CJE MED SURG II BENCHMARK EXAM 2026/2027 | VERIFIED PRACTICE QUESTIONS AND ANSWERS
ALREADY GRADED A+| 100% VERIFIED SOLUTIONS………...
Core Domains:
Advanced Cardiovascular Nursing
Complex Respiratory Disorders
Neurological and Neurosurgical Nursing
Renal and Genitourinary Disorders
Endocrine and Metabolic Conditions
Gastrointestinal and Hepatic Disorders
Hematological and Oncological Emergencies
Critical Care and Shock States
Perioperative and Post-Operative Care
Pain Management and Palliative Care
Introduction:
This comprehensive benchmark examination is designed to assess advanced medical-surgical nursing knowledge
and clinical reasoning for the CJE Med Surg II course. It evaluates proficiency in managing complex cardiovascular,
respiratory, neurological, renal, endocrine, and critical care conditions. The exam employs multiple-choice and
scenario-based questions that challenge students to synthesize patient data, prioritize interventions, and apply
evidence-based practice. Emphasis is placed on real-world clinical decision-making, patient safety, and the
,integration of pathophysiology with nursing management necessary for competent and compassionate care of
acutely ill patients.
Section One: Questions 1–100
1. A patient with heart failure is receiving furosemide (Lasix) IV. Which assessment finding indicates the
medication is having the desired therapeutic effect?
A. Increased heart rate.
B. Decreased blood pressure.
C. Increased urine output.
D. Decreased respiratory rate.
🟢 C. Increased urine output.
🔴 RATIONALE: Furosemide is a loop diuretic used to reduce fluid volume overload in heart failure. The desired
therapeutic effect is increased urine output, which reduces preload, decreases pulmonary congestion, and
alleviates symptoms such as dyspnea. Decreased blood pressure is a side effect, not the therapeutic goal.
2. A patient with chronic obstructive pulmonary disease (COPD) has a prescription for oxygen at 2 L/min via
nasal cannula. The nurse notes that the patient's respiratory rate has decreased to 8 breaths/min. What is the
priority nursing action?
,A. Increase the oxygen to 4 L/min.
B. Assess the patient's level of consciousness.
C. Place the patient in high-Fowler's position.
D. Notify the healthcare provider immediately.
🟢 B. Assess the patient's level of consciousness.
🔴 RATIONALE: A decreased respiratory rate in a patient with COPD may indicate loss of the hypoxic drive,
leading to carbon dioxide retention and respiratory depression. The priority is to assess the patient's level of
consciousness and arterial blood gases to evaluate for hypercapnia. Increasing oxygen could worsen the
situation. Notifying the provider and positioning are important but should follow assessment.
3. A patient is admitted with a diagnosis of acute pancreatitis. Which laboratory finding is most consistent
with this diagnosis?
A. Elevated serum amylase and lipase.
B. Decreased serum glucose.
C. Elevated serum potassium.
D. Decreased serum calcium.
🟢 A. Elevated serum amylase and lipase.
🔴 RATIONALE: Acute pancreatitis is characterized by elevated serum amylase and lipase, which are enzymes
released from inflamed pancreatic cells. These levels are typically 3-5 times above normal. Decreased serum
calcium may occur but is less specific. Glucose and potassium are not diagnostic markers.
, 4. The nurse is caring for a patient with a newly placed chest tube for a pneumothorax. The nurse notes
continuous bubbling in the water-seal chamber. What is the most appropriate nursing action?
A. Clamp the chest tube immediately.
B. Reposition the patient to facilitate drainage.
C. Assess the system for an air leak.
D. Increase the suction pressure.
🟢 C. Assess the system for an air leak.
🔴 RATIONALE: Continuous bubbling in the water-seal chamber indicates an air leak in the system. The nurse
should assess the system to locate the source (e.g., at the insertion site, connections). Clamping the tube is
dangerous and could cause a tension pneumothorax. Increasing suction or repositioning does not address the
air leak.
5. A patient with diabetes mellitus is scheduled for surgery. Which intervention is most important to prevent
postoperative complications?
