CJE READINESS II EXAM
COMPREHENSIVE STUDY GUIDE:
HIGH-YIELD QUESTIONS AND
ANSWERS WITH DETAILED
RATIONALES FOR CLINICAL
JUDGMENT SUCCESS
Fundamentals & Safety
1. A patient is short of breath. What is the priority?
A. Take blood pressure
B. Apply oxygen
C. Document findings
D. Call family
Answer: B
Rationale: Airway/breathing always comes first .
2. Which patient is highest priority?
A. Stable diabetic
B. Post-op client with pain
C. Client with chest pain
, D. Client awaiting discharge
Answer: C
Rationale: Chest pain may indicate MI → life-threatening .
3. What is the first action for a fall risk patient?
A. Raise side rails
B. Apply restraints
C. Ensure call light access
D. Give sedative
Answer: C
Rationale: Safety first = prevent fall proactively .
4. WBC 15,000 indicates:
A. Normal
B. Infection
C. Anemia
D. Hypoglycemia
Answer: B
Rationale: Elevated WBC = infection/inflammation .
5. Which sign is most urgent?
A. Mild headache
B. Blood pressure 88/60
C. Dry skin
D. Slight fatigue
Answer: B
Rationale: Hypotension = shock risk .
6. First response to choking patient?
, A. Call doctor
B. Heimlich maneuver
C. Give water
D. Position supine
Answer: B
Rationale: Airway obstruction emergency .
7. Which is infection sign?
A. Bradycardia
B. Fever
C. Hypothermia only
D. Dry mouth
Answer: B
Rationale: Fever is a classic sign of infection .
8. Priority nursing action after surgery?
A. Pain control
B. Airway monitoring
C. Diet teaching
D. Discharge planning
Answer: B
Rationale: ABCs first—airway monitoring is priority post-op .
9. What indicates hypoxia?
A. Pink skin
B. Confusion
C. Warm skin
D. Normal speech
Answer: B
Rationale: Confusion indicates decreased oxygen to brain .
, 10. Most reliable indicator of pain?
A. Blood pressure
B. Patient report
C. Heart rate
D. Facial expression
Answer: B
Rationale: Patient self-report is the most reliable pain indicator .
Pharmacology
11. Insulin administration priority?
A. Check temperature
B. Check blood sugar
C. Give juice after all insulin
D. Massage site
Answer: B
Rationale: Always verify blood glucose before administering insulin .
12. Beta blockers primarily affect:
A. Blood glucose
B. Heart rate and blood pressure
C. Kidney function
D. Liver enzymes
Answer: B
Rationale: Beta blockers decrease heart rate and blood pressure .
13. Digoxin toxicity sign:
COMPREHENSIVE STUDY GUIDE:
HIGH-YIELD QUESTIONS AND
ANSWERS WITH DETAILED
RATIONALES FOR CLINICAL
JUDGMENT SUCCESS
Fundamentals & Safety
1. A patient is short of breath. What is the priority?
A. Take blood pressure
B. Apply oxygen
C. Document findings
D. Call family
Answer: B
Rationale: Airway/breathing always comes first .
2. Which patient is highest priority?
A. Stable diabetic
B. Post-op client with pain
C. Client with chest pain
, D. Client awaiting discharge
Answer: C
Rationale: Chest pain may indicate MI → life-threatening .
3. What is the first action for a fall risk patient?
A. Raise side rails
B. Apply restraints
C. Ensure call light access
D. Give sedative
Answer: C
Rationale: Safety first = prevent fall proactively .
4. WBC 15,000 indicates:
A. Normal
B. Infection
C. Anemia
D. Hypoglycemia
Answer: B
Rationale: Elevated WBC = infection/inflammation .
5. Which sign is most urgent?
A. Mild headache
B. Blood pressure 88/60
C. Dry skin
D. Slight fatigue
Answer: B
Rationale: Hypotension = shock risk .
6. First response to choking patient?
, A. Call doctor
B. Heimlich maneuver
C. Give water
D. Position supine
Answer: B
Rationale: Airway obstruction emergency .
7. Which is infection sign?
A. Bradycardia
B. Fever
C. Hypothermia only
D. Dry mouth
Answer: B
Rationale: Fever is a classic sign of infection .
8. Priority nursing action after surgery?
A. Pain control
B. Airway monitoring
C. Diet teaching
D. Discharge planning
Answer: B
Rationale: ABCs first—airway monitoring is priority post-op .
9. What indicates hypoxia?
A. Pink skin
B. Confusion
C. Warm skin
D. Normal speech
Answer: B
Rationale: Confusion indicates decreased oxygen to brain .
, 10. Most reliable indicator of pain?
A. Blood pressure
B. Patient report
C. Heart rate
D. Facial expression
Answer: B
Rationale: Patient self-report is the most reliable pain indicator .
Pharmacology
11. Insulin administration priority?
A. Check temperature
B. Check blood sugar
C. Give juice after all insulin
D. Massage site
Answer: B
Rationale: Always verify blood glucose before administering insulin .
12. Beta blockers primarily affect:
A. Blood glucose
B. Heart rate and blood pressure
C. Kidney function
D. Liver enzymes
Answer: B
Rationale: Beta blockers decrease heart rate and blood pressure .
13. Digoxin toxicity sign:
