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Nama: ____________________ Tanggal: ____________
1.Mudah
Why do children with long-standing cyanotic heart disease develop a high red blood cell count (polycythaemia)?
ABecause the heart makes red blood cells
BBecause of too much iron in the diet
CBecause the spleen stops working
DTo compensate for chronic hypoxia
2.Mudah
What is the usual normal range for the platelet count?
AAbout 15 to 40 × 109/L
BAbout 1,500 to 4,000 × 109/L
CAbout 4 to 11 × 109/L
DAbout 150 to 400 × 109/L
3.Mudah
Why are breastfed infants often given a vitamin D supplement?
AVitamin D prevents iron-deficiency anaemia
BBreast milk contains little vitamin D
CBreast milk contains too little protein for growth
DVitamin D prevents newborn jaundice
4.Sedang
A child's asthma action plan shows he is in the yellow zone. What should he do?
AGo straight to the emergency department without using any medicine first
BStop all medicines and wait to see if the symptoms pass
CDouble the preventer dose and do nothing else
DUse the reliever as the plan says and contact the doctor if it does not help
5.Sedang
Seorang anak usia sekolah dengan asma menggunakan kortikosteroid inhalasi setiap hari. Apa yang harus diajarkan perawat?
AMenghentikannya segera setelah gejala membaik
BMenelan bubuknya dengan air
CMenggunakannya hanya saat serangan asma
DBerkumur setelah setiap dosis dan menggunakan spacer
6.Sedang
A child's tonic–clonic seizure has stopped and she is drowsy. What should the nurse do?
ALeave her alone in a dark room to sleep it off
BPlace her in the recovery position and monitor airway and breathing
CWake her fully every few minutes and ask her to stand up and walk around
DGive her a drink straight away to prevent dehydration
7.Sulit
A child with nephrotic syndrome develops a painful, swollen leg. What should the nurse suspect?
AAn allergic reaction to steroids
BDeep vein thrombosis
CA muscle strain from walking
DOrdinary oedema from the illness
8.Sulit
A child recovering from acute rheumatic fever with heart involvement asks why she needs regular penicillin for years. What is the best answer?
ATo prevent common viral colds during the school year
BTo prevent new strep infections that could cause further attacks and more valve damage
CTo reduce the joint pain that continues after the illness
DTo cure the heart valve damage that has already occurred and let the valves heal completely
Kunci jawaban
1. D · To compensate for chronic hypoxia
2. D · About 150 to 400 × 109/L
3. B · Breast milk contains little vitamin D
4. D · Use the reliever as the plan says and contact the doctor if it does not help
5. D · Berkumur setelah setiap dosis dan menggunakan spacer
6. B · Place her in the recovery position and monitor airway and breathing
7. B · Deep vein thrombosis
8. B · To prevent new strep infections that could cause further attacks and more valve damage
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