2022年上半年江苏省医护英语水平考试METS二级模拟真题

2022年上半年江苏省医护英语水平考试METS二级模拟练习题第一部分听力理解（共20题，每题1分，共20分）第一节短对话（共5题）听下面5段短对话，每段对话后有一个小题，从题中所给的A、B、C三个选项中选出最佳选项。每段对话仅读一遍。1.W:Goodmorning,Mr.Li.Howareyoufeelingtoday?M:Notverywell,nurse.Ihaveasplittingheadacheandmythroatfeelssore.Ialsonoticedsomeswellinginmyankles.Q:WhatsymptomdoesthepatientNOTmention?A.HeadacheB.SorethroatC.Stomachache2.M:Nurse,whenshouldItakethispainkiller?Thelabelsays"prn".W:"Prn"means"asneeded".Youcantakeonetabletevery6hoursifthepainissevere,butnomorethan4tabletsaday.Q:Howmanypainkillerscanthepatienttakeatmostdaily?A.3B.4C.63.W:Doctor,mychildhashadahighfeverfortwodays.Herefusedtoeatandkeptvomitinglastnight.M:Letmecheckhisthroat...It'sinflamed.Thebloodtestshowsahighwhitebloodcellcount.Hemighthaveabacterialinfection.Q:Whatisthepossiblediagnosisforthechild?A.ViralcoldB.BacterialinfectionC.Foodpoisoning4.M:Nurse,I'mgoingtohaveanMRIscanthisafternoon.DoIneedtofast?W:No,fastingisn'trequiredforMRI.Butmakesureyouremoveallmetalobjects,likeyournecklaceandwatch.Metalcanaffectthescanresults.Q:WhatshouldthepatientdobeforetheMRI?A.AvoideatingB.RemovemetalobjectsC.Takeasedative5.W:Sir,pleaserollupyoursleeve.Ineedtotakeyourbloodpressure.M:Isitnormalthatmyleftarmfeelsnumbthesedays?W:Thenumbnessmightberelatedtonervecompression.We'llarrangeaneurologicalexaminationlater.Q:Whydoesthepatienthavenumbnessinhisleftarm?A.NervecompressionB.MusclestrainC.Bloodpressurefluctuation第二节长对话（共5题）听下面一段长对话，回答6至10题。对话读两遍。W:Goodafternoon,Mr.Wang.I'mheretodiscussyourdiabetesmanagement.Howhaveyoubeencontrollingyourbloodsugarrecently?M:Notsogood,nurse.Icheckeditthismorning—13.2mmol/L.It'shigherthanbefore.W:Let'sreviewyourdietfirst.Whatdidyouhaveforbreakfastyesterday?M:Ihadtwobowlsofporridge,afriedegg,andasliceoftoast.W:Porridgeishighincarbohydratesandcanraisebloodsugarquickly.Maybeyoucanreplaceitwithwholewheatbreadoroats.Also,howaboutphysicalactivity?M:Iusedtowalkfor30minuteseveryday,butIstoppedlastmonthbecauseofkneepain.W:That'saproblem.Regularexercisehelpslowerbloodsugar.Youcouldtryswimminginstead—it'seasieronthejoints.M:I'lltrythat.Whataboutmedications?Itakemetformintwiceaday.W:That'scorrect.Butifyourbloodsugarremainshigh,thedoctormightadjustthedosage.Remembertobringyourglucometernexttimesowecancheckyourdailyrecords.M:Iunderstand.Thankyou,nurse.6.WhatisMr.Wang'scurrentbloodsugarlevel?A.10.2mmol/LB.13.2mmol/LC.15.2mmol/L7.WhyisporridgenotrecommendedforMr.Wang?A.ItcontainstoomuchfatB.ItraisesbloodsugarquicklyC.Itcausesdigestiveissues8.Whatphysicalactivitydoesthenursesuggest?A.WalkingB.JoggingC.Swimming9.HowoftendoesMr.Wangtakemetformin?A.OnceadayB.TwiceadayC.Threetimesaday10.WhatshouldMr.Wangbringnexttime?A.HisIDcardB.HisglucometerC.Hisinsurancecard第三节独白（共10题）听下面一段独白，回答11至20题。独白读两遍。