Pharmacology
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Moderate
Question Type: NGN Clinical Judgment
Question:
A nurse is preparing to administer a newly prescribed
antihypertensive medication. Before administration, the nurse
notes that the patient's blood pressure is 88/54 mm Hg and the
patient reports dizziness when sitting upright. According to the
Clinical Judgment Measurement Model (CJMM), which action
represents the nurse's ability to recognize cues?
A. Holding the medication and notifying the provider
B. Identifying the low blood pressure and dizziness as important
findings
C. Recommending a reduction in the medication dose
D. Reassessing the blood pressure after administering fluids
Correct Answer: B
Rationale: Recognizing cues involves identifying relevant clinical
information and assessment findings. The nurse's initial
identification of hypotension and dizziness is the first step in
clinical judgment.
,Question 2
Difficulty: Moderate
Question Type: Multiple Choice
Question:
A patient receiving intravenous opioid analgesics develops a
respiratory rate of 8 breaths/minute and oxygen saturation of
88%. Which nursing process component is demonstrated when
the nurse determines that opioid-induced respiratory
depression is the most likely cause?
A. Assessment
B. Planning
C. Analysis
D. Evaluation
Correct Answer: C
Rationale: Analysis involves interpreting assessment data and
identifying relationships between findings. Determining that the
opioid caused respiratory depression reflects analytical
thinking.
Question 3
Difficulty: Difficult
, Question Type: Prioritization
Question:
A nurse receives report on four patients receiving medications.
Which patient should the nurse assess first?
A. A patient receiving metformin who reports mild nausea
B. A patient receiving warfarin with an INR of 2.5
C. A patient receiving morphine who is difficult to arouse and
has a respiratory rate of 7/minute
D. A patient receiving lisinopril who reports a dry cough
Correct Answer: C
Rationale: Prioritizing hypotheses requires identifying the
greatest immediate threat. Respiratory depression associated
with opioid administration is life-threatening and requires
immediate intervention.
Question 4
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
A nurse is applying the nursing process before administering a
medication. Which actions are part of the assessment phase?
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Moderate
Question Type: NGN Clinical Judgment
Question:
A nurse is preparing to administer a newly prescribed
antihypertensive medication. Before administration, the nurse
notes that the patient's blood pressure is 88/54 mm Hg and the
patient reports dizziness when sitting upright. According to the
Clinical Judgment Measurement Model (CJMM), which action
represents the nurse's ability to recognize cues?
A. Holding the medication and notifying the provider
B. Identifying the low blood pressure and dizziness as important
findings
C. Recommending a reduction in the medication dose
D. Reassessing the blood pressure after administering fluids
Correct Answer: B
Rationale: Recognizing cues involves identifying relevant clinical
information and assessment findings. The nurse's initial
identification of hypotension and dizziness is the first step in
clinical judgment.
,Question 2
Difficulty: Moderate
Question Type: Multiple Choice
Question:
A patient receiving intravenous opioid analgesics develops a
respiratory rate of 8 breaths/minute and oxygen saturation of
88%. Which nursing process component is demonstrated when
the nurse determines that opioid-induced respiratory
depression is the most likely cause?
A. Assessment
B. Planning
C. Analysis
D. Evaluation
Correct Answer: C
Rationale: Analysis involves interpreting assessment data and
identifying relationships between findings. Determining that the
opioid caused respiratory depression reflects analytical
thinking.
Question 3
Difficulty: Difficult
, Question Type: Prioritization
Question:
A nurse receives report on four patients receiving medications.
Which patient should the nurse assess first?
A. A patient receiving metformin who reports mild nausea
B. A patient receiving warfarin with an INR of 2.5
C. A patient receiving morphine who is difficult to arouse and
has a respiratory rate of 7/minute
D. A patient receiving lisinopril who reports a dry cough
Correct Answer: C
Rationale: Prioritizing hypotheses requires identifying the
greatest immediate threat. Respiratory depression associated
with opioid administration is life-threatening and requires
immediate intervention.
Question 4
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
A nurse is applying the nursing process before administering a
medication. Which actions are part of the assessment phase?
