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Nama: ____________________ Tanggal: ____________
1.Mudah
Which five signs make up the Apgar score?
AHeart rate, blood pressure, temperature, weight and colour
BBreathing rate, blood glucose, length, muscle tone and cry
COxygen saturation, temperature, reflexes, weight and feeding
DHeart rate, breathing effort, muscle tone, reflex response and colour
2.Mudah
Which drug reverses opioid-induced breathing depression?
AFlumazenil
BAtropine
CNaloxone
DGlucagon
3.Mudah
What is the main long-term complication of regular blood transfusions in beta-thalassaemia major?
AVitamin B12 deficiency
BLow platelet count
CIron overload
DLow blood calcium
4.Sedang
How is amblyopia (lazy eye) commonly treated in young children?
APatching or blurring the stronger eye so the weaker eye works harder
BWaiting until adulthood, when surgery can correct it
CEye exercises alone, without any glasses, drops or patches
DPatching the weaker eye so that it can rest and recover
5.Sedang
Terapi mana yang umum digunakan untuk anak dengan krup sedang?
ASatu dosis kortikosteroid oral seperti deksametason
BSatu kuur antibiotik oral seperti amoksisilin selama 5 sampai 7 hari
CPenekan batuk
DFisioterapi dada
6.Sedang
A child is receiving IV morphine. Which assessments are most important?
ABlood glucose and urine ketones
BPeak flow and inhaler technique
CHead circumference and fontanelle tension
DRespiratory rate and level of sedation
7.Sulit
During an insulin infusion for diabetic ketoacidosis, why is potassium monitored closely?
AInsulin moves potassium into the cells, so blood potassium can fall sharply
BPotassium is needed to dissolve the insulin in the drip
CInsulin causes the kidneys to hold on to potassium, so blood levels rise dangerously
DPotassium has no role in DKA; it is a routine test only
8.Sulit
A child treated with intravenous immunoglobulin (IVIG) for Kawasaki disease is due her MMR vaccine next week. What should the nurse know?
AMMR can be given safely the same day as the next IVIG dose
BIVIG makes vaccines unnecessary, so MMR can be skipped
CLive vaccines are usually delayed for several months after IVIG
DMMR should be given early, because IVIG weakens the immune system
Kunci jawaban
1. D · Heart rate, breathing effort, muscle tone, reflex response and colour
2. C · Naloxone
3. C · Iron overload
4. A · Patching or blurring the stronger eye so the weaker eye works harder
5. A · Satu dosis kortikosteroid oral seperti deksametason
6. D · Respiratory rate and level of sedation
7. A · Insulin moves potassium into the cells, so blood potassium can fall sharply
8. C · Live vaccines are usually delayed for several months after IVIG
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