Pharmacology
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Moderate
Question Type: MCQ
Question: A nurse reviews a patient’s medication list and notes
a new prescription for warfarin. Which action best reflects the
“Recognize Cues” step of the CJMM?
A. Administering the medication as prescribed
B. Identifying the patient’s current INR level
C. Educating the patient about bleeding risks
D. Documenting medication administration
Correct Answer: B
Rationale: Recognizing cues involves gathering relevant data.
Checking the INR identifies critical information before
administering warfarin.
Question 2
Difficulty: Moderate
Question Type: SATA
Question: During the “Analyze Cues” phase, which actions
should the nurse perform? (Select all that apply.)
A. Interpret lab results
B. Identify potential drug interactions
C. Administer medications
,D. Compare current data with baseline
E. Document outcomes
Correct Answer: A, B, D
Rationale: Analyzing cues involves interpreting data and
identifying relationships. Administration and documentation
occur in later steps.
Question 3
Difficulty: Difficult
Question Type: NGN Clinical Judgment
Question: A patient receiving digoxin reports nausea and visual
halos. Which hypothesis should the nurse prioritize?
A. Therapeutic drug effect
B. Digoxin toxicity
C. Electrolyte imbalance unrelated to medication
D. Anxiety
Correct Answer: B
Rationale: Nausea and visual disturbances are classic signs of
digoxin toxicity, requiring immediate attention and
prioritization.
Question 4
Difficulty: Easy
, Question Type: MCQ
Question: Which step of the nursing process involves
developing goals and expected outcomes related to medication
therapy?
A. Assessment
B. Analysis
C. Planning
D. Evaluation
Correct Answer: C
Rationale: Planning includes setting goals and identifying
desired outcomes for pharmacologic interventions.
Question 5
Difficulty: Moderate
Question Type: Case-Based
Question: A patient prescribed insulin has a blood glucose of 52
mg/dL. What is the nurse’s priority action?
A. Administer insulin
B. Provide a fast-acting carbohydrate
C. Notify the provider
D. Recheck glucose in 1 hour
Correct Answer: B
Rationale: Hypoglycemia requires immediate treatment.
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Moderate
Question Type: MCQ
Question: A nurse reviews a patient’s medication list and notes
a new prescription for warfarin. Which action best reflects the
“Recognize Cues” step of the CJMM?
A. Administering the medication as prescribed
B. Identifying the patient’s current INR level
C. Educating the patient about bleeding risks
D. Documenting medication administration
Correct Answer: B
Rationale: Recognizing cues involves gathering relevant data.
Checking the INR identifies critical information before
administering warfarin.
Question 2
Difficulty: Moderate
Question Type: SATA
Question: During the “Analyze Cues” phase, which actions
should the nurse perform? (Select all that apply.)
A. Interpret lab results
B. Identify potential drug interactions
C. Administer medications
,D. Compare current data with baseline
E. Document outcomes
Correct Answer: A, B, D
Rationale: Analyzing cues involves interpreting data and
identifying relationships. Administration and documentation
occur in later steps.
Question 3
Difficulty: Difficult
Question Type: NGN Clinical Judgment
Question: A patient receiving digoxin reports nausea and visual
halos. Which hypothesis should the nurse prioritize?
A. Therapeutic drug effect
B. Digoxin toxicity
C. Electrolyte imbalance unrelated to medication
D. Anxiety
Correct Answer: B
Rationale: Nausea and visual disturbances are classic signs of
digoxin toxicity, requiring immediate attention and
prioritization.
Question 4
Difficulty: Easy
, Question Type: MCQ
Question: Which step of the nursing process involves
developing goals and expected outcomes related to medication
therapy?
A. Assessment
B. Analysis
C. Planning
D. Evaluation
Correct Answer: C
Rationale: Planning includes setting goals and identifying
desired outcomes for pharmacologic interventions.
Question 5
Difficulty: Moderate
Question Type: Case-Based
Question: A patient prescribed insulin has a blood glucose of 52
mg/dL. What is the nurse’s priority action?
A. Administer insulin
B. Provide a fast-acting carbohydrate
C. Notify the provider
D. Recheck glucose in 1 hour
Correct Answer: B
Rationale: Hypoglycemia requires immediate treatment.
