Pharmacology
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
antihypertensive medication. Before giving the medication, the
nurse reviews the client's blood pressure, heart rate, allergies,
and current medications. Which phase of the Clinical Judgment
Measurement Model (CJMM) 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 relevant clinical
information before making decisions. Reviewing assessment
findings and medication history helps identify important data
needed for safe medication administration.
Question 2
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
,Question:
A client scheduled to receive insulin has a blood glucose level of
58 mg/dL and reports dizziness and sweating. Which nursing
action best reflects the "Analyze Cues" phase of the CJMM?
A. Administer the scheduled insulin immediately.
B. Determine that the client's symptoms are consistent with
hypoglycemia.
C. Document the blood glucose level.
D. Notify dietary services to deliver breakfast.
Correct Answer: B. Determine that the client's symptoms are
consistent with hypoglycemia.
Rationale: Analyzing cues involves interpreting assessment
findings to identify their clinical significance. The nurse
connects symptoms and laboratory results to recognize
hypoglycemia before determining the next intervention.
Question 3
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
, A nurse is caring for a client receiving intravenous antibiotics.
Which assessment findings should the nurse recognize as
important cues before administering the next dose?
Select all that apply.
A. History of medication allergies
B. Recent serum creatinine level
C. Favorite television program
D. Temperature trend
E. Presence of rash
Correct Answers: A, B, D, E
Rationale: Allergy history, kidney function, temperature, and
skin changes directly affect medication safety and effectiveness.
Personal preferences unrelated to clinical care are not relevant
cues for medication administration.
Question 4
Difficulty: Moderate
Question Type: NGN Clinical Judgment
Question:
A client receiving an opioid reports increasing drowsiness.
Respiratory rate is 8 breaths/minute, oxygen saturation is 89%,
and pupils are pinpoint.
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
antihypertensive medication. Before giving the medication, the
nurse reviews the client's blood pressure, heart rate, allergies,
and current medications. Which phase of the Clinical Judgment
Measurement Model (CJMM) 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 relevant clinical
information before making decisions. Reviewing assessment
findings and medication history helps identify important data
needed for safe medication administration.
Question 2
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
,Question:
A client scheduled to receive insulin has a blood glucose level of
58 mg/dL and reports dizziness and sweating. Which nursing
action best reflects the "Analyze Cues" phase of the CJMM?
A. Administer the scheduled insulin immediately.
B. Determine that the client's symptoms are consistent with
hypoglycemia.
C. Document the blood glucose level.
D. Notify dietary services to deliver breakfast.
Correct Answer: B. Determine that the client's symptoms are
consistent with hypoglycemia.
Rationale: Analyzing cues involves interpreting assessment
findings to identify their clinical significance. The nurse
connects symptoms and laboratory results to recognize
hypoglycemia before determining the next intervention.
Question 3
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
, A nurse is caring for a client receiving intravenous antibiotics.
Which assessment findings should the nurse recognize as
important cues before administering the next dose?
Select all that apply.
A. History of medication allergies
B. Recent serum creatinine level
C. Favorite television program
D. Temperature trend
E. Presence of rash
Correct Answers: A, B, D, E
Rationale: Allergy history, kidney function, temperature, and
skin changes directly affect medication safety and effectiveness.
Personal preferences unrelated to clinical care are not relevant
cues for medication administration.
Question 4
Difficulty: Moderate
Question Type: NGN Clinical Judgment
Question:
A client receiving an opioid reports increasing drowsiness.
Respiratory rate is 8 breaths/minute, oxygen saturation is 89%,
and pupils are pinpoint.