A. Administer insulin as prescribed to maintain blood glucose control.
B. Restrict fluids to prevent fluid overload.
C. Encourage ambulation immediately after surgery.
D. Discontinue the patient's oral hypoglycemic agents.
ALREADY GRADED A+| 100% VERIFIED SOLUTIONS………...
Core Domains:
Advanced Cardiovascular Nursing
Complex Respiratory Disorders
Neurological and Neurosurgical Nursing
Renal and Genitourinary Disorders
Endocrine and Metabolic Conditions
Gastrointestinal and Hepatic Disorders
Hematological and Oncological Emergencies
Critical Care and Shock States
Perioperative and Post-Operative Care
Pain Management and Palliative Care
Introduction:
This comprehensive benchmark examination is designed to assess advanced medical-surgical nursing knowledge
and clinical reasoning for the CJE Med Surg II course. It evaluates proficiency in managing complex cardiovascular,
respiratory, neurological, renal, endocrine, and critical care conditions. The exam employs multiple-choice and
scenario-based questions that challenge students to synthesize patient data, prioritize interventions, and apply
evidence-based practice. Emphasis is placed on real-world clinical decision-making, patient safety, and the
,integration of pathophysiology with nursing management necessary for competent and compassionate care of
acutely ill patients.
Section One: Questions 1–100
1. A patient with heart failure is receiving furosemide (Lasix) IV. Which assessment finding indicates the
medication is having the desired therapeutic effect?
A. Increased heart rate.
B. Decreased blood pressure.
C. Increased urine output.
D. Decreased respiratory rate.
🟢 C. Increased urine output.
🔴 RATIONALE: Furosemide is a loop diuretic used to reduce fluid volume overload in heart failure. The desired
therapeutic effect is increased urine output, which reduces preload, decreases pulmonary congestion, and
alleviates symptoms such as dyspnea. Decreased blood pressure is a side effect, not the therapeutic goal.
2. A patient with chronic obstructive pulmonary disease (COPD) has a prescription for oxygen at 2 L/min via
nasal cannula. The nurse notes that the patient's respiratory rate has decreased to 8 breaths/min. What is the
priority nursing action?
,A. Increase the oxygen to 4 L/min.
B. Assess the patient's level of consciousness.
C. Place the patient in high-Fowler's position.
D. Notify the healthcare provider immediately.
🟢 B. Assess the patient's level of consciousness.
🔴 RATIONALE: A decreased respiratory rate in a patient with COPD may indicate loss of the hypoxic drive,
leading to carbon dioxide retention and respiratory depression. The priority is to assess the patient's level of
consciousness and arterial blood gases to evaluate for hypercapnia. Increasing oxygen could worsen the
situation. Notifying the provider and positioning are important but should follow assessment.
3. A patient is admitted with a diagnosis of acute pancreatitis. Which laboratory finding is most consistent
with this diagnosis?
A. Elevated serum amylase and lipase.
B. Decreased serum glucose.
C. Elevated serum potassium.
D. Decreased serum calcium.
🟢 A. Elevated serum amylase and lipase.
🔴 RATIONALE: Acute pancreatitis is characterized by elevated serum amylase and lipase, which are enzymes
released from inflamed pancreatic cells. These levels are typically 3-5 times above normal. Decreased serum
calcium may occur but is less specific. Glucose and potassium are not diagnostic markers.
, 4. The nurse is caring for a patient with a newly placed chest tube for a pneumothorax. The nurse notes
continuous bubbling in the water-seal chamber. What is the most appropriate nursing action?
A. Clamp the chest tube immediately.
B. Reposition the patient to facilitate drainage.
C. Assess the system for an air leak.
D. Increase the suction pressure.
🟢 C. Assess the system for an air leak.
🔴 RATIONALE: Continuous bubbling in the water-seal chamber indicates an air leak in the system. The nurse
should assess the system to locate the source (e.g., at the insertion site, connections). Clamping the tube is
dangerous and could cause a tension pneumothorax. Increasing suction or repositioning does not address the
air leak.
5. A patient with diabetes mellitus is scheduled for surgery. Which intervention is most important to prevent
postoperative complications?
A. Administer insulin as prescribed to maintain blood glucose control.
B. Restrict fluids to prevent fluid overload.
C. Encourage ambulation immediately after surgery.
D. Discontinue the patient's oral hypoglycemic agents.
