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Nama: ____________________ Tanggal: ____________
1.Mudah
Giving a patient immunoglobulin after exposure to an infection provides which type of immunity?
APassive immunity
BInnate immunity
CActive immunity
DHerd immunity
2.Mudah
What is the purpose of the Z-track technique for intramuscular injections?
ATo make the injection faster
BTo stop the drug leaking back into the subcutaneous tissue
CTo allow a larger volume to be given than with a standard injection
DTo avoid the need to clean the skin
3.Mudah
In hepatic encephalopathy, lactulose is given mainly to:
AReduce fluid in the abdomen
BRaise the blood glucose level
CLower the blood ammonia level
DStop bleeding from varices
4.Sedang
During an oxytocin infusion, contractions become very frequent and the fetal heart rate shows late decelerations. What is the nurse's first action?
AIncrease the infusion to finish labour quickly
BPosition the woman flat on her back
CGive a second oxytocin bolus
DStop the oxytocin infusion
5.Sedang
What should the nurse teach a patient about taking levothyroxine?
ATake it together with the iron tablet to save time
BTake it with milk at dinner, as calcium protects the stomach lining
CTake it on an empty stomach, 30–60 minutes before breakfast
DTake it only on days when feeling tired
6.Sedang
Vankomisin intravena umumnya digunakan untuk mengobati infeksi yang disebabkan oleh:
ACandida albicans
BEscherichia coli
CPseudomonas aeruginosa
DMRSA
7.Sulit
A woman has received a high-dose oxytocin infusion with large volumes of hypotonic fluid for many hours. She now has a headache, confusion and a low serum sodium. What is the most likely cause?
ANormal tiredness after a long labour
BWater intoxication from the antidiuretic effect of oxytocin
CExcessive salt in the infusion fluid
DAn allergic reaction to oxytocin causing brain swelling
8.Sulit
Why do infants absorb more of a topical corticosteroid than adults?
AThey have more skin area per kilogram and thinner skin
BTheir liver changes the cream into a much stronger form
CInfants do not absorb topical drugs at all
DTheir skin contains no blood vessels
Kunci jawaban
1. A · Passive immunity
2. B · To stop the drug leaking back into the subcutaneous tissue
3. C · Lower the blood ammonia level
4. D · Stop the oxytocin infusion
5. C · Take it on an empty stomach, 30–60 minutes before breakfast
6. D · MRSA
7. B · Water intoxication from the antidiuretic effect of oxytocin
8. A · They have more skin area per kilogram and thinner skin
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