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Nama: ____________________ Tanggal: ____________
1.Mudah
Which symptom is typical of threadworm (pinworm) infection in a child?
AItching around the anus, especially at night
BA red, ring-shaped rash on the scalp
CA high fever with bloody diarrhoea
DVomiting after every meal for a week, with weight loss
2.Mudah
Which signs during a newborn's first feed suggest oesophageal atresia with a tracheo-oesophageal fistula?
AProjectile vomiting that starts at 4 weeks
BSleeping through feeds and passing pale stools
CA strong suck and rapid weight gain
DCoughing, choking and cyanosis
3.Mudah
Which hygiene advice helps prevent urinary tract infections in girls?
AWear tight nylon underwear and leggings
BWipe from front to back after using the toilet
CTake a long bubble bath every evening before bed
DHold urine in for as long as possible
4.Sedang
A child's tonic–clonic seizure has stopped and she is drowsy. What should the nurse do?
AGive her a drink straight away to prevent dehydration
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
DLeave her alone in a dark room to sleep it off
5.Sedang
A 6-month-old's left eye turns inwards all the time. What should the nurse do?
ACover the right eye with a patch at home without review
BReassure the parents that this always resolves by school age
CRefer the baby to an eye specialist
DAdvise them to wait until the child can read letters
6.Sedang
Which advice about screen use reflects common paediatric guidance for children under about 18 months?
AScreens are fine as long as the volume is low
BBackground TV helps language development
CUp to 2 hours a day of educational TV programmes is beneficial for language
DAvoid screen media, apart from video calls with family
7.Sulit
Which child is most appropriate to assign to a practical (enrolled) nurse?
AA 7-year-old 2 days after an appendicectomy, stable on oral analgesia
BA 5-year-old just back from tonsillectomy who keeps swallowing
CA 9-year-old newly admitted with diabetic ketoacidosis on an insulin infusion
DAn infant with bronchiolitis who needs more and more oxygen
8.Sulit
A toddler weighed 10 kg before 2 days of diarrhoea and now weighs 9,5 kg. How much has he lost?
A1 kg, about 10% of his body weight
B500 g, about 5% of his body weight, mostly fluid
C500 g, about 50% of his body weight
D50 g, about 0,5% of his body weight
Kunci jawaban
1. A · Itching around the anus, especially at night
2. D · Coughing, choking and cyanosis
3. B · Wipe from front to back after using the toilet
4. B · Place her in the recovery position and monitor airway and breathing
5. C · Refer the baby to an eye specialist
6. D · Avoid screen media, apart from video calls with family
7. A · A 7-year-old 2 days after an appendicectomy, stable on oral analgesia
8. B · 500 g, about 5% of his body weight, mostly fluid
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