Pharmacology
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Moderate
Question Type: NGN Clinical Judgment (Recognize Cues)
Question:
A nurse is assessing a client who received a first dose of an
intravenous antibiotic 10 minutes ago. Which assessment
findings are the most important cues requiring immediate
recognition?
A. Blood pressure 82/48 mm Hg and wheezing
B. Temperature 37.2°C (99°F) and fatigue
C. Mild headache and thirst
D. Heart rate 88 beats/min and dry skin
Correct Answer: A
Rationale: Hypotension and wheezing shortly after medication
administration may indicate anaphylaxis, a life-threatening
reaction requiring immediate intervention.
Question 2
Difficulty: Moderate
Question Type: Multiple Choice (Analyze Cues)
Question:
,A client taking a newly prescribed antihypertensive medication
reports dizziness when standing. Which nursing analysis is most
appropriate?
A. The client is experiencing orthostatic hypotension related to
the medication.
B. The medication is ineffective.
C. The client is developing an infection.
D. The medication dose should automatically be doubled.
Correct Answer: A
Rationale: Dizziness upon standing is a common sign of
orthostatic hypotension and requires further assessment and
safety measures.
Question 3
Difficulty: Moderate
Question Type: SATA (Recognize Cues)
Question:
A nurse is reviewing assessment data before administering
digoxin. Which findings should the nurse recognize as significant
and report before giving the medication?
A. Apical pulse 54 beats/min
B. Nausea
, C. Yellow-tinted vision
D. Blood pressure 122/74 mm Hg
E. Potassium level 3.0 mEq/L
Correct Answer: A, B, C, E
Rationale: Bradycardia, nausea, visual disturbances, and
hypokalemia are associated with digoxin toxicity or increased
risk of toxicity.
Question 4
Difficulty: Difficult
Question Type: NGN Clinical Judgment (Prioritize Hypothesis)
Question:
A client receiving opioid analgesics becomes difficult to arouse
and has a respiratory rate of 8 breaths/min. Which hypothesis
should the nurse prioritize?
A. Opioid-induced respiratory depression
B. Acute dehydration
C. Medication noncompliance
D. Sleep deprivation
Correct Answer: A
Rationale: Respiratory depression is a serious adverse effect of
opioids and requires immediate attention.
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Moderate
Question Type: NGN Clinical Judgment (Recognize Cues)
Question:
A nurse is assessing a client who received a first dose of an
intravenous antibiotic 10 minutes ago. Which assessment
findings are the most important cues requiring immediate
recognition?
A. Blood pressure 82/48 mm Hg and wheezing
B. Temperature 37.2°C (99°F) and fatigue
C. Mild headache and thirst
D. Heart rate 88 beats/min and dry skin
Correct Answer: A
Rationale: Hypotension and wheezing shortly after medication
administration may indicate anaphylaxis, a life-threatening
reaction requiring immediate intervention.
Question 2
Difficulty: Moderate
Question Type: Multiple Choice (Analyze Cues)
Question:
,A client taking a newly prescribed antihypertensive medication
reports dizziness when standing. Which nursing analysis is most
appropriate?
A. The client is experiencing orthostatic hypotension related to
the medication.
B. The medication is ineffective.
C. The client is developing an infection.
D. The medication dose should automatically be doubled.
Correct Answer: A
Rationale: Dizziness upon standing is a common sign of
orthostatic hypotension and requires further assessment and
safety measures.
Question 3
Difficulty: Moderate
Question Type: SATA (Recognize Cues)
Question:
A nurse is reviewing assessment data before administering
digoxin. Which findings should the nurse recognize as significant
and report before giving the medication?
A. Apical pulse 54 beats/min
B. Nausea
, C. Yellow-tinted vision
D. Blood pressure 122/74 mm Hg
E. Potassium level 3.0 mEq/L
Correct Answer: A, B, C, E
Rationale: Bradycardia, nausea, visual disturbances, and
hypokalemia are associated with digoxin toxicity or increased
risk of toxicity.
Question 4
Difficulty: Difficult
Question Type: NGN Clinical Judgment (Prioritize Hypothesis)
Question:
A client receiving opioid analgesics becomes difficult to arouse
and has a respiratory rate of 8 breaths/min. Which hypothesis
should the nurse prioritize?
A. Opioid-induced respiratory depression
B. Acute dehydration
C. Medication noncompliance
D. Sleep deprivation
Correct Answer: A
Rationale: Respiratory depression is a serious adverse effect of
opioids and requires immediate attention.
