CJE MED SURG II EXAM NEWEST 2026
ACTUAL EXAM| CJE MED SURG II EXAM
REVIEW WITH COMPLETE 350 REAL
EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
ENDOCRINE DISORDERS
1. Angiotensin-converting enzyme (ACE) inhibitors may be
prescribed for the client with diabetes mellitus to reduce
vascular changes and possibly prevent or delay development
of:
A) Chronic obstructive pulmonary disease (COPD)
B) Pancreatic cancer
C) Renal failure
D) Cerebrovascular accident
Correct answer: C) Renal failure
Rationale: ACE inhibitors have a protective effect on the kidneys by
reducing intraglomerular pressure and decreasing proteinuria in
diabetic clients, helping slow the progression of diabetic
nephropathy .
,2. The nurse should teach the diabetic client that which of the
following is the most common symptom of hypoglycemia?
A) Nervousness
B) Anorexia
C) Kussmaul's respirations
D) Bradycardia
Correct answer: A) Nervousness
Rationale: Nervousness and tremors are among the earliest and
most common symptoms of hypoglycemia due to the release of
counterregulatory hormones (epinephrine). Tachycardia (not
bradycardia) occurs with hypoglycemia .
3. A client with type 1 diabetes mellitus has influenza. The
nurse should instruct the client to:
A) Increase the frequency of self-monitoring (blood glucose
testing)
B) Reduce food intake to diminish nausea
C) Discontinue that dose of insulin if unable to eat
D) Take half of the normal dose of insulin
Correct answer: A) Increase the frequency of self-monitoring
(blood glucose testing)
,Rationale: During illness, blood glucose levels can fluctuate
unpredictably, and the risk of diabetic ketoacidosis (DKA) increases.
Sick-day rules include more frequent glucose monitoring. Insulin
should never be discontinued during illness .
4. What is the priority in Acute Kidney Injury (AKI)?
A) Monitor urine output
B) Treat hyperkalemia
C) Restrict fluids
D) Monitor BUN/Creatinine
Correct answer: B) Treat hyperkalemia
Rationale: Hyperkalemia is the priority in AKI. Treatment includes
insulin + dextrose, calcium gluconate, and Kayexalate. Normal
potassium levels are 3.5-5.0 mEq/L .
5. Signs and symptoms of Diabetes Insipidus (DI) include:
A) Fluid volume excess, hyponatremia, oliguria
B) Fluid volume deficit, hypernatremia, polyuria
C) Fluid volume excess, hypernatremia, polyuria
D) Fluid volume deficit, hyponatremia, oliguria
Correct answer: B) Fluid volume deficit, hypernatremia,
polyuria
, Rationale: DI is characterized by FVD, hypernatremia, polyuria
(large amounts of urine), high HR, low BP, weak thready pulses, and
weight loss. There are two types: neurogenic and nephrogenic .
6. Manifestations of hypothyroidism include:
A) Weight loss, heat intolerance, tachycardia
B) Weight gain, cold intolerance, fatigue, slowed mental processes
C) Exophthalmos, goiter, tremors
D) Hypertension, flushed skin, diaphoresis
Correct answer: B) Weight gain, cold intolerance, fatigue,
slowed mental processes
Rationale: Hypothyroidism presents with low T3/T4 and high TSH.
Symptoms include depressed/slow mental processes, slurred speech,
forgetfulness, fatigue, weight gain, low appetite, and cold
intolerance .
7. How should levothyroxine (Synthroid) be administered?
A) With food to prevent GI upset
B) At bedtime for better absorption
C) On an empty stomach 30-60 minutes before breakfast
D) Only when symptoms of hypothyroidism appear
Correct answer: C) On an empty stomach 30-60 minutes
before breakfast
ACTUAL EXAM| CJE MED SURG II EXAM
REVIEW WITH COMPLETE 350 REAL
EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
ENDOCRINE DISORDERS
1. Angiotensin-converting enzyme (ACE) inhibitors may be
prescribed for the client with diabetes mellitus to reduce
vascular changes and possibly prevent or delay development
of:
A) Chronic obstructive pulmonary disease (COPD)
B) Pancreatic cancer
C) Renal failure
D) Cerebrovascular accident
Correct answer: C) Renal failure
Rationale: ACE inhibitors have a protective effect on the kidneys by
reducing intraglomerular pressure and decreasing proteinuria in
diabetic clients, helping slow the progression of diabetic
nephropathy .
,2. The nurse should teach the diabetic client that which of the
following is the most common symptom of hypoglycemia?
A) Nervousness
B) Anorexia
C) Kussmaul's respirations
D) Bradycardia
Correct answer: A) Nervousness
Rationale: Nervousness and tremors are among the earliest and
most common symptoms of hypoglycemia due to the release of
counterregulatory hormones (epinephrine). Tachycardia (not
bradycardia) occurs with hypoglycemia .
3. A client with type 1 diabetes mellitus has influenza. The
nurse should instruct the client to:
A) Increase the frequency of self-monitoring (blood glucose
testing)
B) Reduce food intake to diminish nausea
C) Discontinue that dose of insulin if unable to eat
D) Take half of the normal dose of insulin
Correct answer: A) Increase the frequency of self-monitoring
(blood glucose testing)
,Rationale: During illness, blood glucose levels can fluctuate
unpredictably, and the risk of diabetic ketoacidosis (DKA) increases.
Sick-day rules include more frequent glucose monitoring. Insulin
should never be discontinued during illness .
4. What is the priority in Acute Kidney Injury (AKI)?
A) Monitor urine output
B) Treat hyperkalemia
C) Restrict fluids
D) Monitor BUN/Creatinine
Correct answer: B) Treat hyperkalemia
Rationale: Hyperkalemia is the priority in AKI. Treatment includes
insulin + dextrose, calcium gluconate, and Kayexalate. Normal
potassium levels are 3.5-5.0 mEq/L .
5. Signs and symptoms of Diabetes Insipidus (DI) include:
A) Fluid volume excess, hyponatremia, oliguria
B) Fluid volume deficit, hypernatremia, polyuria
C) Fluid volume excess, hypernatremia, polyuria
D) Fluid volume deficit, hyponatremia, oliguria
Correct answer: B) Fluid volume deficit, hypernatremia,
polyuria
, Rationale: DI is characterized by FVD, hypernatremia, polyuria
(large amounts of urine), high HR, low BP, weak thready pulses, and
weight loss. There are two types: neurogenic and nephrogenic .
6. Manifestations of hypothyroidism include:
A) Weight loss, heat intolerance, tachycardia
B) Weight gain, cold intolerance, fatigue, slowed mental processes
C) Exophthalmos, goiter, tremors
D) Hypertension, flushed skin, diaphoresis
Correct answer: B) Weight gain, cold intolerance, fatigue,
slowed mental processes
Rationale: Hypothyroidism presents with low T3/T4 and high TSH.
Symptoms include depressed/slow mental processes, slurred speech,
forgetfulness, fatigue, weight gain, low appetite, and cold
intolerance .
7. How should levothyroxine (Synthroid) be administered?
A) With food to prevent GI upset
B) At bedtime for better absorption
C) On an empty stomach 30-60 minutes before breakfast
D) Only when symptoms of hypothyroidism appear
Correct answer: C) On an empty stomach 30-60 minutes
before breakfast
