Pharmacology
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Easy
Question Type: Multiple Choice
Question:
A nurse is caring for a client who reports itching and develops
hives within minutes of receiving a newly prescribed
medication. According to the Clinical Judgment Measurement
Model (CJMM), what is the nurse's first priority?
A. Notify the health care provider after completing
documentation.
B. Recognize that the client is exhibiting cues of a possible
allergic reaction.
C. Administer the next scheduled medication to maintain
therapy.
D. Educate the client about common medication side effects.
Correct Answer: B
Rationale:
The first CJMM step is recognizing cues. Identifying signs of an
allergic reaction allows timely intervention before the client's
condition worsens.
Question 2
,Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
A nurse is assessing a client before administering a new
antihypertensive medication. Which assessment findings are
important to recognize before giving the medication? (Select all
that apply.)
A. Blood pressure of 88/56 mm Hg
B. History of medication allergies
C. Current potassium level of 5.8 mEq/L
D. Favorite television program
E. Current medication list
Correct Answer: A, B, C, E
Rationale:
Blood pressure, allergy history, electrolyte values, and
concurrent medications directly influence medication safety.
Personal preferences unrelated to care are not clinically
relevant to medication administration.
Question 3
Difficulty: Moderate
Question Type: NGN Clinical Judgment
, Question:
A client is prescribed an opioid analgesic after surgery. Before
administration, the nurse notes a respiratory rate of 8
breaths/min and increasing drowsiness.
Which action demonstrates appropriate clinical judgment?
A. Administer the medication as prescribed.
B. Hold the medication, assess further, and notify the provider.
C. Encourage the client to sleep.
D. Give half the prescribed dose.
Correct Answer: B
Rationale:
Recognizing respiratory depression and withholding the opioid
reduces the risk of life-threatening complications. Additional
assessment and provider notification are appropriate.
Question 4
Difficulty: Moderate
Question Type: Multiple Choice
Question:
While analyzing assessment findings, which client should the
nurse identify as the highest priority?
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Easy
Question Type: Multiple Choice
Question:
A nurse is caring for a client who reports itching and develops
hives within minutes of receiving a newly prescribed
medication. According to the Clinical Judgment Measurement
Model (CJMM), what is the nurse's first priority?
A. Notify the health care provider after completing
documentation.
B. Recognize that the client is exhibiting cues of a possible
allergic reaction.
C. Administer the next scheduled medication to maintain
therapy.
D. Educate the client about common medication side effects.
Correct Answer: B
Rationale:
The first CJMM step is recognizing cues. Identifying signs of an
allergic reaction allows timely intervention before the client's
condition worsens.
Question 2
,Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
A nurse is assessing a client before administering a new
antihypertensive medication. Which assessment findings are
important to recognize before giving the medication? (Select all
that apply.)
A. Blood pressure of 88/56 mm Hg
B. History of medication allergies
C. Current potassium level of 5.8 mEq/L
D. Favorite television program
E. Current medication list
Correct Answer: A, B, C, E
Rationale:
Blood pressure, allergy history, electrolyte values, and
concurrent medications directly influence medication safety.
Personal preferences unrelated to care are not clinically
relevant to medication administration.
Question 3
Difficulty: Moderate
Question Type: NGN Clinical Judgment
, Question:
A client is prescribed an opioid analgesic after surgery. Before
administration, the nurse notes a respiratory rate of 8
breaths/min and increasing drowsiness.
Which action demonstrates appropriate clinical judgment?
A. Administer the medication as prescribed.
B. Hold the medication, assess further, and notify the provider.
C. Encourage the client to sleep.
D. Give half the prescribed dose.
Correct Answer: B
Rationale:
Recognizing respiratory depression and withholding the opioid
reduces the risk of life-threatening complications. Additional
assessment and provider notification are appropriate.
Question 4
Difficulty: Moderate
Question Type: Multiple Choice
Question:
While analyzing assessment findings, which client should the
nurse identify as the highest priority?
