Pharmacology
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Easy
Question Type: Multiple Choice (MCQ)
Question:
A nurse is preparing to administer a newly prescribed
medication. Which action best demonstrates the Recognize
Cues step of the Clinical Judgment Measurement Model
(CJMM)?
A. Evaluating the patient's response after administration
B. Collecting current vital signs, allergies, and medication
history
C. Administering the medication as prescribed
D. Determining which intervention is the highest priority
Correct Answer: B
Rationale: Recognizing cues involves collecting relevant patient
information, including assessment findings, allergies,
medication history, and laboratory results before making clinical
decisions.
Question 2
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
,Question:
Before administering an antihypertensive medication, the nurse
reviews assessment findings. Which cues require further
evaluation?
A. Blood pressure 88/54 mm Hg
B. Heart rate 52 beats/min
C. Serum potassium 4.2 mEq/L
D. Patient reports dizziness upon standing
E. Allergy to the prescribed medication
Correct Answer: A, B, D, E
Rationale: Hypotension, bradycardia, orthostatic dizziness, and
a documented allergy are significant assessment cues that
require evaluation before medication administration. A
potassium level of 4.2 mEq/L is within the normal range.
Question 3
Difficulty: Moderate
Question Type: NGN Clinical Judgment
Question:
A patient prescribed intravenous antibiotics develops a
generalized rash and difficulty breathing shortly after the
infusion begins.
, Which hypothesis should the nurse prioritize?
A. The infection is worsening.
B. The patient is experiencing an allergic reaction.
C. The medication dose is insufficient.
D. The patient is anxious.
Correct Answer: B
Rationale: Rash and respiratory difficulty shortly after
medication administration strongly suggest an acute
hypersensitivity reaction requiring immediate intervention.
Question 4
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question:
The nurse reviews laboratory results before administering
digoxin. Which laboratory value is most important to analyze
before giving the medication?
A. Potassium level
B. Hemoglobin level
C. Platelet count
D. White blood cell count
Correct Answer: A
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Easy
Question Type: Multiple Choice (MCQ)
Question:
A nurse is preparing to administer a newly prescribed
medication. Which action best demonstrates the Recognize
Cues step of the Clinical Judgment Measurement Model
(CJMM)?
A. Evaluating the patient's response after administration
B. Collecting current vital signs, allergies, and medication
history
C. Administering the medication as prescribed
D. Determining which intervention is the highest priority
Correct Answer: B
Rationale: Recognizing cues involves collecting relevant patient
information, including assessment findings, allergies,
medication history, and laboratory results before making clinical
decisions.
Question 2
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
,Question:
Before administering an antihypertensive medication, the nurse
reviews assessment findings. Which cues require further
evaluation?
A. Blood pressure 88/54 mm Hg
B. Heart rate 52 beats/min
C. Serum potassium 4.2 mEq/L
D. Patient reports dizziness upon standing
E. Allergy to the prescribed medication
Correct Answer: A, B, D, E
Rationale: Hypotension, bradycardia, orthostatic dizziness, and
a documented allergy are significant assessment cues that
require evaluation before medication administration. A
potassium level of 4.2 mEq/L is within the normal range.
Question 3
Difficulty: Moderate
Question Type: NGN Clinical Judgment
Question:
A patient prescribed intravenous antibiotics develops a
generalized rash and difficulty breathing shortly after the
infusion begins.
, Which hypothesis should the nurse prioritize?
A. The infection is worsening.
B. The patient is experiencing an allergic reaction.
C. The medication dose is insufficient.
D. The patient is anxious.
Correct Answer: B
Rationale: Rash and respiratory difficulty shortly after
medication administration strongly suggest an acute
hypersensitivity reaction requiring immediate intervention.
Question 4
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question:
The nurse reviews laboratory results before administering
digoxin. Which laboratory value is most important to analyze
before giving the medication?
A. Potassium level
B. Hemoglobin level
C. Platelet count
D. White blood cell count
Correct Answer: A
