learn

 

27The author thinks that _______________.

      A. it is good that English has spread to all parts of the world so quickly

      B. someday another language might replace English as an international language

      C. it's not necessary for us to have an international language

      D. we can learn a language without learning its culture

 

28There are more people in the world who speak _______________ than any other language.

      A. English                                                B. Chinese

      C. French                                                D. Esperanto

 

29 In “It has brought its language with it” (the second paragraph), the first word “it” refers to _______________.

      A. an important reason                         B. American people as a whole

      C. popular American culture                    D. the world

 

30In the modern world, language is spreading very fast mostly because

   A. the world is developing very fast

   B. all the people of the world love speaking English

   C. world business is growing up rapidly

   D. our world has become more global than ever before.

 

 

 

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.我们为病人做健康评估的目的是:                         

A.了解患者健康状况      B.了解患者的家庭情况       C.了解患者沟通能力           

D.了解患者的工作环境                               E.了解患者的应答能力

32.双手触诊法主要用于检查:                      

A.有无触痛   B.有无腹水  C.有无阑尾炎   D.有无肠梗阻   E.肾脏是否肿大

33.以下属于不正常的胸部叩诊音的是:                

A.清音       B.鼓音      C.浊音         D.实音         E.过清音

34.按疼痛起始部位及传导途径分类,下列不属于该项分类的是:               

A.皮肤痛     B 躯体痛     C 内脏痛     D.牵涉痛       E.胸痛

35.下列护理诊断中,错误的是:

A.睡眠型态紊乱:失眠:与睡眠环境改变有关

B.疼痛:与心肌缺血缺氧有关                C.压疮:与长期皮肤受压有关

D.语言沟通障碍:与气管插管有关            E.潜在并发症:心律失常

36.消化性溃疡引起的疼痛为:                             

A.右上腹痛                     B 剑突下痛              C.脐周痛   

D.上腹部节律性,周期性痛                                  E.下腹痛

37.能鉴别呕血与咯血的是:                          

A.出血的量                  B.是否经口腔排出        C.排出物的颜色

    D.排出物的酸碱                                        E.有无休克的表现

38.甲状腺功能减退症常出现:                             

A.营养不良性水肿             B.特发性水肿               C.凹陷性水肿   

D.粘液性水肿                                              E.局限性水肿

39.心源性水肿可与肾源性水肿相区别的是:                 

A.胸、腹水                   B.高血压                      C.蛋白尿

D.心悸、乏力、食欲减退                   E.首发部位是眼睑、颜面或踝部

40.出现黑便提示出血量至少在:                            

A5070ml以上            B80120ml以上       C100200ml以上

D200250ml以上                                   E250300ml以上

41.鲜血便常见于:                                         

A.肛裂            B.十二指肠球溃疡伴出血         C.肝硬化食管静脉破裂   

D.胃溃疡                                          E.急性胃炎

42.很多疾病出现便血时其粪便具有一定的特点,以下陈述属于正确的是:

A.阿米巴痢疾——洗肉水样血便伴腥臭味

B.急性出血坏死性肠炎——果酱样脓血便      C.急性细菌性痢疾——粘液脓血便

D.溃疡性结肠炎——排便前后有鲜血滴下或喷出      E.痔疮或肛裂——柏油样便

43.患者无自主运动,但对疼痛刺激有躲避反应,见于:                

A.意识模糊       B.深昏迷       C.浅昏迷      D.嗜睡      E.昏睡

44.不能自己随意调整或变换肢体位置的体位称为:                      

A.自动体位   B.强迫体位    C.被动体位    D.辗转体位    E.角弓反张位

45.符合淤斑描述的是:                          

A.直径小于2mm,压之不褪色            B.直径小于2mm,压后褪色

C.直径大于5mm,压后不褪色            D.直径为3-5mm,加压后不褪色

E.片状出血并伴有皮肤粘膜的显著性隆起

46.颈静脉怒张,不见于:                                 

