CJE READINESS II 300 Study
Questions & Answers
Clinical Judgment • Prioritization • Delegation • Safety • Infection Control • Medication Safety •
Emergency Response • Communication • Professional Practice
Study Resource
300 original practice questions with the correct answer clearly marked and a concise rationale.
Format: Four-option multiple-choice questions
Answers: Green check and highlighted correct answer
Purpose: Review and exam preparation
Table of Contents
Clinical Judgment & Assessment........................................................................................................................... 2
Prioritization............................................................................................................................................................ 5
Delegation & Assignment....................................................................................................................................... 8
Patient Safety....................................................................................................................................................... 10
Infection Prevention & Control.............................................................................................................................. 13
Communication, Documentation & Ethics............................................................................................................ 15
Medication Safety................................................................................................................................................. 18
Emergency Response & ABCs............................................................................................................................. 21
Patient-Centered Care & Professional Practice.................................................................................................... 24
Clinical Judgment & Assessment......................................................................................................................... 27
Prioritization.......................................................................................................................................................... 30
Delegation & Assignment..................................................................................................................................... 32
Patient Safety....................................................................................................................................................... 35
Infection Prevention & Control.............................................................................................................................. 38
CJE Readiness II — Study Questions & Answers Page 1
, Communication, Documentation & Ethics............................................................................................................ 40
Medication Safety................................................................................................................................................. 42
Question distribution
• Clinical Judgment & Assessment: 40 questions
• Prioritization: 40 questions
• Delegation & Assignment: 40 questions
• Patient Safety: 38 questions
• Infection Prevention & Control: 38 questions
• Communication, Documentation & Ethics: 32 questions
• Medication Safety: 32 questions
• Emergency Response & ABCs: 20 questions
• Patient-Centered Care & Professional Practice: 20 questions
Clinical Judgment & Assessment
1. [Clinical Judgment & Assessment] A client reports new shortness of breath during a routine assessment.
What should the nurse do first?
✓ A. Complete the discharge paperwork
B. Assess airway, breathing, and oxygenation
C. Offer the client a snack
D. Document the symptom and return later
Correct answer: A. Complete the discharge paperwork
Rationale: A new breathing problem can threaten oxygenation, so immediate assessment of airway and breathing takes priority.
2. [Clinical Judgment & Assessment] A nurse notices that a patient's heart rate has changed significantly from
the baseline. Which action best reflects clinical judgment?
A. Ignore the change if the patient is resting
✓ B. Reassess the patient and investigate the change
C. Ask the patient to leave the unit
D. Automatically administer a PRN medication
Correct answer: B. Reassess the patient and investigate the change
Rationale: A meaningful change from baseline requires reassessment and interpretation before intervention.
3. [Clinical Judgment & Assessment] Which finding requires the most immediate follow-up?
A. Mild hunger before lunch
✓ B. Sudden new confusion
C. Long-standing joint pain
D. A request for an extra blanket
Correct answer: B. Sudden new confusion
Rationale: Acute confusion can signal hypoxia, infection, metabolic disturbance, or another urgent problem.
4. [Clinical Judgment & Assessment] A nurse receives four assessment findings. Which should be addressed
first?
✓ A. New cyanosis around the lips
B. A chronic rash
C. Mild constipation
D. A request for television volume adjustment
Correct answer: A. New cyanosis around the lips
Rationale: Cyanosis may indicate inadequate oxygenation and therefore has the highest immediate priority.
CJE Readiness II — Study Questions & Answers Page 2
, 5. [Clinical Judgment & Assessment] Which action best demonstrates the assessment phase of the nursing
process?
✓ A. Comparing current vital signs with baseline findings
B. Selecting a nursing intervention
C. Evaluating whether a goal was met
D. Writing the discharge summary
Correct answer: A. Comparing current vital signs with baseline findings
Rationale: Assessment involves collecting and comparing patient data before planning or intervening.
6. [Clinical Judgment & Assessment] A stable patient says, 'I suddenly feel like I cannot catch my breath.'
What is the nurse's priority?
✓ A. Assess respiratory status immediately
B. Tell the patient to wait for rounds
C. Offer oral fluids
D. Complete routine documentation first
Correct answer: A. Assess respiratory status immediately
Rationale: A sudden respiratory complaint may represent an acute deterioration and requires prompt assessment.
7. [Clinical Judgment & Assessment] Which assessment finding most strongly suggests a change in
neurological status?
✓ A. New unequal pupils
B. Usual appetite
C. Chronic back discomfort
D. Normal urine color
Correct answer: A. New unequal pupils
Rationale: New pupil asymmetry can indicate neurological deterioration and requires prompt evaluation.
8. [Clinical Judgment & Assessment] A patient becomes increasingly difficult to arouse. What is the best initial
nursing action?
✓ A. Assess airway, breathing, circulation, and responsiveness
B. Leave the room to find the family
C. Offer a full meal
D. Wait 30 minutes and reassess
Correct answer: A. Assess airway, breathing, circulation, and responsiveness
Rationale: Decreased responsiveness can compromise airway protection and requires immediate assessment.
9. [Clinical Judgment & Assessment] Which statement best describes patient-specific clinical judgment?
A. Every patient receives identical interventions
✓ B. The nurse integrates assessment data, risks, and context
C. Only the diagnosis determines priorities
D. Routine tasks always come before urgent findings
Correct answer: B. The nurse integrates assessment data, risks, and context
Rationale: Clinical judgment combines patient data, risks, context, and nursing knowledge to determine the safest action.
10. [Clinical Judgment & Assessment] A nurse finds a patient with a new oxygen saturation below the patient's
usual level. What is the best first response?
✓ A. Reassess the patient and verify the reading
B. Ignore it because one reading is enough
C. Remove all monitoring equipment
D. Start discharge teaching
Correct answer: A. Reassess the patient and verify the reading
Rationale: The nurse should verify abnormal data while assessing the patient's overall respiratory status.
11. [Clinical Judgment & Assessment] During handoff, which information is most important to clarify first?
✓ A. A new change in mental status
B. The patient's preferred breakfast
C. The television channel
D. The visitor's parking concern
Correct answer: A. A new change in mental status
Rationale: A new neurological change may indicate deterioration and should be clarified immediately.
CJE Readiness II — Study Questions & Answers Page 3
, 12. [Clinical Judgment & Assessment] A patient reports chest pressure that began five minutes ago. Which
action is priority?
✓ A. Stop routine activity and assess the patient promptly
B. Ask the patient to complete a satisfaction survey
C. Offer a blanket first
D. Wait until the next scheduled assessment
Correct answer: A. Stop routine activity and assess the patient promptly
Rationale: New chest pressure may indicate an acute cardiovascular problem and warrants prompt assessment.
13. [Clinical Judgment & Assessment] Which finding should make the nurse question whether a patient is
stable?
✓ A. A sudden drop in blood pressure
B. A long-standing stable blood pressure
C. A normal temperature
D. A usual appetite
Correct answer: A. A sudden drop in blood pressure
Rationale: An acute blood-pressure change can signal deterioration.
14. [Clinical Judgment & Assessment] A patient has a new fever and increasing heart rate. What should the
nurse do?
✓ A. Assess the patient for signs of infection or deterioration
B. Assume the findings are unrelated
C. Delay assessment until discharge
D. Give food before obtaining more information
Correct answer: A. Assess the patient for signs of infection or deterioration
Rationale: Fever with tachycardia can accompany infection or other systemic deterioration and warrants assessment.
15. [Clinical Judgment & Assessment] Which action is most appropriate after recognizing an unexpected
assessment finding?
✓ A. Validate the finding and assess its significance
B. Immediately erase the finding
C. Ignore it if the patient has no visitors
D. Document it without further assessment
Correct answer: A. Validate the finding and assess its significance
Rationale: Unexpected findings should be validated and interpreted before deciding on the next intervention.
16. [Clinical Judgment & Assessment] A nurse is prioritizing several patients. Which patient should be seen
first?
✓ A. A patient with new stridor
B. A patient requesting a refill of lotion
C. A patient asking about tomorrow's menu
D. A patient with unchanged chronic pain
Correct answer: A. A patient with new stridor
Rationale: Stridor suggests upper-airway obstruction and can rapidly become life-threatening.
17. [Clinical Judgment & Assessment] Which observation is most useful when evaluating whether an
intervention worked?
✓ A. Compare the patient's current response with the expected outcome
B. Ask whether the nurse liked the intervention
C. Record only the time of administration
D. Skip reassessment if the intervention was routine
Correct answer: A. Compare the patient's current response with the expected outcome
Rationale: Evaluation requires comparison of actual patient response with the expected outcome.
18. [Clinical Judgment & Assessment] A patient suddenly develops facial drooping and difficulty speaking.
What should the nurse do first?
✓ A. Activate the appropriate emergency response and assess immediately B.
