Pharmacology
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Moderate
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, laboratory results, current medications, and
vital signs. Which Clinical Judgment Measurement Model
(CJMM) step is the nurse demonstrating?
A. Analyze cues
B. Recognize cues
C. Generate solutions
D. Evaluate outcomes
Correct Answer: B. Recognize cues
Rationale:
Recognizing cues involves collecting and identifying relevant
assessment data before making clinical decisions. Reviewing
allergies, laboratory values, and vital signs helps identify factors
that may influence medication safety.
Question 2
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
,Question:
A nurse assesses a client before administering an
antihypertensive medication. Which findings should the nurse
recognize as important cues? (Select all that apply.)
A. Blood pressure of 88/54 mm Hg
B. Heart rate of 52 beats/min
C. Client reports dizziness when standing
D. Favorite television program
E. Serum potassium level of 5.8 mEq/L
Correct Answer: A, B, C, E
Rationale:
Hypotension, bradycardia, dizziness, and hyperkalemia are
clinically significant assessment findings that may affect
medication administration. A client's television preference is
unrelated to medication safety.
Question 3
Difficulty: Difficult
Question Type: NGN Clinical Judgment
Question:
A client prescribed a diuretic reports weakness and muscle
cramps. Laboratory results show potassium of 2.9 mEq/L.
Which action best reflects the Analyze Cues step?
, A. Administer the medication immediately.
B. Determine that hypokalemia may be contributing to the
symptoms.
C. Document that the medication was given.
D. Teach the client about dietary sodium restriction.
Correct Answer: B
Rationale:
Analyzing cues involves interpreting assessment findings to
determine their clinical significance. The symptoms and
laboratory value suggest hypokalemia that requires further
nursing judgment.
Question 4
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question:
After identifying that a client has a history of anaphylaxis to
penicillin, what is the nurse's priority hypothesis?
A. The client needs additional pain medication.
B. The client is at risk for a severe allergic reaction if penicillin is
administered.
C. The client may require physical therapy.
D. The client should receive the medication with food.
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Moderate
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, laboratory results, current medications, and
vital signs. Which Clinical Judgment Measurement Model
(CJMM) step is the nurse demonstrating?
A. Analyze cues
B. Recognize cues
C. Generate solutions
D. Evaluate outcomes
Correct Answer: B. Recognize cues
Rationale:
Recognizing cues involves collecting and identifying relevant
assessment data before making clinical decisions. Reviewing
allergies, laboratory values, and vital signs helps identify factors
that may influence medication safety.
Question 2
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
,Question:
A nurse assesses a client before administering an
antihypertensive medication. Which findings should the nurse
recognize as important cues? (Select all that apply.)
A. Blood pressure of 88/54 mm Hg
B. Heart rate of 52 beats/min
C. Client reports dizziness when standing
D. Favorite television program
E. Serum potassium level of 5.8 mEq/L
Correct Answer: A, B, C, E
Rationale:
Hypotension, bradycardia, dizziness, and hyperkalemia are
clinically significant assessment findings that may affect
medication administration. A client's television preference is
unrelated to medication safety.
Question 3
Difficulty: Difficult
Question Type: NGN Clinical Judgment
Question:
A client prescribed a diuretic reports weakness and muscle
cramps. Laboratory results show potassium of 2.9 mEq/L.
Which action best reflects the Analyze Cues step?
, A. Administer the medication immediately.
B. Determine that hypokalemia may be contributing to the
symptoms.
C. Document that the medication was given.
D. Teach the client about dietary sodium restriction.
Correct Answer: B
Rationale:
Analyzing cues involves interpreting assessment findings to
determine their clinical significance. The symptoms and
laboratory value suggest hypokalemia that requires further
nursing judgment.
Question 4
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question:
After identifying that a client has a history of anaphylaxis to
penicillin, what is the nurse's priority hypothesis?
A. The client needs additional pain medication.
B. The client is at risk for a severe allergic reaction if penicillin is
administered.
C. The client may require physical therapy.
D. The client should receive the medication with food.