Goodmorning,everyone.Welcometothepresurgicaleducationsession.Today,we'llgothroughthepreparationstepsforyourupcomingsurgery.First,fasting.Youmustfastforatleast8hoursbeforesurgery.Thismeansnosolidfood,includingmilkordairyproducts.Youcandrinkclearliquids(likewaterorapplejuice)upto2hoursbeforetheprocedure,butnocoffeeorteawithmilk.Next,medication.Ifyou'retakingbloodthinners(e.g.,warfarin)ordiabetesmedications,informyourdoctorimmediately—thesemayneedtobeadjusted.Forregularmedicationslikeantihypertensives,youcantakethemwithasmallsipofwateronthemorningofsurgery.Skinpreparation:You'llneedtotakeashowerwithantisepticsoapthenightbeforesurgery.Donotapplyanylotions,creams,orperfumeafterward.Onthedayofsurgery,wearloose,comfortableclothing.Removealljewelry,includingpiercings.Ifyouweardenturesorcontactlenses,takethemoutbeforearrivingatthehospital.Aftersurgery,you'llbetakentotherecoveryroom.Anursewillmonitoryourvitalsigns,includingheartrate,bloodpressure,andoxygensaturation.Youmayfeelgroggyfromtheanesthesia,butthiswillwearoffgradually.Painmanagementwillbeprovided—pleasereportanyseverepaintothenurse.Finally,donotsmokeordrinkalcohol24hoursbeforesurgery,astheycanaffectanesthesiaandrecovery.11.Howlongshouldpatientsfastbeforesurgery?A.4hoursB.6hoursC.8hours12.Whatcanpatientsdrinkupto2hoursbeforesurgery?A.MilkB.CoffeewithmilkC.Applejuice13.Whatshouldpatientsdoiftheytakebloodthinners?A.StoptakingthemimmediatelyB.InformthedoctorC.Doublethedosage14.Howshouldpatientstakeantihypertensivemedicationsonsurgeryday?A.WithalargeglassofwaterB.WithasmallsipofwaterC.Withoutwater15.Whatshouldpatientsuseforshoweringthenightbeforesurgery?A.RegularsoapB.AntisepticsoapC.Bodylotion16.WhatisNOTallowedafterthepresurgicalshower?A.ApplyingperfumeB.WearinglooseclothingC.Removingjewelry17.Whatshouldpatientsremovebeforearrivingatthehospital?A.LooseclothingB.ContactlensesC.Surgicalgown18.Wherewillpatientsgoimmediatelyaftersurgery?A.WardB.RecoveryroomC.Operatingroom19.Whatwillthenursemonitorintherecoveryroom?A.BloodtypeB.OxygensaturationC.Cholesterollevel20.Whatisprohibited24hoursbeforesurgery?A.DrinkingwaterB.SmokingC.Takingantibiotics第二部分词汇与语法（共20题，每题1分，共20分）从A、B、C、D四个选项中选出可以填入空白处的最佳选项。21.Thedoctorprescribedacourseofantibioticsto______thebacterialinfection.A.diagnoseB.treatC.preventD.observe22.Thenursecheckedthepatient’s______signs,includingtemperature,pulse,andbloodpressure.A.vitalB.criticalC.majorD.primary23.Patientswithdiabetesneedto______theirbloodsugarlevelsregularly.A.monitorB.modifyC.maintainD.measure24.The______ofthevaccineistoprotectagainstinfluenza.A.purposeB.processC.procedureD.product25.Thewoundwasdeep,sothedoctordecidedto______it.A.cleanB.stitchC.coverD.drain26.______thepatient’sconditionworsens,callthedoctorimmediately.A.IfB.UnlessC.AlthoughD.Because27.Thenurse______thepatienthowtousetheinhalerwhenshearrived.A.teachesB.taughtC.hastaughtD.willteach28.TheXrayresults______thattherewasnofracture.A.indicatedB.suggestedC.predictedD.reported29.Patientsareadvisedtoavoid______foodshighinsaltandsugar.A.eatB.eatingC.toeatD.eaten30.Theemergencyroomis______busieratnightthanduringtheday.A.moreB.mostC.muchD.many31.The______forthismedicationistwotabletstwiceaday.A.dosageB.doseC.amountD.quantity32.Thepatient,togetherwithhisfamily,______waitingforthetestresults.A.isB.areC.wasD.were33.Thenurse______thepatient’sarmbeforeinsertingtheIVline.A.cleanedB.hascleanedC.hadcleanedD.cleans34.