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Nama: ____________________ Tanggal: ____________
1.Mudah
Why are undescended testes (cryptorchidism) corrected surgically in early childhood?
ATo protect fertility and allow the testis to be checked for cancer
BBecause an undescended testis causes severe daily pain in infancy
CTo stop the testis from producing too much testosterone in puberty
DBecause an undescended testis leads to kidney failure if left untreated
2.Mudah
A 13-year-old boy has sudden, severe pain in one testis with nausea and vomiting. How should this be treated?
AAs normal growing pains of puberty
BAs a sports strain that will heal with rest
CAs a surgical emergency
DAs a urine infection to be treated at home
3.Mudah
Which finding inside the mouth is typical of early measles?
AA thick white coating on the tongue and cheeks that can be wiped off
BKoplik spots: small white spots on the inside of the cheeks
CPainful blisters on the tongue, gums and palate
DA bright red "strawberry" tongue with large papillae
4.Sedang
A 3-day-old has a red, swollen eyelid with a heavy discharge of pus. What should the nurse do?
AClean the eye with breast milk and review in a week
BReassure the parents that sticky eyes are always harmless in the first weeks of life
CArrange prompt medical review, as infection from the birth canal is possible
DApply an over-the-counter steroid eye ointment
5.Sedang
How is threadworm (pinworm) infection usually confirmed?
AA blood test for worm antibodies taken an hour after an evening meal
BA urine sample collected in the evening
CA tape test on the skin around the anus first thing in the morning
DAn abdominal X-ray to look for the worms in the gut
6.Sedang
Setelah perbaikan bibir sumbing, tindakan keperawatan mana yang melindungi garis jahitan?
AMemosisikan bayi telentang atau miring dan menghindari memasukkan benda ke dalam mulut
BMembersihkan garis jahitan dengan kain kering yang kasar untuk menghilangkan keropeng beberapa kali sehari
CMembiarkan bayi langsung mengisap empeng
DMenidurkan bayi tengkurap
7.Sulit
The parents of a 5-year-old refuse a life-saving blood transfusion for religious reasons. What generally happens?
AThe nurse gives the transfusion secretly while the parents are out of the room, to save time
BThe team must withhold it, because parents always have the final say in every case
CRespect beliefs where possible, explore alternatives and seek legal authority if needed
DThe team waits until the child is old enough to make the decision for himself
8.Sulit
A child has suspected septic shock. Which action is the most time-critical?
AGiving oral antibiotics and reviewing the child again in the morning
BGiving IV antibiotics as soon as possible, ideally within the first hour
CWaiting for the blood culture results before starting any antibiotic treatment
DStarting antibiotics after the fever has been present for 24 hours
Kunci jawaban
1. A · To protect fertility and allow the testis to be checked for cancer
2. C · As a surgical emergency
3. B · Koplik spots: small white spots on the inside of the cheeks
4. C · Arrange prompt medical review, as infection from the birth canal is possible
5. C · A tape test on the skin around the anus first thing in the morning
6. A · Memosisikan bayi telentang atau miring dan menghindari memasukkan benda ke dalam mulut
7. C · Respect beliefs where possible, explore alternatives and seek legal authority if needed
8. B · Giving IV antibiotics as soon as possible, ideally within the first hour
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