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護(hù)理內(nèi)科習(xí)題(Nursinginternalmedicineexercises)

1.respiratorysoundsinthebronchiareseen:

A.emphysema

B.pneumonia

C.pleuraleffusion

D.spontaneouspneumothorax

E.bronchialasthma

2.severehematemesispatientsshouldbefastingtemporarily:

A.2to4h

B.4to6H

C.6to8h

D.1to2H

E.8to24h

3.patientswithacutepleurisyoftentake:

PassivepositionofA.

B.hasalateraldecubitusposition

C.supineposition

D.sittingposition

E.forwardsittingposition

4.bywhichevaluation,thepatientneedssputumaspiration:

A.consciousness

B.breathsounds

C..

D.heartrate

E.isdifficulttobreathe

5.theamountofgastriclavagefluidduringgastriclavagein

patientswithoraltoxicantwas0:

A.150-200ml

B.200-300ml

C.400ml

D.500ml

E.500-1000ml

6.hyperactivebowelsoundsperminutecanbeheardatleast:

A.2times

B.6times

C.4times

D.8times

E.10times

7.episodesofexpiratorydyspneaarepresent:

A.atelectasis

B.pleuraladhesion

C.bronchiectasis

D.bronchialforeignbody

E.bronchialasthma

8.whichofthefollowingstatementsistrueaboutbody

temperature?:

A.bodytemperatureislowerthan36.5degrees,called

hypothermia

B.patientswithhyperthyroidismoftenhavehypothermia

C.bodytemperatureishigherthan37.5degrees,calledfever

D.asepticinflammationusuallyhasnofever

E.patientswithchronicwastingdiseaseoftenhaveelevated

bodytemperature

9.gastriccancerispronetolymphnodemetastasis:

A.cervicallymphnodes

B.leftaxillarylymphnodes

C.leftsupraclavicularlymphnodes

D.leftsubclavianlymphnode

E.leftinguinallymphnodes

10.adultpulsepressuregreaterthan5kPa(37.5mmHg)canbe

seenin:

A.hypothyroidism

B.aorticinsufficiency

C.pericardialeffusion

D.severemitralstenosis

E.aorticstenosis

11.thephenomenonofirritatinggarlicsmellinbreathingis

observed:

A.bronchiectasis

B.lungabscess

C.uremia

D.ketoacidosis

E.organophosphoruspesticidepoisoning

12.thephenomenonofobviousdecreaseordisappearanceof

pulsewheninhaling:

A.aorticinsufficiency

B.pericardialeffusion

C.rightheartfailure

D.coronaryheartdisease

E.atrioventricularblock

13.whitebloodcellcount,neutrophils(includingthenucleus,

lobulatednucleus,normaloccupation):

A.0.5%I1%

B.50%to75%

C.3%to8%

D.80%I85%

E.20%I40%

14.thenormalreferencerangeofhemoglobinforadultmales

is:

A.100to140g/L

B.140to170g/L

C.110-150g/L

D.170to200g/L

E.120to160g/L

15.ESRisadiseasewhichhasnoobviousincrease:

A.anginapectoris

LatestageofB.malignanttumor

C.acutemyocardialinfarction

D.activetuberculosis

E.chronicnephritis

16.preservativesinurinequantitativespecimenbottlesare:

A.toluene5ml

B.dilutehydrochloricacid5ml

C.formaldehyde5ml

D.carbonate5ml

E.concentratedhydrochloricacid5ml

Urinecolorofsoysaucein17:

A.obstructivejaundice

B.acutehemolysis

C.hepaticcelljaundice

D.renaltumor

E.advancedfilariasis

18.thefollowingTwavesareabnormal:

A.Ileadupright

B.V5leadinversion

C.aVRleadinversion

D.aVRleadflat

BidirectionalE.VIlead

19.modernequipmentoperationroomdependsmainlyonair

purification:

A.ozonedisinfection

B.laminarflowdeviceandhighefficiencyairfilter

C.lacticaciddisinfection

D.ultravioletdisinfection

E.formaldehydedisinfection

20.thedailylossofwaterlossofnormalpeoplewas:

A.200ml

B.850ml

C.400ml

D.1000ml

E.1200ml

21.thebasicpathologicalchangesofvarioustypesofshock

are:

A.bloodpressuredrops

DecreaseofcentralvenouspressureinB.

