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. Before giving the first dose, the nurse reviews the
patient's allergies, current medications, and most recent
laboratory results. Which step of the Clinical Judgment
Measurement Model (CJMM) is the nurse performing?
A. Analyze Cues
B. Recognize Cues
C. Generate Solutions
D. Evaluate Outcomes
Correct Answer: B. Recognize Cues
Rationale: Recognize Cues involves collecting and identifying
relevant patient information such as assessment findings,
laboratory values, medication history, and allergies before
making clinical decisions.
Question 2
Difficulty: Moderate
,Question Type: Select All That Apply (SATA)
Question:
A nurse is assessing a patient before administering an
antihypertensive medication. Which findings should the nurse
recognize as important clinical cues?
A. Blood pressure is 88/54 mm Hg.
B. Patient reports dizziness when standing.
C. Patient's favorite beverage is lemonade.
D. Serum potassium is 2.9 mEq/L.
E. Heart rate is 52 beats/min.
Correct Answer: A, B, D, E
Rationale: Hypotension, orthostatic dizziness, hypokalemia, and
bradycardia are clinically relevant cues that may influence
medication administration. Beverage preference is not
immediately relevant.
Question 3
Difficulty: Moderate
Question Type: NGN Clinical Judgment
Question:
A patient scheduled to receive insulin has a blood glucose level
of 54 mg/dL and is diaphoretic and confused.
, Which nursing action demonstrates appropriate prioritization of
hypotheses?
A. Administer the scheduled insulin.
B. Notify dietary services.
C. Treat suspected hypoglycemia immediately.
D. Document the blood glucose and reassess in one hour.
Correct Answer: C. Treat suspected hypoglycemia
immediately.
Rationale: The priority hypothesis is that the patient is
experiencing symptomatic hypoglycemia, which requires
immediate treatment before administering insulin.
Question 4
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question:
A nurse notes that a patient's serum creatinine has increased
significantly since the previous day. The patient is prescribed an
aminoglycoside antibiotic.
Which CJMM step is demonstrated when the nurse determines
that nephrotoxicity may be developing?
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. Before giving the first dose, the nurse reviews the
patient's allergies, current medications, and most recent
laboratory results. Which step of the Clinical Judgment
Measurement Model (CJMM) is the nurse performing?
A. Analyze Cues
B. Recognize Cues
C. Generate Solutions
D. Evaluate Outcomes
Correct Answer: B. Recognize Cues
Rationale: Recognize Cues involves collecting and identifying
relevant patient information such as assessment findings,
laboratory values, medication history, and allergies before
making clinical decisions.
Question 2
Difficulty: Moderate
,Question Type: Select All That Apply (SATA)
Question:
A nurse is assessing a patient before administering an
antihypertensive medication. Which findings should the nurse
recognize as important clinical cues?
A. Blood pressure is 88/54 mm Hg.
B. Patient reports dizziness when standing.
C. Patient's favorite beverage is lemonade.
D. Serum potassium is 2.9 mEq/L.
E. Heart rate is 52 beats/min.
Correct Answer: A, B, D, E
Rationale: Hypotension, orthostatic dizziness, hypokalemia, and
bradycardia are clinically relevant cues that may influence
medication administration. Beverage preference is not
immediately relevant.
Question 3
Difficulty: Moderate
Question Type: NGN Clinical Judgment
Question:
A patient scheduled to receive insulin has a blood glucose level
of 54 mg/dL and is diaphoretic and confused.
, Which nursing action demonstrates appropriate prioritization of
hypotheses?
A. Administer the scheduled insulin.
B. Notify dietary services.
C. Treat suspected hypoglycemia immediately.
D. Document the blood glucose and reassess in one hour.
Correct Answer: C. Treat suspected hypoglycemia
immediately.
Rationale: The priority hypothesis is that the patient is
experiencing symptomatic hypoglycemia, which requires
immediate treatment before administering insulin.
Question 4
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question:
A nurse notes that a patient's serum creatinine has increased
significantly since the previous day. The patient is prescribed an
aminoglycoside antibiotic.
Which CJMM step is demonstrated when the nurse determines
that nephrotoxicity may be developing?
