CJE MED SURG II BENCHMARK EXAM
NEWEST 2026/ 2027 ACTUAL EXAM TEST
BANK| CJE MED-SURG 2 EXAM REVIEW
EXAM QUESTIONS AND CORRECT 100%
VERIFIED ANSWERS WITH RATIONALES/
GUARANTEED PASS (GRADED A+)
(MOST RECENT!!)
1. A client with heart failure suddenly develops severe dyspnea,
crackles throughout both lungs, and pink, frothy sputum. Which
intervention should the nurse perform first?
A. Encourage oral fluids
B. Place the client in high-Fowler’s position
C. Administer a prescribed sedative
D. Place the client in Trendelenburg position
Answer: _B. Place the client in high-Fowler’s position**_
Rationale: High-Fowler’s positioning decreases venous return
and improves lung expansion, helping relieve acute pulmonary
congestion and improve oxygenation.
,2. A client with COPD is receiving oxygen therapy. Which
oxygen saturation would the nurse recognize as an expected
target for many clients with chronic CO₂ retention?
A. 100%
B. 98–100%
C. 88–92%
D. 70–75%
Answer: _C. 88–92%**_
Rationale: Many clients with COPD who are at risk for
hypercapnic respiratory failure are titrated to an oxygen
saturation around 88–92%, while monitoring clinical status and
blood gases.
3. A client develops crushing substernal chest pain accompanied
by diaphoresis and nausea. Which action has the highest
priority?
A. Obtain a 12-lead ECG
B. Encourage ambulation
C. Provide a high-fat meal
D. Place the client flat in bed
Answer: _A. Obtain a 12-lead ECG**_
Rationale: A 12-lead ECG should be obtained promptly when
acute coronary syndrome is suspected because it helps identify
myocardial ischemia or infarction and guides urgent treatment.
,4. A client receiving a continuous heparin infusion has an aPTT
significantly above the therapeutic range. What should the nurse
anticipate?
A. Increasing the infusion rate
B. Holding or reducing the infusion according to protocol
C. Administering vitamin K
D. Administering aspirin immediately
Answer: _B. Holding or reducing the infusion according to
protocol**_
Rationale: An excessively prolonged aPTT indicates increased
anticoagulant effect and bleeding risk. The heparin infusion is
adjusted or temporarily held according to the institution’s
protocol.
5. A client with atrial fibrillation is prescribed an anticoagulant.
What is the primary purpose of anticoagulation?
A. Increase ventricular contractility
B. Prevent thromboembolic stroke
C. Correct hypokalemia
D. Restore sinus rhythm immediately
Answer: _B. Prevent thromboembolic stroke**_
Rationale: Atrial fibrillation promotes blood stasis in the atria,
increasing thrombus formation and embolic stroke risk.
Anticoagulation reduces this risk.
, 6. A client with suspected pulmonary embolism suddenly
develops dyspnea, tachycardia, and pleuritic chest pain. Which
action should the nurse take first?
A. Encourage oral fluids
B. Apply oxygen
C. Place the client in a prone position
D. Encourage vigorous coughing
Answer: _B. Apply oxygen**_
Rationale: Acute hypoxemia is a priority in suspected
pulmonary embolism. Oxygen should be administered while
emergency evaluation and treatment are initiated.
7. A client with ARDS remains severely hypoxemic despite
supplemental oxygen. Which intervention does the nurse
anticipate?
A. Mechanical ventilation with PEEP
B. Immediate oral hydration
C. Restricting all oxygen therapy
D. Ambulation every hour
Answer: _A. Mechanical ventilation with PEEP**_
Rationale: Severe ARDS can require mechanical ventilation
with positive end-expiratory pressure to improve alveolar
recruitment and oxygenation.
NEWEST 2026/ 2027 ACTUAL EXAM TEST
BANK| CJE MED-SURG 2 EXAM REVIEW
EXAM QUESTIONS AND CORRECT 100%
VERIFIED ANSWERS WITH RATIONALES/
GUARANTEED PASS (GRADED A+)
(MOST RECENT!!)
1. A client with heart failure suddenly develops severe dyspnea,
crackles throughout both lungs, and pink, frothy sputum. Which
intervention should the nurse perform first?
A. Encourage oral fluids
B. Place the client in high-Fowler’s position
C. Administer a prescribed sedative
D. Place the client in Trendelenburg position
Answer: _B. Place the client in high-Fowler’s position**_
Rationale: High-Fowler’s positioning decreases venous return
and improves lung expansion, helping relieve acute pulmonary
congestion and improve oxygenation.
,2. A client with COPD is receiving oxygen therapy. Which
oxygen saturation would the nurse recognize as an expected
target for many clients with chronic CO₂ retention?
A. 100%
B. 98–100%
C. 88–92%
D. 70–75%
Answer: _C. 88–92%**_
Rationale: Many clients with COPD who are at risk for
hypercapnic respiratory failure are titrated to an oxygen
saturation around 88–92%, while monitoring clinical status and
blood gases.
3. A client develops crushing substernal chest pain accompanied
by diaphoresis and nausea. Which action has the highest
priority?
A. Obtain a 12-lead ECG
B. Encourage ambulation
C. Provide a high-fat meal
D. Place the client flat in bed
Answer: _A. Obtain a 12-lead ECG**_
Rationale: A 12-lead ECG should be obtained promptly when
acute coronary syndrome is suspected because it helps identify
myocardial ischemia or infarction and guides urgent treatment.
,4. A client receiving a continuous heparin infusion has an aPTT
significantly above the therapeutic range. What should the nurse
anticipate?
A. Increasing the infusion rate
B. Holding or reducing the infusion according to protocol
C. Administering vitamin K
D. Administering aspirin immediately
Answer: _B. Holding or reducing the infusion according to
protocol**_
Rationale: An excessively prolonged aPTT indicates increased
anticoagulant effect and bleeding risk. The heparin infusion is
adjusted or temporarily held according to the institution’s
protocol.
5. A client with atrial fibrillation is prescribed an anticoagulant.
What is the primary purpose of anticoagulation?
A. Increase ventricular contractility
B. Prevent thromboembolic stroke
C. Correct hypokalemia
D. Restore sinus rhythm immediately
Answer: _B. Prevent thromboembolic stroke**_
Rationale: Atrial fibrillation promotes blood stasis in the atria,
increasing thrombus formation and embolic stroke risk.
Anticoagulation reduces this risk.
, 6. A client with suspected pulmonary embolism suddenly
develops dyspnea, tachycardia, and pleuritic chest pain. Which
action should the nurse take first?
A. Encourage oral fluids
B. Apply oxygen
C. Place the client in a prone position
D. Encourage vigorous coughing
Answer: _B. Apply oxygen**_
Rationale: Acute hypoxemia is a priority in suspected
pulmonary embolism. Oxygen should be administered while
emergency evaluation and treatment are initiated.
7. A client with ARDS remains severely hypoxemic despite
supplemental oxygen. Which intervention does the nurse
anticipate?
A. Mechanical ventilation with PEEP
B. Immediate oral hydration
C. Restricting all oxygen therapy
D. Ambulation every hour
Answer: _A. Mechanical ventilation with PEEP**_
Rationale: Severe ARDS can require mechanical ventilation
with positive end-expiratory pressure to improve alveolar
recruitment and oxygenation.
