Free Practice Questions for UKOM D3 Keperawatan

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Key Facts: UKOM D3 Keperawatan Exam

CBT

National computer-based testing format

ukomnakes.kemdiktisaintek.go.id

Lifetime

STR validity under UU No. 17 Tahun 2023

UU No. 17 Tahun 2023 tentang Kesehatan

PPNI / AIPViKI

Indonesian Nursing Professional Association and Vocational Association

ppni-inna.org

SDKI / SIKI

National nursing diagnostic and intervention terminology

Standar Diagnosis & Intervensi Keperawatan Indonesia

UKOM D3 Keperawatan tests vocational nursing graduates across medical-surgical, pediatric, maternal, emergency, and psychiatric nursing. This is an independent 88-question English-language MCQ practice bank by OpenExamPrep.

Sample UKOM D3 Keperawatan Practice Questions

Try these sample questions to review concepts for the UKOM D3 Keperawatan exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 88+ question experience with AI tutoring.

1A 52-year-old male patient with active pulmonary tuberculosis (TB paru) is admitted to the medical ward. He reports productive cough with thick yellowish sputum and shortness of breath. Physical examination reveals coarse rhonchi in the upper lung fields, respiratory rate of 24 breaths/minute, and SpO2 96% on room air. The patient struggles to expectorate secretions effectively. According to Indonesian Nursing Standards (SDKI/SIKI), what is the priority independent nursing intervention to address Bersihan Jalan Napas Tidak Efektif (Ineffective Airway Clearance)?

A.Teach and assist the patient in performing effective coughing technique (latihan batuk efektif)

B.Administer high-flow oxygen at 10 liters/minute via non-rebreathing mask

C.Perform immediate endotracheal intubation and mechanical ventilation

D.Place the patient in a flat supine position to rest respiratory muscles

Explanation: According to SDKI (Standar Diagnosis Keperawatan Indonesia) and SIKI (Standar Intervensi Keperawatan Indonesia), the primary intervention for Bersihan Jalan Napas Tidak Efektif (Ineffective Airway Clearance) in an alert patient with retained secretions is Latihan Batuk Efektif (Effective Coughing Exercise). This independent nursing action helps mobilize and expel thick bronchial secretions through deep diaphragmatic breathing followed by controlled thoracic exhalations, preserving airway patency without invasive procedures.

2A 45-year-old female patient diagnosed with pulmonary tuberculosis began Category 1 anti-tuberculosis therapy (OAT Kategori 1: Rifampicin, Isoniazid, Pyrazinamide, Ethambutol) three days ago. She contacts the community health center (Puskesmas) nurse in distress, stating that her urine and tears have turned orange-red. What is the most appropriate nursing response?

A.Reassure the patient that orange-red urine is a harmless and expected side effect of Rifampicin

B.Instruct the patient to discontinue all anti-tuberculosis medications immediately

C.Advise the patient to report to the emergency unit for urgent hemodialysis

D.Refer the patient for immediate cystoscopy to rule out acute urinary bladder hemorrhage

Explanation: Rifampicin characteristically imparts an orange-red discoloration to bodily secretions, including urine, saliva, tears, sweat, and feces. This is a benign, pharmacologically expected side effect that does not signify organ toxicity or hemorrhage. Patient education regarding this phenomenon is a core nursing competency in national TB DOTS programs to prevent unnecessary anxiety and unauthorized treatment discontinuation.

3A 60-year-old male patient is hospitalized with right middle lobe bacterial pneumonia. Auscultation reveals coarse crackles and bronchial breath sounds localized over the right anterior chest. The nurse prepares to perform postural drainage and chest physiotherapy to facilitate sputum clearance. Which body position should the nurse place the patient in for right middle lobe drainage?

A.Left side-lying position with the bed tilted slightly head-down (Trendelenburg) and the body rotated a quarter turn backward

B.Right side-lying position with the head of the bed elevated 45 degrees

C.Prone position with two pillows placed under the lower abdomen and pelvis

D.High-Fowler position with the neck hyperextended

Explanation: To drain secretions from the right middle lobe of the lung using gravity, the patient is positioned on the left side with the bed in slight Trendelenburg (tilted head down approximately 15 degrees) and rotated a quarter turn backward, supported by pillows behind the back. This utilizes gravitational flow to direct mucus from the right middle lobe bronchus into the mainstem bronchi and trachea for expectoration.

4A 68-year-old male with a 20-year history of Chronic Obstructive Pulmonary Disease (PPOK) presents with acute dyspnea, barrel chest, prolonged expiratory wheezing, and drowsiness. Arterial blood gas (ABG) analysis shows chronic CO2 retention (PaCO2 58 mmHg, PaO2 55 mmHg, pH 7.34). Which oxygen delivery approach is most appropriate for this patient?

