A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Moderate
Question Type: Multiple Choice (Clinical Judgment)
Question:
A nurse prepares to administer a newly prescribed medication.
Before giving the medication, the nurse reviews the patient's
allergy history, recent laboratory values, and current
assessment findings. Which step of the Clinical Judgment
Measurement Model (CJMM) is the nurse performing?
A. Generate Solutions
B. Recognize Cues
C. Evaluate Outcomes
D. Take Action
Correct Answer: B. Recognize Cues
Rationale: Recognizing cues involves collecting and identifying
relevant patient information before making clinical decisions.
Reviewing assessment findings, laboratory values, and allergies
helps identify factors that may affect medication administration.
Question 2
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
,Question:
The nurse is caring for a patient receiving intravenous
antibiotics. Which assessment findings should the nurse
recognize as important medication-related cues?
A. New rash on the chest
B. Blood pressure of 88/52 mm Hg
C. Favorite television program
D. Serum creatinine increased from baseline
E. Difficulty swallowing
Correct Answers: A, B, D, E
Rationale: Rash, hypotension, impaired kidney function, and
swallowing difficulty are clinically relevant cues that may
influence medication safety or indicate adverse effects. A
patient's television preference is unrelated to medication
management.
Question 3
Difficulty: Moderate
Question Type: Multiple Choice
Question:
After reviewing assessment findings, a nurse determines that a
patient's dizziness is most likely caused by a recently started
, antihypertensive medication. Which CJMM step is the nurse
demonstrating?
A. Analyze Cues
B. Take Action
C. Evaluate Outcomes
D. Generate Solutions
Correct Answer: A. Analyze Cues
Rationale: Analyzing cues involves interpreting collected
information to identify relationships and determine likely
causes of patient findings.
Question 4
Difficulty: Difficult
Question Type: NGN Case-Based
Question:
A patient is prescribed insulin before meals. Assessment
findings include:
• Blood glucose: 52 mg/dL
• Patient is diaphoretic
• Reports shakiness
• Lunch tray has not arrived