Pharmacology
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Moderate
Question Type: Multiple Choice (Clinical Judgment)
Question:
A nurse is preparing to administer a newly prescribed
medication. Before giving the medication, the nurse reviews the
patient's allergy history, recent laboratory results, and current
assessment findings. Which step of the Clinical Judgment
Management Model (CJMM) is the nurse demonstrating?
A. Generate Solutions
B. Recognize Cues
C. Take Action
D. Evaluate Outcomes
Correct Answer: B. Recognize Cues
Rationale: Recognizing cues involves collecting relevant
assessment information before making clinical decisions.
Reviewing allergies, laboratory values, and assessment findings
provides data needed for safe medication administration.
Question 2
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
,Question:
A nurse is analyzing information before administering a
medication to a patient with impaired kidney function. Which
findings should be considered significant cues? (Select all that
apply.)
A. Elevated serum creatinine
B. Decreased urine output
C. Patient's favorite television program
D. Estimated glomerular filtration rate (eGFR) below normal
E. Recent report of dizziness
Correct Answer: A, B, D, E
Rationale: Kidney function, urine output, and symptoms such
as dizziness may influence medication safety and dosing. A
patient's television preference is unrelated to medication
management.
Question 3
Difficulty: Difficult
Question Type: NGN Clinical Judgment
Question:
A patient is prescribed an antihypertensive medication for the
first time. Assessment findings include:
, • Blood pressure: 96/60 mm Hg
• Heart rate: 56 beats/min
• Reports dizziness when standing
• Scheduled dose due now
Which nursing action is most appropriate?
A. Administer the medication as prescribed.
B. Hold the medication and notify the provider.
C. Ask another nurse to administer the medication.
D. Delay the medication until the next shift.
Correct Answer: B. Hold the medication and notify the
provider.
Rationale: The patient's hypotension, bradycardia, and
dizziness suggest increased risk for adverse effects if the
medication is administered. Recognizing and analyzing these
cues supports withholding the medication and contacting the
provider.
Question 4
Difficulty: Easy
Question Type: Multiple Choice
Question:
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Moderate
Question Type: Multiple Choice (Clinical Judgment)
Question:
A nurse is preparing to administer a newly prescribed
medication. Before giving the medication, the nurse reviews the
patient's allergy history, recent laboratory results, and current
assessment findings. Which step of the Clinical Judgment
Management Model (CJMM) is the nurse demonstrating?
A. Generate Solutions
B. Recognize Cues
C. Take Action
D. Evaluate Outcomes
Correct Answer: B. Recognize Cues
Rationale: Recognizing cues involves collecting relevant
assessment information before making clinical decisions.
Reviewing allergies, laboratory values, and assessment findings
provides data needed for safe medication administration.
Question 2
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
,Question:
A nurse is analyzing information before administering a
medication to a patient with impaired kidney function. Which
findings should be considered significant cues? (Select all that
apply.)
A. Elevated serum creatinine
B. Decreased urine output
C. Patient's favorite television program
D. Estimated glomerular filtration rate (eGFR) below normal
E. Recent report of dizziness
Correct Answer: A, B, D, E
Rationale: Kidney function, urine output, and symptoms such
as dizziness may influence medication safety and dosing. A
patient's television preference is unrelated to medication
management.
Question 3
Difficulty: Difficult
Question Type: NGN Clinical Judgment
Question:
A patient is prescribed an antihypertensive medication for the
first time. Assessment findings include:
, • Blood pressure: 96/60 mm Hg
• Heart rate: 56 beats/min
• Reports dizziness when standing
• Scheduled dose due now
Which nursing action is most appropriate?
A. Administer the medication as prescribed.
B. Hold the medication and notify the provider.
C. Ask another nurse to administer the medication.
D. Delay the medication until the next shift.
Correct Answer: B. Hold the medication and notify the
provider.
Rationale: The patient's hypotension, bradycardia, and
dizziness suggest increased risk for adverse effects if the
medication is administered. Recognizing and analyzing these
cues supports withholding the medication and contacting the
provider.
Question 4
Difficulty: Easy
Question Type: Multiple Choice
Question:
