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Nama: ____________________ Tanggal: ____________
1.Mudah
Giving a patient immunoglobulin after exposure to an infection provides which type of immunity?
AInnate immunity
BPassive immunity
CHerd immunity
DActive immunity
2.Mudah
Which intramuscular site is generally preferred for adults because it is far from major nerves and vessels?
ADeltoid for large volumes
BVentrogluteal
CDorsogluteal
DForearm
3.Mudah
What is the normal serum potassium range in adults?
A3,5–5,0 mmol/L
B1,5–2,5 mmol/L
C135–145 mmol/L
D6,0–7,5 mmol/L
4.Sedang
A patient is starting lisinopril. Which rare but serious adverse effect should the nurse teach the patient to report immediately?
AAn increase in appetite in the evening
BDarker skin after exposure to sunlight
CSwelling of the lips, tongue or face
DA harmless rash on the palms of the hands
5.Sedang
Mengapa pasien yang mengonsumsi klozapin memerlukan pemeriksaan darah lengkap secara teratur?
AKlozapin dapat menyebabkan agranulositosis
BKlozapin mengubah golongan darah
CKlozapin sering menyebabkan anemia defisiensi besi
DKlozapin menaikkan jumlah trombosit secara berbahaya
6.Sedang
Why is IV promethazine given with great caution?
AIt causes immediate kidney failure
BIt can cause severe tissue injury if it leaks or enters an artery
CIt is a strong opioid that causes addiction
DIt causes a severe rise in blood pressure when it is given intravenously
7.Sulit
A malnourished patient with low serum albumin shows nystagmus and unsteady gait. Her total phenytoin level is within range. What is the most likely explanation?
AThe total level is high, but the laboratory is wrong
BMore phenytoin is unbound when albumin is low, so free levels rise
CLow albumin speeds up phenytoin metabolism
DLow albumin makes phenytoin bind more tightly, so the drug is less active
8.Sulit
Why is adenosine used with caution in patients with asthma?
AIt causes severe hypertension in asthma
BIt reduces the effect of inhaled steroids
CIt is broken down too slowly in asthma
DIt can cause bronchospasm
Kunci jawaban
1. B · Passive immunity
2. B · Ventrogluteal
3. A · 3,5–5,0 mmol/L
4. C · Swelling of the lips, tongue or face
5. A · Klozapin dapat menyebabkan agranulositosis
6. B · It can cause severe tissue injury if it leaks or enters an artery
7. B · More phenytoin is unbound when albumin is low, so free levels rise
8. D · It can cause bronchospasm
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