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 begins a shift by reviewing a client's vital signs,
laboratory results, medication administration record, and
current complaints before administering medications. Which
step of the Clinical Judgment Measurement Model (CJMM) is
the nurse performing?
A. Generate Solutions
B. Recognize Cues
C. Take Action
D. Evaluate Outcomes
Correct Answer: B. Recognize Cues
Rationale: Recognize Cues involves collecting relevant clinical
information from assessments, laboratory findings, the medical
record, and the patient's report. Accurate cue recognition
provides the foundation for safe clinical judgment and
medication decisions.
Question 2
,Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question:
A client receiving an opioid analgesic has a respiratory rate of 8
breaths/min, oxygen saturation of 88%, and is difficult to
arouse. Which CJMM step should the nurse perform
immediately after recognizing these findings?
A. Evaluate Outcomes
B. Generate Solutions
C. Analyze Cues
D. Document the findings
Correct Answer: C. Analyze Cues
Rationale: After recognizing abnormal assessment findings, the
nurse analyzes the cues to determine their significance and
identify possible causes before selecting the safest intervention.
This supports sound clinical decision-making.
Question 3
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
, Which assessment findings are examples of clinical cues the
nurse should recognize before administering an
antihypertensive medication? (Select all that apply.)
A. Blood pressure
B. Heart rate
C. Serum potassium level
D. Patient's favorite television program
E. Reports of dizziness
Correct Answer: A, B, C, E
Rationale: Blood pressure, heart rate, electrolyte values, and
symptoms such as dizziness are clinically relevant cues that
influence medication safety. Personal preferences unrelated to
care are not clinical cues for medication administration.
Question 4
Difficulty: Moderate
Question Type: NGN Clinical Judgment
Question:
A client is prescribed insulin before breakfast. Assessment
reveals:
• Blood glucose: 58 mg/dL
• Client reports sweating and shakiness
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 begins a shift by reviewing a client's vital signs,
laboratory results, medication administration record, and
current complaints before administering medications. Which
step of the Clinical Judgment Measurement Model (CJMM) is
the nurse performing?
A. Generate Solutions
B. Recognize Cues
C. Take Action
D. Evaluate Outcomes
Correct Answer: B. Recognize Cues
Rationale: Recognize Cues involves collecting relevant clinical
information from assessments, laboratory findings, the medical
record, and the patient's report. Accurate cue recognition
provides the foundation for safe clinical judgment and
medication decisions.
Question 2
,Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question:
A client receiving an opioid analgesic has a respiratory rate of 8
breaths/min, oxygen saturation of 88%, and is difficult to
arouse. Which CJMM step should the nurse perform
immediately after recognizing these findings?
A. Evaluate Outcomes
B. Generate Solutions
C. Analyze Cues
D. Document the findings
Correct Answer: C. Analyze Cues
Rationale: After recognizing abnormal assessment findings, the
nurse analyzes the cues to determine their significance and
identify possible causes before selecting the safest intervention.
This supports sound clinical decision-making.
Question 3
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
, Which assessment findings are examples of clinical cues the
nurse should recognize before administering an
antihypertensive medication? (Select all that apply.)
A. Blood pressure
B. Heart rate
C. Serum potassium level
D. Patient's favorite television program
E. Reports of dizziness
Correct Answer: A, B, C, E
Rationale: Blood pressure, heart rate, electrolyte values, and
symptoms such as dizziness are clinically relevant cues that
influence medication safety. Personal preferences unrelated to
care are not clinical cues for medication administration.
Question 4
Difficulty: Moderate
Question Type: NGN Clinical Judgment
Question:
A client is prescribed insulin before breakfast. Assessment
reveals:
• Blood glucose: 58 mg/dL
• Client reports sweating and shakiness
