Pharmacology
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Moderate
Question Type: Multiple Choice (NGN Clinical Judgment)
Question:
A nurse is preparing to administer an antihypertensive
medication to a hospitalized client. Before administration, the
nurse notes the blood pressure is 86/54 mm Hg, whereas it was
132/78 mm Hg two hours earlier. According to the Clinical
Judgment Measurement Model (CJMM), which action
represents Recognize Cues?
A. Hold the medication and notify the provider.
B. Compare the current blood pressure with previous readings.
C. Determine that the medication likely caused hypotension.
D. Plan to increase oral fluid intake.
Correct Answer: B
Rationale: Recognizing cues involves collecting and identifying
relevant assessment findings. Comparing current and previous
vital signs helps identify an abnormal change before clinical
decisions are made.
Question 2
,Difficulty: Moderate
Question Type: Multiple Choice
Question:
A nurse reviews a client's medication profile and notes that a
newly prescribed antibiotic may interact with warfarin. Which
step of the nursing process is the nurse performing?
A. Planning
B. Assessment
C. Analysis
D. Evaluation
Correct Answer: C
Rationale: Interpreting assessment data to identify a potential
medication interaction is part of the analysis phase. The nurse is
connecting information to recognize a clinical problem.
Question 3
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
, A nurse is caring for a client who received an opioid analgesic
30 minutes ago. Which findings are important cues that should
be recognized before administering another dose?
Select all that apply.
A. Respiratory rate of 10 breaths/min
B. Oxygen saturation of 89%
C. Pain rating of 8/10
D. Sedation and difficult arousal
E. Blood glucose of 118 mg/dL
Correct Answer: A, B, C, D
Rationale: Respiratory depression, hypoxemia, excessive
sedation, and ongoing pain are relevant cues when evaluating
opioid therapy. A normal blood glucose level is unrelated to
immediate opioid safety.
Question 4
Difficulty: Difficult
Question Type: NGN Case-Based
Question:
A client receiving intravenous vancomycin develops flushing of
the face, itching, and mild hypotension during the infusion.
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Moderate
Question Type: Multiple Choice (NGN Clinical Judgment)
Question:
A nurse is preparing to administer an antihypertensive
medication to a hospitalized client. Before administration, the
nurse notes the blood pressure is 86/54 mm Hg, whereas it was
132/78 mm Hg two hours earlier. According to the Clinical
Judgment Measurement Model (CJMM), which action
represents Recognize Cues?
A. Hold the medication and notify the provider.
B. Compare the current blood pressure with previous readings.
C. Determine that the medication likely caused hypotension.
D. Plan to increase oral fluid intake.
Correct Answer: B
Rationale: Recognizing cues involves collecting and identifying
relevant assessment findings. Comparing current and previous
vital signs helps identify an abnormal change before clinical
decisions are made.
Question 2
,Difficulty: Moderate
Question Type: Multiple Choice
Question:
A nurse reviews a client's medication profile and notes that a
newly prescribed antibiotic may interact with warfarin. Which
step of the nursing process is the nurse performing?
A. Planning
B. Assessment
C. Analysis
D. Evaluation
Correct Answer: C
Rationale: Interpreting assessment data to identify a potential
medication interaction is part of the analysis phase. The nurse is
connecting information to recognize a clinical problem.
Question 3
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
, A nurse is caring for a client who received an opioid analgesic
30 minutes ago. Which findings are important cues that should
be recognized before administering another dose?
Select all that apply.
A. Respiratory rate of 10 breaths/min
B. Oxygen saturation of 89%
C. Pain rating of 8/10
D. Sedation and difficult arousal
E. Blood glucose of 118 mg/dL
Correct Answer: A, B, C, D
Rationale: Respiratory depression, hypoxemia, excessive
sedation, and ongoing pain are relevant cues when evaluating
opioid therapy. A normal blood glucose level is unrelated to
immediate opioid safety.
Question 4
Difficulty: Difficult
Question Type: NGN Case-Based
Question:
A client receiving intravenous vancomycin develops flushing of
the face, itching, and mild hypotension during the infusion.