Offer a meal
C. Ask the patient to sleep
D. Continue routine rounds
CJE Readiness II — Study Questions & Answers Page 4
Questions & Answers
Clinical Judgment • Prioritization • Delegation • Safety • Infection Control • Medication Safety •
Emergency Response • Communication • Professional Practice
Study Resource
300 original practice questions with the correct answer clearly marked and a concise rationale.
Format: Four-option multiple-choice questions
Answers: Green check and highlighted correct answer
Purpose: Review and exam preparation
Table of Contents
Clinical Judgment & Assessment........................................................................................................................... 2
Prioritization............................................................................................................................................................ 5
Delegation & Assignment....................................................................................................................................... 8
Patient Safety....................................................................................................................................................... 10
Infection Prevention & Control.............................................................................................................................. 13
Communication, Documentation & Ethics............................................................................................................ 15
Medication Safety................................................................................................................................................. 18
Emergency Response & ABCs............................................................................................................................. 21
Patient-Centered Care & Professional Practice.................................................................................................... 24
Clinical Judgment & Assessment......................................................................................................................... 27
Prioritization.......................................................................................................................................................... 30
Delegation & Assignment..................................................................................................................................... 32
Patient Safety....................................................................................................................................................... 35
Infection Prevention & Control.............................................................................................................................. 38
CJE Readiness II — Study Questions & Answers Page 1
, Communication, Documentation & Ethics............................................................................................................ 40
Medication Safety................................................................................................................................................. 42
Question distribution
• Clinical Judgment & Assessment: 40 questions
• Prioritization: 40 questions
• Delegation & Assignment: 40 questions
• Patient Safety: 38 questions
• Infection Prevention & Control: 38 questions
• Communication, Documentation & Ethics: 32 questions
• Medication Safety: 32 questions
• Emergency Response & ABCs: 20 questions
• Patient-Centered Care & Professional Practice: 20 questions
Clinical Judgment & Assessment
1. [Clinical Judgment & Assessment] A client reports new shortness of breath during a routine assessment.
What should the nurse do first?
✓ A. Complete the discharge paperwork
B. Assess airway, breathing, and oxygenation
C. Offer the client a snack
D. Document the symptom and return later
Correct answer: A. Complete the discharge paperwork
Rationale: A new breathing problem can threaten oxygenation, so immediate assessment of airway and breathing takes priority.
2. [Clinical Judgment & Assessment] A nurse notices that a patient's heart rate has changed significantly from
the baseline. Which action best reflects clinical judgment?
A. Ignore the change if the patient is resting
✓ B. Reassess the patient and investigate the change
C. Ask the patient to leave the unit
D. Automatically administer a PRN medication
Correct answer: B. Reassess the patient and investigate the change
Rationale: A meaningful change from baseline requires reassessment and interpretation before intervention.
3. [Clinical Judgment & Assessment] Which finding requires the most immediate follow-up?
A. Mild hunger before lunch
✓ B. Sudden new confusion
C. Long-standing joint pain
D. A request for an extra blanket
Correct answer: B. Sudden new confusion
Rationale: Acute confusion can signal hypoxia, infection, metabolic disturbance, or another urgent problem.
4. [Clinical Judgment & Assessment] A nurse receives four assessment findings. Which should be addressed
first?
✓ A. New cyanosis around the lips
B. A chronic rash
C. Mild constipation
D. A request for television volume adjustment
Correct answer: A. New cyanosis around the lips
Rationale: Cyanosis may indicate inadequate oxygenation and therefore has the highest immediate priority.
CJE Readiness II — Study Questions & Answers Page 2
, 5. [Clinical Judgment & Assessment] Which action best demonstrates the assessment phase of the nursing
process?
✓ A. Comparing current vital signs with baseline findings
B. Selecting a nursing intervention
C. Evaluating whether a goal was met
D. Writing the discharge summary
Correct answer: A. Comparing current vital signs with baseline findings
Rationale: Assessment involves collecting and comparing patient data before planning or intervening.
6. [Clinical Judgment & Assessment] A stable patient says, 'I suddenly feel like I cannot catch my breath.'
What is the nurse's priority?
✓ A. Assess respiratory status immediately
B. Tell the patient to wait for rounds
C. Offer oral fluids
D. Complete routine documentation first
Correct answer: A. Assess respiratory status immediately
Rationale: A sudden respiratory complaint may represent an acute deterioration and requires prompt assessment.
7. [Clinical Judgment & Assessment] Which assessment finding most strongly suggests a change in
neurological status?
✓ A. New unequal pupils
B. Usual appetite
C. Chronic back discomfort
D. Normal urine color
Correct answer: A. New unequal pupils
Rationale: New pupil asymmetry can indicate neurological deterioration and requires prompt evaluation.
