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Nama: ____________________ Tanggal: ____________
1.Mudah
Where does neuroblastoma most often start?
AIn the white matter of the brain
BIn the lining of the bladder
CIn the bone marrow of the pelvis
DIn the adrenal gland
2.Mudah
Why do girls taking isotretinoin for severe acne need strict pregnancy prevention?
AIt stops ovulation permanently
BIt causes serious birth defects
CIt causes heavy periods
DIt makes contraceptive pills fail
3.Mudah
What is the most serious complication of Kawasaki disease?
AKidney failure needing dialysis
BDiabetes mellitus
CPermanent hearing loss
DCoronary artery aneurysms
4.Sedang
A child with ITP has a low platelet count. Which advice is correct?
ATake aspirin for any pain to thin the blood
BAvoid contact sports and medicines such as ibuprofen and aspirin
CPlay rugby and football as normal to stay active
DUse a hard toothbrush and floss firmly to keep the gums healthy
5.Sedang
A family has a 2-year-old. Which advice about medicines at home is best?
ACall medicines "sweets" so the child is happy to take them
BLock all medicines away, out of reach and sight, in child-resistant containers
CKeep daily medicines in a handbag so they are always at hand
DRely on child-resistant caps alone, since toddlers are not strong enough to open them
6.Sedang
A medicine is prescribed at 10 mg/kg. The child weighs 18 kg and the liquid contains 120 mg in 5 mL. What volume should be given?
A15 mL
B7,5 mL
C1,5 mL
D3,75 mL
7.Sulit
How is pain best assessed in a 10-year-old with severe cerebral palsy who cannot speak?
AOnly by checking whether the heart rate is above normal
BPain cannot be assessed, so analgesia is given only on request
CWith a 0–10 numerical scale, by asking the child to point to a number on a printed chart
DWith a behavioural tool such as revised FLACC, using the parents' knowledge of usual cues
8.Sulit
A family speaks little English. Their 10-year-old offers to translate during a discussion about consent for his sister's surgery. What should the nurse do?
AAsk another patient's visitor who speaks the language
BUse simple English and gestures only
CLet the 10-year-old translate to save time
DArrange a professional interpreter
Kunci jawaban
1. D · In the adrenal gland
2. B · It causes serious birth defects
3. D · Coronary artery aneurysms
4. B · Avoid contact sports and medicines such as ibuprofen and aspirin
5. B · Lock all medicines away, out of reach and sight, in child-resistant containers
6. B · 7,5 mL
7. D · With a behavioural tool such as revised FLACC, using the parents' knowledge of usual cues
8. D · Arrange a professional interpreter
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