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 preparing to administer a newly prescribed
medication and reviews the patient’s allergy history, vital signs,
and laboratory values before administration. Which CJMM step
is the nurse performing?
A. Generate Solutions
B. Recognize Cues
C. Evaluate Outcomes
D. Take Action
Correct Answer: B
Rationale:
Recognize Cues involves collecting relevant assessment data
such as allergies, vital signs, and lab results. This step supports
safe medication administration by identifying factors that may
affect therapy.
Question 2
Difficulty: Moderate
Question Type: Multiple Choice
,Question:
A patient receiving a diuretic reports dizziness and weakness.
Blood pressure is 88/54 mmHg and potassium is 3.0 mEq/L.
Which action reflects the Analyze Cues phase?
A. Hold the medication
B. Document findings
C. Identify hypotension and hypokalemia as likely medication-
related
D. Notify the provider
Correct Answer: C
Rationale:
Analyze Cues involves interpreting assessment findings to
determine their significance. The nurse recognizes that
dizziness, hypotension, and low potassium may be adverse
effects of diuretic therapy.
Question 3
Difficulty: Moderate
Question Type: SATA
Question:
Which data should the nurse recognize as important cues
before administering digoxin? Select all that apply.
, A. Apical pulse
B. Serum potassium level
C. Oxygen saturation
D. Digoxin level
E. Renal function
Correct Answer: A, B, D, E
Rationale:
Digoxin administration requires assessment of apical pulse,
potassium level, digoxin concentration, and renal function.
These factors influence toxicity risk and medication safety.
Question 4
Difficulty: Moderate
Question Type: Prioritization
Question:
A nurse identifies multiple concerns during medication rounds.
Which patient should the nurse prioritize?
A. Patient requesting pain medication rated 5/10
B. Patient due for routine multivitamin
C. Patient with insulin scheduled and blood glucose of 52 mg/dL
D. Patient asking for stool softener
Correct Answer: C