A.Controlled low-concentration oxygen via nasal cannula at 1–2 L/minute targeting SpO2 88%–92%

B.High-flow oxygen via 100% non-rebreathing mask at 15 L/minute

C.Room air only without any supplemental oxygen to prevent carbon dioxide retention

D.Hyperbaric oxygen therapy at 2.5 atmospheres

Explanation: A patient at risk of hypercapnic respiratory failure should receive controlled oxygen titrated to an SpO2 of 88%–92% while blood gases and clinical status are reassessed. Oxygen-induced hypercapnia is driven mainly by worsening ventilation-perfusion mismatch and the Haldane effect, with a smaller contribution from reduced ventilatory drive; oxygen must not be withheld from a hypoxemic patient.

5A 25-year-old female presents to the outpatient clinic with an acute bronchial asthma attack. She is visibly anxious, tachypneic with a respiratory rate of 28 breaths/minute, and exhibits audible expiratory wheezing and intercostal muscle retractions. What immediate position should the nurse arrange for this patient to optimize ventilation?

A.High-Fowler position or orthopneic tripod position leaning forward

B.Trendelenburg position with lower extremities elevated 45 degrees

C.Left lateral Sim's position with legs flexed

D.Supine position with legs elevated on a pillow

Explanation: Placing an asthmatic patient in the High-Fowler position or an orthopneic tripod position (leaning forward with arms supported) lowers the diaphragm, maximizes intrathoracic cavity expansion, decreases the work of breathing, and facilitates accessory muscle use for effective ventilation.

6A 32-year-old male with persistent asthma is prescribed a Metered-Dose Inhaler (MDI) with a valved holding chamber (spacer). During discharge education, the nurse demonstrates the proper inhalation technique. Which instruction is correct?

A.Exhale completely, press the canister once, inhale slowly and deeply over 3–5 seconds, then hold breath for 10 seconds

B.Press the canister rapidly three times consecutively before inhaling

C.Inhale forcefully through the nose while keeping the mouth tightly closed around the spacer

D.Immediately rinse the mouth with hot water and swallow the wash fluid

Explanation: Proper MDI with spacer technique requires exhaling gently to functional residual capacity, actuating a single puff into the chamber, inhaling slowly and deeply through the mouth over 3–5 seconds, and holding the breath for 10 seconds (or as long as comfortable) to allow medication particles to settle in the distal airways.

7A 55-year-old male with a massive left pleural effusion has a Water Seal Drainage (WSD) system connected. During routine rounds, the nurse observes that the water level in the water seal glass tube fluctuates up and down by 4 cm in rhythm with the patient's breathing (undulasi positif). There is no continuous bubbling in the water seal chamber. What does this finding indicate?

A.The drainage system is patent and functioning normally

B.The chest tube is completely occluded by a fibrin clot

C.A massive tension pneumothorax has developed

D.The chest tube has slipped completely out of the pleural cavity

Explanation: Fluctuation (undulasi) of the fluid column in the water seal tube during respiration reflects intrathoracic pressure changes (rising during inspiration and falling during expiration in spontaneous breathing). Positive fluctuation confirms that the drainage tube is patent and correctly positioned in the pleural space.

8While ambulating a patient with a chest tube connected to a Water Seal Drainage (WSD) unit, the drainage tube accidentally disconnects from the collection unit and falls onto the floor. What is the immediate priority nursing action?

A.Submerge the distal end of the chest tube 2 to 3 cm into a sterile bottle of normal saline

B.Clamp the chest tube firmly with two Kelly clamps near the chest wall for 24 hours

C.Tape the disconnected ends back together using adhesive plaster

D.Instruct the patient to inhale deeply and perform the Valsalva maneuver continuously

Explanation: If a chest tube disconnects from the drainage system, submerging the distal end 2 to 3 cm in a bottle of sterile water or normal saline immediately re-establishes a temporary water seal. This prevents atmospheric air from entering the negative-pressure pleural space and causing a pneumothorax while a new sterile drainage system is prepared.

9A 58-year-old male is admitted with Stage 2 Essential Hypertension (blood pressure 165/100 mmHg). The nurse conducts dietary counseling before discharge. According to national clinical guidelines for Diet Rendah Garam (low-salt diet), what is the recommended daily sodium restriction for this patient?

A.Limit daily sodium intake to less than 2,000 mg (equivalent to approximately 1 teaspoon of table salt)

B.Completely eliminate all dietary sodium and chloride from every meal indefinitely

C.Consume at least 6,000 mg of sodium per day to maintain blood volume

D.Replace table salt entirely with sodium bicarbonate in cooking

Explanation: WHO and Indonesian Ministry of Health guidelines for hypertension recommend restricting sodium intake to less than 2,000 mg/day (equivalent to approximately 5 grams of NaCl or 1 level teaspoon of table salt). Sodium reduction decreases intravascular volume and peripheral vascular resistance, lowering systemic arterial blood pressure.

