CJE PRACTICE EXAM 1
The nurse is caring for a client with tuberculosis who is receiving isoniazid and rifampin for
tuberculosis. Which adverse effect should the nurse be most concerned with?
1
Blurred vision.
2
Yellowish sclera.
3
Nausea and vomiting.
4
Decreased urine output. - ANS-Yellowish sclera.
Possible side effect related to liver damage
What would the nurse expect to find in the care of an 80-year-old client who is experiencing a
complication after a right knee replacement? The patient is post-op day 1.
1
Dry cough
2
Acute confusion
3
Increased temperature
4
Purulent drainage from incision - ANS-Acute confusion
Dry cough - Vague sign
Acute confusion - Correct - sign of infection in an older adult
Increased temperature - Older adult may not exhibit normal signs of infection
Purulent drainage from incision - Older adult may not exhibit normal signs of infection
Which of these clients should the nurse consider at greatest risk for developing type 2 diabetes
mellitus?
1
48-year-old African-American male who is obese and father and mother have type 2 DM.
2
50-year-old male hemoglobin A1C of 5.5% during a routine physical examination.
3
A 30-year-old female who delivered a 9-pound baby.
,4
A 62-year-old male with an elevated triglyceride level. - ANS-48-year-old African-American male
who is obese and father and mother have type 2 DM.
The nurse is assessing a client with Parkinson's disease who has been admitted to the hospital
because of significant weight loss. Assessment data reveals a masklike facial expression and
slurred speech. A swallowing evaluation reveals some difficulty swallowing. The client's
daughter asks the nurse, "How am I supposed to feed him at home?" What is an appropriate
response by the nurse?
1
"He will be scheduled for surgery to have a feeding tube placed".
2
"It's best to feed him only three meals a day to reduce the chance of choking."
3
"Make sure he drinks all liquids through a straw and recline in chair while eating."
4
"You should add a thickener all liquids and make sure he sits upright while eating." - ANS-"You
should add a thickener all liquids and make sure he sits upright while eating."
The nurse is caring for a client who has been admitted to the psychiatric in-client unit with
schizophrenia. While talking with the nurse alone, the client suddenly stops midsentence, turns
to stare at the wall and states, "I told you I can't do that!" What is an appropriate response by
the nurse?
1
"I will talk to you later when you can pay attention."
2
"I will leave the room if you continue to not pay attention"
3
"Is your mother talking to you again? I wish she would leave you alone."
4
"It appears you are hearing voices again. Tell me what you are hearing." - ANS-"It appears you
are hearing voices again. Tell me what you are hearing."
The nurse is participating in the discharge plans for a client with hypertension. Which statement
by the client would cause concern?
1
"I am at risk for stroke or heart attack if my blood pressure is not controlled."
2
"I know that my blood pressure is high when my nose starts bleeding."
3
"I will take my blood pressure two times a day for at least 7 days."
, 4
"I will ask my spouse to start walking with me in the mornings." - ANS-"I know that my blood
pressure is high when my nose starts bleeding."
Correct - Hypertension is usually asymptomatic. A nose bleed can occur with high blood
pressure, but it can occur for many other reasons as well. It is quite common that the client's
blood pressure is high and the client experiences no symptoms. It is important to help clients
understand that they cannot rely on one particular symptom to tell if their pressure is elevated. It
would be very dangerous for clients to think their blood pressure is only high if they have a nose
bleed.
The nurse is reviewing the client's lab values who has respiratory alkalosis. Which results
should the nurse expect? Select all that apply
1
pH 7.50.
2
pH 7.30.
3
Carbon dioxide (CO2 ) 50.
4
CO2 28.
5
Oxygen saturation 85%.
6
Bicarbonate 25. - ANS-pH 7.50.
CO2 28.
pH 7.50. Correct - pH level is elevated with respiratory alkalosis
pH 7.30. A low pH can indicate respiratory acidosis
carbon dioxide (CO2 ) 50. A high CO2 can indicate respiratory acidosis
CO2 28. Correct - In respiratory alkalosis, the client is blowing off too much CO2 which leads to
a low level.
Oxygen saturation 85%. Oxygen levels are usually normal in respiratory alkalosis.
Bicarbonate 25. Bicarbonate levels are usually normal in respiratory alkalosis
A nurse is teaching a group of middle-aged men about stroke prevention. Which statement by a
client requires further teaching?
1
"I will start an exercise program to lose weight."
2
"I have to stop my daily trip to the donut shop for breakfast".