______isimportanttoexplaintheproceduretothepatienttoreduceanxiety.A.ThatB.ThisC.ItD.What35.Thenewhospitalwing______nextyearwillhave200additionalbeds.A.completeB.completedC.tocompleteD.tobecompleted36.Thedoctorrecommendedthatthepatient______smokingimmediately.A.stopB.stopsC.stoppedD.stopping37.The______ofthetumorwasconfirmedbyabiopsy.A.existB.existenceC.existingD.existent38.Thenurseaskedthepatient,“______haveyouhadthispain?”A.HowoftenB.HowlongC.HowmuchD.Howsoon39.The______careunit(ICU)providesintensivemonitoringforcriticallyillpatients.A.intensiveB.extensiveC.intensiveD.expensive40.______thepatientwasinpain,heremainedcalmduringtheexamination.A.BecauseB.AlthoughC.SinceD.If第三部分阅读理解（共20题，每题2分，共40分）第一篇Chronicobstructivepulmonarydisease(COPD)isacommonlungdiseasethatmakesithardtobreathe.Itincludesconditionslikeemphysemaandchronicbronchitis.Symptomsincludecoughing,wheezing,andshortnessofbreath,whichoftengetworseovertime.SmokingisthemaincauseofCOPD—about8590%ofcasesarelinkedtosmoking.Otherriskfactorsincludeairpollution,chemicalfumes,andararegeneticconditioncalledalpha1antitrypsindeficiency.ThereisnocureforCOPD,buttreatmentcanslowitsprogression.Medicationslikebronchodilators(toopenairways)andinhaledcorticosteroids(toreduceinflammation)areoftenprescribed.Pulmonaryrehabilitation,whichincludesexerciseandeducation,canimprovequalityoflife.Inseverecases,oxygentherapymaybeneeded.PreventingCOPDiskey.Quittingsmokingisthemosteffectiveway.Avoidingexposuretopollutantsandwearingprotectivemasksinworkplaceswithfumescanalsohelp.41.WhatisCOPD?A.AheartdiseaseB.AlungdiseaseC.AneurologicaldisorderD.Adigestivecondition42.WhatpercentageofCOPDcasesarecausedbysmoking?A.5060%B.6575%C.8590%D.95100%43.WhichisNOTasymptomofCOPD?A.CoughingB.ChestpainC.WheezingD.Shortnessofbreath44.Whatdobronchodilatorsdo?A.ReduceinflammationB.OpenairwaysC.CurethediseaseD.Increaseoxygenlevels45.WhatisthemosteffectivewaytopreventCOPD?A.TakingmedicationsB.QuittingsmokingC.DoingexerciseD.Usingoxygentherapy第二篇PatientInformation:Paracetamol(Acetaminophen)Indications:Forthereliefofmildtomoderatepain(e.g.,headache,toothache)andfever.Dosage:Adultsandchildrenover12:5001000mgevery46hours.Maximumdailydose:4000mg.Children612years:250500mgevery46hours.Maximumdailydose:2000mg.Contraindications:Donotuseifallergictoparacetamol.Avoidinpatientswithsevereliverdisease.SideEffects:Rare,butmayincludeskinrash,nausea.Overdosecancauseliverdamage.Instructions:Takewithafullglassofwater.Donotexceedtherecommendeddose.Ifsymptomspersistformorethan3days,consultadoctor.46.Whatisparacetamolusedfor?A.TreatingbacterialinfectionsB.RelievingseverepainC