1|Page
CJE MED-SURG 1 EXAM REVIEW 2025–2026
COMPLETE UPDATED REAL EXAM BANK WITH
100% VERIFIED QUESTION & HIGH-LEVEL CORRECT
ANSWERS | GUARANTEED PASS MEDICAL-
SURGICAL MASTERY EDITION
When the home health nurse visits a 90-year-old
client after repair of a hip fracture, the client states,
"The back of my left leg sure does hurt. Can you rub
it a bit for me?" Upon assessment of the client's
lower extremities, the nurse places a call to the
health care provider.
What assessment findings prompted the call?
- ANSWER-A. There is warmth and redness to the
client's left leg.
.
The catheter-associated urinary tract infection
(CAUTI) rate is up in the hospital and the quality
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committee is meeting to devise a plan aimed at
decreasing the rate. Nurses are assessing all clients
in the hospital with urinary drainage catheters to
determine which catheters can be discontinued.
Which client should have the catheter removed?
- ANSWER-C. The client with generalized weakness
who is incontinent of bowel and bladder.
A client is in the observation unit of the emergency
department with lightheadedness upon standing,
dry mouth, and a headache. The client reports
running a marathon two days ago and has been
feeling unwell since then.
Blood pressure is 92/60, temperature 101.1 °F (38.3
°C), respiratory rate 22, heart rate 112, and oxygen
saturation 94%. Serum laboratory tests reveal
hyponatremia and hyperkalemia. The client is asked
to give a urine sample for urinalysis and is only able
to urinate 30 mL of very dark urine.
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What does the nurse anticipate will be in the
client's immediate plan of care?
ANSWER-A. Monitor intake and output - Yes, this
is critical for assessing fluid balance in a
potentially dehydrated client.
C. Intravenous fluid replacement - Yes, this is
essential to correct hypovolemia, electrolyte
imbalances, and prevent further complications.
D. Bedrest - Yes, indicated due to hypotension
and risk of falls or further complications.
The nurse cares for two clients with diabetes on the
0700-1900 shift.
The nurse receives handoff report to begin the shift.
The breakfast trays are due to arrive soon. After
reviewing the vital signs obtained by assistive
personnel and determining the priority nursing
tasks for the day, which task should the nurse
prepare to implement first?
Click to highlight the task the nurse should
implement first
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- ANSWER-H. Peterson:
• Point of care glucose before meals and at bedtime
• Regular insulin sliding scale before meals and at
bedtime (see MAR)
• Administer pain medication 30 minutes before
physical therapy
• Remove staples from LLE incision and apply
nonadherent sterile dressing
B. Rau:
• Metoprolol 100 mg PO every morning
• Teach insulin self-administration.
• Insulin glargine 0.2 units/kg subcutaneous BID!
• Betaxolol opthalmic 0.25% one drop in each eye
BID
The nurse overhears a family member ask a licensed
practical nurse (LPN), "I don't know much about this
meningitis. Can I get it from my son and if so how?"
CJE MED-SURG 1 EXAM REVIEW 2025–2026
COMPLETE UPDATED REAL EXAM BANK WITH
100% VERIFIED QUESTION & HIGH-LEVEL CORRECT
ANSWERS | GUARANTEED PASS MEDICAL-
SURGICAL MASTERY EDITION
When the home health nurse visits a 90-year-old
client after repair of a hip fracture, the client states,
"The back of my left leg sure does hurt. Can you rub
it a bit for me?" Upon assessment of the client's
lower extremities, the nurse places a call to the
health care provider.
What assessment findings prompted the call?
- ANSWER-A. There is warmth and redness to the
client's left leg.
.
The catheter-associated urinary tract infection
(CAUTI) rate is up in the hospital and the quality
,2|Page
committee is meeting to devise a plan aimed at
decreasing the rate. Nurses are assessing all clients
in the hospital with urinary drainage catheters to
determine which catheters can be discontinued.
Which client should have the catheter removed?
- ANSWER-C. The client with generalized weakness
who is incontinent of bowel and bladder.
A client is in the observation unit of the emergency
department with lightheadedness upon standing,
dry mouth, and a headache. The client reports
running a marathon two days ago and has been
feeling unwell since then.
Blood pressure is 92/60, temperature 101.1 °F (38.3
°C), respiratory rate 22, heart rate 112, and oxygen
saturation 94%. Serum laboratory tests reveal
hyponatremia and hyperkalemia. The client is asked
to give a urine sample for urinalysis and is only able
to urinate 30 mL of very dark urine.
,3|Page
What does the nurse anticipate will be in the
client's immediate plan of care?
ANSWER-A. Monitor intake and output - Yes, this
is critical for assessing fluid balance in a
potentially dehydrated client.
C. Intravenous fluid replacement - Yes, this is
essential to correct hypovolemia, electrolyte
imbalances, and prevent further complications.
D. Bedrest - Yes, indicated due to hypotension
and risk of falls or further complications.
The nurse cares for two clients with diabetes on the
0700-1900 shift.
The nurse receives handoff report to begin the shift.
The breakfast trays are due to arrive soon. After
reviewing the vital signs obtained by assistive
personnel and determining the priority nursing
tasks for the day, which task should the nurse
prepare to implement first?
Click to highlight the task the nurse should
implement first
, 4|Page
- ANSWER-H. Peterson:
• Point of care glucose before meals and at bedtime
• Regular insulin sliding scale before meals and at
bedtime (see MAR)
• Administer pain medication 30 minutes before
physical therapy
• Remove staples from LLE incision and apply
nonadherent sterile dressing
B. Rau:
• Metoprolol 100 mg PO every morning
• Teach insulin self-administration.
• Insulin glargine 0.2 units/kg subcutaneous BID!
• Betaxolol opthalmic 0.25% one drop in each eye
BID
The nurse overhears a family member ask a licensed
practical nurse (LPN), "I don't know much about this
meningitis. Can I get it from my son and if so how?"
