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Nama: ____________________ Tanggal: ____________
1.Mudah
Menurut Erikson, apa tugas perkembangan masa bayi (lahir sampai sekitar 1 tahun)?
AKeintiman versus isolasi
BIdentitas versus kebingungan peran
COtonomi versus rasa malu dan ragu
DKepercayaan versus ketidakpercayaan
2.Mudah
At which times after birth is the Apgar score routinely assessed?
AAt 1 minute and at 5 minutes
BAt 10 minutes and at 30 minutes
COnly once, at 24 hours of age
DAt birth and again at 1 hour
3.Mudah
What does the HbA1c blood test show in a child with diabetes?
AThe average blood glucose over about the past 2–3 months
BThe amount of insulin the pancreas is making on the day of the test
CThe blood glucose at the exact moment of the test
DWhether ketones are present in the blood right now
4.Sedang
A 12-year-old with type 1 diabetes will play a long football match. What should the nurse advise?
AInject an extra dose of insulin into the thigh just before he starts running
BAvoid sport, because exercise is unsafe with diabetes
CCheck glucose before playing and keep fast-acting carbohydrate at hand
DSkip the meal before the match to avoid high glucose
5.Sedang
Which approach best helps a 4-year-old during a vaccination?
AHave staff hold the child flat on the couch so the injection is quick
BPromise a reward only if the child stays completely still and does not cry
CHold the child upright on a parent's lap and use distraction, such as blowing bubbles
DTell the child the injection will not hurt at all
6.Sedang
What is the purpose of grommets (tympanostomy tubes) in a child with repeated middle ear problems?
ATo ventilate the middle ear and let fluid drain
BTo replace the damaged eardrum permanently
CTo give antibiotics directly into the inner ear
DTo widen the outer ear canal and reduce the build-up of wax
7.Sulit
An infant with a large VSD now breathes faster, sweats during feeds and has gained 300 g overnight with puffy eyelids. What does this most likely indicate?
AAn allergic reaction to the new high-energy formula started yesterday
BGood growth thanks to improved feeding
CDehydration due to sweating during feeds
DWorsening heart failure with fluid retention
8.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 normal reaction to the chemotherapy
DA blocked line that needs more forceful flushing
Kunci jawaban
1. D · Kepercayaan versus ketidakpercayaan
2. A · At 1 minute and at 5 minutes
3. A · The average blood glucose over about the past 2–3 months
4. C · Check glucose before playing and keep fast-acting carbohydrate at hand
5. C · Hold the child upright on a parent's lap and use distraction, such as blowing bubbles
6. A · To ventilate the middle ear and let fluid drain
7. D · Worsening heart failure with fluid retention
8. A · A catheter-related bloodstream infection
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