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 prepares to administer a newly prescribed
antihypertensive medication. Before giving the first dose, the
nurse reviews the patient's blood pressure, pulse, allergy
history, and current medications. 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 data before making clinical decisions. Reviewing
vital signs, allergies, and medication history provides essential
information needed for safe medication administration.
Question 2
Difficulty: Moderate
,Question Type: Select All That Apply (SATA)
Question:
A nurse is assessing a patient before administering an opioid
analgesic. Which findings should be recognized as important
clinical cues?
A. Respiratory rate of 10 breaths/min
B. Pain rating of 8/10
C. Oxygen saturation of 89%
D. Last bowel movement 4 days ago
E. Favorite television program
Correct Answer: A, B, C, D
Rationale: Respiratory depression, oxygenation status, pain
level, and bowel function directly influence opioid safety and
effectiveness. A patient's television preference is unrelated to
medication administration.
Question 3
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question:
A patient receiving intravenous antibiotics develops facial
swelling, wheezing, and hypotension shortly after the infusion
, begins. Which nursing action reflects the "Take Action" step of
the CJMM?
A. Document the reaction in the medical record.
B. Stop the infusion immediately and initiate emergency
measures.
C. Review the patient's allergy history.
D. Determine whether another antibiotic is appropriate.
Correct Answer: B. Stop the infusion immediately and initiate
emergency measures.
Rationale: Take Action involves implementing the intervention
that best addresses the patient's immediate needs. Suspected
anaphylaxis requires prompt discontinuation of the medication
and emergency treatment.
Question 4
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question:
Following administration of insulin, a nurse reassesses the
patient's blood glucose level and symptoms one hour later.
Which component of the nursing process is being
demonstrated?
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 prepares to administer a newly prescribed
antihypertensive medication. Before giving the first dose, the
nurse reviews the patient's blood pressure, pulse, allergy
history, and current medications. 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 data before making clinical decisions. Reviewing
vital signs, allergies, and medication history provides essential
information needed for safe medication administration.
Question 2
Difficulty: Moderate
,Question Type: Select All That Apply (SATA)
Question:
A nurse is assessing a patient before administering an opioid
analgesic. Which findings should be recognized as important
clinical cues?
A. Respiratory rate of 10 breaths/min
B. Pain rating of 8/10
C. Oxygen saturation of 89%
D. Last bowel movement 4 days ago
E. Favorite television program
Correct Answer: A, B, C, D
Rationale: Respiratory depression, oxygenation status, pain
level, and bowel function directly influence opioid safety and
effectiveness. A patient's television preference is unrelated to
medication administration.
Question 3
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question:
A patient receiving intravenous antibiotics develops facial
swelling, wheezing, and hypotension shortly after the infusion
, begins. Which nursing action reflects the "Take Action" step of
the CJMM?
A. Document the reaction in the medical record.
B. Stop the infusion immediately and initiate emergency
measures.
C. Review the patient's allergy history.
D. Determine whether another antibiotic is appropriate.
Correct Answer: B. Stop the infusion immediately and initiate
emergency measures.
Rationale: Take Action involves implementing the intervention
that best addresses the patient's immediate needs. Suspected
anaphylaxis requires prompt discontinuation of the medication
and emergency treatment.
Question 4
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question:
Following administration of insulin, a nurse reassesses the
patient's blood glucose level and symptoms one hour later.
Which component of the nursing process is being
demonstrated?
