CJE MEd-Surg 1 ExAM lAtESt 2026 | 2027 ExAM WitH
CorrECt ACtuAl QuEStionS And CorrECtlY WEll dEFinEd
AnSWErS lAtESt AlrEAdY grAdEd A+
When the home health nurse visits a 90-year-old client after repair of a hip fracture, the
client states, "The back of my left leg sure does hurt. Can you rub it a bit for me?" Upon
assessment of the client's lower extremities, the nurse places a call to the health care
provider.
What assessment findings prompted the call? Select all that apply. - AnSWEr-A. There is
warmth and redness to the client's left leg.
D. Left leg appears larger than the right.
The catheter-associated urinary tract infection (CAUTI) rate is up in the hospital and the
quality committee is meeting to devise a plan aimed at decreasing the rate. Nurses are
assessing all clients in the hospital with urinary drainage catheters to determine which
catheters can be discontinued.
Which client should have the catheter removed? - AnSWEr-C. The client with
generalized weakness who is incontinent of bowel and bladder.
A client is in the observation unit of the emergency department with lightheadedness
upon standing, dry mouth, and a headache. The client reports running a marathon two
days ago and has been feeling unwell since then.
Blood pressure is 92/60, temperature 101.1 °F (38.3 °C), respiratory rate 22, heart rate 112,
and oxygen saturation 94%. Serum laboratory tests reveal hyponatremia and
hyperkalemia. The client is asked to give a urine sample for urinalysis and is only able to
urinate 30 mL of very dark urine.
What does the nurse anticipate will be in the client's immediate plan of care? Select all
that apply. - AnSWEr-A. Monitor intake and output - Yes, this is critical for assessing
fluid balance in a potentially dehydrated client.
C. Intravenous fluid replacement - Yes, this is essential to correct hypovolemia,
electrolyte imbalances, and prevent further complications.
D. Bedrest - Yes, indicated due to hypotension and risk of falls or further complications.
, The nurse cares for two clients with diabetes on the 0700-1900 shift.
The nurse receives handoff report to begin the shift. The breakfast trays are due to arrive
soon. After reviewing the vital signs obtained by assistive personnel and determining the
priority nursing tasks for the day, which task should the nurse prepare to implement
first?
Click to highlight the task the nurse should implement first - AnSWEr-H. Peterson:
• Point of care glucose before meals and at bedtime
• Regular insulin sliding scale before meals and at bedtime (see MAR)
• Administer pain medication 30 minutes before physical therapy
• Remove staples from LLE incision and apply nonadherent sterile dressing
B. Rau:
• Metoprolol 100 mg PO every morning
• Teach insulin self-administration.
• Insulin glargine 0.2 units/kg subcutaneous BID!
• Betaxolol opthalmic 0.25% one drop in each eye BID
The nurse overhears a family member ask a licensed practical nurse (LPN), "I don't know
much about this meningitis. Can I get it from my son and if so how?"
What response by the LPN leads the nurse to determine that the LPN understands the
spread of meningitis - AnSWEr-D. "If you are close enough to your son when he coughs
or sneezes, germ particles can spread to you."
A client is treated for Clostridioides difficile (C. diff) and is offended that the staff wear
gloves every time they enter the room. The nurse educates client with a pamphlet about
the infection and the importance of wearing gloves when caring for clients with the
condition and promise to answer any questions the client has after reading the pamphlet.
When the nurse returns to assess the client's knowledge, the client see's it. I left my
glasses at home." * How should the nurse interpret the client's response? - AnSWEr-B.
The client may be health and functionally illiterate.
A client is seen in the health care provider's office for high blood pressure. The client is
started on a diuretic and an angio inhibitor. The client is asked to log their blood
CorrECt ACtuAl QuEStionS And CorrECtlY WEll dEFinEd
AnSWErS lAtESt AlrEAdY grAdEd A+
When the home health nurse visits a 90-year-old client after repair of a hip fracture, the
client states, "The back of my left leg sure does hurt. Can you rub it a bit for me?" Upon
assessment of the client's lower extremities, the nurse places a call to the health care
provider.
What assessment findings prompted the call? Select all that apply. - AnSWEr-A. There is
warmth and redness to the client's left leg.
D. Left leg appears larger than the right.
The catheter-associated urinary tract infection (CAUTI) rate is up in the hospital and the
quality committee is meeting to devise a plan aimed at decreasing the rate. Nurses are
assessing all clients in the hospital with urinary drainage catheters to determine which
catheters can be discontinued.
Which client should have the catheter removed? - AnSWEr-C. The client with
generalized weakness who is incontinent of bowel and bladder.
A client is in the observation unit of the emergency department with lightheadedness
upon standing, dry mouth, and a headache. The client reports running a marathon two
days ago and has been feeling unwell since then.
Blood pressure is 92/60, temperature 101.1 °F (38.3 °C), respiratory rate 22, heart rate 112,
and oxygen saturation 94%. Serum laboratory tests reveal hyponatremia and
hyperkalemia. The client is asked to give a urine sample for urinalysis and is only able to
urinate 30 mL of very dark urine.
What does the nurse anticipate will be in the client's immediate plan of care? Select all
that apply. - AnSWEr-A. Monitor intake and output - Yes, this is critical for assessing
fluid balance in a potentially dehydrated client.
C. Intravenous fluid replacement - Yes, this is essential to correct hypovolemia,
electrolyte imbalances, and prevent further complications.
D. Bedrest - Yes, indicated due to hypotension and risk of falls or further complications.
, The nurse cares for two clients with diabetes on the 0700-1900 shift.
The nurse receives handoff report to begin the shift. The breakfast trays are due to arrive
soon. After reviewing the vital signs obtained by assistive personnel and determining the
priority nursing tasks for the day, which task should the nurse prepare to implement
first?
Click to highlight the task the nurse should implement first - AnSWEr-H. Peterson:
• Point of care glucose before meals and at bedtime
• Regular insulin sliding scale before meals and at bedtime (see MAR)
• Administer pain medication 30 minutes before physical therapy
• Remove staples from LLE incision and apply nonadherent sterile dressing
B. Rau:
• Metoprolol 100 mg PO every morning
• Teach insulin self-administration.
• Insulin glargine 0.2 units/kg subcutaneous BID!
• Betaxolol opthalmic 0.25% one drop in each eye BID
The nurse overhears a family member ask a licensed practical nurse (LPN), "I don't know
much about this meningitis. Can I get it from my son and if so how?"
What response by the LPN leads the nurse to determine that the LPN understands the
spread of meningitis - AnSWEr-D. "If you are close enough to your son when he coughs
or sneezes, germ particles can spread to you."
A client is treated for Clostridioides difficile (C. diff) and is offended that the staff wear
gloves every time they enter the room. The nurse educates client with a pamphlet about
the infection and the importance of wearing gloves when caring for clients with the
condition and promise to answer any questions the client has after reading the pamphlet.
When the nurse returns to assess the client's knowledge, the client see's it. I left my
glasses at home." * How should the nurse interpret the client's response? - AnSWEr-B.
The client may be health and functionally illiterate.
A client is seen in the health care provider's office for high blood pressure. The client is
started on a diuretic and an angio inhibitor. The client is asked to log their blood
