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Nama: ____________________ Tanggal: ____________
1.Mudah
Which sign may be the first clue to retinoblastoma in a young child?
ARed, itchy eyes with a sticky yellow discharge
BTears running down the cheek on one side
CA white pupil in photos instead of the usual red reflex
DA droopy upper eyelid that appears after a cold
2.Mudah
Seorang anak yang dijadwalkan vaksinasi menderita pilek ringan dengan suhu 37,8 °C. Apa prinsip umumnya?
AAnak hanya boleh menerima setengah dosis
BAnak harus minum antibiotik terlebih dahulu
CVaksin harus ditunda selama 4 minggu sampai anak sembuh
DPenyakit ringan bukan alasan untuk menunda vaksinasi
3.Mudah
Which statement about head lice is correct?
AThey jump or fly from one child to another across the classroom
BThey mainly live on pets and pass to children from dogs and cats
CThey spread by head-to-head contact and are not a sign of poor hygiene
DThey only affect children with dirty hair who do not wash it often
4.Sedang
Pada anak dengan syok hipovolemik, temuan mana yang biasanya merupakan tanda lanjut?
AEkstremitas dingin
BTakikardia
CPengisian kapiler memanjang
DTekanan darah rendah
5.Sedang
Which finding suggests repeated self-induced vomiting?
ACalluses on the knuckles and loss of tooth enamel
BSwelling of the ankles and puffy eyes
CA butterfly rash on the cheeks and patchy hair loss
DYellow skin, itching and dark urine
6.Sedang
A medicine is prescribed at 10 mg/kg. The child weighs 18 kg and the liquid contains 120 mg in 5 mL. What volume should be given?
A15 mL
B3,75 mL
C7,5 mL
D1,5 mL
7.Sulit
A 7-year-old has a high fever, refuses to bear weight and has a warm, very tender area over the lower tibia. Which plan is most likely?
AMassage and physiotherapy to loosen the muscle
BRest, ice and an elastic bandage for a sprained ankle, with review in a week
CA plaster cast and discharge home the same day
DBlood cultures and prompt IV antibiotics for possible osteomyelitis
8.Sulit
Which child on the renal ward should the nurse assess first?
AA 2-year-old after hypospadias repair with clear urine in the catheter bag
BA 6-year-old on IV antibiotics for a UTI who has had no fever for 24 hours
CA 7-year-old with glomerulonephritis who has a severe headache and blurred vision
DA 4-year-old with nephrotic syndrome and mild puffy eyelids, stable since admission
Kunci jawaban
1. C · A white pupil in photos instead of the usual red reflex
2. D · Penyakit ringan bukan alasan untuk menunda vaksinasi
3. C · They spread by head-to-head contact and are not a sign of poor hygiene
4. D · Tekanan darah rendah
5. A · Calluses on the knuckles and loss of tooth enamel
6. C · 7,5 mL
7. D · Blood cultures and prompt IV antibiotics for possible osteomyelitis
8. C · A 7-year-old with glomerulonephritis who has a severe headache and blurred vision
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