CJE PRACTICE EXAM 1 Questions And Correct
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1.
Question: The nurse is assessing the surgical incision of a client after the bandage was
removed by the health care provider on post-op day 1. The incision is well-approximated
with slight swelling under the staples, and dark crusting on the incision line. What should
the nurse do next?
Choices:
1. Report crusting on the incision line to surgeon.
2. Document findings and continue to monitor.
3. Call surgeon and request antibiotics.
4. Report swelling to the surgeon.
Correct Answer: 2. Document findings and continue to monitor.
2.
Question: The nurse is participating in the emergency management of a client with sinus
bradycardia who reports the "room is spinning, chest pain, which is 8 out of 10, and
shortness of breath. In what order should these steps be conducted?
Choices:
1. Establish intravenous access; Administer atropine; External pacing if needed;
Obtain baseline CBC and electrolytes.
2. Obtain baseline CBC and electrolytes; Establish intravenous access; Administer
atropine; External pacing if needed.
3. Administer atropine; Establish intravenous access; Obtain baseline CBC and
electrolytes; External pacing if needed.
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4. External pacing if needed; Administer atropine; Establish intravenous access;
Obtain baseline CBC and electrolytes.
Correct Answer: 1. Establish intravenous access; Administer atropine; External pacing if
needed; Obtain baseline CBC and electrolytes.
3.
Question: A nurse is teaching a group of middle-aged men about stroke prevention. Which
statement by a client requires further teaching?
Choices:
1. "I will start an exercise program to lose weight."
2. "I have to stop my daily trip to the donut shop for breakfast".
3. "I will decrease my consumption of beer to only one per day."
4. "I will continue smoking but decrease the number of cigarettes."
Correct Answer: 4. "I will continue smoking but decrease the number of cigarettes."
4.
Question: The nurse is reviewing the client's lab values who has respiratory alkalosis.
Which results should the nurse expect? Select all that apply.
Choices:
1. pH 7.50.
2. pH 7.30.
3. Carbon dioxide (CO2) 50.
4. CO2 28.
5. Oxygen saturation 85%.
6. Bicarbonate 25.
Correct Answer: 1, 4
5.
Question: The nurse is participating in the discharge plans for a client with hypertension.
Which statement by the client would cause concern?
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Choices:
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."
Correct Answer: 2. "I know that my blood pressure is high when my nose starts bleeding."
6.
Question: 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?
Choices:
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."
Correct Answer: 4. "It appears you are hearing voices again. Tell me what you are hearing."
7.
Question: 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?
Choices:
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."