Pharmacology
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Moderate
Question Type: NGN Clinical Judgment (Multiple Choice)
Question:
A nurse is preparing to administer a newly prescribed
intravenous antibiotic. Before administration, the nurse notices
the patient has a documented allergy to a medication within
the same drug class.
According to the Clinical Judgment Measurement Model
(CJMM), which action best demonstrates Recognize Cues?
A. Contact the provider to request a different medication.
B. Identify the documented allergy in the electronic health
record before administering the medication.
C. Monitor the patient for signs of an allergic reaction.
D. Document the medication was withheld.
Correct Answer: B
Rationale:
Recognizing cues involves identifying relevant assessment data
before making decisions. The allergy information is a critical cue
that must be recognized before proceeding with medication
administration.
,Question 2
Difficulty: Moderate
Question Type: SATA
Question:
A nurse is reviewing information before administering an
antihypertensive medication. Which findings should the nurse
identify as cues requiring further analysis?
Select all that apply.
A. Blood pressure 88/54 mm Hg
B. Patient reports dizziness when standing
C. Heart rate 56 beats/min
D. Patient ate breakfast
E. Serum potassium above the normal range
Correct Answers:
A, B, C, E
Rationale:
Hypotension, orthostatic dizziness, bradycardia, and abnormal
electrolyte values may affect medication safety and require
, further analysis. Eating breakfast alone is not necessarily a
concern.
Question 3
Difficulty: Difficult
Question Type: NGN Clinical Judgment
Question:
A patient with heart failure is prescribed a scheduled dose of a
diuretic. Assessment reveals:
• Blood pressure 92/58 mm Hg
• Potassium below the normal range
• New complaint of muscle weakness
• Urine output adequate
Which action best demonstrates Generate Solutions?
A. Administer the medication as prescribed.
B. Notify the provider and discuss whether the medication
should be delayed pending further evaluation.
C. Encourage increased fluid intake before giving the
medication.
D. Reassess in eight hours.
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Moderate
Question Type: NGN Clinical Judgment (Multiple Choice)
Question:
A nurse is preparing to administer a newly prescribed
intravenous antibiotic. Before administration, the nurse notices
the patient has a documented allergy to a medication within
the same drug class.
According to the Clinical Judgment Measurement Model
(CJMM), which action best demonstrates Recognize Cues?
A. Contact the provider to request a different medication.
B. Identify the documented allergy in the electronic health
record before administering the medication.
C. Monitor the patient for signs of an allergic reaction.
D. Document the medication was withheld.
Correct Answer: B
Rationale:
Recognizing cues involves identifying relevant assessment data
before making decisions. The allergy information is a critical cue
that must be recognized before proceeding with medication
administration.
,Question 2
Difficulty: Moderate
Question Type: SATA
Question:
A nurse is reviewing information before administering an
antihypertensive medication. Which findings should the nurse
identify as cues requiring further analysis?
Select all that apply.
A. Blood pressure 88/54 mm Hg
B. Patient reports dizziness when standing
C. Heart rate 56 beats/min
D. Patient ate breakfast
E. Serum potassium above the normal range
Correct Answers:
A, B, C, E
Rationale:
Hypotension, orthostatic dizziness, bradycardia, and abnormal
electrolyte values may affect medication safety and require
, further analysis. Eating breakfast alone is not necessarily a
concern.
Question 3
Difficulty: Difficult
Question Type: NGN Clinical Judgment
Question:
A patient with heart failure is prescribed a scheduled dose of a
diuretic. Assessment reveals:
• Blood pressure 92/58 mm Hg
• Potassium below the normal range
• New complaint of muscle weakness
• Urine output adequate
Which action best demonstrates Generate Solutions?
A. Administer the medication as prescribed.
B. Notify the provider and discuss whether the medication
should be delayed pending further evaluation.
C. Encourage increased fluid intake before giving the
medication.
D. Reassess in eight hours.
