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Nama: ____________________ Tanggal: ____________
1.Mudah
Menurut Erikson, apa tugas perkembangan masa remaja?
AOtonomi versus rasa malu dan ragu
BIntegritas versus keputusasaan
CKetekunan versus inferioritas
DIdentitas versus kebingungan peran
2.Mudah
What is Gowers' sign?
AA sudden startle with the arms flung outwards
BFlexing the hips and knees when the neck is bent forward by the examiner
CFanning of the toes when the sole of the foot is stroked
DUsing the hands to "walk up" the legs to stand up from the floor
3.Mudah
Menurut perawatan atraumatik, di mana prosedur yang menyakitkan seperti pemeriksaan darah harus dilakukan?
ADi ruang bermain agar anak merasa rileks
BDi ruang tindakan, bukan di tempat tidur anak
CDi tempat tidur anak agar tidak perlu berpindah
DDi ruang tunggu di depan anak-anak lain
4.Sedang
A child receiving chemotherapy has painful mouth ulcers (mucositis). Which mouth care is best?
AMouthwash containing alcohol several times a day
BSpicy and acidic foods to stimulate saliva flow
CA hard toothbrush and lemon–glycerine swabs to clean the ulcers
DA soft toothbrush or sponge, bland rinses and soft, cool foods
5.Sedang
A child with suspected measles is admitted. Which precaution is most important?
AAirborne precautions, ideally in a negative-pressure room
BNo special precautions once the rash appears
CContact precautions only, with gloves
DDroplet precautions in a shared bay
6.Sedang
A 15-year-old seems very low in mood. Is it safe for the nurse to ask directly about suicidal thoughts?
AYes; asking directly does not increase the risk and helps find those who need help
BNo; asking about suicide may put the idea into the young person's head and raise the risk
CNo; only a psychiatrist is allowed to ask this question
DOnly if the parents give written permission first
7.Sulit
A child with a central venous catheter for chemotherapy develops fever and rigors shortly after the line is flushed. What should the nurse suspect?
AA catheter-related bloodstream infection
BAn allergy to the saline flush
CA blocked line that needs more forceful flushing
DA normal reaction to the chemotherapy
8.Sulit
A 14-year-old has superficial cuts on her forearms. She says cutting helps her cope and that she does not want to die. What is the best nursing response?
ATreat the wounds, stay calm and non-judgemental, and refer for assessment
BAccept that she is not at risk because she says she does not want to die
CTell her firmly that cutting is attention-seeking behaviour and that she must stop now
DPromise not to tell anyone so that she keeps talking
Kunci jawaban
1. D · Identitas versus kebingungan peran
2. D · Using the hands to "walk up" the legs to stand up from the floor
3. B · Di ruang tindakan, bukan di tempat tidur anak
4. D · A soft toothbrush or sponge, bland rinses and soft, cool foods
5. A · Airborne precautions, ideally in a negative-pressure room
6. A · Yes; asking directly does not increase the risk and helps find those who need help
7. A · A catheter-related bloodstream infection
8. A · Treat the wounds, stay calm and non-judgemental, and refer for assessment
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