CJE PRACTICE EXAM 1 QUESTIONS AND
ANSWERS
Question 1
A nurse is teaching a group of middle-aged men about stroke prevention. Which
statement by a client requires further teaching?
1
"I will start an exercise program to lose weight."
2
"I have to stop my daily trip to the donut shop for breakfast".
3
"I will decrease my consumption of beer to only one per day."
4
"I will continue smoking but decrease the number of cigarettes."
Correct Answer
"I will continue smoking but decrease the number of cigarettes."
Correct - Smoking cessation can lower the risk for stroke
Page 1 of 40
,Question 2
The nurse is assessing a client who has the following arterial blood gas results: pH
7.30; PaCO2 56 mmHg; HCO3 28 mEq/L; PAO2 75 mmHg. Assessment findings include
decreased level of consciousness, blood pressure of 90/58mmHg, weak, thready
pulse, respirations 10 breaths/minute and shallow. What is a priority action by the
nurse?
1
Prepare for intubation.
2
Initiate fluid resuscitation.
3
Place the client on a cardiac monitor.
4
Initiate fall precautions.
Correct Answer
Prepare for intubation.
Question 3
The nurse is assessing the surgical incision of a client after the bandage was removed
by the health care provider on post-op day 1. The incision is well-approximated with
slight swelling under the staples, and dark crusting on the incision line. What should
the nurse do next?
1
Report crusting on the incision line to surgeon.
2
Document findings and continue to monitor.
3
Call surgeon and request antibiotics.
4
Report swelling to the surgeon.
Correct Answer
Document findings and continue to monitor.
Document findings and continue to monitor. Correct - No further action is required
because these are expected findings.
Page 2 of 40
,Question 4
Review the chart below. After completing the admission assessment, which
prescription does the nurse identify as a priority?
1
Oxygen
2
NG tube
3
Morphine
4
Normal saline
Correct Answer
Oxygen - Indicated to improve oxygen saturation
NG tube - Required to decompress abdomen, which helps to relieve pain
Morphine - Correct - Pain control is a priority to prevent hemodynamic instability
Normal saline - Indicated to prevent fluid volume deficit because client will be NPO
Question 5
The nurse is assessing a client who has been receiving fluid resuscitation over the past
two days for deep partial-thickness burns. Which assessment finding is of greatest
concern?
1
Pulse 100 beats/minute.
2
Blood pressure 100/60 mmHg.
3
Urine output of 50 mL in 2 hours.
4
Reports of pain of 8 on a scale of 1 to 10.
Correct Answer
Urine output of 50 mL in 2 hours.
Page 3 of 40
, Question 6
The nurse is performing discharge education for a client who is going home with
continuous oxygen therapy. Which statement by the client requires further teaching?
1
"I can continue smoking as long as I smoke outside."
2
"I should make sure cleaning supplies are not flammable."
3
"I'm so glad I can travel out of town to visit my grandkids."
4
"I will make sure my oxygen tank is always standing upright."
Correct Answer
"I can continue smoking as long as I smoke outside."
Question 7
The nurse is assessing a client with systemic lupus erythematosus (SLE) for evidence
of exacerbation. Which new finding is the priority concern?
1
Pregnancy
2
Bilateral hip pain
3
Blurred vision
4
Decreased appetite
Correct Answer
Pregnancy
Pregnancy - Correct - Causes exacerbation of SLE
Bilateral hip pain - This is expected for SLE
Blurred vision - This is expected for SLE
Decreased appetite - This is expected for SLE
Page 4 of 40
ANSWERS
Question 1
A nurse is teaching a group of middle-aged men about stroke prevention. Which
statement by a client requires further teaching?
1
"I will start an exercise program to lose weight."
2
"I have to stop my daily trip to the donut shop for breakfast".
3
"I will decrease my consumption of beer to only one per day."
4
"I will continue smoking but decrease the number of cigarettes."
Correct Answer
"I will continue smoking but decrease the number of cigarettes."
Correct - Smoking cessation can lower the risk for stroke
Page 1 of 40
,Question 2
The nurse is assessing a client who has the following arterial blood gas results: pH
7.30; PaCO2 56 mmHg; HCO3 28 mEq/L; PAO2 75 mmHg. Assessment findings include
decreased level of consciousness, blood pressure of 90/58mmHg, weak, thready
pulse, respirations 10 breaths/minute and shallow. What is a priority action by the
nurse?
1
Prepare for intubation.
2
Initiate fluid resuscitation.
3
Place the client on a cardiac monitor.
4
Initiate fall precautions.
Correct Answer
Prepare for intubation.
Question 3
The nurse is assessing the surgical incision of a client after the bandage was removed
by the health care provider on post-op day 1. The incision is well-approximated with
slight swelling under the staples, and dark crusting on the incision line. What should
the nurse do next?
1
Report crusting on the incision line to surgeon.
2
Document findings and continue to monitor.
3
Call surgeon and request antibiotics.
4
Report swelling to the surgeon.
Correct Answer
Document findings and continue to monitor.
Document findings and continue to monitor. Correct - No further action is required
because these are expected findings.
Page 2 of 40
,Question 4
Review the chart below. After completing the admission assessment, which
prescription does the nurse identify as a priority?
1
Oxygen
2
NG tube
3
Morphine
4
Normal saline
Correct Answer
Oxygen - Indicated to improve oxygen saturation
NG tube - Required to decompress abdomen, which helps to relieve pain
Morphine - Correct - Pain control is a priority to prevent hemodynamic instability
Normal saline - Indicated to prevent fluid volume deficit because client will be NPO
Question 5
The nurse is assessing a client who has been receiving fluid resuscitation over the past
two days for deep partial-thickness burns. Which assessment finding is of greatest
concern?
1
Pulse 100 beats/minute.
2
Blood pressure 100/60 mmHg.
3
Urine output of 50 mL in 2 hours.
4
Reports of pain of 8 on a scale of 1 to 10.
Correct Answer
Urine output of 50 mL in 2 hours.
Page 3 of 40
, Question 6
The nurse is performing discharge education for a client who is going home with
continuous oxygen therapy. Which statement by the client requires further teaching?
1
"I can continue smoking as long as I smoke outside."
2
"I should make sure cleaning supplies are not flammable."
3
"I'm so glad I can travel out of town to visit my grandkids."
4
"I will make sure my oxygen tank is always standing upright."
Correct Answer
"I can continue smoking as long as I smoke outside."
Question 7
The nurse is assessing a client with systemic lupus erythematosus (SLE) for evidence
of exacerbation. Which new finding is the priority concern?
1
Pregnancy
2
Bilateral hip pain
3
Blurred vision
4
Decreased appetite
Correct Answer
Pregnancy
Pregnancy - Correct - Causes exacerbation of SLE
Bilateral hip pain - This is expected for SLE
Blurred vision - This is expected for SLE
Decreased appetite - This is expected for SLE
Page 4 of 40
