Pharmacology
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Easy
Question Type: Multiple Choice (NCLEX-RN)
Question:
A nursing student asks the instructor about the meaning of
clinical judgment in nursing practice. Which statement by the
instructor is most accurate?
A. Clinical judgment is the ability to memorize medication
information and disease processes.
B. Clinical judgment is the process of collecting data without
interpreting its significance.
C. Clinical judgment is the process of recognizing patient cues,
analyzing information, making evidence-based decisions,
implementing appropriate interventions, and evaluating patient
outcomes.
D. Clinical judgment refers primarily to following provider
prescriptions exactly as written.
Correct Answer: C
Rationale:
Clinical judgment is the nurse's ability to recognize relevant
patient information, analyze its significance, prioritize problems,
implement appropriate nursing actions, and evaluate outcomes.
,It requires critical thinking and evidence-based decision-making
rather than memorization or simply following orders.
Question 2
Difficulty: Moderate
Question Type: NGN Clinical Judgment (Multiple Choice)
Question:
A nurse enters a patient's room and observes the following:
• Respiratory rate: 30 breaths/min
• Oxygen saturation: 88% on room air
• Patient is using accessory muscles to breathe
• Skin is pale and cool
Which action best represents the Recognize Cues (Assessment)
step of the Clinical Judgment Measurement Model (CJMM)?
A. Administer prescribed oxygen.
B. Document that the patient is experiencing respiratory
distress.
C. Identify the abnormal assessment findings indicating
impaired oxygenation.
D. Notify the healthcare provider immediately.
, Correct Answer: C
Rationale:
Recognizing cues involves identifying relevant assessment
findings that may indicate a patient problem. The nurse first
recognizes abnormal respiratory findings before analyzing their
significance or taking action.
Question 3
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
Which assessment findings should the nurse recognize as
important clinical cues before administering an
antihypertensive medication?
Select all that apply.
A. Blood pressure
B. Heart rate
C. Most recent serum potassium level
D. Patient's allergy history
E. Current level of pain
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Easy
Question Type: Multiple Choice (NCLEX-RN)
Question:
A nursing student asks the instructor about the meaning of
clinical judgment in nursing practice. Which statement by the
instructor is most accurate?
A. Clinical judgment is the ability to memorize medication
information and disease processes.
B. Clinical judgment is the process of collecting data without
interpreting its significance.
C. Clinical judgment is the process of recognizing patient cues,
analyzing information, making evidence-based decisions,
implementing appropriate interventions, and evaluating patient
outcomes.
D. Clinical judgment refers primarily to following provider
prescriptions exactly as written.
Correct Answer: C
Rationale:
Clinical judgment is the nurse's ability to recognize relevant
patient information, analyze its significance, prioritize problems,
implement appropriate nursing actions, and evaluate outcomes.
,It requires critical thinking and evidence-based decision-making
rather than memorization or simply following orders.
Question 2
Difficulty: Moderate
Question Type: NGN Clinical Judgment (Multiple Choice)
Question:
A nurse enters a patient's room and observes the following:
• Respiratory rate: 30 breaths/min
• Oxygen saturation: 88% on room air
• Patient is using accessory muscles to breathe
• Skin is pale and cool
Which action best represents the Recognize Cues (Assessment)
step of the Clinical Judgment Measurement Model (CJMM)?
A. Administer prescribed oxygen.
B. Document that the patient is experiencing respiratory
distress.
C. Identify the abnormal assessment findings indicating
impaired oxygenation.
D. Notify the healthcare provider immediately.
, Correct Answer: C
Rationale:
Recognizing cues involves identifying relevant assessment
findings that may indicate a patient problem. The nurse first
recognizes abnormal respiratory findings before analyzing their
significance or taking action.
Question 3
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
Which assessment findings should the nurse recognize as
important clinical cues before administering an
antihypertensive medication?
Select all that apply.
A. Blood pressure
B. Heart rate
C. Most recent serum potassium level
D. Patient's allergy history
E. Current level of pain
