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 reviews a newly admitted patient's medication history
and identifies that the patient reports an allergy to sulfonamide
antibiotics. Which step of the Clinical Judgment Management
Model (CJMM) is the nurse performing?
A. Generate solutions
B. Recognize cues
C. Evaluate outcomes
D. Take action
Correct Answer: B. Recognize cues
Rationale: Identifying pertinent assessment information,
including medication allergies, is part of recognizing cues.
Accurate data collection provides the foundation for safe
pharmacologic decision-making.
,Question 2
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
During medication reconciliation, the nurse gathers information
that may influence medication therapy. Which findings are
considered important assessment cues?
A. Current prescription medications
B. Herbal supplement use
C. History of medication allergies
D. Recent laboratory values
E. Favorite television program
Correct Answer: A, B, C, D
Rationale: Medication reconciliation includes prescription
drugs, over-the-counter medications, supplements, allergies,
and relevant laboratory data. Personal preferences unrelated to
health do not influence medication safety.
Question 3
Difficulty: Moderate
Question Type: NGN Clinical Judgment
, Question:
A patient prescribed an antihypertensive medication reports
dizziness when standing and has a blood pressure of 88/56 mm
Hg before the scheduled dose.
Which nursing action best demonstrates appropriate clinical
judgment?
A. Administer the medication as prescribed.
B. Hold the medication and notify the healthcare provider.
C. Ask another nurse to administer the medication.
D. Encourage the patient to ambulate immediately.
Correct Answer: B. Hold the medication and notify the
healthcare provider.
Rationale: The nurse analyzes assessment findings and
recognizes that administering the medication may worsen
hypotension. Withholding the dose and notifying the provider
promotes patient safety.
Question 4
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question: