NR324 CJE Exam Questions and Verified
Answers 2026
.
Pass your specialized clinical assessment with this premium
study guide optimized for the 2026 Chamberlain University
NR324 Adult Health I Clinical Junior Evaluation (CJE) Exam. This
comprehensive document delivers realistic practice questions,
verified answer keys, and deep evidentiary rationales covering
advanced medical-surgical nursing concepts, acute disease
processes, and client care management. Tailored specifically for
nursing students, it highlights essential diagnostic algorithms,
pharmacological profiles, and prioritization frameworks to ensure
level 3 proficiency.
QUESTION 1
A client who has a latex allergy should use which type of products to
avoid an allergic reaction?
A) Natural rubber products
B) Silicon or Teflon products
C) Vinyl products only
D) Cotton-based 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. This is a critical patient safety consideration for all
nursing procedures.
,QUESTION 2
A Coudé catheter ("bent tip") is most commonly used for which type
of client?
A) Female clients with urinary retention
B) Male clients with some kind of blockage or obstruction
C) Pediatric clients
D) Clients with neurogenic bladder
Rationale: The Coudé catheter has a bent tip that is most commonly used
for male clients with some kind of blockage or obstruction, such as an
enlarged prostate. The curved tip helps navigate around anatomical obstacles
that a straight catheter cannot pass.
QUESTION 3
A nurse is caring for a client who is sitting in a chair and asks to return
to bed. Which action is the nurse's priority?
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
Rationale: The priority action before any transfer is to assess the client's
capability to participate in the transfer, ensuring safe mobilization and
preventing falls. This assessment guides the appropriate assistance level.
QUESTION 4
A nurse is preparing to instill an enteral feeding for a client with an NG
tube. What is the 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
Rationale: Verifying NG tube placement is the highest priority before any
enteral feeding to prevent aspiration pneumonia. This is a critical safety step
that must be confirmed before any feeding is administered.
QUESTION 5
A nurse is talking with a client about ways to promote sleep and rest.
Which recommendations should the nurse include? (Select all that
apply.)
A) Practice muscle relaxation techniques
B) Exercise each morning
C) Take an afternoon nap
D) Alter the sleep environment for comfort
E) Limit fluid intake at least 2 hours before bedtime
Rationale: Muscle relaxation, morning exercise (which promotes sleep), a
comfortable environment, and limiting fluids before bed are all effective sleep
hygiene practices. Afternoon naps may disrupt nighttime sleep patterns.
QUESTION 6
The nurse needs to evaluate a patient's intake for the last 8 hours. For
breakfast, the patient had two cups of coffee and 4 oz of orange juice;
for lunch: 8 oz of iced tea, a cup of ice chips, and 1 cup chicken broth.
The patient also has fluids running at 20 ml/hr of normal saline. Urine
, output for the 8-hour shift was 800 ml. What should the nurse record
as the net intake in mL?
A) 480 ml
B) 520 ml
C) 560 ml
D) 640 ml
Rationale: Total intake includes: 16 oz coffee (480 ml), 4 oz juice (120 ml), 8
oz tea (240 ml), ice chips (120 ml, measured as half of volume), and 8 oz
broth (240 ml) for a total oral intake of 1200 ml. IV fluids provide 160 ml (20
ml/hr × 8 hrs). Total intake is 1360 ml. Net intake = 1360 ml - 800 ml urine
output = 560 ml.
QUESTION 7
What is the correct order for performing a gastrointestinal
assessment?
A) Inspection, palpation, percussion, auscultation
B) Inspection, auscultation, percussion, palpation
C) Palpation, percussion, auscultation, inspection
D) Auscultation, inspection, percussion, palpation
Rationale: The correct order is inspection, auscultation, percussion,
palpation. Palpation is performed last to avoid altering bowel sounds. This
sequence ensures accurate assessment findings.
QUESTION 8
How many minutes should the nurse listen for bowel sounds before
documenting them as absent?