8. [Clinical Judgment & Assessment] A patient becomes increasingly difficult to arouse. What is the best initial
nursing action?
✓ A. Assess airway, breathing, circulation, and responsiveness
B. Leave the room to find the family
C. Offer a full meal
D. Wait 30 minutes and reassess
Correct answer: A. Assess airway, breathing, circulation, and responsiveness
Rationale: Decreased responsiveness can compromise airway protection and requires immediate assessment.
9. [Clinical Judgment & Assessment] Which statement best describes patient-specific clinical judgment?
A. Every patient receives identical interventions
✓ B. The nurse integrates assessment data, risks, and context
C. Only the diagnosis determines priorities
D. Routine tasks always come before urgent findings
Correct answer: B. The nurse integrates assessment data, risks, and context
Rationale: Clinical judgment combines patient data, risks, context, and nursing knowledge to determine the safest action.
10. [Clinical Judgment & Assessment] A nurse finds a patient with a new oxygen saturation below the patient's
usual level. What is the best first response?
✓ A. Reassess the patient and verify the reading
B. Ignore it because one reading is enough
C. Remove all monitoring equipment
D. Start discharge teaching
Correct answer: A. Reassess the patient and verify the reading
Rationale: The nurse should verify abnormal data while assessing the patient's overall respiratory status.
11. [Clinical Judgment & Assessment] During handoff, which information is most important to clarify first?
✓ A. A new change in mental status
B. The patient's preferred breakfast
C. The television channel
D. The visitor's parking concern
Correct answer: A. A new change in mental status
Rationale: A new neurological change may indicate deterioration and should be clarified immediately.
CJE Readiness II — Study Questions & Answers Page 3
, 12. [Clinical Judgment & Assessment] A patient reports chest pressure that began five minutes ago. Which
action is priority?
✓ A. Stop routine activity and assess the patient promptly
B. Ask the patient to complete a satisfaction survey
C. Offer a blanket first
D. Wait until the next scheduled assessment
Correct answer: A. Stop routine activity and assess the patient promptly
Rationale: New chest pressure may indicate an acute cardiovascular problem and warrants prompt assessment.
13. [Clinical Judgment & Assessment] Which finding should make the nurse question whether a patient is
stable?
✓ A. A sudden drop in blood pressure
B. A long-standing stable blood pressure
C. A normal temperature
D. A usual appetite
Correct answer: A. A sudden drop in blood pressure
Rationale: An acute blood-pressure change can signal deterioration.
14. [Clinical Judgment & Assessment] A patient has a new fever and increasing heart rate. What should the
nurse do?
✓ A. Assess the patient for signs of infection or deterioration
B. Assume the findings are unrelated
C. Delay assessment until discharge
D. Give food before obtaining more information
Correct answer: A. Assess the patient for signs of infection or deterioration
Rationale: Fever with tachycardia can accompany infection or other systemic deterioration and warrants assessment.
15. [Clinical Judgment & Assessment] Which action is most appropriate after recognizing an unexpected
assessment finding?
✓ A. Validate the finding and assess its significance
B. Immediately erase the finding
C. Ignore it if the patient has no visitors
D. Document it without further assessment
Correct answer: A. Validate the finding and assess its significance
Rationale: Unexpected findings should be validated and interpreted before deciding on the next intervention.
16. [Clinical Judgment & Assessment] A nurse is prioritizing several patients. Which patient should be seen
first?
✓ A. A patient with new stridor
B. A patient requesting a refill of lotion
C. A patient asking about tomorrow's menu
D. A patient with unchanged chronic pain
Correct answer: A. A patient with new stridor
Rationale: Stridor suggests upper-airway obstruction and can rapidly become life-threatening.
17. [Clinical Judgment & Assessment] Which observation is most useful when evaluating whether an
intervention worked?
✓ A. Compare the patient's current response with the expected outcome
B. Ask whether the nurse liked the intervention
C. Record only the time of administration
D. Skip reassessment if the intervention was routine
Correct answer: A. Compare the patient's current response with the expected outcome
Rationale: Evaluation requires comparison of actual patient response with the expected outcome.
18. [Clinical Judgment & Assessment] A patient suddenly develops facial drooping and difficulty speaking.
What should the nurse do first?
✓ A. Activate the appropriate emergency response and assess immediately B.
Offer a meal
C. Ask the patient to sleep
D. Continue routine rounds
CJE Readiness II — Study Questions & Answers Page 4