A.脱水、失血性休克                 B.右心衰竭             C.心包积液

D.上腔静脉阻塞                                          E.缩窄性心包炎

47.甲状腺肿大分为Ⅲ 度。Ⅲ 度是指:

A.不能看到仅能触及       B.能看到又能触及           C.超过胸锁乳突肌

D.甲状腺上有结节                              E.甲状腺肿大有脓性分泌物

48.以下情况中,一般不发生气管偏移的是                 

A.慢性阻塞性肺病              B.气胸               C.胸腔积液  

D.单侧甲状腺肿大              E.肺不张

49.某男,公司经理,肥胖,糖尿病。因公务经常应酬,过食肥甘,未能注意控制,又常常忘记服用降糖药物。此种情况称:                               

A.患者角色冲突              B.患者角色缺如            C.患者角色强化

D.患者角色消退                                      E.患者角色负荷过重

50.不属于个体社会属性的评估是:

A.社会角色       B.心理活动      C 文化       D.家庭       E.环境

51.在正常心电图中,各导联中P波应倒置的导联是:  

A.Ⅰ导联      B.Ⅱ导联       CaVR导联       DV5       EV6导联

52.心肌梗死心电图变化中,病理性Q波一般不出现在:          

A.早期                      B.急性期               C.亚急性期

D.愈合(陈旧)期                                     E.伴心律失常时      

53.房颤的心电图特点之一是:

AP波消失,代之以F                                BR-R间期基本相等        

C.部分QRS波脱漏       DQRS波形绝对不匀齐        ER-R间期绝对不等

54.低色素性小红细胞指红细胞直径                          

A.<6μm      B.<8μm     C.<10μm    D.<12μm    E.>12μm

55.诊断感染性疾病最具价值的检查方法是:                    

A.涂片、镜检            B.生化反应检查        C.病原体分离培养、鉴定

D.抗原成分检测                                        E.血清学检测

 

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.肝颈回流征阳性见于:

A.右心肥大    B.肺气肿   C.右心功能不全   D.肝硬化   E.左心功能不全

57.慢性支气管炎并发肺气肿时主要的临床表现是:

A.突然发生呼吸困难   B.进行性呼吸困难  C.心悸   D.咳粉红色痰  E.咯血

58II型呼吸衰竭适宜的氧疗浓度为:

A21—25%     B25—29%     C35—40%     D40—45%       E50--60%

59.某呼吸衰竭患者因病情严重,正在应用人工呼吸器抢救。值班护士在监护过程中发现患者突然出现烦躁不安、浅表静脉充盈、球结膜充血、皮肤潮红、大汗淋漓,此时应立即:

A.检查有无气道阻塞           B.加大氧流量             C.增加呼吸频率

D.抽血作血气分析                                       E.应用呼吸兴奋剂

60.在急诊室遇到病人腹痛已五天,如果怀疑急性胰腺炎,最有诊断意义的检查是:

A.血清钙                     B.血清淀粉酶          C.尿淀粉酶   

D.血清脂肪酶                                         E.血清高铁血红蛋白

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。请问:对此病人的下列护理注意事项中,不妥的是:

A.昏迷时设专人护理         B.绝对卧床休息          C.及时留取标本送验            

D.快速推注碳酸氢钠                                  E.一般先补充生理盐水

 

 

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。如果病人出现定向力下降、言语不清时,最可能出现了:   

A.上消化道出血    B.感染     C.肝癌     D.肝性脑病    E.功能性肾衰竭

63.机械通气的常见并发症除外:     

A.通气不足         B.通气过度         C.氧中毒            D.咯血        E.肺不张

64.贫血的概念主要是单位容积的外周血液中:         

A.红细胞数低于正常      B.红细胞比积低于正常       C.血红蛋白量低于正常   

D.网织红细胞数低于正常                E.红细胞、白细胞、血小板均低于正常

65.易引起再生障碍性贫血的抗生素是:         

A.红霉素      B.氯霉素      C.庆大霉素    D.头孢他啶     E.卡那霉素

66.对于接受化疗的白血病病人,最重要的护理措施是:

