A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Easy
Question Type: Multiple Choice
Question:
A nurse is preparing to administer a newly prescribed
medication. Which action best reflects the Recognize Cues
(Assessment) step of the Clinical Judgment Measurement
Model (CJMM)?
A. Reviewing the patient's allergy history and current vital signs
B. Deciding to hold the medication because of low blood
pressure
C. Contacting the provider to request a dosage adjustment
D. Evaluating whether the patient's symptoms improved after
treatment
Correct Answer: A
Rationale: Recognize Cues involves collecting relevant
assessment data before making clinical decisions. Reviewing
allergies and vital signs helps identify factors that may influence
medication safety.
,Question 2
Difficulty: Moderate
Question Type: Multiple Choice
Question:
A patient is prescribed an antihypertensive medication. Before
administration, the nurse notes a blood pressure of 86/54 mm
Hg and reports of dizziness. Which CJMM step is demonstrated
when the nurse determines the medication may worsen
hypotension?
A. Recognize Cues
B. Analyze Cues
C. Generate Solutions
D. Evaluate Outcomes
Correct Answer: B
Rationale: Analyze Cues involves interpreting assessment
findings to determine their significance. The nurse recognizes
that hypotension increases the risk of adverse medication
effects.
Question 3
Difficulty: Moderate
, Question Type: Select All That Apply (SATA)
Question:
A nurse is preparing medications for a hospitalized patient.
Which assessment findings should be recognized as cues before
medication administration?
A. Current laboratory values
B. Medication allergies
C. Patient's ability to swallow tablets
D. Current pain rating
E. Color of the patient's hospital gown
Correct Answer: A, B, C, D
Rationale: Laboratory results, allergies, swallowing ability, and
pain are clinically relevant cues that influence medication
administration. Clothing color has no impact on medication
safety.
Question 4
Difficulty: Difficult
Question Type: NGN Clinical Judgment
Question:
A nurse reviews the following information before administering
an antibiotic: