CJE Readiness I Exam 2026/2027 Study Questions
and Correct Verified Solutions with Detailed
Rationales (100% Correct Verified Answers)
Latest Updated Version 2026 Edit
1. A nurse reviews a patient's chart and notes the following: heart rate 110 bpm,
respiratory rate 28 breaths/min, oxygen saturation 89%, and crackles in the lung
bases. The nurse identifies these findings as significant changes from baseline.
Which step of the Clinical Judgment Measurement Model (CJMM) is the nurse
performing?
A) Recognizing cues
B) Analyzing cues
C) Generating solutions
D) Evaluating outcomes
Answer: A
Rationale: Recognizing cues involves noticing and identifying relevant patient data that
deviate from expected findings — the first and foundational step of the CJMM .
2. A nurse reviews laboratory results for a patient with heart failure and notes a
serum sodium of 128 mEq/L, weight gain of 4 lbs overnight, and increasing
dyspnea. The nurse determines these findings collectively suggest fluid volume
excess with possible decompensation. Which CJMM step is being performed?
A) Recognizing cues
B) Analyzing cues
C) Taking action
D) Evaluating outcomes
Answer: B
Rationale: Analyzing cues involves interpreting and connecting recognized data points to
determine their clinical significance and relationship to the patient's condition .
,3. After analyzing assessment findings in a deteriorating patient, the nurse
identifies acute respiratory failure as the most likely explanation for the patient's
declining status. Which CJMM step is being performed?
A) Recognizing cues
B) Generating solutions
C) Prioritizing hypotheses
D) Taking action
Answer: C
Rationale: Prioritizing hypotheses involves ranking possible explanations for the patient's
condition by urgency and probability to guide clinical decision-making .
4. A nurse caring for a patient with sepsis develops a plan that includes increasing
IV fluid rate, obtaining blood cultures, administering prescribed broad-spectrum
antibiotics, and notifying the rapid response team. Which CJMM step is being
performed?
A) Recognizing cues
B) Analyzing cues
C) Prioritizing hypotheses
D) Generating solutions
Answer: D
Rationale: Generating solutions involves identifying and planning evidence-based
interventions that address the prioritized clinical hypothesis .
5. A charge nurse implements a rapid response call for a patient exhibiting signs of
early sepsis after recognizing deteriorating vital signs and altered mental status.
Which CJMM step is being performed?
A) Taking action
B) Evaluating outcomes
,C) Prioritizing hypotheses
D) Analyzing cues
Answer: A
Rationale: Taking action involves implementing the selected interventions from the
generated solutions — translating clinical judgment into direct patient care activities .
6. After administering a prescribed bronchodilator to a patient in respiratory
distress, the nurse reassesses breath sounds, oxygen saturation, and respiratory
rate to determine treatment effectiveness. Which CJMM step is being performed?
A) Recognizing cues
B) Analyzing cues
C) Generating solutions
D) Evaluating outcomes
Answer: D
Rationale: Evaluating outcomes involves reassessing the patient after interventions to
determine if the desired outcomes were achieved and if the plan needs modification .
7. A nurse observes a patient's surgical wound drainage has changed from
serosanguineous to purulent, and the wound edges are red and warm to the touch.
The nurse recognizes these as signs of possible infection. Which CJMM step is this?
A) Recognizing cues
B) Analyzing cues
C) Prioritizing hypotheses
D) Taking action
Answer: A
Rationale: The nurse is identifying and noticing relevant patient data (signs of infection).
This is the foundational step of recognizing cues .
8. A nurse notes that a patient with heart failure has a potassium level of 5.8
mEq/L, ECG changes with peaked T waves, and reports of muscle weakness. The
, nurse determines these findings indicate hyperkalemia requiring immediate
intervention. Which CJMM step is being performed?
A) Recognizing cues
B) Analyzing cues
C) Generating solutions
D) Evaluating outcomes
Answer: B
Rationale: The nurse is connecting and interpreting the recognized data points (K+ level,
ECG changes, symptoms) to determine their clinical significance — this is analyzing cues .
9. After analyzing cues, the nurse determines that a patient's acute shortness of
breath and hypoxia are most likely caused by a pulmonary embolism rather than
pneumonia or heart failure. Which CJMM step is this?
A) Recognizing cues
B) Analyzing cues
C) Prioritizing hypotheses
D) Taking action
Answer: C
Rationale: Prioritizing hypotheses involves ranking possible explanations for the patient's
condition by urgency and probability to guide clinical decision-making .
10. A nurse caring for a patient with an abdominal wound evisceration places
sterile saline-soaked gauze over the protruding bowel, positions the patient with
knees bent, and notifies the surgeon immediately. Which CJMM step is this?
