Page 1 of 101
Med Surg 1 CJE Lippincott Clinical
Judgment Exam Study Guide NGN
Practice Questions with Rationales
Clinical Judgment High Yield Review
Pass Your NUR201 CJE Exam with
Confidence
TABLE OF CONTENTS
| Section | Topic | Questions |
| :--- | :--- | :--- |
| 1 | Clinical Judgment Measurement Model (CJMM) | 1 to 15 |
| 2 | Prioritization and ABCs | 16 to 30 |
| 3 | Delegation and Scope of Practice | 31 to 40 |
| 4 | Critical Thinking and Intellectual Traits | 41 to 50 |
| 5 | Red Flags and Patient Deterioration | 51 to 60 |
| 6 | Critical Lab Values and Diagnostics | 61 to 70 |
| 7 | Key Med Surg Conditions | 71 to 90 |
| 8 | Medication Management | 91 to 105 |
| 9 | NGN Style Case Studies | 106 to 130 |
| 10 | Endocrine System Disorders | 131 to 150 |
| 11 | Burns and Wound Care | 151 to 165 |
| 12 | Comprehensive CJE Review | 166 to 200 |
--
, Page 2 of 101
SECTION 1: CLINICAL JUDGMENT MEASUREMENT MODEL
(CJMM)
Question 1
The nurse is caring for a group of patients on a medical-surgical unit.
The licensed practical nurse or licensed vocational nurse (LPN or LVN)
assesses the patient experiencing a low blood glucose first. Which
process was needed to make this decision
A. Clinical judgment
B. Delegation
C. Time management
D. Task prioritization
Correct VERIFIED ANSWER A
Rationale The correct VERIFIED ANSWER is A because clinical
judgment is the process used to decide which patient to assess first. The
LPN or LVN used clinical judgment to prioritize the patient with low
blood glucose over others. Clinical judgment involves critical thinking
and decision making in patient care scenarios.
Question 2
Which items are a part of generate solutions when using the clinical
judgment process
A. Reposition the patient
B. Assess vital signs
C. Notify the healthcare provider
D. All of the above
Correct VERIFIED ANSWER D
, Page 3 of 101
Rationale The correct VERIFIED ANSWER is D because generating
solutions includes all potential nursing interventions that could address
the patient problem. Repositioning the patient, assessing vital signs, and
notifying the healthcare provider are all examples of generating
solutions.
Question 3
The nurse is using the clinical judgment process to provide care to a
patient experiencing nausea. During the process of generating solutions,
the patient begins to vomit. What should the nurse do next
A. Continue generating solutions
B. Identify and analyze the new cues presented
C. Evaluate the effectiveness of current interventions
D. Document the vomiting episode
Correct VERIFIED ANSWER B
Rationale The correct VERIFIED ANSWER is B because when new
cues emerge during the clinical judgment process the nurse must identify
and analyze these new cues before continuing with generating solutions.
Vomiting represents a change in the patient condition that requires
reassessment.
Question 4
While caring for a patient 4 hours after a surgical procedure the LPN or
LVN notes serosanguineous drainage on the dressing. Which phase of
clinical judgment does this represent
A. Recognize cues
B. Analyze cues
C. Prioritize hypotheses
D. Generate solutions
, Page 4 of 101
Correct VERIFIED ANSWER A
Rationale The correct VERIFIED ANSWER is A because recognizing
cues is the first phase of the clinical judgment model. Noting drainage
on a surgical dressing is an example of recognizing a cue that may
indicate a problem. Cues are data points that the nurse observes or
collects.
Question 5
The nurse hears the patient groan when getting out of bed and asks if
there is pain using a pain scale. This describes which step of the clinical
judgment process
A. Recognize cues only
B. Analyze cues only
C. Recognize and analyze cues
D. Evaluate outcomes
Correct VERIFIED ANSWER C
Rationale The correct VERIFIED ANSWER is C because the nurse
both recognized the cue of groaning and analyzed it by asking about
pain using a pain scale. This demonstrates the integration of recognizing
and analyzing cues in the clinical judgment process.
