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MEDICAL COLLEGES OF NORTHERN PHILIPPINES

Alimannao Hills, Peñablanca, Cagayan 3502

SCHOOL OF MIDWIFERY
Subject Code: CP100
Subject Title: Clinical Practicum
Term: Final
Semester: First

Name: ____________________________________________ Year and Section: _______________


Proctor: ____________________________________________ Score: ________________________

TEST INSTRUCTIONS:
1. This exam is good for 1 hour and 30 mins only. You must pass your examination paper when
the time allotted has elapsed. Papers that will be passed after the allotted time will NOT BE
ACCEPTED.
2. Do not put any unnecessary markings on the examination paper. Doing so will invalidate your
answers.
3. Keep the examination paper neat and clean. DO NOT MUTILATE
TEST 1. Identify what is being asked. Write your answer on the space provided before each
number
____________ 1. It is a type of order that is to be carried out immediately
______________ 2. This route is described as placing the drug under the tongue, where it dissolves
______________ 3. It is the route of drug administration that promotes the most rapid absorption
______________ 4. CPR stands for ___________________
______________ 5. this route is used to determine drug allergies
______________ 6. Dorsogluteal should not be used for children under 3 years old because of the possibility of
hitting ___________ nerve which controls movement of the lower extremities.
______________ 7. this method is used when giving drugs that may cause staining of the skin
______________ 8. It immediate help provided to a sick or injured person until professional medical help
arrives or becomes available
______________ 9. Are set of strategies developed to prevent transmission of blood borne pathogens
______________ 10. Is a specialized clothing, equipment and supplies that keep you from directly contacting
infected materials

TEST II. MODIFIED TRUE OR FALSE. WRITE A: ONLY THE FIRST STATEMENT IS CORRECT, B: ONLY
THE SECOND STATEMENT IS CORRECT, C: BOTH STATEMENTS ARE CORRECT AND D: BOTH
STATEMENTS ARE INCORRECT (2 points each)

______ 1. *The vastus lateralis muscle is preferred over the dorsogluteal area in pediatric patients because of
the possibility of hitting the phrenic nerve which may cause paralysis of the lower extremities
* The intradermal route is used for skin testing

______ 2. *When administering medications via the intramuscular route, the syringe should be positioned at
90 degrees.
*The intravenous route has the fastest rate of drug absorption

______ 3. * IV, IM, ID, Buccal are categorized under parenteral route of drug administration
* When administering medications through the subcutaneous route, the syringe should be
positioned at 10 degrees
______ 4. *The best to make sure that the scene of an accident is safe is after getting the emergency
response started
*In order to protect your safety while providing CPR you should check the area for danger such as
gas fumes or chemical spills

_____ 5. *It takes 20 seconds to check for the pulse and breathing of the patient
*In an adult patient, the depth of chest compression should be at least 2 inches

_____ 6. *The proper placement of hand when doing chest compression in an adult patient should be just
above the nipple line
*The rate of compression when delivering CPR should be atleast 100 compressions/minute

_____ 7. *The correct depth of chest compression in infants is 1.5 inches


*CPR stands for Cardio-pulmonary resuscitation

_____ 8. *CPR is done when the patient is pulseless and breathless


*Priority assessment in patients suspected of cardiac arrest should be Airway, Breathing, Circulation

TEST III. COMPUTE FOR THE DESIRED DOSE AND FLOW RATE. SHOW YOUR SOLUTION IN A
SEPARATE SHEET AND ENCIRCLE YOUR FINAL ANSWER. NO CALCULATORS ALLOWED!

1. The physician ordered Paracetamol 175 mg IV every 4 hours to a febrile patient. The stock dose is 300 mg/ml
in a 2 ml ampule.

A. ) How many ml are you going to give per dose?

B. B.) ml/ day?

2. The doctor ordered Nafcillin 500 mg per orem QID, the stock reads Nafcillin 1 gram per tablet.

A. How many tablet should you give per dose?

B. Tab/day?

3. Give Heparin 7,855 units Subcutaneous, twice a day. The drug is available in an ampule that reads 10,000
units per ml. How many mL should you administer per dose?

4. Infuse 1.5 L of Normal Saline solution for 7 hours with a drop factor of 15 gtts/mL. What is the desired flow
rate?

5. Infuse 1500 mL of Lactated Ringer’s over 12 hours with a drip factor of 15 gtts/mL

6. Doctor’s order says :0.5 L of Normal Saline to infuse over 6 hours”. Drip factor is 60 ugtts/mL

7. Give cefuroxime 750 mg IV, BID. The drug is available in a vial that reads 1 g to be reconstituted with 10 ml
sterile water.

A. How many mL should you give per dose?

How many mL/day?

8. Give omeprazole 250 mg IV q 6 hours. The stock dose is 500 mg/ml

9. Give ranitidine 30 mg IV q 6 hours. The drug is contained in an ampule: 60 mg/2ml

A. How many mL should you give per dose


B. How many mL should you give per day?

10. Give paracetamol 250 mg tab PO every 4 hours for fever. The available stock is 500 mg per tab.

A. How many tab should you give per dose?

B. How many tab per day?

PREPARED BY:

KAREN MAE S. ALCANTARA, MSN


Subject Teacher

Checked by:

LOUISE V. CABLING, RN, MAN, LPT, MST


Program Coordinator, College of Nursing

Noted by:

REYNALDO M. ADDUCUL, RN, RM, MSN, LLB


Dean, College of Nursing

Reviewed by:

DAN PAOLO E. RAMOS, MSHM


Quality Assurance for Academics

Approved by:

PRESENITA C. AGUON, PhD


Vice President for Academic Affairs