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 prepares to administer a newly prescribed
antihypertensive medication. Before giving the medication, the
nurse reviews the patient's current blood pressure, heart rate,
allergy history, and laboratory results. Which step of the Clinical
Judgment Measurement Model (CJMM) is the nurse
demonstrating?
A. Analyze cues
B. Recognize cues
C. Generate solutions
D. Evaluate outcomes
Correct Answer: B
Rationale: Recognizing cues involves collecting and identifying
relevant patient information before making clinical decisions.
,Reviewing assessment findings helps determine whether
medication administration is appropriate.
Question 2
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
A nurse reviews assessment data before administering an
intravenous antibiotic. Which findings should be recognized as
important cues? Select all that apply.
A. History of allergy to penicillin
B. Recent serum creatinine level
C. Favorite television program
D. Current temperature
E. White blood cell count
Correct Answer: A, B, D, E
Rationale: Allergy history, renal function, temperature, and
infection markers are clinically relevant for safe antibiotic
therapy. Personal preferences unrelated to care are not
significant cues.
, Question 3
Difficulty: Moderate
Question Type: Multiple Choice
Question:
A patient receiving insulin reports dizziness, sweating, and
shakiness. The nurse obtains a blood glucose level of 48 mg/dL.
Which CJMM step is demonstrated when the nurse determines
the symptoms are caused by hypoglycemia?
A. Take action
B. Analyze cues
C. Evaluate outcomes
D. Generate solutions
Correct Answer: B
Rationale: Analyzing cues involves interpreting collected data to
determine the underlying clinical problem. The symptoms and
glucose result support the conclusion of hypoglycemia.
Question 4
Difficulty: Moderate
Question Type: NGN Clinical Judgment