Readiness CJE Exam Questions and Correct
Answers with Rationales
Question 1
The nurse manager is conducting an in-service education session on catheter-
associated urinary tract infections (CAUTI). Which instructions will the nurse provide
to the staff? Select all that apply.
Correct Answer
Empty the collection bag every 8 hours
Question 2
The charge nurse of a medical-surgical unit is planning assignments for the shift.
Which task can safely be assigned to the LPN/LVN?
Correct Answer
Administering enoxaparin to a client who just returned from PACU after an ORIF.
Page 1 of 171
,Question 3
White blood cell count (WBC)
4,000 - 10,000 mm3 :12.000
Hemoglobin (Hgb)
12 - 17 g/dL :17
Arterial Blood Gases
pH
7.35-7.45 : 7.21
pCO2
35-45 mmHg: 75
p02
80-100 mmHg: 55
p02
НСO3 80-100 mmHg :55
22-26 mEg/L: 32
The nurse reviews additional laboratory results.
Which pharmacological treatments does the nurse anticipate the provider may order
for the client's acute condition? Select all that apply.
Correct Answer
-Intravenous glucocorticoids
-Nebulized bronchodilator
-Intravenous antibiotics
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,Question 4
4/11
2000
Client admitted to the orthopedic unit with a fracture and soft tissue injury to the left
lower extremity, sustained in an accident on a construction site where the client
works. An external fixator is in place on the affected extremity. Pin sites are clean
without signs or symptoms of infection. Neurovascular assessment completed. Client
able to wiggle toes, toes warm to touch, no report of numbness, and pedal pulses
present.
2215
Client reports pain of 8/10 to affected extremity. Oxycodone 10 mg administered
orally as prescribed.
2300
Client states pain has decreased to 4/10 and is tolerable.4/12
0815
Client reports pain of 10/10 to affected extremity. Oxycodone 10 mg administered
orally.
0945
Client states pain has decreased some to 8/10. Pin site care performed. No signs and
symptoms of infection or loose pins noted.
1140
Client reports stabbing pain to affected extremity of 10/10. Client states, "This
Correct Answer
A call to the health care provider
Question 1: A client with pneumonia is being treated with levofloxacin and
takes antacids daily for heartburn. After 5 days of taking the antibiotic, the
client's pneumonia is not resolving. What is an appropriate nursing action?*
A. Increase the levofloxacin dosage to overcome the antacid effect. B. Recommend
that the health care provider stop the antacid. C. Instruct the client to take antacids
simultaneously with levofloxacin. D. Switch levofloxacin to oral amoxicillin without
changing antacids.
CORRECT ANSWER: B. Recommend that the health care provider stop the antacid.
Rationale: Antacids containing aluminum, magnesium, or calcium bind to
fluoroquinolones like levofloxacin, forming insoluble chelate complexes that
significantly decrease antibiotic absorption and therapeutic efficacy. The nurse
should recommend discontinuing or re-timing antacids.
Question 2: A 5-year-old child weighing 44 pounds is admitted with severe
dehydration. Lactated Ringer's solution 22 mL/kg is prescribed as an
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, intravenous bolus over 20 minutes. How many total milliliters (mL) should the
child receive?*
A. 220 mL B. 330 mL C. 440 mL D. 880 mL
CORRECT ANSWER: C. 440 mL
Rationale: First convert weight from pounds to kilograms: 44 lbs ÷ 2.2 = 20 kg. Then
multiply by the prescribed volume per kilogram: 20 kg × 22 mL/kg = 440 mL.
Question 3: An unlicensed assistive personnel (UAP) reports that a client with
urinary incontinence is "grumpy" and refuses a bath, stating, "I need more
sleep. I don't want a bath now." What is the most appropriate response by the
nurse?*
A. "You must take a bath now because you are incontinent and at risk for skin
breakdown." B. "It's 9 AM now. Sleep until 10:30 AM, and we'll come back to do
your bath then, agreed?" C. "I will inform the doctor that you are refusing essential
personal hygiene care." D. "We will cancel your bath for today and try again
tomorrow morning."
CORRECT ANSWER: B. "It's 9 AM now. Sleep until 10:30 AM, and we'll come back to do
your bath then, agreed?"
Rationale: Negotiating a specific, reasonable delayed time respects client autonomy
and sleep needs while ensuring hygiene needs are met later in the shift to prevent
skin breakdown.
Question 4: A client at 32 weeks gestation arrives at the triage unit reporting
sudden dark vaginal bleeding. Upon palpation, the nurse notes that the
abdomen feels rigid and board-like with severe uterine tenderness. What
condition should the nurse suspect?*
A. Placenta previa B. Abruptio placentae C. Cervical insufficiency D. Premature
rupture of membranes
CORRECT ANSWER: B. Abruptio placentae
Rationale: Abruptio placentae involves premature separation of the placenta from
the uterine wall, classically presenting with dark red vaginal bleeding, constant
severe abdominal pain, and a rigid, board-like abdomen.
Question 5: A registered nurse is assigning tasks to an unlicensed assistive
personnel (UAP). Which task is most appropriate to assign to the UAP?*
A. Evaluating the client's response to pain medication B. Teaching a client how to
use an incentive spirometer C. Repositioning a client in bed who has an external
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Answers with Rationales
Question 1
The nurse manager is conducting an in-service education session on catheter-
associated urinary tract infections (CAUTI). Which instructions will the nurse provide
to the staff? Select all that apply.
Correct Answer
Empty the collection bag every 8 hours
Question 2
The charge nurse of a medical-surgical unit is planning assignments for the shift.
Which task can safely be assigned to the LPN/LVN?
Correct Answer
Administering enoxaparin to a client who just returned from PACU after an ORIF.
Page 1 of 171
,Question 3
White blood cell count (WBC)
4,000 - 10,000 mm3 :12.000
Hemoglobin (Hgb)
12 - 17 g/dL :17
Arterial Blood Gases
pH
7.35-7.45 : 7.21
pCO2
35-45 mmHg: 75
p02
80-100 mmHg: 55
p02
НСO3 80-100 mmHg :55
22-26 mEg/L: 32
The nurse reviews additional laboratory results.
Which pharmacological treatments does the nurse anticipate the provider may order
for the client's acute condition? Select all that apply.
Correct Answer
-Intravenous glucocorticoids
-Nebulized bronchodilator
-Intravenous antibiotics
Page 2 of 171
,Question 4
4/11
2000
Client admitted to the orthopedic unit with a fracture and soft tissue injury to the left
lower extremity, sustained in an accident on a construction site where the client
works. An external fixator is in place on the affected extremity. Pin sites are clean
without signs or symptoms of infection. Neurovascular assessment completed. Client
able to wiggle toes, toes warm to touch, no report of numbness, and pedal pulses
present.
2215
Client reports pain of 8/10 to affected extremity. Oxycodone 10 mg administered
orally as prescribed.
2300
Client states pain has decreased to 4/10 and is tolerable.4/12
0815
Client reports pain of 10/10 to affected extremity. Oxycodone 10 mg administered
orally.
0945
Client states pain has decreased some to 8/10. Pin site care performed. No signs and
symptoms of infection or loose pins noted.
1140
Client reports stabbing pain to affected extremity of 10/10. Client states, "This
Correct Answer
A call to the health care provider
Question 1: A client with pneumonia is being treated with levofloxacin and
takes antacids daily for heartburn. After 5 days of taking the antibiotic, the
client's pneumonia is not resolving. What is an appropriate nursing action?*
A. Increase the levofloxacin dosage to overcome the antacid effect. B. Recommend
that the health care provider stop the antacid. C. Instruct the client to take antacids
simultaneously with levofloxacin. D. Switch levofloxacin to oral amoxicillin without
changing antacids.
CORRECT ANSWER: B. Recommend that the health care provider stop the antacid.
Rationale: Antacids containing aluminum, magnesium, or calcium bind to
fluoroquinolones like levofloxacin, forming insoluble chelate complexes that
significantly decrease antibiotic absorption and therapeutic efficacy. The nurse
should recommend discontinuing or re-timing antacids.
Question 2: A 5-year-old child weighing 44 pounds is admitted with severe
dehydration. Lactated Ringer's solution 22 mL/kg is prescribed as an
Page 3 of 171
, intravenous bolus over 20 minutes. How many total milliliters (mL) should the
child receive?*
A. 220 mL B. 330 mL C. 440 mL D. 880 mL
CORRECT ANSWER: C. 440 mL
Rationale: First convert weight from pounds to kilograms: 44 lbs ÷ 2.2 = 20 kg. Then
multiply by the prescribed volume per kilogram: 20 kg × 22 mL/kg = 440 mL.
Question 3: An unlicensed assistive personnel (UAP) reports that a client with
urinary incontinence is "grumpy" and refuses a bath, stating, "I need more
sleep. I don't want a bath now." What is the most appropriate response by the
nurse?*
A. "You must take a bath now because you are incontinent and at risk for skin
breakdown." B. "It's 9 AM now. Sleep until 10:30 AM, and we'll come back to do
your bath then, agreed?" C. "I will inform the doctor that you are refusing essential
personal hygiene care." D. "We will cancel your bath for today and try again
tomorrow morning."
CORRECT ANSWER: B. "It's 9 AM now. Sleep until 10:30 AM, and we'll come back to do
your bath then, agreed?"
Rationale: Negotiating a specific, reasonable delayed time respects client autonomy
and sleep needs while ensuring hygiene needs are met later in the shift to prevent
skin breakdown.
Question 4: A client at 32 weeks gestation arrives at the triage unit reporting
sudden dark vaginal bleeding. Upon palpation, the nurse notes that the
abdomen feels rigid and board-like with severe uterine tenderness. What
condition should the nurse suspect?*
A. Placenta previa B. Abruptio placentae C. Cervical insufficiency D. Premature
rupture of membranes
CORRECT ANSWER: B. Abruptio placentae
Rationale: Abruptio placentae involves premature separation of the placenta from
the uterine wall, classically presenting with dark red vaginal bleeding, constant
severe abdominal pain, and a rigid, board-like abdomen.
Question 5: A registered nurse is assigning tasks to an unlicensed assistive
personnel (UAP). Which task is most appropriate to assign to the UAP?*
A. Evaluating the client's response to pain medication B. Teaching a client how to
use an incentive spirometer C. Repositioning a client in bed who has an external
Page 4 of 171
