NR324 CJE Exam 2026/2027 Test Bank: Clinical
Judgment Questions, Answers & Rationales for
Chamberlain Adult Health I (A+ Guide)
Ace the NR324 CJE! Conquer the Chamberlain Adult Health I Clinical Judgment Exam with this
UPDATED 2026 test bank. Featuring 250+ REAL exam-style questions with detailed Rationales
that explain the "why" behind every answer. Master fluid & electrolytes, ABGs, prioritization,
and med-surg nursing concepts. Designed to mirror the NCLEX and HESI formats, this resource
helps you identify weak spots, boost critical thinking, and walk into your exam with confidence.
Includes verified answers to complex scenarios on hyperkalemia, respiratory failure, and
patient safety. Your shortcut to a top grade is here!
,Fundamentals & Patient Safety (Questions 1–30)
Question 1
A nurse is caring for a client who is sitting in a chair and asks to return to bed. Which of the
following actions is the nurse's priority at this time?
a) Obtain a walker for the client to use to transfer back to bed.
b) Call for additional staff to assist with the transfer.
c) Use a transfer belt and assist the client back into bed.
d) Determine the client's ability to help with the transfer.
d) Determine the client's ability to help with the transfer.
Rationale: Before any transfer, the nurse must first assess the client's current mobility status
and ability to participate. This ensures a safe transfer and prevents falls. Obtaining equipment
(a), calling for help (b), or using a transfer belt (c) are actions that come after assessing the
client's capability.
Question 2
A nurse is preparing to instill an enteral feeding for a client who has an NG tube in place. Which
of the following actions is the nurse's highest assessment priority before performing this
procedure?
a) Check how long the feeding container has been open.
b) Verify the placement of the NG tube.
c) Confirm that the client does not have diarrhea.
d) Make sure the client is alert and oriented.
b) Verify the placement of the NG tube.
Rationale: Verifying NG tube placement is the critical safety step before any enteral feeding to
prevent aspiration pneumonia. While checking the container's open time (a), confirming no
diarrhea (c), and ensuring alertness (d) are important, none supersede the priority of
confirming tube placement.
Question 3
A client who has a latex allergy should use which type of products?
a) Natural rubber products
b) Silicon or Teflon products
c) Vinyl products only
d) Cotton-based products
,b) Silicon or Teflon products.
Rationale: Clients with latex allergies should use silicon or Teflon products to avoid allergic
reactions, which can range from mild contact dermatitis to life-threatening anaphylaxis.
Question 4
A Coudé catheter ("bent tip") is most commonly used for which client population?
a) Female clients with urinary retention
b) Male clients with some kind of blockage or obstruction
c) Pediatric clients
d) Clients with neurogenic bladder
b) Male clients with some kind of blockage or obstruction.
Rationale: The Coudé catheter has a bent tip specifically designed to navigate around
anatomical obstacles, most commonly used for male clients with blockages such as an
enlarged prostate .
Question 5
Which of the following should be included in a comprehensive Bowel Elimination Assessment?
(Select all that apply.)
a) Usual pattern and frequency
b) Description of stool (color, consistency, shape, amount, odor, constituents)
c) Recent changes
d) Aids to elimination
e) Presence of artificial orifices
a, b, c, d, e
Rationale: A comprehensive bowel elimination assessment includes all of these components:
usual pattern and frequency, stool description, recent changes, aids to elimination, problems,
and presence of artificial orifices .
Question 6
Which finding indicates a Stage 2 pressure injury?
a) Non-blanchable erythema over a bony prominence
b) Partial-thickness skin loss with exposed dermis
c) Full-thickness tissue loss with visible bone
d) Intact skin with a serum-filled blister
, b) Partial-thickness skin loss with exposed dermis.
Rationale: Stage 2 pressure injuries involve partial-thickness loss of the dermis, presenting as
a shallow open ulcer or intact/open serum-filled blister. Non-blanchable erythema (a)
describes Stage 1, full-thickness tissue loss with visible bone (c) describes Stage 4, and an
intact serum-filled blister (d) can be Stage 2 but the defining feature is dermis involvement .
Question 7
A patient falls while ambulating to the bathroom. What is the nurse's first action?
a) Call the healthcare provider.
b) Assess the patient for injuries.
c) Complete an incident report.
d) Notify the charge nurse.
b) Assess the patient for injuries.
Rationale: Assessment of the patient for injuries is the immediate priority following the ABCs
and safety framework. Calling the provider (a), completing an incident report (c), and
notifying the charge nurse (d) occur after the initial patient assessment .
Question 8
Which blood pressure reading indicates orthostatic hypotension?
a) Supine 120/80, Standing 118/76
b) Supine 130/85, Standing 100/70
c) Supine 110/70, Standing 108/72
d) Supine 140/90, Standing 138/88
b) Supine 130/85, Standing 100/70.
Rationale: Orthostatic hypotension is defined as a drop in systolic BP of at least 20 mmHg or
diastolic BP of at least 10 mmHg within 3 minutes of standing. Option b shows a 30 mmHg
systolic drop, meeting the criteria .