Question 6
The nurse is evaluating outcomes for a patient with difficult breathing
from asthma. Which determines a positive outcome after the delivery of
medication
A. The patient reports feeling slightly better
Med Surg 1 CJE Lippincott Clinical
Judgment Exam Study Guide NGN
Practice Questions with Rationales
Clinical Judgment High Yield Review
Pass Your NUR201 CJE Exam with
Confidence
TABLE OF CONTENTS
| Section | Topic | Questions |
| :--- | :--- | :--- |
| 1 | Clinical Judgment Measurement Model (CJMM) | 1 to 15 |
| 2 | Prioritization and ABCs | 16 to 30 |
| 3 | Delegation and Scope of Practice | 31 to 40 |
| 4 | Critical Thinking and Intellectual Traits | 41 to 50 |
| 5 | Red Flags and Patient Deterioration | 51 to 60 |
| 6 | Critical Lab Values and Diagnostics | 61 to 70 |
| 7 | Key Med Surg Conditions | 71 to 90 |
| 8 | Medication Management | 91 to 105 |
| 9 | NGN Style Case Studies | 106 to 130 |
| 10 | Endocrine System Disorders | 131 to 150 |
| 11 | Burns and Wound Care | 151 to 165 |
| 12 | Comprehensive CJE Review | 166 to 200 |
--
, Page 2 of 101
SECTION 1: CLINICAL JUDGMENT MEASUREMENT MODEL
(CJMM)
Question 1
The nurse is caring for a group of patients on a medical-surgical unit.
The licensed practical nurse or licensed vocational nurse (LPN or LVN)
assesses the patient experiencing a low blood glucose first. Which
process was needed to make this decision
A. Clinical judgment
B. Delegation
C. Time management
D. Task prioritization
Correct VERIFIED ANSWER A
Rationale The correct VERIFIED ANSWER is A because clinical
judgment is the process used to decide which patient to assess first. The
LPN or LVN used clinical judgment to prioritize the patient with low
blood glucose over others. Clinical judgment involves critical thinking
and decision making in patient care scenarios.
Question 2
Which items are a part of generate solutions when using the clinical
judgment process
A. Reposition the patient
B. Assess vital signs
C. Notify the healthcare provider
D. All of the above
Correct VERIFIED ANSWER D
, Page 3 of 101
Rationale The correct VERIFIED ANSWER is D because generating
solutions includes all potential nursing interventions that could address
the patient problem. Repositioning the patient, assessing vital signs, and
notifying the healthcare provider are all examples of generating
solutions.
Question 3
The nurse is using the clinical judgment process to provide care to a
patient experiencing nausea. During the process of generating solutions,
the patient begins to vomit. What should the nurse do next
A. Continue generating solutions
B. Identify and analyze the new cues presented
C. Evaluate the effectiveness of current interventions
D. Document the vomiting episode
Correct VERIFIED ANSWER B
Rationale The correct VERIFIED ANSWER is B because when new
cues emerge during the clinical judgment process the nurse must identify
and analyze these new cues before continuing with generating solutions.
Vomiting represents a change in the patient condition that requires
reassessment.
Question 4
While caring for a patient 4 hours after a surgical procedure the LPN or
LVN notes serosanguineous drainage on the dressing. Which phase of
clinical judgment does this represent
A. Recognize cues
B. Analyze cues
C. Prioritize hypotheses
D. Generate solutions
, Page 4 of 101
Correct VERIFIED ANSWER A
Rationale The correct VERIFIED ANSWER is A because recognizing
cues is the first phase of the clinical judgment model. Noting drainage
on a surgical dressing is an example of recognizing a cue that may
indicate a problem. Cues are data points that the nurse observes or
collects.
Question 5
The nurse hears the patient groan when getting out of bed and asks if
there is pain using a pain scale. This describes which step of the clinical
judgment process
A. Recognize cues only
B. Analyze cues only
C. Recognize and analyze cues
D. Evaluate outcomes
Correct VERIFIED ANSWER C
Rationale The correct VERIFIED ANSWER is C because the nurse
both recognized the cue of groaning and analyzed it by asking about
pain using a pain scale. This demonstrates the integration of recognizing
and analyzing cues in the clinical judgment process.
Question 6
The nurse is evaluating outcomes for a patient with difficult breathing
from asthma. Which determines a positive outcome after the delivery of
medication
A. The patient reports feeling slightly better