C.pulsepressurereduction

D.decreasedurineoutput

E.effectivecirculatorybloodloss

22.inordertopreventacuterenalfailure,whichkindof

traumapatientsshouldinputalkalinesolutiontoalkaline

urine:

A.forearmlaceration

B.renalcontusion

C.thighcrushinjury

D.ribfracture

E.avulsioninjuryofscalp

23.themostcommonsecondarypathologicalchangesafter

cardiacarrestare:

A.pulmonaryedema

B.acuterenalfailure

C.acutehepaticnecrosis

D.brainhypoxiaandbrainedema

E.hypoxicinjuryofmyocardium

24.thequickestwayfortheorganismtoregulateacid-base

balanceis:

RegulationofA.kidney

B.bloodbuffersystem

RegulationoflunginC.

D.nerveendocrineregulation

E.extracellularionexchange

25.whichofthefollowingisnotanopeninjury?:

A.scratch

B.contusion

C.stab

D.cuts

E.firearmwound

26..Themaincauseofthyroidcrisisis:

ExcessivecompressionofthyroidglandduringA.operation

B.preoperativepreparationfailedtomeettherequirements

C.excisionofglandsisinsufficient

D.resectionoftheglandistoomuch

ExcessivetensionduringE.operation

27.whichisthemostimportanthealthguidancefordischarged

patientsafterbreastcancersurgery?:

A.continuedfunctionalexercise

B.strengthensnutrition

C.oftenself-examination

D.takespartinsportsactivities

E.avoidpregnancywithinfiveyears

28.themostsusceptibletothedevelopmentofbreastcancer

is:

A.lung

B.liver

C.axillarylymphnodes

D.subclavianlymphnode

E.lymphnodesbesidesternum

29.whichorgandamageisthemainclinicalmanifestationof

peritonitis?:

A.liver

B.spleen

C.pancreas

D.intestine

E.kidney

30.themaindifferencebetweenprimaryperitonitisand

secondaryperitonitisisthat:

A.isthereaprimarylesionintheabdominalcavity?

B.abdominalpain

C.abdominalmuscletension

ThespeciesofD.pathogenicbacteria

DoesE.havevisceraldamage?

31.whatisthemostimportantcareduringthenon-surgical

treatmentofperforatedpepticulcer?:

A.semirecumbentposition

B.infusion

C.gastrointestinaldecompression

D.antibiotics

E.dowellpreoperativepreparation

32.thepredilectionsitesofgastricandduodenalulcer

complicatedwithhemorrhageare:

A.twelveorgreatercurvatureofthestomach

B.lessercurvatureofstomachorposteriorwallofduodenum

Thefrontwallofthegreatercurvatureofthestomachor

duodenumC.

D.lessercurvatureoranteriorwallofduodenum

E.gastricbody

33.themechanismofabdominalpainoriginatedfromthe

umbilicusorupperabdomeninacuteappendicitisisthe

mechanism:

A.gastrointestinaldysfunction

B.visceralnervereflex

C.somaticnervereflex

ThepositionofD.appendixisnotfixed

E.appendixwallspasm

34.intestinalobstructioncausedbyperitonitisbelongsto:

A.mechanicalstrangulatedintestinalobstruction

B.mechanicalsimpleintestinalobstruction

C.paralyticileus

D.intestinalobstructionduetoblood

E.spasticileus

Whatkindofanaldiseasescanbecausedby35.portal

hypertension?:

A.analfissure

B.analfistula

C.rectalprolapse

D.hemorrhoids

E.rectalpolyps

36.themostimportantnursingproblemforpatientswithacute

abdomenis:

A.istoohigh

B.malnutrition

PotentialcomplicationsofC.:shock

PotentialoralmucosallesionsofD.

E.anxiety

37.themostcommonlyusedmethodforfracturetreatmentis:

OpenreductionandinternalfixationofA.

ManualreductionandexternalfixationofB.

C.percutaneousexternalfixation

ManipulativereductionandinternalfixationwithD.

