问题 单项选择题 A3/A4型题

男性,60岁。腹部挤压伤后48小时发生急性弥漫性腹膜炎,急症手术发现结肠穿孔,行穿孔处结肠外置、腹腔引流术。术后T39℃,血压维持在(120~140)/(70~80)mmHg。轻度腹胀,有排气排便。术后第2天尿量由40ml/h逐渐减少至25ml/h。经补液尿量无增加。

临床治疗中,应特别注意的是()。

A.应用抗生素控制感染

B.纠正电解质紊乱

C.纠正酸碱代谢失调

D.应用利尿剂加速排尿

E.严格控制补液量

答案

参考答案:E

阅读理解

For Chinese wanting to work as nurses in the United Sates, the arrival of the test of the Commission on Graduates of Foreign Nursing Schools (CGFNS) may be a welcome move.

The CGFNS has a certification programme for people wanting to work as registered nurses in the US. The first CGFNS test in China is to be held in Beijing in July. Registrations is open till April 9. According to US labour law, nurses have to pass the National Council License Examination for Registered Nurses (NCLEX-RN) before they can practise. However, the NCLEX-RN is only useful in the US, making it difficult for people from other countries to get in. But, the US expects a shortage of 50,000 nurses by 2010. So, the CGFNS has not replaced the NCLEX-RN, which is still needed for work as a registered nurse in the US.

So what exactly does CGFNS do?

First of all, it helps international nurses qualify for a work visa for the US. Nurses educated abroad who do not have a US license by the NCLEX-RN, must get the CGFNS certificate. “But not everyone who gets a CGFNS certificate can get a work visa. There are many requirements for a visa, and the CGFNS is just one,” said John Ratigan, immigration officer for the CGFNS.

The certificate helps applicants meet requirements for the NCLEX-RN. Forty-two states require a CGFNS certificate from nurses educated abroad before taking the NCLEX-RN examination.

About 85 percent of those who passed the CGFNS have passed the NCLEX-RN. According to Barbara Michols, chief executive officer of CGFNS, “the CGFNS is cost-efficient for the Chinese. If they can’t pass the CGFNS here in China, their chances of passing the NCLEX-RN for the US are tiny. This saves time and money on visa applications and the long trip. ” In a word, to get a CGFNS certificate, a person must have: a credentials review, the CGFNS qualifying exam of nursing knowledge and an English language proficiency exam.

小题1:   We can infer from the text that to people hoping to work as registered nurses in the US, CGFNS tests can be taken _____.

A.nowhere but in the US

B.somewhere outside the US

C.in every country but the US

D.both in China and the US小题2: According to American labour law, people cannot work as nurses until they pass                   _____.

A.NCLEX-RN

B.CGFNS

C.CGFNS and NCLEX-RN

D.CGFNS or NCLEX-RN小题3:We can learn from the text that _____.

A.if you get a CGFNS certificate, you can pass the NCLEX-RN in the US and get visa

applications

B.if you pass the NCLEX-RN in the US, you can get a CGFNS certificate and get visa

applications

C.if you can't pass the NCLEX-RN in the US, you will not be able to pass the CGFNS

examination

D.if you get a CGFNS certificate, you will be more likely to pass the NCLEX-RN examination小题4:The sentence "CGFNS holders have a higher rate of success on the NCLEX-RN examination" can be arranged at the beginning of Paragraph _____.

A.Two

B.Four

C.Five

D.Six小题5:What is probably the best title of this passage?

A.The CGFNS helps international nurses

B.The first CGFNS test in China

C.The CGFNS and the NCLEX-RN

D.Working as registered nurses in the US

判断题