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 is preparing to administer a newly prescribed
medication. Before giving the first dose, the nurse reviews the
patient's allergies, current medications, and laboratory results.
Which step of the Clinical Judgment Management 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 patient information,
including assessment findings, laboratory data, allergies, and
medication history. These data form the basis for sound clinical
judgment before interventions are implemented.
Question 2
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
,Question:
A patient receiving an antihypertensive medication reports
dizziness upon standing. The nurse determines the symptom is
most likely caused by orthostatic hypotension related to the
medication. Which CJMM step is demonstrated?
A. Analyze Cues
B. Take Action
C. Recognize Cues
D. Evaluate Outcomes
Correct Answer: A. Analyze Cues
Rationale:
Analyze Cues involves interpreting assessment findings to
determine their clinical significance. Identifying dizziness as
medication-induced orthostatic hypotension reflects analysis
rather than simple data collection.
Question 3
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
The nurse is preparing to administer a high-alert medication.
Which actions demonstrate appropriate recognition of patient
cues?
, Select all that apply.
A. Review current laboratory values.
B. Verify the patient's identity using two identifiers.
C. Assess for allergies.
D. Determine whether the medication achieved the desired
effect.
E. Review current vital signs.
Correct Answer: A, B, C, E
Rationale:
Recognizing cues includes gathering essential assessment
information before medication administration. Evaluating
whether the medication worked occurs after administration
during Evaluate Outcomes.
Question 4
Difficulty: Difficult
Question Type: NGN Clinical Judgment
Question:
A patient scheduled to receive intravenous morphine has a
respiratory rate of 8 breaths/minute, oxygen saturation of 90%,
and is difficult to arouse.
Which nursing action is the priority?
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 is preparing to administer a newly prescribed
medication. Before giving the first dose, the nurse reviews the
patient's allergies, current medications, and laboratory results.
Which step of the Clinical Judgment Management 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 patient information,
including assessment findings, laboratory data, allergies, and
medication history. These data form the basis for sound clinical
judgment before interventions are implemented.
Question 2
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
,Question:
A patient receiving an antihypertensive medication reports
dizziness upon standing. The nurse determines the symptom is
most likely caused by orthostatic hypotension related to the
medication. Which CJMM step is demonstrated?
A. Analyze Cues
B. Take Action
C. Recognize Cues
D. Evaluate Outcomes
Correct Answer: A. Analyze Cues
Rationale:
Analyze Cues involves interpreting assessment findings to
determine their clinical significance. Identifying dizziness as
medication-induced orthostatic hypotension reflects analysis
rather than simple data collection.
Question 3
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
The nurse is preparing to administer a high-alert medication.
Which actions demonstrate appropriate recognition of patient
cues?
, Select all that apply.
A. Review current laboratory values.
B. Verify the patient's identity using two identifiers.
C. Assess for allergies.
D. Determine whether the medication achieved the desired
effect.
E. Review current vital signs.
Correct Answer: A, B, C, E
Rationale:
Recognizing cues includes gathering essential assessment
information before medication administration. Evaluating
whether the medication worked occurs after administration
during Evaluate Outcomes.
Question 4
Difficulty: Difficult
Question Type: NGN Clinical Judgment
Question:
A patient scheduled to receive intravenous morphine has a
respiratory rate of 8 breaths/minute, oxygen saturation of 90%,
and is difficult to arouse.
Which nursing action is the priority?
