Pharmacology
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 caring for a client who reports dizziness shortly after
receiving a newly prescribed antihypertensive medication.
According to the Clinical Judgment Measurement Model
(CJMM), which action represents Recognize Cues?
A. Lower the head of the bed immediately.
B. Measure the client's blood pressure and assess symptoms.
C. Notify the healthcare provider of suspected hypotension.
D. Hold the next dose of medication.
Correct Answer: B
Rationale: Recognize Cues corresponds to gathering relevant
assessment data. Measuring blood pressure and assessing
symptoms provides the information needed before making
clinical decisions.
Question 2
Difficulty: Moderate
Question Type: Multiple Choice
,Question:
A client receiving intravenous morphine becomes difficult to
arouse, has a respiratory rate of 8 breaths/min, and oxygen
saturation of 88%. Which finding should the nurse identify as
the highest-priority cue?
A. Pain score of 2/10
B. Respiratory rate of 8 breaths/min
C. Dry mouth
D. Mild nausea
Correct Answer: B
Rationale: Respiratory depression is the most urgent adverse
effect of opioid therapy. This cue requires immediate attention
because it threatens airway and breathing.
Question 3
Difficulty: Moderate
Question Type: NGN Clinical Judgment
Question:
A client receiving insulin is pale, diaphoretic, and confused.
Point-of-care glucose is 48 mg/dL.
Which CJMM step follows Recognize Cues?
, A. Evaluate Outcomes
B. Analyze Cues
C. Take Action
D. Generate Solutions
Correct Answer: B
Rationale: After recognizing assessment findings, the nurse
analyzes the collected information to determine the likely
clinical problem before planning interventions.
Question 4
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
The nurse is analyzing cues after administering an antibiotic.
Which findings support the hypothesis of an allergic reaction?
A. Generalized hives
B. Wheezing
C. Blood pressure 84/50 mm Hg
D. Increased appetite
E. Facial swelling
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 caring for a client who reports dizziness shortly after
receiving a newly prescribed antihypertensive medication.
According to the Clinical Judgment Measurement Model
(CJMM), which action represents Recognize Cues?
A. Lower the head of the bed immediately.
B. Measure the client's blood pressure and assess symptoms.
C. Notify the healthcare provider of suspected hypotension.
D. Hold the next dose of medication.
Correct Answer: B
Rationale: Recognize Cues corresponds to gathering relevant
assessment data. Measuring blood pressure and assessing
symptoms provides the information needed before making
clinical decisions.
Question 2
Difficulty: Moderate
Question Type: Multiple Choice
,Question:
A client receiving intravenous morphine becomes difficult to
arouse, has a respiratory rate of 8 breaths/min, and oxygen
saturation of 88%. Which finding should the nurse identify as
the highest-priority cue?
A. Pain score of 2/10
B. Respiratory rate of 8 breaths/min
C. Dry mouth
D. Mild nausea
Correct Answer: B
Rationale: Respiratory depression is the most urgent adverse
effect of opioid therapy. This cue requires immediate attention
because it threatens airway and breathing.
Question 3
Difficulty: Moderate
Question Type: NGN Clinical Judgment
Question:
A client receiving insulin is pale, diaphoretic, and confused.
Point-of-care glucose is 48 mg/dL.
Which CJMM step follows Recognize Cues?
, A. Evaluate Outcomes
B. Analyze Cues
C. Take Action
D. Generate Solutions
Correct Answer: B
Rationale: After recognizing assessment findings, the nurse
analyzes the collected information to determine the likely
clinical problem before planning interventions.
Question 4
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
The nurse is analyzing cues after administering an antibiotic.
Which findings support the hypothesis of an allergic reaction?
A. Generalized hives
B. Wheezing
C. Blood pressure 84/50 mm Hg
D. Increased appetite
E. Facial swelling
