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Nama: ____________________ Tanggal: ____________
1.Mudah
Which of these intravenous fluids is isotonic?
A8,4% sodium bicarbonate
B10% glucose
C0,9% sodium chloride
D3% sodium chloride
2.Mudah
Why is a platelet transfusion given?
ATo raise the haemoglobin level in a patient with anaemia
BTo treat a high white cell count in a patient with infection or leukaemia
CTo provide extra protein
DTo prevent or treat bleeding in a patient with low or poorly working platelets
3.Mudah
Shingles (herpes zoster) is caused by:
AReactivation of the chickenpox virus
BA bacterial skin infection
CA fungal infection of the nerves
DAn allergy to medicines
4.Sedang
Which blood result often rises in an upper GI bleed because blood is digested in the gut?
AGlucose
BUrea (blood urea nitrogen)
CSodium
DCalcium
5.Sedang
A rising serum creatinine most often indicates:
AImproved liver function
BReduced kidney function
CDehydration of the skin only
DIncreased muscle strength
6.Sedang
A patient is receiving IV fluids for several days. Which monitoring is essential?
AFluid balance, regular weights and urea, creatinine and electrolytes
BWeekly temperature and a single blood glucose reading
CPeak flow readings
DMonthly HbA1c
7.Sulit
A patient has a swollen, warm, tender calf on one side. Which action should the nurse avoid?
AChecking whether VTE prophylaxis was given
BMeasuring and comparing calf circumference
CReporting the findings to the doctor
DMassaging the calf
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 · 0,9% sodium chloride
2. D · To prevent or treat bleeding in a patient with low or poorly working platelets
3. A · Reactivation of the chickenpox virus
4. B · Urea (blood urea nitrogen)
5. B · Reduced kidney function
6. A · Fluid balance, regular weights and urea, creatinine and electrolytes
7. D · Massaging the calf
8. A · Repeat the blood test promptly, as haemolysis can falsely raise potassium
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