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Nama: ____________________ Tanggal: ____________
1.Mudah
What is the usual normal range for serum potassium in adults (in mmol/L, numerically equal to mEq/L)?
AAbout 1,5–2,5 mmol/L
BAbout 6,5–8,0 mmol/L
CAbout 3,5–5,0 mmol/L
DAbout 135–145 mmol/L
2.Mudah
Which hormone made by the kidneys stimulates red blood cell production?
AErythropoietin
BAldosterone
CInsulin
DThyroxine
3.Mudah
Osteoporosis mainly increases the risk of:
AJoint infections
BMuscle cramps at night
CFractures from minor falls
DHigh blood calcium
4.Sedang
Which adverse effects should be monitored for in a patient receiving IV gentamicin?
AKidney damage and hearing loss
BHair loss and weight gain
CConstipation and urinary retention
DHyperglycaemia and tremor
5.Sedang
A patient is receiving enteral feeding through a nasogastric tube. How should they be positioned during feeding?
AIn any position, as long as the feed runs slowly
BLying on the left side with the head down to help the feed drain
CWith the head of the bed raised to at least 30 degrees
DLying completely flat
6.Sedang
A patient says they are "allergic" to codeine because it made them constipated. How should this be recorded?
AAs a severe anaphylactic allergy to all opioids
BAs a side effect or intolerance, not a true allergy
CIt should not be recorded at all
DAs an allergy to all painkillers
7.Sulit
Which task is most appropriate for a registered nurse to delegate to a trained healthcare assistant (unlicensed assistive personnel)?
ATeaching a patient to inject insulin for the first time
BAssessing a patient who has just reported new chest pain
CGiving a dose of intravenous antibiotic
DMeasuring and recording vital signs on a stable patient
8.Sulit
A patient is recognised by the team as being in the last days of life. Which approach is correct?
AStop all medicines, including pain relief and anti-sickness drugs
BReview and stop treatments that no longer help, and focus on comfort
CAvoid talking with the family about what is happening
DContinue all routine blood tests and observations four-hourly
Kunci jawaban
1. C · About 3,5–5,0 mmol/L
2. A · Erythropoietin
3. C · Fractures from minor falls
4. A · Kidney damage and hearing loss
5. C · With the head of the bed raised to at least 30 degrees
6. B · As a side effect or intolerance, not a true allergy
7. D · Measuring and recording vital signs on a stable patient
8. B · Review and stop treatments that no longer help, and focus on comfort
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