Question 9
A patient has a living will. The patient becomes unable to make decisions. Who makes
healthcare decisions?
a) The patient's spouse
b) The healthcare proxy named in the document
Judgment Questions, Answers & Rationales for
Chamberlain Adult Health I (A+ Guide)
Ace the NR324 CJE! Conquer the Chamberlain Adult Health I Clinical Judgment Exam with this
UPDATED 2026 test bank. Featuring 250+ REAL exam-style questions with detailed Rationales
that explain the "why" behind every answer. Master fluid & electrolytes, ABGs, prioritization,
and med-surg nursing concepts. Designed to mirror the NCLEX and HESI formats, this resource
helps you identify weak spots, boost critical thinking, and walk into your exam with confidence.
Includes verified answers to complex scenarios on hyperkalemia, respiratory failure, and
patient safety. Your shortcut to a top grade is here!
,Fundamentals & Patient Safety (Questions 1–30)
Question 1
A nurse is caring for a client who is sitting in a chair and asks to return to bed. Which of the
following actions is the nurse's priority at this time?
a) Obtain a walker for the client to use to transfer back to bed.
b) Call for additional staff to assist with the transfer.
c) Use a transfer belt and assist the client back into bed.
d) Determine the client's ability to help with the transfer.
d) Determine the client's ability to help with the transfer.
Rationale: Before any transfer, the nurse must first assess the client's current mobility status
and ability to participate. This ensures a safe transfer and prevents falls. Obtaining equipment
(a), calling for help (b), or using a transfer belt (c) are actions that come after assessing the
client's capability.
Question 2
A nurse is preparing to instill an enteral feeding for a client who has an NG tube in place. Which
of the following actions is the nurse's highest assessment priority before performing this
procedure?
a) Check how long the feeding container has been open.
b) Verify the placement of the NG tube.
c) Confirm that the client does not have diarrhea.
d) Make sure the client is alert and oriented.
b) Verify the placement of the NG tube.
Rationale: Verifying NG tube placement is the critical safety step before any enteral feeding to
prevent aspiration pneumonia. While checking the container's open time (a), confirming no
diarrhea (c), and ensuring alertness (d) are important, none supersede the priority of
confirming tube placement.
Question 3
A client who has a latex allergy should use which type of products?
a) Natural rubber products
b) Silicon or Teflon products
c) Vinyl products only
d) Cotton-based products
,b) Silicon or Teflon products.
Rationale: Clients with latex allergies should use silicon or Teflon products to avoid allergic
reactions, which can range from mild contact dermatitis to life-threatening anaphylaxis.
Question 4
A Coudé catheter ("bent tip") is most commonly used for which client population?
a) Female clients with urinary retention
b) Male clients with some kind of blockage or obstruction
c) Pediatric clients
d) Clients with neurogenic bladder
b) Male clients with some kind of blockage or obstruction.
Rationale: The Coudé catheter has a bent tip specifically designed to navigate around
anatomical obstacles, most commonly used for male clients with blockages such as an
enlarged prostate .
Question 5
Which of the following should be included in a comprehensive Bowel Elimination Assessment?
(Select all that apply.)
a) Usual pattern and frequency
b) Description of stool (color, consistency, shape, amount, odor, constituents)
c) Recent changes
d) Aids to elimination
e) Presence of artificial orifices
a, b, c, d, e
Rationale: A comprehensive bowel elimination assessment includes all of these components:
usual pattern and frequency, stool description, recent changes, aids to elimination, problems,
and presence of artificial orifices .
Question 6
Which finding indicates a Stage 2 pressure injury?
a) Non-blanchable erythema over a bony prominence
b) Partial-thickness skin loss with exposed dermis
c) Full-thickness tissue loss with visible bone
d) Intact skin with a serum-filled blister
, b) Partial-thickness skin loss with exposed dermis.
Rationale: Stage 2 pressure injuries involve partial-thickness loss of the dermis, presenting as
a shallow open ulcer or intact/open serum-filled blister. Non-blanchable erythema (a)
describes Stage 1, full-thickness tissue loss with visible bone (c) describes Stage 4, and an
intact serum-filled blister (d) can be Stage 2 but the defining feature is dermis involvement .
Question 7
A patient falls while ambulating to the bathroom. What is the nurse's first action?
a) Call the healthcare provider.
b) Assess the patient for injuries.
c) Complete an incident report.
d) Notify the charge nurse.
b) Assess the patient for injuries.
Rationale: Assessment of the patient for injuries is the immediate priority following the ABCs
and safety framework. Calling the provider (a), completing an incident report (c), and
notifying the charge nurse (d) occur after the initial patient assessment .
Question 8
Which blood pressure reading indicates orthostatic hypotension?
a) Supine 120/80, Standing 118/76
b) Supine 130/85, Standing 100/70
c) Supine 110/70, Standing 108/72
d) Supine 140/90, Standing 138/88
b) Supine 130/85, Standing 100/70.
Rationale: Orthostatic hypotension is defined as a drop in systolic BP of at least 20 mmHg or
diastolic BP of at least 10 mmHg within 3 minutes of standing. Option b shows a 30 mmHg
systolic drop, meeting the criteria .
Question 9
A patient has a living will. The patient becomes unable to make decisions. Who makes
healthcare decisions?
a) The patient's spouse
b) The healthcare proxy named in the document