A.防治感染               B.缓解疼痛           C.消除病人不良心理状态            

D.鼓励病人摄入蛋白饮食                         E.观察病情缓解的表现

6752岁男性患者,中午饱餐1小时突然出现中、上腹部剧烈的刀割样疼痛,且向腰背部放射,继而呕出胆汁,伴高热、面色苍白。急诊入院检查时全腹疼痛,腹肌强直。紧急治疗措施是立即:                        

A.解痉止痛     B.抗生素    C.胃肠减压     D.手术治疗    E.静脉输液

68.患者,男性,60岁,心前区疼痛4小时,EKGV1~V5导联出现异常Q波、ST段显著抬高,最可能的诊断是:

A.急性广泛前壁心梗        B.急性下壁心梗           C.急性前侧壁心梗         

D.急性高侧壁心梗                                     E.心内膜下心梗

69.男性,30岁,间歇性、节律性上腹痛3年,2小时内解黑稀便3次。体检:神清,腹软,剑突下轻压痛。询问病史时,不属于需特别注意的内容是:     

A.上腹部疼痛与进食时间的关系      B.近期服药史    C.近一个月内发热史    

D.有否头昏、心悸、口渴、黑蒙现象             E.既往胃镜及胃钡餐检查结果

70.二尖瓣狭窄者最有诊断价值的体征是:        

A.二尖瓣面容            B.左心界扩大        C.肺动脉瓣区第二心音亢进

D.二肺湿啰音                                  E.心尖区舒张期隆隆样杂音

71.心功能不全浮肿的特点不包括

A.一般表现为全身浮肿   B.为凹陷性水肿   C.起床活动者水肿常于二足和踝部 

D.卧床者多发生欲身体下垂部位                    E.少数可出现胸水和腹水

72 对心力衰竭病人输液,应严格限制滴速在每分钟:

A2030  B3040  C4050   D.不超过60  E.不超过80

73.提示溃疡病急性穿孔最有价值的体征是:

A.上腹痛加剧   B.腹肌紧张    C.休克   D.肝浊音界消失    E.腹胀减轻

74.类风湿关节炎活动期护理措施错误的是:

A.保持肢体温暖          B.避免肢体抬高      C.关节肿痛时应卧床休息    

D.避免关节活动,暂勿做功能锻炼                E.按时服药

75.肾盂肾炎主要的致病菌为:

A.革兰氏阴性菌    B.革兰氏阳性菌   C.霉菌      D.病毒     E.支原体

76.引起蛛网膜下腔出血的常见的原因是:

A.颅内先天性动脉瘤破裂        B.动脉粥样硬化             C.脑血管畸形    

D.血液病                                                   E.以上都不是

77.下列关于脑血管疾病的临床表现的叙述,正确的是:

A.脑出血多在睡眠或安静休息时发病    

B.脑血栓形成多在情绪激动或排便用力时发病

C.脑血栓形成患者脑膜刺激征一定阳性        

D.脑出血患者一般无意识障碍

E.蛛网膜下腔出血患者脑膜刺激征阳性,一般无肢体瘫痪

78.男性48岁,主诉口渴、尿少;体检示:尿比重增高、皮肤弹性差,该患者考虑:

A.低渗性脱水   B.等渗性脱水   C.高渗性脱水   D.高血钾症   E.低血钾症

79.对于胃肠减压的患者,可以停止减压或拔除胃管的指征是:

A.引流液颜色变浅           B.无引流液引出           C.患者无腹痛腹胀

D.患者肠鸣音恢复,有肛门排气                          E.患者进食后

80.口底、颌下及颈部蜂窝织炎的最严重后果是: 

A.全身性感染                   B.发热              C.呼吸困难、窒息     

D.吞咽困难                                     E.化脓性海绵状静脉窦炎

81.男性,25 岁,诊断为化脓性阑尾炎。患者出现腹肌紧张,说明炎症刺激的部位是:

A.阑尾肌层     B.阑尾腔粘膜    C.脏层腹膜     D.壁层腹膜     E.盲肠

82.腹外疝内容物最多见是: 

A.小肠         B.盲肠     C.乙状结肠       D.膀胱          E.横结肠

83.以下最易发生嵌顿的疝是

A.切口疝      B.股疝     C.腹股沟斜疝     D.腹股沟直疝     E.脐疝

84.关于服用碘剂作用的描述,错误的是

A.甲状腺素的释放    B.控制甲状腺亢进的症状     C.减少甲状腺腺体的充血

D.减少甲状腺素的生成                             E.降低基础代谢率

85.急性胰腺炎时,尿淀粉酶变化为:

A.发病后6小时开始上升且下降较缓慢

B.发病后12~24小时开始上升且下降较迅速

C.发病后12~24小时开始上升且下降较缓慢

D.发病后48小时开始上升且下降较迅速

   E.发病后48小时开始上升且下降较缓慢

86.拔除胸腔引流管时应嘱病人:

A.深吸气后屏住               B.深呼气后屏住            C.浅呼气后屏住 

D.浅吸气后屏住                                           E.正常呼吸

87.下列哪项属于不完全性骨折?

A.横行骨折    B.斜行骨折    C.压缩骨折    D.凹陷骨折    E.青枝骨折

88.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,最佳治疗方法是:

A.量糖皮质激素     B.中药,针刺等综合治疗     C.静脉滴注大剂量广谱抗生素

D.震波碎石                                      E.准备急诊手术

89.高钾血症对心脏的主要影响是:                                               

A.心肌兴奋性增强         B.心脏停搏于舒张期          C.心肌应激性下降        

D.冠状血管扩大                                         E.心脏扩大

 

 

90.下列哪种病人,麻醉前禁用吗啡或唛啶?                                      

A.心功能不全               B.高血压病                C.呼吸功能不全      

D.肾功能不全                                           E.甲状腺功能亢进

91.诊断浅表脓肿的可靠依据:                            

A.局部压痛                 B.波动感            C.白细胞计数升高,核左移  

D.局部红肿                                                    E.体温升高

92.肿瘤的临床表现的主要体征是:                                             

A.肿块        B.疼痛         C.溃疡        D.消瘦        E.贫血

93.腹部损伤时最容易损伤的器官是                                                          

A.胃、小肠、肝脏             B.脾脏、肝脏、肾       C.结肠、胰、十二指肠

D.膈、肠、胃                                         E.直肠、膀胱、肝

94.前列腺摘除术后健康宣教:                                       

A.多饮水               B.膀胱痉挛时深呼吸      C.冲洗颜色加深要警惕出血

D.观察排尿情况                                        E.以上都是

95.丹毒的治疗原则不包括:          

A.休息、抬高患肢                                       B.用呋喃西林溶液湿、热敷

C.局部用紫外线照射                D.采取床边隔离      E.及时、准确应用抗生素

96.甲亢术后最危急的并发症是:                                                                  

A.甲状腺危象                  B.呼吸困难和窒息           C.喉返神经损伤

D.甲状旁腺损伤                                                 E.出血 

97.甲状腺手术一般采取何种手术体位

A.平卧位      B.垂头仰卧位     C.侧卧位     D.截石位       E.俯卧位

98.预后最好的甲状腺癌是:

A.乳头状腺癌    B.滤泡状腺癌   C.未分化癌    D.髓样癌    E.甲状腺腺瘤

99.直腿抬高试验阳性是指病人平卧,患侧下肢伸直、被动抬高至一定度数时即出现放射痛,这个度数是:

A10           B30         C60             D90            E120

100.以下对大肠癌术后结肠造口病人的护理措施中,正确的是:        

A.结肠造口一般于术后1周开放

B.当造口袋内容物超过1/2时,应及时更换

C.结肠造口开放后即应开始扩肛,以防造口狭窄

D.术后710天切忌灌肠,以免影响伤口愈合

E.造口开放前应用干的无菌纱布敷盖结肠造口,避免感染

 

 

 

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