The nurse is caring for a client with tuberculosis who is receiving isoniazid and rifampin for
tuberculosis. Which adverse effect should the nurse be most concerned with?
1
Blurred vision.
2
Yellowish sclera.
3
Nausea and vomiting.
4
Decreased urine output. - ANS-Yellowish sclera.
Possible side effect related to liver damage
What would the nurse expect to find in the care of an 80-year-old client who is experiencing a
complication after a right knee replacement? The patient is post-op day 1.
1
Dry cough
2
Acute confusion
3
Increased temperature
4
Purulent drainage from incision - ANS-Acute confusion
Dry cough - Vague sign
Acute confusion - Correct - sign of infection in an older adult
Increased temperature - Older adult may not exhibit normal signs of infection
Purulent drainage from incision - Older adult may not exhibit normal signs of infection
Which of these clients should the nurse consider at greatest risk for developing type 2 diabetes
mellitus?
1
48-year-old African-American male who is obese and father and mother have type 2 DM.
2
50-year-old male hemoglobin A1C of 5.5% during a routine physical examination.
3
A 30-year-old female who delivered a 9-pound baby.
,4
A 62-year-old male with an elevated triglyceride level. - ANS-48-year-old African-American male
who is obese and father and mother have type 2 DM.
The nurse is assessing a client with Parkinson's disease who has been admitted to the hospital
because of significant weight loss. Assessment data reveals a masklike facial expression and
slurred speech. A swallowing evaluation reveals some difficulty swallowing. The client's
daughter asks the nurse, "How am I supposed to feed him at home?" What is an appropriate
response by the nurse?
1
"He will be scheduled for surgery to have a feeding tube placed".
2
"It's best to feed him only three meals a day to reduce the chance of choking."
3
"Make sure he drinks all liquids through a straw and recline in chair while eating."
4
"You should add a thickener all liquids and make sure he sits upright while eating." - ANS-"You
should add a thickener all liquids and make sure he sits upright while eating."
The nurse is caring for a client who has been admitted to the psychiatric in-client unit with
schizophrenia. While talking with the nurse alone, the client suddenly stops midsentence, turns
to stare at the wall and states, "I told you I can't do that!" What is an appropriate response by
the nurse?
1
"I will talk to you later when you can pay attention."
2
"I will leave the room if you continue to not pay attention"
3
"Is your mother talking to you again? I wish she would leave you alone."
4
"It appears you are hearing voices again. Tell me what you are hearing." - ANS-"It appears you
are hearing voices again. Tell me what you are hearing."
The nurse is participating in the discharge plans for a client with hypertension. Which statement
by the client would cause concern?
1
"I am at risk for stroke or heart attack if my blood pressure is not controlled."
2
"I know that my blood pressure is high when my nose starts bleeding."
3
"I will take my blood pressure two times a day for at least 7 days."
, 4
"I will ask my spouse to start walking with me in the mornings." - ANS-"I know that my blood
pressure is high when my nose starts bleeding."
Correct - Hypertension is usually asymptomatic. A nose bleed can occur with high blood
pressure, but it can occur for many other reasons as well. It is quite common that the client's
blood pressure is high and the client experiences no symptoms. It is important to help clients
understand that they cannot rely on one particular symptom to tell if their pressure is elevated. It
would be very dangerous for clients to think their blood pressure is only high if they have a nose
bleed.
The nurse is reviewing the client's lab values who has respiratory alkalosis. Which results
should the nurse expect? Select all that apply
1
pH 7.50.
2
pH 7.30.
3
Carbon dioxide (CO2 ) 50.
4
CO2 28.
5
Oxygen saturation 85%.
6
Bicarbonate 25. - ANS-pH 7.50.
CO2 28.
pH 7.50. Correct - pH level is elevated with respiratory alkalosis
pH 7.30. A low pH can indicate respiratory acidosis
carbon dioxide (CO2 ) 50. A high CO2 can indicate respiratory acidosis
CO2 28. Correct - In respiratory alkalosis, the client is blowing off too much CO2 which leads to
a low level.
Oxygen saturation 85%. Oxygen levels are usually normal in respiratory alkalosis.
Bicarbonate 25. Bicarbonate levels are usually normal in respiratory alkalosis
A nurse is teaching a group of middle-aged men about stroke prevention. Which statement by a
client requires further teaching?
1
"I will start an exercise program to lose weight."
2
"I have to stop my daily trip to the donut shop for breakfast".
