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CJE MS II Benchmark Exam 2026/2027 Medical-Surgical
Nursing II Actual Questions and Verified Answers with
Detailed Rationales Grade A NCLEX Study Guide
1. A client admitted with ulcerative colitis is weak and requires assistance for activities
of daily living. In the client's plan of care, the nurse has documented the need for UAP
to provide frequent perineal care and apply a skin barrier to the perineum. Why has
the nurse included these interventions in the client's plan of care?
A. The client is at risk for skin breakdown from immobility
B. It is expected that the client will have several loose stools daily
C. The client requires frequent assessment of perineal area
D. The UAP needs to monitor for signs of infection
Correct Answer: B. It is expected that the client will have several loose stools daily
Rationale: Ulcerative colitis causes frequent, loose, watery stools. Frequent perineal
care and skin barrier application protect the perineal skin from breakdown due to
repeated exposure to stool.
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2. An older adult client has a lower extremity amputation due to peripheral vascular
disease. The nurse elevates the residual limb and administers pain medication. Which
condition is associated with the highest morbidity for this client?
A. Phantom limb pain
B. Surgical site infection
C. Delayed wound healing
D. Contracture development
Correct Answer: B. Surgical site infection
Rationale: Surgical site infection in an older adult with peripheral vascular disease
carries the highest morbidity due to impaired healing, risk of sepsis, and potential need
for further amputation.
3. The nurse cares for a client with second and third degree burns covering 40% of the
total body surface area. When performing a dressing change, which action should the
nurse perform?
A. Set the room temperature to 85°F
B. Administer pain medication after the dressing change
C. Remove all dressings at once to minimize exposure
D. Use cool water to clean the burn area
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Correct Answer: A. Set the room temperature to 85°F
Rationale: Burn patients have impaired thermoregulation and lose heat through
damaged skin. Increasing room temperature to 85°F (29.4°C) prevents hypothermia
during dressing changes.
4. A client on the hospice unit with terminal cancer is actively dying, and the family is
sad and crying. The client's sister says, "She's starving. You haven't fed her since
yesterday. Can I give her water or a nutritional milkshake?" How should the nurse
respond? (Select All That Apply.)
A. "It is unsafe to feed her as she is no longer able to swallow."
B. "At this stage, your sister is really not experiencing hunger."
C. "We can try giving her small sips of water."
D. "A milkshake would be a good source of nutrition."
E. "We should insert a feeding tube to provide nutrition."
Correct Answer: A, B
Rationale: In actively dying patients, the swallow reflex is diminished, making oral intake
unsafe due to aspiration risk. Hunger sensations decrease as the body naturally shuts
down. Providing education about normal end-of-life processes is therapeutic.
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5. The nurse administers amoxicillin 70 mg/kg/day to a client with an ear infection.
The drug is to be administered in two divided doses. The client weighs 77 pounds.
How many milligrams will the nurse administer with each dose?
A. 1225 mg
B. 1400 mg
C. 1050 mg
D. 1750 mg
Correct Answer: A. 1225 mg
Rationale: Convert pounds to kg: 77 lbs ÷ 2.2 = 35 kg. Daily dose: 70 mg × 35 kg = 2450
mg/day. Divided into two doses: 2450 ÷ 2 = 1225 mg per dose.
6. The nurse assesses a client with acute renal failure. The lab findings show a
decrease in pH, a decrease in bicarb, and a decrease in serum carbon dioxide. The
client is experiencing Kussmaul breathing and acidic urine. Which acid-base
complication is this client experiencing?
A. Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Metabolic acidosis
CJE MS II Benchmark Exam 2026/2027 Medical-Surgical
Nursing II Actual Questions and Verified Answers with
Detailed Rationales Grade A NCLEX Study Guide
1. A client admitted with ulcerative colitis is weak and requires assistance for activities
of daily living. In the client's plan of care, the nurse has documented the need for UAP
to provide frequent perineal care and apply a skin barrier to the perineum. Why has
the nurse included these interventions in the client's plan of care?
A. The client is at risk for skin breakdown from immobility
B. It is expected that the client will have several loose stools daily
C. The client requires frequent assessment of perineal area
D. The UAP needs to monitor for signs of infection
Correct Answer: B. It is expected that the client will have several loose stools daily
Rationale: Ulcerative colitis causes frequent, loose, watery stools. Frequent perineal
care and skin barrier application protect the perineal skin from breakdown due to
repeated exposure to stool.
,2|Page
2. An older adult client has a lower extremity amputation due to peripheral vascular
disease. The nurse elevates the residual limb and administers pain medication. Which
condition is associated with the highest morbidity for this client?
A. Phantom limb pain
B. Surgical site infection
C. Delayed wound healing
D. Contracture development
Correct Answer: B. Surgical site infection
Rationale: Surgical site infection in an older adult with peripheral vascular disease
carries the highest morbidity due to impaired healing, risk of sepsis, and potential need
for further amputation.
3. The nurse cares for a client with second and third degree burns covering 40% of the
total body surface area. When performing a dressing change, which action should the
nurse perform?
A. Set the room temperature to 85°F
B. Administer pain medication after the dressing change
C. Remove all dressings at once to minimize exposure
D. Use cool water to clean the burn area
,3|Page
Correct Answer: A. Set the room temperature to 85°F
Rationale: Burn patients have impaired thermoregulation and lose heat through
damaged skin. Increasing room temperature to 85°F (29.4°C) prevents hypothermia
during dressing changes.
4. A client on the hospice unit with terminal cancer is actively dying, and the family is
sad and crying. The client's sister says, "She's starving. You haven't fed her since
yesterday. Can I give her water or a nutritional milkshake?" How should the nurse
respond? (Select All That Apply.)
A. "It is unsafe to feed her as she is no longer able to swallow."
B. "At this stage, your sister is really not experiencing hunger."
C. "We can try giving her small sips of water."
D. "A milkshake would be a good source of nutrition."
E. "We should insert a feeding tube to provide nutrition."
Correct Answer: A, B
Rationale: In actively dying patients, the swallow reflex is diminished, making oral intake
unsafe due to aspiration risk. Hunger sensations decrease as the body naturally shuts
down. Providing education about normal end-of-life processes is therapeutic.
, 4|Page
5. The nurse administers amoxicillin 70 mg/kg/day to a client with an ear infection.
The drug is to be administered in two divided doses. The client weighs 77 pounds.
How many milligrams will the nurse administer with each dose?
A. 1225 mg
B. 1400 mg
C. 1050 mg
D. 1750 mg
Correct Answer: A. 1225 mg
Rationale: Convert pounds to kg: 77 lbs ÷ 2.2 = 35 kg. Daily dose: 70 mg × 35 kg = 2450
mg/day. Divided into two doses: 2450 ÷ 2 = 1225 mg per dose.
6. The nurse assesses a client with acute renal failure. The lab findings show a
decrease in pH, a decrease in bicarb, and a decrease in serum carbon dioxide. The
client is experiencing Kussmaul breathing and acidic urine. Which acid-base
complication is this client experiencing?
A. Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Metabolic acidosis
