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Nama: ____________________ Tanggal: ____________
1.Mudah
In UK practice, hypoglycaemia in a person with diabetes is usually treated when the blood glucose is below:
A1 mmol/L
B4 mmol/L
C7 mmol/L
D10 mmol/L
2.Mudah
Why should insulin injection sites be rotated?
ATo make the insulin work more slowly and evenly every time
BBecause insulin causes the skin to bleed if one site is used often
CTo stop the insulin from freezing under the skin
DTo prevent lumpy fatty areas that make absorption unpredictable
3.Mudah
In palliative care, a syringe driver is used to:
AMeasure blood glucose continuously
BGive a single fast intravenous injection when symptoms flare up suddenly
CGive a continuous subcutaneous infusion of medicines, often over 24 hours
DDrain fluid from the lungs
4.Sedang
What is the best way to protect the heels of a bed-bound patient from pressure damage?
AApply a tight bandage to the heels
BRest the heels on a rolled-up towel
COffload the heels so they do not touch the mattress
DMassage the heels firmly several times a day to help circulation
5.Sedang
Which advice is correct for a patient taking levothyroxine?
ATake it on an empty stomach, usually before breakfast
BTake it only on days when feeling tired
CStop taking it once the symptoms improve
DTake it with a large meal to avoid nausea and stomach upset
6.Sedang
Pasien diabetes tipe 1 memiliki glukosa darah 25 mmol/L, napas dalam dan cepat, serta keton dalam urine. Apa diagnosis yang mungkin?
AFluktuasi glukosa normal
BHipoglikemia
CKeadaan hiperosmolar hiperglikemik tanpa keton
DKetoasidosis diabetik
7.Sulit
Why can sepsis be missed in older adults?
AOlder adults always have a very high fever
BThey may have no fever and present with confusion, falls or reduced mobility
COlder adults cannot develop sepsis because their immune system is weaker
DBlood tests are not useful in older people
8.Sulit
Four call bells ring at the same time. Which patient should the nurse see first?
AA patient asking what time they will be discharged
BA patient who has just become breathless after starting an IV antibiotic
CA patient asking for pain relief for chronic back pain that they rate as 3/10
DA patient who needs help to go to the toilet and has rung twice
Kunci jawaban
1. B · 4 mmol/L
2. D · To prevent lumpy fatty areas that make absorption unpredictable
3. C · Give a continuous subcutaneous infusion of medicines, often over 24 hours
4. C · Offload the heels so they do not touch the mattress
5. A · Take it on an empty stomach, usually before breakfast
6. D · Ketoasidosis diabetik
7. B · They may have no fever and present with confusion, falls or reduced mobility
8. B · A patient who has just become breathless after starting an IV antibiotic
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