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Nama: ____________________ Tanggal: ____________
1.Mudah
Why is adrenaline (epinephrine) sometimes added to a local anaesthetic injection?
AIt speeds up the removal of the anaesthetic from the tissue into the blood
BIt prevents allergic reactions to the anaesthetic
CIt makes the anaesthetic act on the brain as well
DIt constricts vessels, so the block lasts longer and less enters the blood
2.Mudah
Which of these is a live attenuated vaccine?
AHepatitis B vaccine
BTetanus toxoid
CMMR (measles, mumps and rubella)
DInactivated influenza injection
3.Mudah
What does "polypharmacy" mean?
AUsing a drug at a very high dose
BA pharmacy that stocks many different brands of the same drug
CTaking one drug in several different forms
DThe use of many medicines at the same time, often five or more
4.Sedang
Which drug is used for torsades de pointes?
AIntravenous adenosine (rapid push)
BIntravenous magnesium sulfate
CIntravenous verapamil
DOral digoxin
5.Sedang
What should the nurse teach a patient about taking levothyroxine?
ATake it only on days when feeling tired
BTake it on an empty stomach, 30–60 minutes before breakfast
CTake it with milk at dinner, as calcium protects the stomach lining
DTake it together with the iron tablet to save time
6.Sedang
A person who has never been vaccinated against tetanus has a deep, dirty wound. What is usually given?
ATetanus vaccine and tetanus immunoglobulin
BOral antibiotics only
CNo treatment unless symptoms appear
DTetanus vaccine only, after the wound heals
7.Sulit
A noradrenaline infusion is running through a peripheral cannula. The skin around the site becomes pale, cold and hard. What should the nurse do?
AIncrease the rate to improve blood flow to the area
BApply heat and massage the area, then continue the infusion
CLeave the infusion running and recheck in 4 hours
DStop the infusion at that site and follow the extravasation protocol
8.Sulit
A nurse gave a patient ten times the prescribed dose of hydromorphone. The patient is currently alert. What is the most appropriate sequence of actions?
AChange the chart so that it shows the correct dose, and continue to monitor
BSay nothing because the patient is alert
CGive another dose later to balance it out
DMonitor closely, have naloxone ready, inform the prescriber and report
Kunci jawaban
1. D · It constricts vessels, so the block lasts longer and less enters the blood
2. C · MMR (measles, mumps and rubella)
3. D · The use of many medicines at the same time, often five or more
4. B · Intravenous magnesium sulfate
5. B · Take it on an empty stomach, 30–60 minutes before breakfast
6. A · Tetanus vaccine and tetanus immunoglobulin
7. D · Stop the infusion at that site and follow the extravasation protocol
8. D · Monitor closely, have naloxone ready, inform the prescriber and report
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