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
antihypertensive medication. Before giving the medication, the
nurse reviews the patient's blood pressure, heart rate, allergies,
and recent laboratory results. Which step of the Clinical
Judgment Management Model (CJMM) is the nurse
demonstrating?
A. Analyze cues
B. Recognize cues
C. Generate solutions
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 laboratory values provides the
information needed to determine whether medication
administration is appropriate.
Question 2
,Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question:
A patient receiving an opioid reports increasing drowsiness. The
respiratory rate has decreased from 18 to 10 breaths/min over
the past hour. Which nursing action best reflects the Analyze
Cues phase of clinical judgment?
A. Administer the next opioid dose as scheduled.
B. Determine whether the patient's symptoms indicate opioid-
induced respiratory depression.
C. Document the respiratory rate and leave the room.
D. Teach the patient about opioid side effects.
Correct Answer: B. Determine whether the patient's
symptoms indicate opioid-induced respiratory depression.
Rationale: Analyzing cues requires interpreting assessment
findings to identify potential clinical problems. The nurse
evaluates whether the observed changes indicate an adverse
medication effect before deciding on interventions.
Question 3
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
, Question:
A nurse is caring for a patient beginning insulin therapy. Which
assessment findings should be recognized as important cues
before administering the medication? (Select all that apply.)
A. Current blood glucose level
B. Recent meal intake
C. Potassium level
D. Patient's favorite food
E. Presence of symptoms of hypoglycemia
Correct Answers: A, B, C, E
Rationale: Blood glucose, meal timing, potassium level, and
symptoms of hypoglycemia are clinically relevant when
administering insulin. Food preferences are not essential for
immediate medication safety.
Question 4
Difficulty: Moderate
Question Type: Prioritization
Question:
A nurse has assessed four patients who are due to receive
medications. Which patient should the nurse prioritize for
further assessment before administering the medication?
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
antihypertensive medication. Before giving the medication, the
nurse reviews the patient's blood pressure, heart rate, allergies,
and recent laboratory results. Which step of the Clinical
Judgment Management Model (CJMM) is the nurse
demonstrating?
A. Analyze cues
B. Recognize cues
C. Generate solutions
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 laboratory values provides the
information needed to determine whether medication
administration is appropriate.
Question 2
,Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question:
A patient receiving an opioid reports increasing drowsiness. The
respiratory rate has decreased from 18 to 10 breaths/min over
the past hour. Which nursing action best reflects the Analyze
Cues phase of clinical judgment?
A. Administer the next opioid dose as scheduled.
B. Determine whether the patient's symptoms indicate opioid-
induced respiratory depression.
C. Document the respiratory rate and leave the room.
D. Teach the patient about opioid side effects.
Correct Answer: B. Determine whether the patient's
symptoms indicate opioid-induced respiratory depression.
Rationale: Analyzing cues requires interpreting assessment
findings to identify potential clinical problems. The nurse
evaluates whether the observed changes indicate an adverse
medication effect before deciding on interventions.
Question 3
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
, Question:
A nurse is caring for a patient beginning insulin therapy. Which
assessment findings should be recognized as important cues
before administering the medication? (Select all that apply.)
A. Current blood glucose level
B. Recent meal intake
C. Potassium level
D. Patient's favorite food
E. Presence of symptoms of hypoglycemia
Correct Answers: A, B, C, E
Rationale: Blood glucose, meal timing, potassium level, and
symptoms of hypoglycemia are clinically relevant when
administering insulin. Food preferences are not essential for
immediate medication safety.
Question 4
Difficulty: Moderate
Question Type: Prioritization
Question:
A nurse has assessed four patients who are due to receive
medications. Which patient should the nurse prioritize for
further assessment before administering the medication?
