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Nama: ____________________ Tanggal: ____________
1.Mudah
What are the two most common causes of peptic ulcers?
ASpicy food and emotional stress on their own
BLow fibre intake and lack of exercise
CHelicobacter pylori infection and NSAID use
DViral infection of the stomach and dehydration
2.Mudah
Area kemerahan yang tidak memucat saat ditekan pada kulit utuh di atas sakrum diklasifikasikan sebagai kategori luka tekan yang mana?
AKategori 1
BKategori 3
CKategori 4
DKategori 2
3.Mudah
The WHO Surgical Safety Checklist is mainly used to:
AMeasure the surgeon's speed
BReduce avoidable errors and harm during surgery
CRecord the cost of the operation and the equipment
DBook the next theatre list
4.Sedang
A patient with sickle cell disease is admitted with a painful crisis. What is a key early nursing priority?
AApplying cold packs to the painful areas
BRestricting oral fluids
CGiving prompt, effective analgesia
DDelaying pain relief until a diagnosis is confirmed
5.Sedang
Which type of painkiller should a patient with liver cirrhosis usually avoid?
ALocal anaesthetic creams
BParacetamol (acetaminophen), given in a carefully reduced and monitored dose
CHot packs applied to a painful joint
DNon-steroidal anti-inflammatory drugs such as ibuprofen
6.Sedang
Why are patients encouraged to use an incentive spirometer after abdominal surgery?
ATo lower their heart rate before mobilising
BTo encourage deep breaths that prevent atelectasis and chest infection
CTo strengthen the abdominal muscles around the wound
DTo measure their lung function so the result can go in the discharge letter
7.Sulit
A patient took a large paracetamol (acetaminophen) overdose six hours ago and says they feel well. Why is treatment still urgent?
BPatients who feel well after six hours never need any treatment at all
CParacetamol damage only shows up in the kidneys, many weeks later
DLiver damage develops later, and the antidote works best when given early
8.Sulit
A potassium result of 6,9 mmol/L comes back on a well patient with a normal ECG, and the laboratory reports that the sample was haemolysed. What is the best action?
ARepeat the blood test promptly, as haemolysis can falsely raise potassium
BGive IV insulin and glucose straight away
CStart a potassium supplement
DIgnore the result because the patient looks well and the ECG is normal
Kunci jawaban
1. C · Helicobacter pylori infection and NSAID use
2. A · Kategori 1
3. B · Reduce avoidable errors and harm during surgery
4. C · Giving prompt, effective analgesia
5. D · Non-steroidal anti-inflammatory drugs such as ibuprofen
6. B · To encourage deep breaths that prevent atelectasis and chest infection
7. D · Liver damage develops later, and the antidote works best when given early
8. A · Repeat the blood test promptly, as haemolysis can falsely raise potassium
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