A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Easy
Question Type: Multiple Choice
Question:
A nurse is collecting information before administering a newly
prescribed medication. Which Clinical Judgment Management
Model (CJMM) step is the nurse performing?
A. Generate Solutions
B. Recognize Cues
C. Take Action
D. Evaluate Outcomes
Correct Answer: B
Rationale: Recognize Cues involves collecting relevant
assessment data, including medication history, allergies, vital
signs, and laboratory results before medication administration.
Question 2
Difficulty: Moderate
Question Type: Multiple Choice
Question:
,A patient prescribed an antihypertensive medication has a
blood pressure of 88/54 mm Hg before the scheduled dose.
Which CJMM step occurs when the nurse interprets the
significance of this finding?
A. Analyze Cues
B. Take Action
C. Evaluate Outcomes
D. Generate Solutions
Correct Answer: A
Rationale: Analyze Cues involves interpreting assessment
findings and determining their clinical significance. The nurse
analyzes whether the low blood pressure may affect medication
administration.
Question 3
Difficulty: Moderate
Question Type: SATA
Question:
A nurse reviews a patient's medication profile. Which findings
should be recognized as cues requiring further assessment?
Select all that apply.
, A. History of medication allergies
B. Elevated serum creatinine level
C. Patient's favorite television program
D. Use of over-the-counter supplements
E. Recent episode of dizziness
Correct Answer: A, B, D, E
Rationale: Allergies, renal impairment, supplement use, and
dizziness may influence medication safety and effectiveness. A
favorite television program is unrelated to pharmacotherapy.
Question 4
Difficulty: Moderate
Question Type: NGN Clinical Judgment
Question:
A patient is prescribed digoxin. Assessment findings include
apical pulse 52 beats/min, nausea, and visual disturbances.
Which hypothesis should the nurse prioritize?
A. Ineffective coping
B. Risk for infection
C. Possible digoxin toxicity
D. Deficient knowledge
Correct Answer: C