Answers 2026
.
Pass your specialized clinical assessment with this premium
study guide optimized for the 2026 Chamberlain University
NR324 Adult Health I Clinical Junior Evaluation (CJE) Exam. This
comprehensive document delivers realistic practice questions,
verified answer keys, and deep evidentiary rationales covering
advanced medical-surgical nursing concepts, acute disease
processes, and client care management. Tailored specifically for
nursing students, it highlights essential diagnostic algorithms,
pharmacological profiles, and prioritization frameworks to ensure
level 3 proficiency.
QUESTION 1
A client who has a latex allergy should use which type of products to
avoid an allergic reaction?
A) Natural rubber products
B) Silicon or Teflon products
C) Vinyl products only
D) Cotton-based 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. This is a critical patient safety consideration for all
nursing procedures.
,QUESTION 2
A Coudé catheter ("bent tip") is most commonly used for which type
of client?
A) Female clients with urinary retention
B) Male clients with some kind of blockage or obstruction
C) Pediatric clients
D) Clients with neurogenic bladder
Rationale: The Coudé catheter has a bent tip that is most commonly used
for male clients with some kind of blockage or obstruction, such as an
enlarged prostate. The curved tip helps navigate around anatomical obstacles
that a straight catheter cannot pass.
QUESTION 3
A nurse is caring for a client who is sitting in a chair and asks to return
to bed. Which action is the nurse's priority?
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
Rationale: The priority action before any transfer is to assess the client's
capability to participate in the transfer, ensuring safe mobilization and
preventing falls. This assessment guides the appropriate assistance level.
QUESTION 4
A nurse is preparing to instill an enteral feeding for a client with an NG
tube. What is the 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
Rationale: Verifying NG tube placement is the highest priority before any
enteral feeding to prevent aspiration pneumonia. This is a critical safety step
that must be confirmed before any feeding is administered.
QUESTION 5
A nurse is talking with a client about ways to promote sleep and rest.
Which recommendations should the nurse include? (Select all that
apply.)
A) Practice muscle relaxation techniques
B) Exercise each morning
C) Take an afternoon nap
D) Alter the sleep environment for comfort
E) Limit fluid intake at least 2 hours before bedtime
Rationale: Muscle relaxation, morning exercise (which promotes sleep), a
comfortable environment, and limiting fluids before bed are all effective sleep
hygiene practices. Afternoon naps may disrupt nighttime sleep patterns.
QUESTION 6
The nurse needs to evaluate a patient's intake for the last 8 hours. For
breakfast, the patient had two cups of coffee and 4 oz of orange juice;
for lunch: 8 oz of iced tea, a cup of ice chips, and 1 cup chicken broth.
The patient also has fluids running at 20 ml/hr of normal saline. Urine
, output for the 8-hour shift was 800 ml. What should the nurse record
as the net intake in mL?
A) 480 ml
B) 520 ml
C) 560 ml
D) 640 ml
Rationale: Total intake includes: 16 oz coffee (480 ml), 4 oz juice (120 ml), 8
oz tea (240 ml), ice chips (120 ml, measured as half of volume), and 8 oz
broth (240 ml) for a total oral intake of 1200 ml. IV fluids provide 160 ml (20
ml/hr × 8 hrs). Total intake is 1360 ml. Net intake = 1360 ml - 800 ml urine
output = 560 ml.
QUESTION 7
What is the correct order for performing a gastrointestinal
assessment?
A) Inspection, palpation, percussion, auscultation
B) Inspection, auscultation, percussion, palpation
C) Palpation, percussion, auscultation, inspection
D) Auscultation, inspection, percussion, palpation
Rationale: The correct order is inspection, auscultation, percussion,
palpation. Palpation is performed last to avoid altering bowel sounds. This
sequence ensures accurate assessment findings.
QUESTION 8
How many minutes should the nurse listen for bowel sounds before
documenting them as absent?
