A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Easy
Question Type: Multiple Choice (MCQ)
Question:
A nurse is preparing to administer a newly prescribed
medication. Before giving the medication, the nurse reviews the
client's allergies, recent laboratory values, and current
assessment findings. Which step of the Clinical Judgment
Measurement Model (CJMM) is the nurse performing?
A. Generate Solutions
B. Recognize Cues
C. Take Action
D. Evaluate Outcomes
Correct Answer: B. Recognize Cues
Rationale: Recognizing cues involves collecting relevant
assessment data before making clinical decisions. Reviewing
allergies, laboratory values, and assessment findings helps
identify information that may affect safe medication
administration.
Question 2
Difficulty: Moderate
,Question Type: Select All That Apply (SATA)
Question:
A nurse is preparing to administer an antihypertensive
medication. Which assessment findings should be recognized as
important cues before administering the medication? (Select all
that apply.)
A. Current blood pressure
B. Heart rate
C. Medication allergies
D. Last bowel movement
E. Recent serum potassium level
Correct Answer: A, B, C, E
Rationale: Blood pressure, heart rate, allergies, and electrolyte
values may influence medication safety and effectiveness. A
recent bowel movement is generally not a priority assessment
before administering most antihypertensive medications.
Question 3
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question:
, After reviewing assessment data, the nurse determines that a
prescribed medication may place the client at risk for harm
because of impaired kidney function. Which CJMM step is the
nurse demonstrating?
A. Recognize Cues
B. Analyze Cues
C. Take Action
D. Evaluate Outcomes
Correct Answer: B. Analyze Cues
Rationale: Analyzing cues involves interpreting assessment
findings and determining their significance. The nurse connects
impaired kidney function with potential medication-related
risks.
Question 4
Difficulty: Moderate
Question Type: Case-Based NGN
Question:
A client is prescribed an opioid analgesic for postoperative pain.
The nurse notes the following:
• Respiratory rate: 10 breaths/min
• Oxygen saturation: 91%