E.continuoustraction

Thecharacteristicmanifestationofdislocationofthe38.

jointis:

A.swelling

B.bloodstasis

C.elasticfixation

D.pain

E.activityLimited

39.thereliablewaytodiagnosegastriccanceris:

A.gastrointestinalbariummeal

B.positivefecaloccultbloodtest

C.gastricu1trasonography

D.fibergastroscope

E.gastricCTexamination

40.themainsymptomsofsmal1intestinalobstructionare

abdominalpain:

A.abdominaldistensionisobvious

B.frequentvomiting

C.isapercussiondrumsound

D.stopsdefecationandexhaust

E.abdominalmass

Forty-one

What'swrongwithcervicalcancer?:

A.occursatthejunctionofsquamouscolumnarepitheliumof

thecervix

B.andprolificcervicalerosiononearlymarriageand

childbearing

SquamouscellcarcinomaisthemostcommonC.

D.requiresatleast2years,1cancerscreening

E.surgeryissuitableforinsitucarcinomaandearlyinvasive

carcinoma

42.whichofthefollowinghasnothingtodowithplacingIUD?:

TheamountofA.increased

B.weightgain

C.backache

D.uterineperforation

E.infection

43.theimportantsignoffemalepubertybegins:

A.hasahighpitch

B.breastfullness

SubcutaneousfatgaininC.

D.pubichair,armpithairformation

E.menarche

44.aboutsenilevaginitismistakeissaid:

A.vaginalepitheliumisthinandglycogencontentdecreases

B.isusuallyamixedinfectionofpurulentbacteria

C.canrinsethevaginawithalkalinesolution

TopicaltreatmentofD.withdiethylstilbestrol

IfE.hasbloodyleucorrhea,itshouldbecheckedforcancer

prevention

45.thewrongstatementaboutprimarydysmenorrheaisthat:

A.ismorecommoninunmarriedornonpregnantwomen

B.hoursbeforemenstruationoccurs

C.oftenoccurs6to12monthsaftermenarche

D.withpalecomplexionandcoldsweat

TherearemanyorganiclesionsinE.genitalorgans

46.whichofthefollowingconformstothebehavioral

developmentof3monthchildren?:

A.willsit

B.willclimb

C.canstandupunderyourarms

D.holdsthetoywithhishand

E.canstandupstraight

47.infantswithpathologicalcryingaremorecommon:

A.abdominalpain,headache

B.intracranialhemorrhageinneonates

C.otitismedia

D.skindisease

E.starvation

48.ofthenewbornscanbeobtainedfromthemother,butthe

antibodiesgraduallydisappearedafter3to5months:

A.immunecells

B.complement

C.IgG

D.IgM

E.IgA

49.commonreasonsintheone-childiscausedbyanorexia:

A.irondeficiencyanemia

B.infectioushepatitis

C.gastroenteritis

D.intestinalmalformation

E.mentalfactors

50.add4scoopsofwholemilkpowdertomilkandaddwater:

A.4spoon

B.8spoon

C.12spoon

D.16spoon

E.20spoon

51.simplelong-termfeedingchildrenpronetomilkanemia:

A.leukemia

B.irondeficiencyanemia

C.hemolyticanemia

D.aplasticanemia

E.nutritionalmegaloblasticanemia

52.outpatientdepartmentofPediatricssettingsshouldnot

include:

A.preconsultingroom

B.waitingroom

C.isolationconsultingroom

D.clinic

E.pantry

53.oralliquidisoftenusedtorinsethrush:

A.3%hydrogenperoxidesolution

B.0.1%rivanolsolution

C.2%sodiumbicarbonatesolution

D.normalsaline

E.warmboiledwater

54.thetypicalsymptomsofneonatalintracranialhemorrhage

are:

A.dyspneacannotsuck

B.firstappearsexcitatoryandtheninhibits

C.systemicscleroderma

D.bodytemperaturedoesnotrise

E.breastsuppression

55.themaincauseofricketsis:

A.lacksvitaminA

B.thyroxinedeficiency

CalciumdeficiencyinC.food

D.lacksvitaminD

InappropriateproportionofcalciumandphosphorusinE.food

56.apatienteatingskinwithhalfahouraftertheoccurrence

ofnausea,vomiting,abdominalpainandothertoxicsymptoms.

Whichpesticidesdoyouconsidertheleastlikelytocause

poisoning?:

A.dichlorvos

PhosphorusuptakebyB.

ParathionC.

