OpenStax Medical-Surgical Nursing Test Bank
Chapter 4: Clinical Judgment in the Nursing Process
OpenStax Medical-Surgical Nursing Test
Bank
Chapter 4: Clinical Judgment in the Nursing Process
Review Questions
Multiple Choice
1. What is the general order of the nursing process?
A. Assessment, Planning/Outcomes, Diagnosis, Evaluation, Implementation
B. Diagnosis, Assessment, Planning/Outcomes, Implementation, Evaluation
C. Assessment, Diagnosis, Planning/Outcomes, Implementation, Evaluation *
D. Assessment, Planning/Outcomes, Evaluation, Diagnosis, Implementation
LO: 4.1.1
Difficulty: Easy
Blooms: Remember
AACN 1.1a; 1.1b
2. The Clinical Judgment Measurement Model (CJMM) is more advanced than the ADPIE
nursing process because ________.
A. the CJMM focuses on critical thinking and clinical judgment *
B. the CJMM focuses on positive outcomes
C. the CJMM focuses on generating solutions
D. the CJMM focuses on organizing data and findings
LO: 4.2.1
Difficulty: Easy
Blooms: Apply
AACN: 1.3a
3. Josiah’s patient has been feeling dizzy when standing this morning. The nurse’s assistant
takes their blood pressure and finds it lower than normal at 88/50. Josiah knows that his
patient was started on a new blood pressure medication yesterday. He is concerned that
the medication is the cause of his patient’s hypotension. Which cognitive skill of the CJMM
is Josiah using?
A. analyze cues
B. prioritize hypotheses *
C. take action
D. evaluate outcomes
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
1 7/10/2024
, OpenStax Medical-Surgical Nursing Test Bank
Chapter 4: Clinical Judgment in the Nursing Process
LO: 4.4.3
Difficulty: Moderate
Blooms: Understand
AACN: 1.3a; 1.3b
4. Daniela hears the alarms in her patient’s room go off—his heartbeat is much faster than
usual. She goes into the room to check on him, and sees he is pale and sweaty. He is
complaining of feeling nauseous, but he also seems a bit confused to Daniela. She knows
that her patient has diabetes, so she grabs a glucometer to check his blood sugar. What
step of the CJMM is Daniela using?
A. recognizing and analyzing cues *
B. take action
C. generate solutions
D. prioritize hypotheses
LO: 4.3.2
Difficulty: Moderate
Blooms: Understand
AACN: 1.3a; 1.3b
5. Which of the following steps of the CJMM indicates the nurse is evaluating outcomes?
A. The patient tells the nurse they have a splitting headache, and the nurse begins an
assessment.
B. The nurse observes the patient’s blood pressure is above normal at 165/80.
C. The nurse checks the chart to see if their morning medications were administered.
D. The nurse informs the doctor that the patient’s blood pressure has not improved despite the
increased dose of their medication and asks if they want to further adjust the dose. *
LO: 4.5.1
Difficulty: Difficult
Blooms: Apply
AACN: 1.1b
6. Jyoti’s patient has type 2 diabetes and from assessment she knows that they do not adhere
to an appropriate diet. According to the nursing process, which of the following describes
Jyoti’s next step?
A. Jyoti brings the patient their lunch menu and observes the meal choices they make.
B. Jyoti takes their patient’s blood sugar.
C. Jyoti gives her patient a diet plan.
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
2 7/10/2024
Chapter 4: Clinical Judgment in the Nursing Process
OpenStax Medical-Surgical Nursing Test
Bank
Chapter 4: Clinical Judgment in the Nursing Process
Review Questions
Multiple Choice
1. What is the general order of the nursing process?
A. Assessment, Planning/Outcomes, Diagnosis, Evaluation, Implementation
B. Diagnosis, Assessment, Planning/Outcomes, Implementation, Evaluation
C. Assessment, Diagnosis, Planning/Outcomes, Implementation, Evaluation *
D. Assessment, Planning/Outcomes, Evaluation, Diagnosis, Implementation
LO: 4.1.1
Difficulty: Easy
Blooms: Remember
AACN 1.1a; 1.1b
2. The Clinical Judgment Measurement Model (CJMM) is more advanced than the ADPIE
nursing process because ________.
A. the CJMM focuses on critical thinking and clinical judgment *
B. the CJMM focuses on positive outcomes
C. the CJMM focuses on generating solutions
D. the CJMM focuses on organizing data and findings
LO: 4.2.1
Difficulty: Easy
Blooms: Apply
AACN: 1.3a
3. Josiah’s patient has been feeling dizzy when standing this morning. The nurse’s assistant
takes their blood pressure and finds it lower than normal at 88/50. Josiah knows that his
patient was started on a new blood pressure medication yesterday. He is concerned that
the medication is the cause of his patient’s hypotension. Which cognitive skill of the CJMM
is Josiah using?
A. analyze cues
B. prioritize hypotheses *
C. take action
D. evaluate outcomes
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
1 7/10/2024
, OpenStax Medical-Surgical Nursing Test Bank
Chapter 4: Clinical Judgment in the Nursing Process
LO: 4.4.3
Difficulty: Moderate
Blooms: Understand
AACN: 1.3a; 1.3b
4. Daniela hears the alarms in her patient’s room go off—his heartbeat is much faster than
usual. She goes into the room to check on him, and sees he is pale and sweaty. He is
complaining of feeling nauseous, but he also seems a bit confused to Daniela. She knows
that her patient has diabetes, so she grabs a glucometer to check his blood sugar. What
step of the CJMM is Daniela using?
A. recognizing and analyzing cues *
B. take action
C. generate solutions
D. prioritize hypotheses
LO: 4.3.2
Difficulty: Moderate
Blooms: Understand
AACN: 1.3a; 1.3b
5. Which of the following steps of the CJMM indicates the nurse is evaluating outcomes?
A. The patient tells the nurse they have a splitting headache, and the nurse begins an
assessment.
B. The nurse observes the patient’s blood pressure is above normal at 165/80.
C. The nurse checks the chart to see if their morning medications were administered.
D. The nurse informs the doctor that the patient’s blood pressure has not improved despite the
increased dose of their medication and asks if they want to further adjust the dose. *
LO: 4.5.1
Difficulty: Difficult
Blooms: Apply
AACN: 1.1b
6. Jyoti’s patient has type 2 diabetes and from assessment she knows that they do not adhere
to an appropriate diet. According to the nursing process, which of the following describes
Jyoti’s next step?
A. Jyoti brings the patient their lunch menu and observes the meal choices they make.
B. Jyoti takes their patient’s blood sugar.
C. Jyoti gives her patient a diet plan.
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
2 7/10/2024
