CJE Benchmark FINAL EXAM STUDY GUIDE 2026/2027 ACCURATE QUESTIONS WITH CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS NEWEST VERSION

CJE Benchmark FINAL EXAM STUDY GUIDE 2026/2027 ACCURATE QUESTIONS WITH CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS NEWEST VERSION 1. The nurse is caring for a client with tuberculosis who is receiving isoniazid and rifampin for tuberculosis. Which adverse effect should the nurse be most concerned with? 1 Blurred vision. 2 Yellowish sclera. 3 Nausea and vomiting. 4 Decreased urine output. - ANSWER Yellowish sclera. Possible side effect related to liver damage 2. The nurse is caring for a client with bacterial meningitis. Assessment findings include restlessness, agitation, and increased photosensitivity. What non-pharmacological intervention is the most appropriate? 1 Turn off lights in the room. 2 Ask spouse to bring a game. 3 Turn television to favorite station. 4 Encourage family members to visit more. - ANSWER Turn off lights in the room. 3. The nurse received hands-off report on each of these clients. Which client should the nurse see first? 1 52-year-old admitted with chronic kidney injury with a serum potassium level of 7.1 mEq/L. 2 35-year-old who is sleeping after a tonic-clonic seizure lasting 1 minute. 3 63-year-old who is post-operative right knee replacement and is requesting bedpan. 4 22-year old admitted with sickle cell crisis complaining of abdominal pain. - ANSWER 52-year-old admitted with chronic kidney injury with a serum potassium level of 7.1 mEq/L. 4. The nurse cares for a client 12 hours following a thoracotomy who has a chest tube connected to a drainage system. The nurse notices that fluid is not draining through the chest tube, but the tubing is not kinked or occluded in any way. What is an appropriate action by the nurse? 1 Strip the chest tube. 2 Notify the Rapid Response Team. 3 Continue to monitor. 4 Assess for bubbling in the water-seal chamber. - ANSWER Notify the Rapid Response Team. Strip the chest tube. Avoid stripping the chest tube because of the risk for damage to lung tissue Notify the Rapid Response Team. Correct - Health care provider or Rapid Response Team should be notified if drainage in tube stops in the first 24 hours. Continue to monitor. Chest tube should drain less than 100 ml within the first 24 hours Assess for bubbling in the water-seal chamber. Bubbling in the water-seal chamber is normal. However, excessive or no bubbling in the water-seal chamber indicates a problem with the chest tube. 5. Management of Pneumonia: Laboratory Assessment - ANSWER will include a gram stain, culture (ensures antibiotic specificity), and sensitivity of sputum as well as a CBC (WBC evaluated count or eosinophil with organisms in the bloodstream), ABGs (ex. baseline PaO2 & PaCO2, serum BUN, electrolytes, and lactate level which will indicate sepsis 6. Management of Pneumonia: Laboratory Assessment (Serum BUN) - ANSWER elevated status will indicate dehydration 7. Management of Pneumonia: Imaging & Diagnostic Assessment - ANSWER may include a chest x-ray, pulse oximeter, transtracheal aspiration, and bronchoscopy 8. Management of Pneumonia: Imaging & Diagnostic Assessment (Chest X Ray) - ANSWER determines areas of increased density and is an important early diagnostic tool for older adults 9. Management of Pneumonia: Imaging & Diagnostic Assessment (Bronchoscopy) - ANSWER along with a bronchoscopy, important to watch for the complication of a pneumothorax (characterized by DIMINISHED lung sounds) 10. Management of Pneumonia: Imaging & Diagnostic Assessment (Thoracentesis) - ANSWER along with a bronchoscopy, important to watch for the complication of a pneumothorax (characterized by DIMINISHED lung sounds) 11. Which complication of a bronchoscopy or thoracentesis is characterized by a tracheal deviation and is a medical emergency? - ANSWER tension pneumothorax 12. Community-Based Care of Pneumonia - ANSWER home care management, teaching for self-management, healthcare resources, prevention, immunization of appropriate individuals; teaching will be based upon the patient's prescribed medications, oxygenation, energy conservation with activities, and weakness & cough which may last for several weeks (does the patient smoke or have financial issues which are preventing access to a vaccination = reference to social services or local health department) 13. DRUG ALERT on Nicotine Replacement Patches - ANSWER these patients need to be educated on removing the patient BEFORE they start to smoke again if they do, as they are at a higher risk for MI & stroke 14. Pulmonary Tuberculosis - ANSWER highly communicable, caused by Mycobacterium tuberculosis, transmitted via aerosolization (AIRBORNE PRECAUTIONS), may be secondary or primary, and patients are at an increased risk secondary to an HIV infection; individuals at risk include those in frequent contact with someone who's infected, immunocompromised individuals, residents of long-term care facilities of a group home, the homeless, lower SES, alcoholics, IV drug users, and foreign immigrants 15. Pulmonary Tuberculosis: Airborne Precautions - ANSWER includes an N-95 respiratory mask, negative airflow pressure, and remember that patients are NOT contagious until they become symptomatic 16. SECONDARY Pulmonary Tuberculosis - ANSWER defined as re activation of the disease when previously infected through a dormant/re activation cycle 17. Pulmonary Tuberculosis Manifestations - ANSWER includes progressive fatigue, lethargy, nausea, anorexia, unintended weight loss, hemoptysis, low grade fever, chills, night sweats, and dyspnea which may last from weeks to months; particularly night sweats as a significant indicator 18. Pulmonary Tuberculosis Assessment - ANSWER make sure to involve patient history, physical assessment, clinical manifestations, and compliance 19. Pulmonary Tuberculosis Assessment: History - ANSWER Has the patient traveled recently? What is the patient's country of origin? Has the patient ever had a positive TB test? Has the patient been around anyone symptomatic or diagnosed (even family members at home)? Consider residential risk factors and the fact that a BCG vaccination appears positive for TB if given within the past 10 years (only given in other countries)