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 the first dose of an
antihypertensive medication. Before giving the medication, the
nurse measures the patient's blood pressure and heart rate.
Which Clinical Judgment Management Model (CJMM) step is
the nurse demonstrating?
A. Generate Solutions
B. Recognize Cues
C. Evaluate Outcomes
D. Take Action
Correct Answer: B. Recognize Cues
Rationale: Recognizing cues involves collecting relevant
assessment data before making clinical decisions. Measuring
vital signs before medication administration helps determine
whether the medication is appropriate and safe.
,Question 2
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
A nurse reviews a patient's medication profile before
administering newly prescribed therapy. Which findings
represent assessment cues that require further evaluation
before medication administration?
A. History of a severe penicillin allergy
B. Serum creatinine above the reference range
C. Patient's preferred television channel
D. Current use of over-the-counter herbal supplements
E. Blood pressure of 86/54 mm Hg
Correct Answer: A, B, D, E
Rationale: Medication allergies, impaired renal function, herbal
supplement use, and hypotension may influence medication
selection or safety. The patient's television preference is
unrelated to medication assessment.
Question 3
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
, Question:
A patient receiving intravenous opioid medication becomes
increasingly drowsy with a respiratory rate of 8 breaths/minute.
Which nursing action demonstrates prioritizing hypotheses?
A. Document the patient's comfort level.
B. Determine that opioid-induced respiratory depression is the
most urgent concern.
C. Administer the next scheduled opioid dose.
D. Teach the patient about pain management after discharge.
Correct Answer: B. Determine that opioid-induced respiratory
depression is the most urgent concern.
Rationale: Prioritizing hypotheses requires identifying the most
serious explanation for the patient's condition. Respiratory
depression is an immediate threat requiring prompt
intervention.
Question 4
Difficulty: Moderate
Question Type: NGN Clinical Judgment
Question:
A patient is prescribed insulin before breakfast. The nurse notes
the following:
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 the first dose of an
antihypertensive medication. Before giving the medication, the
nurse measures the patient's blood pressure and heart rate.
Which Clinical Judgment Management Model (CJMM) step is
the nurse demonstrating?
A. Generate Solutions
B. Recognize Cues
C. Evaluate Outcomes
D. Take Action
Correct Answer: B. Recognize Cues
Rationale: Recognizing cues involves collecting relevant
assessment data before making clinical decisions. Measuring
vital signs before medication administration helps determine
whether the medication is appropriate and safe.
,Question 2
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
A nurse reviews a patient's medication profile before
administering newly prescribed therapy. Which findings
represent assessment cues that require further evaluation
before medication administration?
A. History of a severe penicillin allergy
B. Serum creatinine above the reference range
C. Patient's preferred television channel
D. Current use of over-the-counter herbal supplements
E. Blood pressure of 86/54 mm Hg
Correct Answer: A, B, D, E
Rationale: Medication allergies, impaired renal function, herbal
supplement use, and hypotension may influence medication
selection or safety. The patient's television preference is
unrelated to medication assessment.
Question 3
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
, Question:
A patient receiving intravenous opioid medication becomes
increasingly drowsy with a respiratory rate of 8 breaths/minute.
Which nursing action demonstrates prioritizing hypotheses?
A. Document the patient's comfort level.
B. Determine that opioid-induced respiratory depression is the
most urgent concern.
C. Administer the next scheduled opioid dose.
D. Teach the patient about pain management after discharge.
Correct Answer: B. Determine that opioid-induced respiratory
depression is the most urgent concern.
Rationale: Prioritizing hypotheses requires identifying the most
serious explanation for the patient's condition. Respiratory
depression is an immediate threat requiring prompt
intervention.
Question 4
Difficulty: Moderate
Question Type: NGN Clinical Judgment
Question:
A patient is prescribed insulin before breakfast. The nurse notes
the following:
