CJE PRACTICE EXAM 1 (2025)
QUESTIONS WITH COMPLETE
SOLUTIONS!!
1 of
61
Term
The nurse is caring for a client with dehydration who is receiving a
bolus of 0.9 normal saline intravenously. Assessment finding includes a urine
output of 40 ml over a two-hour period. What is the nurse's
priority action?
1
Notify the health care provider. 2
Reassess client in an hour.
3
,Add 2 to 3 liters of oral fluids.
4
Measure intake and output.
Give this one a try later!
Notify the Rapid Response Team.
Strip the chest tube. Avoid stripping the chest tube because of the risk for
damage to lung tissue
Notify the Rapid Response Team. Correct - Health care provider or Rapid
Response Team should be notified if drainage in tube stops in the first 24
hours. Continue to monitor. Chest tube should drain less than 100 ml within
the first 24 hours
Assess for bubbling in the water-seal chamber. Bubbling in the water-seal
chamber is normal. However, excessive or no bubbling in the water-seal
chamber indicates a problem with the chest tube.
Notify the health care provider.
Notify the health care provider. Correct - Oliguria can indicate acute kidney
injury
Reassess client in an hour A brief period of oliguria can decrease perfusion
to kidneys
Add 2 to 3 liters of oral fluids. Since urine output did not increase with fluid
bolus, adding oral fluid will not help at this point
Measure intake and output. Intake and output will continue but is not a
priority at this time.
Places the weights on bed before repositioning.
Elevates head of bed before the client eats. This is a correct action to prevent
aspiration
Places the weights on bed before repositioning. Correct - This is a wrong action
by the UAP. Weights should be kept hanging at all times.
Records urine output after emptying Foley catheter. This is a correct action
,Wipes foot with a wet towel where traction is located. This is permitted to
promote skin integrity
Obtain arterial blood gases (ABG's).
Administer atropine. Administer for bradycardia after respiratory status is
stabilized
Prepare the client for intubation. Further assessment required before
intubation Obtain arterial blood gases (ABG's). Correct - Obtaining ABGs
initially
determines oxygenation status and indicates if intubation is needed.
Initiate intravenous fluid replacement. Initiate after respiratory status is stable
for low BP
Don't know?
, 2 of 61
Term
The charge nurse is observing a newly hired nurse on the medical-
surgical unit. Which client situation should the nurse address first
to demonstrate the ability to safely prioritize care?
1
Attempt to calm a patient with anxiety before inserting a Foley
catheter.
2
Administer medication for nausea before assessing a client who is
complaining of chest pain.
3
Assess a client who reports severe pain before administering routine
medications.
4
Reassess a client who had a seizure an hour ago before assessing a
client who has a change in level of consciousness.
Give this one a try later!
Assess a client who reports severe pain before administering routine
medications.
A young adult female who plans to become pregnant this year.
A young adult female who plans to become pregnant this year. - Correct - This
medication is contraindicated with pregnancy so the nurse needs to investigate
further as if the client is not taking measure to prevent pregnancy then the
client should not be taking atorvastatin.
QUESTIONS WITH COMPLETE
SOLUTIONS!!
1 of
61
Term
The nurse is caring for a client with dehydration who is receiving a
bolus of 0.9 normal saline intravenously. Assessment finding includes a urine
output of 40 ml over a two-hour period. What is the nurse's
priority action?
1
Notify the health care provider. 2
Reassess client in an hour.
3
,Add 2 to 3 liters of oral fluids.
4
Measure intake and output.
Give this one a try later!
Notify the Rapid Response Team.
Strip the chest tube. Avoid stripping the chest tube because of the risk for
damage to lung tissue
Notify the Rapid Response Team. Correct - Health care provider or Rapid
Response Team should be notified if drainage in tube stops in the first 24
hours. Continue to monitor. Chest tube should drain less than 100 ml within
the first 24 hours
Assess for bubbling in the water-seal chamber. Bubbling in the water-seal
chamber is normal. However, excessive or no bubbling in the water-seal
chamber indicates a problem with the chest tube.
Notify the health care provider.
Notify the health care provider. Correct - Oliguria can indicate acute kidney
injury
Reassess client in an hour A brief period of oliguria can decrease perfusion
to kidneys
Add 2 to 3 liters of oral fluids. Since urine output did not increase with fluid
bolus, adding oral fluid will not help at this point
Measure intake and output. Intake and output will continue but is not a
priority at this time.
Places the weights on bed before repositioning.
Elevates head of bed before the client eats. This is a correct action to prevent
aspiration
Places the weights on bed before repositioning. Correct - This is a wrong action
by the UAP. Weights should be kept hanging at all times.
Records urine output after emptying Foley catheter. This is a correct action
,Wipes foot with a wet towel where traction is located. This is permitted to
promote skin integrity
Obtain arterial blood gases (ABG's).
Administer atropine. Administer for bradycardia after respiratory status is
stabilized
Prepare the client for intubation. Further assessment required before
intubation Obtain arterial blood gases (ABG's). Correct - Obtaining ABGs
initially
determines oxygenation status and indicates if intubation is needed.
Initiate intravenous fluid replacement. Initiate after respiratory status is stable
for low BP
Don't know?
, 2 of 61
Term
The charge nurse is observing a newly hired nurse on the medical-
surgical unit. Which client situation should the nurse address first
to demonstrate the ability to safely prioritize care?
1
Attempt to calm a patient with anxiety before inserting a Foley
catheter.
2
Administer medication for nausea before assessing a client who is
complaining of chest pain.
3
Assess a client who reports severe pain before administering routine
medications.
4
Reassess a client who had a seizure an hour ago before assessing a
client who has a change in level of consciousness.
Give this one a try later!
Assess a client who reports severe pain before administering routine
medications.
A young adult female who plans to become pregnant this year.
A young adult female who plans to become pregnant this year. - Correct - This
medication is contraindicated with pregnancy so the nurse needs to investigate
further as if the client is not taking measure to prevent pregnancy then the
client should not be taking atorvastatin.
