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 medication, the nurse reviews the
patient's allergies, current symptoms, and recent laboratory
results. Which step of the Clinical Judgment Measurement
Model (CJMM) is the nurse demonstrating?
A. Take Action
B. Recognize Cues
C. Generate Solutions
D. Evaluate Outcomes
Correct Answer: B. Recognize Cues
Rationale: Recognize Cues involves collecting and identifying
relevant patient information from assessments, records,
laboratory results, and observations before making clinical
decisions.
Question 2
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
,Question:
A patient receiving an antihypertensive medication reports
dizziness when standing. The nurse determines the dizziness is
likely related to orthostatic hypotension caused by the
medication. Which CJMM step is being used?
A. Analyze Cues
B. Take Action
C. Generate Solutions
D. Evaluate Outcomes
Correct Answer: A. Analyze Cues
Rationale: Analyze Cues involves interpreting assessment
findings and identifying relationships between data, such as
linking dizziness to a medication effect.
Question 3
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
Which nursing actions are examples of Recognize Cues during
medication administration?
A. Reviewing laboratory values before giving a drug
B. Assessing vital signs
, C. Determining the most likely cause of a symptom
D. Asking the patient about allergies
E. Inspecting IV access sites
Correct Answer: A, B, D, E
Rationale: Recognize Cues focuses on collecting relevant
assessment information. Determining the cause of a symptom is
part of Analyze Cues.
Question 4
Difficulty: Moderate
Question Type: NGN Clinical Judgment
Question:
A patient prescribed insulin has a blood glucose level of 58
mg/dL and is diaphoretic and confused.
Which action should the nurse prioritize?
A. Document the findings
B. Administer the prescribed insulin
C. Treat the hypoglycemia immediately
D. Recheck the glucose in 1 hour
Correct Answer: C. Treat the hypoglycemia immediately