Pharmacology
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 administers an oral antihypertensive medication to a
client. Two hours later, the blood pressure decreases from
168/94 mm Hg to 138/82 mm Hg without adverse effects.
Which action best represents the Evaluate Outcomes step of
the Clinical Judgment Measurement Model (CJMM)?
A. Reviewing the medication order before administration
B. Comparing the client's blood pressure before and after the
medication
C. Identifying hypertension as the priority health problem
D. Teaching the client to avoid abruptly stopping the medication
Correct Answer: B
Rationale: Evaluating outcomes involves determining whether
nursing interventions achieved the intended therapeutic goals.
Comparing pre- and post-medication blood pressure
determines medication effectiveness.
,Question 2
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
A nurse is preparing to administer the first dose of intravenous
antibiotics to a client with suspected sepsis. Which assessment
findings should the nurse recognize as important clinical cues
before administering the medication?
Select all that apply.
A. Current temperature
B. History of medication allergies
C. Blood culture collection status
D. Favorite television program
E. Current blood pressure
Correct Answers: A, B, C, E
Rationale: Clinical cues include information directly affecting
medication safety and effectiveness. Temperature, allergy
history, blood cultures, and blood pressure are relevant;
television preferences are unrelated.
Question 3
, Difficulty: Moderate
Question Type: NGN Clinical Judgment
Question:
A client receiving morphine reports increasing drowsiness.
Assessment findings include:
• Respiratory rate: 8/min
• Oxygen saturation: 88%
• Difficult to arouse
• Pupils pinpoint
Which finding should the nurse prioritize?
A. Pinpoint pupils
B. Respiratory rate of 8/min
C. Client reports pain relief
D. History of chronic back pain
Correct Answer: B
Rationale: A respiratory rate of 8/min indicates potentially life-
threatening opioid-induced respiratory depression requiring
immediate intervention.
Question 4
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 administers an oral antihypertensive medication to a
client. Two hours later, the blood pressure decreases from
168/94 mm Hg to 138/82 mm Hg without adverse effects.
Which action best represents the Evaluate Outcomes step of
the Clinical Judgment Measurement Model (CJMM)?
A. Reviewing the medication order before administration
B. Comparing the client's blood pressure before and after the
medication
C. Identifying hypertension as the priority health problem
D. Teaching the client to avoid abruptly stopping the medication
Correct Answer: B
Rationale: Evaluating outcomes involves determining whether
nursing interventions achieved the intended therapeutic goals.
Comparing pre- and post-medication blood pressure
determines medication effectiveness.
,Question 2
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
A nurse is preparing to administer the first dose of intravenous
antibiotics to a client with suspected sepsis. Which assessment
findings should the nurse recognize as important clinical cues
before administering the medication?
Select all that apply.
A. Current temperature
B. History of medication allergies
C. Blood culture collection status
D. Favorite television program
E. Current blood pressure
Correct Answers: A, B, C, E
Rationale: Clinical cues include information directly affecting
medication safety and effectiveness. Temperature, allergy
history, blood cultures, and blood pressure are relevant;
television preferences are unrelated.
Question 3
, Difficulty: Moderate
Question Type: NGN Clinical Judgment
Question:
A client receiving morphine reports increasing drowsiness.
Assessment findings include:
• Respiratory rate: 8/min
• Oxygen saturation: 88%
• Difficult to arouse
• Pupils pinpoint
Which finding should the nurse prioritize?
A. Pinpoint pupils
B. Respiratory rate of 8/min
C. Client reports pain relief
D. History of chronic back pain
Correct Answer: B
Rationale: A respiratory rate of 8/min indicates potentially life-
threatening opioid-induced respiratory depression requiring
immediate intervention.
Question 4