D.dimethoate

E.phorate

57.patientswithketoacidosisaftertreatment,consciousness

recoverytimesuddenlyfeelpalpitations,hunger,sweating,

andthenunconscious,shouldimmediately:

A.increasesinsulindose

B.plusglibenclamide

C.intravenousdripofsodiumbicarbonate

D.wasintravenouslyinjectedwith50%glucose

ApplicationofrespiratorystimulantinE.

58.someaplasticanemiapatientswithhighfever,accompanied

byconvulsions,atthistime,themostappropriatecooling

measuresare:

A.warmwaterbath

B.alcoholbath

C.icewaterenema

D.oralantipyretic

E.

Icepacksareplacedattheheadandatthegreatvessels

59.Chengurinebacterialcultureanddrugsensitivitytestof

nursedoctorYuzuomiddle,ascollectingspecimensfortheir

guidance,whichiswrong:

A.firstcleansthevulvaandtheurethralorificewith

benzalkoniumbromide

B.discardsabout30-60mlofthefirstexcretedurine

C.directurineintosterilecontainers

D.stoppedcollectingurinebeforeemptyingbladder

E.specimensweresubmittedimmediately

60.,apregnantwoman,firstfetuses,39weeksafterpregnancy

tohospitalexamination,thedoctortoldthethreatenedlabor,

admittedtohospital,themostreliablebasisis:

A.increaseduterinecontractions

B.fetaldepression

C.red

D.upperabdominalcomfort

E.frequentmicturition

61.primipara,birth,postpartumfourteenthdays,whichisnot

normaluterineinvolution:

A.touchthefundusoftheuppersymphysispubis

B.whitelochia

C.internalcervicalclosure

D.theexternalorificeofcervixisa"shape”

E.endometriumhasnotbeenfullyrepaired

62.ofthechildren,1andahalfyearsold,wereadmittedto

thehospitalduetoventricularseptaldefect.Physical

examination:lucid,twolittlebottomoflungrales,heartrate

180/min,liverisdown3.5cm,thechildrenmaymerge:

A.complicatedwithpulmonaryedema

B.complicatedwithheartfailure

C.combinedwithcirculatoryfailure

D.complicatedwithrenalfailure

E.complicatedwithencephalopathy

63.children,4yearsold,admittedtohospitalduetoacute

nephritis.Thismorning,suddendyspnea,inabilitytolieflat,

cough,cough,sputum,urinevolumereduction,thisisaserious

caseofchildren:

A.pneumonia

B.pleuraleffusion

C.hypertensiveencephalopathy

SeverecirculatorycongestioninD.

E.acuterenalfailure

64.ofthechildren,7daysafterbirth,breastfeeding.The

skinwasyellowandserumbilirubinwas153mol/1.Themeasures

tobetakenare:

A.bluelightirradiation

B.oralprednisone

C.readytoexchangeblood

D.plasmatransfusion

E.doesn'thavetodealwithit

Two,thefollowingprovidesseveralcases,eachcasecontains

anumberofquestions.Accordingtotheinformationprovided

bytheanswer,choosethebestanswerinthefivealternative

answers:A,B,C,D,andEbeloweachpath.

Theproblemof65一一66commonquestions

In48years,menstrualdisorderfornearlyayear,theamount

oflesstime,cycleofbleeding,nearlyhalfamonth,the2month

crampsaftercheck,normalsizeuterus,soft,diagnosed

anovulatorydysfunctionaluterinebleeding

65.thepreferredmethodofhemostasisis:

A.curettage

B.estrogen

C.progesterone

D.androgen

E.hemostaticagent

66.whichofthefollowingnursingmeasuresiswrong?:

A.readyforsurgeryhemostasis

B.retainingperinealpads

C.curettagespecimenswerenotroutinelysentforpathological

examination

D.prescribedantibioticstopreventinfection

E.usesexhormonesaccordingtodoctor,sorders

Theproblemof67-69commonquestions

35yearold,female,rheumaticheartdiseasepatientswith

heartfailure,digitalisanddiureticsaftertheoccurrenceof

nauseaandvomiting,ECGshowedventricularprematurebeatwith

twolawandtriplelaw.