10A 64-year-old female with Congestive Heart Failure (CHF) NYHA Class III presents with orthopnea, bilateral pitting edema (+3) over the pretibial areas, jugular venous distention (JVD 5+4 cm H2O), fine bibasilar crackles, and a 4 kg weight gain in 5 days. What is the priority nursing diagnosis according to SDKI?

A.Hipervolemia berhubungan dengan gangguan mekanisme regulasi

B.Hipovolemia berhubungan with kehilangan cairan aktif

C.Defisit Nutrisi berhubungan dengan peningkatan kebutuhan metabolisme

D.Risiko Perdarahan berhubungan dengan trombositopenia

Explanation: According to SDKI, Hipervolemia (Hypervolemia) is defined as an increase in intravascular, interstitial, and/or intracellular fluid volume. Major diagnostic indicators present in this patient include peripheral edema, elevated jugular venous pressure, pulmonary crackles, orthopnea, and rapid weight gain resulting from neurohormonal fluid retention in heart failure.

About the UKOM D3 Keperawatan Exam

UKOM D3 Keperawatan is the mandatory national exit examination for Diploma III Nursing students in Indonesia, required for obtaining the competency certificate and the nurse registration certificate (STR Perawat).

Exam sponsor: Komite Nasional Uji Kompetensi Mahasiswa Bidang Kesehatan / AIPViKI / PPNI. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

The test evaluates nursing assessment, diagnostic prioritization (SDKI), intervention selection (SIKI), and patient outcome monitoring across core clinical wards.

Time Limit

Not published in official sources reviewed.

Passing Score

Not published in official sources reviewed.

Exam / Certification Fees

Not published in official sources reviewed.

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

37 of 88 practice questions

Keperawatan Medikal Bedah / KMB (Medical-Surgical Nursing)

Respiratory care, cardiovascular nursing, diabetic foot care, fluid resuscitation, perioperative nursing, and infection control.

21 of 88 practice questions

Keperawatan Maternitas & Anak (Maternity & Pediatric Nursing)

Postpartum care, labor monitoring, pediatric dehydration management, phototherapy for neonatal jaundice, and childhood immunizations.

12 of 88 practice questions

Keperawatan Gawat Darurat & Kritis / GADAR (Emergency Nursing)

ABCDE primary survey, high-quality CPR algorithms, foreign body airway obstruction, burn fluid calculation, and emergency triage.

10 of 88 practice questions

Keperawatan Jiwa (Psychiatric & Mental Health Nursing)

Therapeutic communication strategies, hallucination management, violent behavior de-escalation, and self-care deficit interventions.

8 of 88 practice questions

Keperawatan Komunitas, Keluarga & Gerontik (Community & Geriatric)

Home visits for chronic illness, elderly fall prevention, Posyandu health promotion, and professional legal-ethical nursing standards.

Preparing for the UKOM D3 Keperawatan Exam

What You Need to Know

Passing score: Not published in official sources reviewed.
Assessment: The test evaluates nursing assessment, diagnostic prioritization (SDKI), intervention selection (SIKI), and patient outcome monitoring across core clinical wards.
Time limit: Not published in official sources reviewed.
Exam / certification fees: Not published in official sources reviewed. Official sources

Using Our Practice Resources

Work through all 88 available questions
Review every answer and explanation
Track weak areas and revisit them
Use our AI tutor for tough concepts

UKOM D3 Keperawatan: Suggested Study Strategy

1In clinical vignettes, always read the lead-in question carefully to identify whether it asks for the primary nursing diagnosis, priority initial action, or evaluation criteria.

2Memorize the signs of dehydration in pediatric diarrhea and immediate rehydration therapy (WHO Plan A, B, C).

3Understand the Parkland formula for burn resuscitation and maintenance fluid calculations.

4Review the core therapeutic communication techniques and implementation steps (SP 1 to 4) for common psychiatric nursing diagnoses.

Frequently Asked Questions

What is UKOM D3 Keperawatan?

UKOM D3 Keperawatan is the standardized national exit examination for Diploma III Nursing graduates in Indonesia, required to earn the competency certificate and apply for the STR Perawat.

How does D3 Keperawatan differ from Profesi Ners?

D3 Keperawatan is a 3-year vocational diploma preparing bedside staff nurses (perawat vokasi), whereas Profesi Ners is a professional graduate qualification following a Bachelor of Nursing (S.Kep) preparing independent nurse practitioners and managers.

What is the STR validity period under UU No. 17 Tahun 2023?

Under UU No. 17 Tahun 2023, the Nurse Registration Certificate (STR Perawat) issued by Konsil Kesehatan Indonesia (KKI) is valid for life. The practice license (SIPP) is issued by municipal health offices and renewed every 5 years.

Is this practice exam official?

No. This practice bank is an independent English-language study adaptation created by OpenExamPrep for knowledge review and clinical decision-making practice. It is not affiliated with or endorsed by AIPViKI, PPNI, or Kemdiktisaintek.