A) Recognizing cues
B) Analyzing cues
C) Generating solutions
D) Taking action
Answer: D
Rationale: The nurse is implementing selected interventions — this is taking action .
and Correct Verified Solutions with Detailed
Rationales (100% Correct Verified Answers)
Latest Updated Version 2026 Edit
1. A nurse reviews a patient's chart and notes the following: heart rate 110 bpm,
respiratory rate 28 breaths/min, oxygen saturation 89%, and crackles in the lung
bases. The nurse identifies these findings as significant changes from baseline.
Which step of the Clinical Judgment Measurement Model (CJMM) is the nurse
performing?
A) Recognizing cues
B) Analyzing cues
C) Generating solutions
D) Evaluating outcomes
Answer: A
Rationale: Recognizing cues involves noticing and identifying relevant patient data that
deviate from expected findings — the first and foundational step of the CJMM .
2. A nurse reviews laboratory results for a patient with heart failure and notes a
serum sodium of 128 mEq/L, weight gain of 4 lbs overnight, and increasing
dyspnea. The nurse determines these findings collectively suggest fluid volume
excess with possible decompensation. Which CJMM step is being performed?
A) Recognizing cues
B) Analyzing cues
C) Taking action
D) Evaluating outcomes
Answer: B
Rationale: Analyzing cues involves interpreting and connecting recognized data points to
determine their clinical significance and relationship to the patient's condition .
,3. After analyzing assessment findings in a deteriorating patient, the nurse
identifies acute respiratory failure as the most likely explanation for the patient's
declining status. Which CJMM step is being performed?
A) Recognizing cues
B) Generating solutions
C) Prioritizing hypotheses
D) Taking action
Answer: C
Rationale: Prioritizing hypotheses involves ranking possible explanations for the patient's
condition by urgency and probability to guide clinical decision-making .
4. A nurse caring for a patient with sepsis develops a plan that includes increasing
IV fluid rate, obtaining blood cultures, administering prescribed broad-spectrum
antibiotics, and notifying the rapid response team. Which CJMM step is being
performed?
A) Recognizing cues
B) Analyzing cues
C) Prioritizing hypotheses
D) Generating solutions
Answer: D
Rationale: Generating solutions involves identifying and planning evidence-based
interventions that address the prioritized clinical hypothesis .
5. A charge nurse implements a rapid response call for a patient exhibiting signs of
early sepsis after recognizing deteriorating vital signs and altered mental status.
Which CJMM step is being performed?
A) Taking action
B) Evaluating outcomes
,C) Prioritizing hypotheses
D) Analyzing cues
Answer: A
Rationale: Taking action involves implementing the selected interventions from the
generated solutions — translating clinical judgment into direct patient care activities .
6. After administering a prescribed bronchodilator to a patient in respiratory
distress, the nurse reassesses breath sounds, oxygen saturation, and respiratory
rate to determine treatment effectiveness. Which CJMM step is being performed?
A) Recognizing cues
B) Analyzing cues
C) Generating solutions
D) Evaluating outcomes
Answer: D
Rationale: Evaluating outcomes involves reassessing the patient after interventions to
determine if the desired outcomes were achieved and if the plan needs modification .
7. A nurse observes a patient's surgical wound drainage has changed from
serosanguineous to purulent, and the wound edges are red and warm to the touch.
The nurse recognizes these as signs of possible infection. Which CJMM step is this?
A) Recognizing cues
B) Analyzing cues
C) Prioritizing hypotheses
D) Taking action
Answer: A
Rationale: The nurse is identifying and noticing relevant patient data (signs of infection).
This is the foundational step of recognizing cues .
8. A nurse notes that a patient with heart failure has a potassium level of 5.8
mEq/L, ECG changes with peaked T waves, and reports of muscle weakness. The
, nurse determines these findings indicate hyperkalemia requiring immediate
intervention. Which CJMM step is being performed?
A) Recognizing cues
B) Analyzing cues
C) Generating solutions
D) Evaluating outcomes
Answer: B
Rationale: The nurse is connecting and interpreting the recognized data points (K+ level,
ECG changes, symptoms) to determine their clinical significance — this is analyzing cues .
9. After analyzing cues, the nurse determines that a patient's acute shortness of
breath and hypoxia are most likely caused by a pulmonary embolism rather than
pneumonia or heart failure. Which CJMM step is this?
A) Recognizing cues
B) Analyzing cues
C) Prioritizing hypotheses
D) Taking action
Answer: C
Rationale: Prioritizing hypotheses involves ranking possible explanations for the patient's
condition by urgency and probability to guide clinical decision-making .
10. A nurse caring for a patient with an abdominal wound evisceration places
sterile saline-soaked gauze over the protruding bowel, positions the patient with
knees bent, and notifies the surgeon immediately. Which CJMM step is this?
A) Recognizing cues
B) Analyzing cues
C) Generating solutions
D) Taking action
Answer: D
Rationale: The nurse is implementing selected interventions — this is taking action .
