CJE MED-SURG 1 EXAM ,A 2026-2027 FULLY UPDATED
MASTER COMPENDIUM OF VERIFIED BOARD- AND CLINICAL
RATIONALES, GUARANTEE AN A+ PASS ON YOUR
COMPREHENSIVE CJE MEDICAL-SURGICAL NURSING
ASSESSMENT
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
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,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.
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, 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?
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MASTER COMPENDIUM OF VERIFIED BOARD- AND CLINICAL
RATIONALES, GUARANTEE AN A+ PASS ON YOUR
COMPREHENSIVE CJE MEDICAL-SURGICAL NURSING
ASSESSMENT
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
Page | 1
,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.
Page | 2
, 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?
Page | 3
