CLINICAL JUDGMENT (CJE) BENCHMARK
EXAM #1 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
100% GUARANTEED PASS!!
<LATEST VERSION>
Question 1
A patient with active tuberculosis is prescribed isoniazid. Which adverse effect
requires immediate provider notification?
A. Mild nausea
B. Tingling in hands
C. Yellowing of the eyes
D. Increased appetite
Correct Answer: C
Rationale: Jaundice indicates hepatotoxicity, a serious adverse effect of isoniazid.
Question 2
Which vitamin is routinely prescribed with isoniazid to prevent complications?
A. Vitamin C
B. Vitamin D
C. Vitamin B6
D. Vitamin K
,Correct Answer: C
Rationale: Vitamin B6 (pyridoxine) prevents peripheral neuropathy.
Question 3
An older adult is 24 hours postoperative following hip surgery. Which finding is
the highest priority?
A. Mild pain at incision
B. Urinary retention
C. New-onset confusion
D. Decreased appetite
Correct Answer: C
Rationale: Acute confusion may indicate delirium, hypoxia, or infection.
Question 4
Which postoperative complication is older adults at greatest risk for?
A. Hypertension
B. Delirium
C. Hyperglycemia
D. Dehydration
Correct Answer: B
Rationale: Age-related changes increase delirium risk postoperatively.
Question 5
Which patient is at highest risk for developing type 2 diabetes?
A. Young adult with normal BMI
B. Older adult with sedentary lifestyle
C. Adolescent athlete
D. Adult with seasonal allergies
,Correct Answer: B
Rationale: Age, inactivity, and lifestyle are major diabetes risk factors.
Question 6
Which assessment finding is most consistent with Parkinson’s disease?
A. Hyperreflexia
B. Resting tremor
C. Sudden muscle weakness
D. Loss of sensation
Correct Answer: B
Rationale: Resting tremor is a hallmark of Parkinson’s disease.
Question 7
Which nursing intervention best promotes safety for a patient with Parkinson’s
disease?
A. Encourage rapid movements
B. Provide clutter-free environment
C. Limit fluid intake
D. Maintain bed rest
Correct Answer: B
Rationale: Removing hazards reduces fall risk.
Question 8
A patient with hypertension asks why lifestyle changes matter if medication is
prescribed. What is the best response?
A. “Medication works better alone.”
B. “Lifestyle changes reduce cardiovascular risk.”
C. “Exercise replaces medication.”
D. “Diet has little effect.”
, Correct Answer: B
Rationale: Lifestyle modifications enhance blood pressure control and reduce risk.
Question 9
Which instruction is most important for a patient starting antihypertensive therapy?
A. Rise slowly from sitting
B. Increase sodium intake
C. Skip doses if dizzy
D. Take medication only when BP is high
Correct Answer: A
Rationale: Orthostatic hypotension is common early in therapy.
Question 10
A patient with schizophrenia states, “The TV is talking to me.” What is the nurse’s
best response?
A. “That’s not real.”
B. “Why do you think that?”
C. “I don’t hear that, but I know it feels real to you.”
D. “You should ignore it.”
Correct Answer: C
Rationale: Therapeutic communication acknowledges feelings without reinforcing
delusions.
Question 11
Which statement indicates effective therapeutic communication with a patient
experiencing hallucinations?
A. “Stop thinking about it.”
B. “The voices aren’t real.”
EXAM #1 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
100% GUARANTEED PASS!!
<LATEST VERSION>
Question 1
A patient with active tuberculosis is prescribed isoniazid. Which adverse effect
requires immediate provider notification?
A. Mild nausea
B. Tingling in hands
C. Yellowing of the eyes
D. Increased appetite
Correct Answer: C
Rationale: Jaundice indicates hepatotoxicity, a serious adverse effect of isoniazid.
Question 2
Which vitamin is routinely prescribed with isoniazid to prevent complications?
A. Vitamin C
B. Vitamin D
C. Vitamin B6
D. Vitamin K
,Correct Answer: C
Rationale: Vitamin B6 (pyridoxine) prevents peripheral neuropathy.
Question 3
An older adult is 24 hours postoperative following hip surgery. Which finding is
the highest priority?
A. Mild pain at incision
B. Urinary retention
C. New-onset confusion
D. Decreased appetite
Correct Answer: C
Rationale: Acute confusion may indicate delirium, hypoxia, or infection.
Question 4
Which postoperative complication is older adults at greatest risk for?
A. Hypertension
B. Delirium
C. Hyperglycemia
D. Dehydration
Correct Answer: B
Rationale: Age-related changes increase delirium risk postoperatively.
Question 5
Which patient is at highest risk for developing type 2 diabetes?
A. Young adult with normal BMI
B. Older adult with sedentary lifestyle
C. Adolescent athlete
D. Adult with seasonal allergies
,Correct Answer: B
Rationale: Age, inactivity, and lifestyle are major diabetes risk factors.
Question 6
Which assessment finding is most consistent with Parkinson’s disease?
A. Hyperreflexia
B. Resting tremor
C. Sudden muscle weakness
D. Loss of sensation
Correct Answer: B
Rationale: Resting tremor is a hallmark of Parkinson’s disease.
Question 7
Which nursing intervention best promotes safety for a patient with Parkinson’s
disease?
A. Encourage rapid movements
B. Provide clutter-free environment
C. Limit fluid intake
D. Maintain bed rest
Correct Answer: B
Rationale: Removing hazards reduces fall risk.
Question 8
A patient with hypertension asks why lifestyle changes matter if medication is
prescribed. What is the best response?
A. “Medication works better alone.”
B. “Lifestyle changes reduce cardiovascular risk.”
C. “Exercise replaces medication.”
D. “Diet has little effect.”
, Correct Answer: B
Rationale: Lifestyle modifications enhance blood pressure control and reduce risk.
Question 9
Which instruction is most important for a patient starting antihypertensive therapy?
A. Rise slowly from sitting
B. Increase sodium intake
C. Skip doses if dizzy
D. Take medication only when BP is high
Correct Answer: A
Rationale: Orthostatic hypotension is common early in therapy.
Question 10
A patient with schizophrenia states, “The TV is talking to me.” What is the nurse’s
best response?
A. “That’s not real.”
B. “Why do you think that?”
C. “I don’t hear that, but I know it feels real to you.”
D. “You should ignore it.”
Correct Answer: C
Rationale: Therapeutic communication acknowledges feelings without reinforcing
delusions.
Question 11
Which statement indicates effective therapeutic communication with a patient
experiencing hallucinations?
A. “Stop thinking about it.”
B. “The voices aren’t real.”
