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 medication.
Before giving the drug, the nurse reviews the patient's allergies,
laboratory results, current medications, and vital signs. Which
component of the Clinical Judgment Measurement Model
(CJMM) is the nurse demonstrating?
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 before making decisions. Reviewing assessment
findings helps identify factors that may affect medication safety.
Question 2
Difficulty: Moderate
,Question Type: Select All That Apply (SATA)
Question:
A nurse is assessing a patient before administering the first dose
of an antihypertensive medication. Which assessment findings
are important cues to recognize?
A. Current blood pressure
B. History of medication allergies
C. Serum potassium level
D. Favorite television program
E. Current use of herbal supplements
Correct Answer: A, B, C, E
Rationale: Blood pressure, allergies, electrolyte levels, and
herbal supplement use may influence medication safety and
effectiveness. Recreational preferences are unrelated to
medication administration.
Question 3
Difficulty: Moderate
Question Type: NGN Clinical Judgment
Question:
, A patient prescribed an opioid reports increasing drowsiness.
Respiratory rate is 8 breaths/min, oxygen saturation is 88%, and
the patient is difficult to arouse.
Which finding should the nurse prioritize?
A. The patient's pain rating
B. Decreased respiratory rate
C. Time of the last meal
D. Family concerns about discharge
Correct Answer: B. Decreased respiratory rate
Rationale: Respiratory depression is the highest-priority cue
because it is life-threatening. Airway and breathing take
precedence over pain management or discharge planning.
Question 4
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question:
After reviewing assessment data, the nurse concludes that a
patient's dizziness is most likely related to a newly prescribed
diuretic.
Which Nursing Process step is the nurse performing?