.ReducingfeverandmildpainD.Loweringbloodpressure47.Whatisthemaximumdailydoseforadults?A.1000mgB.2000mgC.3000mgD.4000mg48.Whoshouldavoidparacetamol?A.PatientswithmildcoldB.ThoseallergictoitC.Childrenunder6D.Peoplewithhighbloodpressure49.Whatmayhappenifthedoseisexceeded?A.SkinrashB.LiverdamageC.NauseaD.Headache50.Whatshouldpatientsdoifsymptomslastover3days?A.IncreasethedoseB.StoptakingthedrugC.ConsultadoctorD.Takewithmilk第三篇Handhygieneisoneofthemostimportantmeasurestopreventhealthcareassociatedinfections(HAIs).HAIsareinfectionspatientsgetwhilereceivingtreatmentinahospital.AccordingtotheWHO,properhandwashingcanreduceHAIsbyupto50%.Healthcareworkers(HCWs)shouldwashtheirhandsinthefollowingsituations:BeforetouchingapatientBeforeclean/asepticprocedures(e.g.,insertingacatheter)Aftertouchingapatient’sblood,bodyfluids,orcontaminatedsurfacesAftertouchingapatientAftertouchingpatientsurroundingsThecorrecthandwashingtechniqueinvolvesusingsoapandwaterforatleast20seconds,coveringallsurfaces(palms,backsofhands,betweenfingers,andundernails).Ifsoapandwaterarenotavailable,analcoholbasedhandsanitizer(withatleast60%alcohol)canbeused.However,studiesshowthatHCWsoftenfailtopracticehandhygieneconsistently.Commonbarriersincludetimepressure,lackofaccesstohandwashingfacilities,andforgetfulness.Hospitalsshouldprovideadequatetrainingandreminderstoimprovecompliance.51.Whatisthemainpurposeofhandhygiene?A.ReducehealthcareassociatedinfectionsB.ImprovepatientsatisfactionC.TrainhealthcareworkersD.Savemedicalcosts52.HowmuchcanproperhandwashingreduceHAIs?A.Upto30%B.Upto50%C.Upto70%D.Upto90%53.WhenshouldHCWswashhandsbeforecleanprocedures?A.AftertouchingapatientB.BeforeinsertingacatheterC.AftertouchingsurroundingsD.Beforeleavingtheward54.Whatistheminimumtimeforhandwashingwithsoap?A.10secondsB.20secondsC.30secondsD.40seconds55.Whatisabarriertoconsistenthandhygiene?A.AdequatetrainingB.AccesstosanitizersC.TimepressureD.Hospitalreminders第四篇Nursingdocumentationisacriticalpartofpatientcare.Itrecordsthepatient’scondition,interventions,andresponsestotreatment.Accuratedocumentationensurescontinuityofcareamonghealthcareproviders.Anursingrecordshouldinclude:Vitalsigns(temperature,bloodpressure,etc.)Symptomsreportedbythepatient(e.g.,"patientcomplainsofchestpain")Nursingactions(e.g.,"administered10mgmorphineIV")Patientresponses(e.g.,"painreducedto3/10after30minutes")Poordocumentationcanleadtoerrors,suchasmissedmedicationsordelayedtreatments.Forexample,ifanurseforgetstorecordthatapatientreceivedanantibiotic,anothernursemaymistakenlyadministeraseconddose,causinganoverdose.Legalandethicalconsiderationsalsoapply.Nursingrecordsarelegaldocumentsthatcanbeusedincourt.Incompleteorfalsifiedrecordsmayresultinliabilityissues.Toimprovedocumentation,nursesshouldwriteclearly,useobjectivelanguage,andrecordinformationinatimelymanner.Electronichealthrecords(EHRs)havemadedocumentationmoreefficient,buttheyrequiretrainingtousecorre