CJE Medical-Surgical Nursing I Master Exam
Pack – 100 Accurate Questions with
Rationales/ CJE MED SURG I Questions And
Verified Correct Answers
Covers: Fluids/Electrolytes, Cardiac, Respiratory, GI, Renal, Neuro,
Endocrine, Post-Op, Safety
1. A client with heart failure has 2+ pitting edema and shortness of
breath. Which priority assessment should the nurse perform?
A. Daily weight
B. Review diet history
C. Ask about activity level
D. Measure abdominal girth
Correct Answer: A — Daily weight
✔ Best indicator of fluid volume changes.
2. A postoperative client reports sudden chest pain and difficulty
breathing. What is the nurse’s FIRST action?
A. Obtain vital signs
B. Apply oxygen
,C. Notify provider
D. Reposition to high-Fowler’s
Correct Answer: B — Apply oxygen
✔ Priority: support oxygenation during suspected PE.
3. A patient with COPD has an oxygen saturation of 88% on room air.
What is the appropriate intervention?
A. Increase O₂ to 6 L/min
B. Start 1–2 L/min via nasal cannula
C. Keep patient on room air
D. Apply non-rebreather
Correct Answer: B
✔ COPD patients require low-flow O₂ to prevent CO₂ retention.
4. Which finding indicates hypokalemia?
A. Tall peaked T waves
B. Absent deep tendon reflexes
C. Irregular heart rhythm
D. Increased GI motility
Correct Answer: C
✔ Hypokalemia → dysrhythmias, muscle weakness, decreased GI motility.
5. A patient with type 1 diabetes is sweating and confused. What is the
nurse’s priority?
,A. Check blood glucose
B. Administer insulin
C. Call provider
D. Give carbohydrate snack
Correct Answer: A
✔ Assess before treating; verify hypoglycemia.
6. Which assessment suggests fluid volume overload?
A. Flat jugular veins
B. Hypotension
C. Bounding pulse
D. Dry mucous membranes
Correct Answer: C
7. A client taking furosemide reports weakness. Which lab should the
nurse check?
A. Calcium
B. Potassium
C. Hemoglobin
D. Sodium
Correct Answer: B
8. A patient with pneumonia has coarse crackles. This indicates:
, A. Lung consolidation
B. Bronchospasm
C. Fluid in airways
D. Lung collapse
Correct Answer: C
9. The nurse suspects internal bleeding post-op. Which finding
supports this?
A. Warm, dry skin
B. Slow pulse
C. Hypotension
D. Urine output > 60 mL/hr
Correct Answer: C
10. A patient with renal failure is most at risk for:
A. Hypernatremia
B. Hyperkalemia
C. Hypomagnesemia
D. Hypophosphatemia
Correct Answer: B
11. The nurse caring for a patient with pancreatitis expects which lab
finding?
Pack – 100 Accurate Questions with
Rationales/ CJE MED SURG I Questions And
Verified Correct Answers
Covers: Fluids/Electrolytes, Cardiac, Respiratory, GI, Renal, Neuro,
Endocrine, Post-Op, Safety
1. A client with heart failure has 2+ pitting edema and shortness of
breath. Which priority assessment should the nurse perform?
A. Daily weight
B. Review diet history
C. Ask about activity level
D. Measure abdominal girth
Correct Answer: A — Daily weight
✔ Best indicator of fluid volume changes.
2. A postoperative client reports sudden chest pain and difficulty
breathing. What is the nurse’s FIRST action?
A. Obtain vital signs
B. Apply oxygen
,C. Notify provider
D. Reposition to high-Fowler’s
Correct Answer: B — Apply oxygen
✔ Priority: support oxygenation during suspected PE.
3. A patient with COPD has an oxygen saturation of 88% on room air.
What is the appropriate intervention?
A. Increase O₂ to 6 L/min
B. Start 1–2 L/min via nasal cannula
C. Keep patient on room air
D. Apply non-rebreather
Correct Answer: B
✔ COPD patients require low-flow O₂ to prevent CO₂ retention.
4. Which finding indicates hypokalemia?
A. Tall peaked T waves
B. Absent deep tendon reflexes
C. Irregular heart rhythm
D. Increased GI motility
Correct Answer: C
✔ Hypokalemia → dysrhythmias, muscle weakness, decreased GI motility.
5. A patient with type 1 diabetes is sweating and confused. What is the
nurse’s priority?
,A. Check blood glucose
B. Administer insulin
C. Call provider
D. Give carbohydrate snack
Correct Answer: A
✔ Assess before treating; verify hypoglycemia.
6. Which assessment suggests fluid volume overload?
A. Flat jugular veins
B. Hypotension
C. Bounding pulse
D. Dry mucous membranes
Correct Answer: C
7. A client taking furosemide reports weakness. Which lab should the
nurse check?
A. Calcium
B. Potassium
C. Hemoglobin
D. Sodium
Correct Answer: B
8. A patient with pneumonia has coarse crackles. This indicates:
, A. Lung consolidation
B. Bronchospasm
C. Fluid in airways
D. Lung collapse
Correct Answer: C
9. The nurse suspects internal bleeding post-op. Which finding
supports this?
A. Warm, dry skin
B. Slow pulse
C. Hypotension
D. Urine output > 60 mL/hr
Correct Answer: C
10. A patient with renal failure is most at risk for:
A. Hypernatremia
B. Hyperkalemia
C. Hypomagnesemia
D. Hypophosphatemia
Correct Answer: B
11. The nurse caring for a patient with pancreatitis expects which lab
finding?
