Pharmacology
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 reviews a patient's medication
administration record and notices that a newly prescribed
medication may interact with the patient's current therapy.
Which action best demonstrates the "Recognize Cues" step of
the Clinical Judgment Management Model (CJMM)?
A. Holding the medication until the provider is notified
B. Identifying the potential drug interaction in the patient's
chart
C. Developing alternative treatment options
D. Evaluating the patient's response after the medication is
changed
Correct Answer: B
Rationale: Recognize Cues involves identifying relevant
information and assessment findings. Noticing a potential drug
interaction is an example of gathering and identifying important
data.
Question 2
Difficulty: Moderate
Question Type: Multiple Choice
,Question: A patient receiving an opioid analgesic has a
respiratory rate of 8 breaths/minute and is difficult to arouse.
Which CJMM step is the nurse performing when determining
that the patient is experiencing opioid-induced respiratory
depression?
A. Generate Solutions
B. Evaluate Outcomes
C. Analyze Cues
D. Take Action
Correct Answer: C
Rationale: Analyze Cues involves interpreting assessment
findings and identifying the significance of collected data. The
nurse is connecting the low respiratory rate and sedation to
opioid toxicity.
Question 3
Difficulty: Moderate
Question Type: SATA
Question: Which nursing activities represent the Assessment
phase of the nursing process before administering a
medication? (Select all that apply.)
A. Checking the patient's allergies
B. Measuring blood pressure before giving an antihypertensive
, C. Documenting medication effectiveness
D. Reviewing laboratory values
E. Administering the prescribed medication
Correct Answer: A, B, D
Rationale: Assessment includes collecting relevant information
before medication administration, such as allergies, vital signs,
and laboratory values. Documentation of effectiveness and
medication administration occur in later phases.
Question 4
Difficulty: Moderate
Question Type: NGN Case-Based
Question: A patient prescribed insulin reports dizziness and
diaphoresis. The blood glucose level is 48 mg/dL.
Which finding should the nurse prioritize?
A. Patient's history of hypertension
B. Low blood glucose level
C. Last meal consumed six hours ago
D. Current insulin prescription
Correct Answer: B
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 reviews a patient's medication
administration record and notices that a newly prescribed
medication may interact with the patient's current therapy.
Which action best demonstrates the "Recognize Cues" step of
the Clinical Judgment Management Model (CJMM)?
A. Holding the medication until the provider is notified
B. Identifying the potential drug interaction in the patient's
chart
C. Developing alternative treatment options
D. Evaluating the patient's response after the medication is
changed
Correct Answer: B
Rationale: Recognize Cues involves identifying relevant
information and assessment findings. Noticing a potential drug
interaction is an example of gathering and identifying important
data.
Question 2
Difficulty: Moderate
Question Type: Multiple Choice
,Question: A patient receiving an opioid analgesic has a
respiratory rate of 8 breaths/minute and is difficult to arouse.
Which CJMM step is the nurse performing when determining
that the patient is experiencing opioid-induced respiratory
depression?
A. Generate Solutions
B. Evaluate Outcomes
C. Analyze Cues
D. Take Action
Correct Answer: C
Rationale: Analyze Cues involves interpreting assessment
findings and identifying the significance of collected data. The
nurse is connecting the low respiratory rate and sedation to
opioid toxicity.
Question 3
Difficulty: Moderate
Question Type: SATA
Question: Which nursing activities represent the Assessment
phase of the nursing process before administering a
medication? (Select all that apply.)
A. Checking the patient's allergies
B. Measuring blood pressure before giving an antihypertensive
, C. Documenting medication effectiveness
D. Reviewing laboratory values
E. Administering the prescribed medication
Correct Answer: A, B, D
Rationale: Assessment includes collecting relevant information
before medication administration, such as allergies, vital signs,
and laboratory values. Documentation of effectiveness and
medication administration occur in later phases.
Question 4
Difficulty: Moderate
Question Type: NGN Case-Based
Question: A patient prescribed insulin reports dizziness and
diaphoresis. The blood glucose level is 48 mg/dL.
Which finding should the nurse prioritize?
A. Patient's history of hypertension
B. Low blood glucose level
C. Last meal consumed six hours ago
D. Current insulin prescription
Correct Answer: B