67.whichofthefollowingnursingmeasuresshouldyoutake

first?:

A.bedrest,giveoxygen

B.supplementpotassiumandsodiumsalt

C.plusvasodilators

D.stoppeddigitalisimmediately

E.intravenoushypertonicglucosesolution

68.,weshouldpayattentiontosupplement:

A.MagnesiumSulfate

B.potassiumsaltandphenytoinsodium

C.calciumchloride

D.iodine

E.hypertonicglucose

69.whichdietisinappropriateforthepatient,sdiet?:

A.lowsalt

B.isrichinvitamins

C.properamountofcellulose

D.highcalorie

E.smallandmultiplemeals

Three,thefollowingprovideagroupofquestions,eachgroup

ofquestionsusedinfrontoftheexaminationquestions,A,B,

C,D,Efivealternativeanswers.Pleasechooseananswerthat

iscloselyrelatedtothequestion.Eachalternativeanswermay

bechosenonce,manytimes,ornot.

Thecommonanswerquestions70-72

ThenormalvalueofA.was8.5?9.5cm

ThenormalvalueofB.was12.5?13cm

C.

Thenormalvaluewas25?28cm

ThenormalvalueofD.was18?20cm

ThenormalvalueofE.is23-26cm

70.thediameterofiliaccrestisABODE

71.externaldiameterofsacralABCDE

Thediameterof72.sciatictuberositywasABCDE

Thecommonanswerquestions73-73

ThenormalvalueofA.was8.5?9.5cm

ThenormalvalueofB.was12.5?13cm

ThenormalvalueofC.was25?28cm

ThenormalvalueofD.was18?20cm

ThenormalvalueofE.is23-26cm

The73.iliacspinousdiameterABCDE

Thecommonanswerquestions74-75

A.yellowthickpus.

B.pusisthin,palered,more

C.thickpusfecalodor

D.pusispalegreenandsweetsmell

E.pushasafoulsmell

74.theBacteroidesinfectionwasABCDE

75.PseudomonasaeruginosainfectionisABCDE

Thecommonanswerquestions76-77

A.pillowsupine,headsideside

B.lateralposition

C.semirecumbentposition

D.pillowsupine6-8h

E.highslopeposition

76.ABCDEaftersubtotalgastrectomy

77.ABCDEaftercraniocerebraloperation

Thecommonanswerquestions78-79

A.indirectinguinalhernia

B.directinguinalhernia

C.hernia

D.hernia

E.incisionalhernia

78.themostproneincarceratedabdominalexternalherniais

ABCDE

79.themostcommonexternalherniaisABCDE

Thecommonanswerquestions80-83

A.teawater

B.atropine

C.clearwater

D.eggwhite

E.sodiumthiosulfate

80.ABCDEforcyanidepoisoning

81.ABCDEforacutepulmonaryedemacausedbyorganophosphorus

pesticide

82.gastriclavageforacutepoisoningcausedbyunknownreason

ABCDE

83.strongacidandalkalipoisoningusedasaprotectiveagent

isABCDE

Thecommonanswerquestions84-87

A.supplementsmoisturelostbysweatingandsoon

B.preventsuricacidnephropathy

C.reducescomplicationsofhemorrhagiccystitis

D.acceleratestheexcretionofbacteria,toxins,and

inflammatorysecretions

E.promotessputumdilutionandiseasilyexcreted

84.COPDpatientssputumviscosity,morewaterforABCDE

85.thepurposeofdrinkingwaterforchemotherapypatients

withacuteleukemiaisABCDE

86.pyelonephritispatientdrinkwatermorecanABCDE

87.hyperthyroidismpatientswithmoredrinkingwatercanABCDE

Thecommonanswerquestions88-89

A.accompaniedbytenesmus

B.mayhavepleuraleffusion

DiaphragmaticFfreegasmayappearinC.

D.canbeaccompaniedbyhemorrhagicshocksymptoms

EarlysymptomsofE.aremild,usuallywithlocalized

peritonitis

88.gastricruptureABCDE

89.pelvicdistensionandswellingABCDE

Four,eachofthefollowingquestions,thereareA,B,C,D,

Efivealternativeanswers.Pleasechooseallthecorrect

answersfromthealternativeanswers.

90.thebloodinsputumismainlyseeninblood:

A.bronchiectasis

B.pulmonarytuberculosis

C.emphysema

D.pneumonia

E.lungcancer

91.physiologicalproteinuriafo

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