Pharmacology
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question:
A nurse is preparing to administer a newly prescribed
medication. Before giving the medication, the nurse reviews the
patient's allergy history, current vital signs, recent laboratory
results, and medication list. Which step of the Clinical Judgment
Management Model (CJMM) is the nurse primarily performing?
A. Take Action
B. Recognize Cues
C. Generate Solutions
D. Evaluate Outcomes
Correct Answer: B. Recognize Cues
Rationale:
Recognize Cues involves collecting relevant patient information
before making clinical decisions. Reviewing assessment data
helps identify factors that may influence safe medication
administration.
Question 2
,Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question:
A patient receiving an intravenous antibiotic develops
widespread hives and shortness of breath. The nurse identifies
that the symptoms most likely represent an allergic reaction
requiring immediate intervention. Which CJMM step is
demonstrated?
A. Evaluate Outcomes
B. Generate Solutions
C. Analyze Cues
D. Recognize Cues
Correct Answer: C. Analyze Cues
Rationale:
Analyze Cues involves interpreting assessment findings to
determine their clinical significance. The nurse recognizes that
the collected data indicate a potentially life-threatening
hypersensitivity reaction.
Question 3
Difficulty: Difficult
Question Type: NGN Clinical Judgment (Select All That Apply)
, Question:
A nurse is caring for a patient prescribed an opioid analgesic
after surgery. Which assessment findings should the nurse
recognize as cues requiring further evaluation before
administering the next dose?
Select all that apply.
A. Respiratory rate of 8 breaths/minute
B. Pain rating of 8/10
C. Oxygen saturation of 89% on room air
D. Difficult to arouse from sleep
E. Heart rate of 84 beats/minute
Correct Answer: A, C, D
Rationale:
Respiratory depression, decreased oxygen saturation, and
excessive sedation are significant safety concerns before opioid
administration. Severe pain alone does not outweigh signs of
opioid toxicity, and a heart rate of 84 beats/minute is within
normal limits.
Question 4
Difficulty: Moderate
Question Type: Prioritization
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question:
A nurse is preparing to administer a newly prescribed
medication. Before giving the medication, the nurse reviews the
patient's allergy history, current vital signs, recent laboratory
results, and medication list. Which step of the Clinical Judgment
Management Model (CJMM) is the nurse primarily performing?
A. Take Action
B. Recognize Cues
C. Generate Solutions
D. Evaluate Outcomes
Correct Answer: B. Recognize Cues
Rationale:
Recognize Cues involves collecting relevant patient information
before making clinical decisions. Reviewing assessment data
helps identify factors that may influence safe medication
administration.
Question 2
,Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question:
A patient receiving an intravenous antibiotic develops
widespread hives and shortness of breath. The nurse identifies
that the symptoms most likely represent an allergic reaction
requiring immediate intervention. Which CJMM step is
demonstrated?
A. Evaluate Outcomes
B. Generate Solutions
C. Analyze Cues
D. Recognize Cues
Correct Answer: C. Analyze Cues
Rationale:
Analyze Cues involves interpreting assessment findings to
determine their clinical significance. The nurse recognizes that
the collected data indicate a potentially life-threatening
hypersensitivity reaction.
Question 3
Difficulty: Difficult
Question Type: NGN Clinical Judgment (Select All That Apply)
, Question:
A nurse is caring for a patient prescribed an opioid analgesic
after surgery. Which assessment findings should the nurse
recognize as cues requiring further evaluation before
administering the next dose?
Select all that apply.
A. Respiratory rate of 8 breaths/minute
B. Pain rating of 8/10
C. Oxygen saturation of 89% on room air
D. Difficult to arouse from sleep
E. Heart rate of 84 beats/minute
Correct Answer: A, C, D
Rationale:
Respiratory depression, decreased oxygen saturation, and
excessive sedation are significant safety concerns before opioid
administration. Severe pain alone does not outweigh signs of
opioid toxicity, and a heart rate of 84 beats/minute is within
normal limits.
Question 4
Difficulty: Moderate
Question Type: Prioritization
