Page 1 of 102
CJE BENCHMARK EXAM #2/ NURS 3251 CJE
PRACTICE EXAM | FREQUENTLY TESTED
QUESTIONS WITH CORRECT ANSWERS |
BRAND NEW!
A patient with pneumonia has a cough productive of thick green
mucus, is in bed with the head of bed elevated to 30 degrees, and
has an oxygen saturation of 94% with 3 L/min of oxygen via nasal
cannula. The nurse notes that the patient is anxious and tense.
Which is the priority nursing action for this patient?
A. Increasing the oxygen flow to 4 L/min
B. Placing the patient in an upright position
C. Using a calm, slow approach with the patient
D. Telling the patient to relax and take deep breaths - ✔✔✔ Correct
Answer > C. Using a calm, slow approach with the patient
The nurse is instructing a nursing student on how to prevent
pneumonia in an older adult who is receiving mechanical
ventilation. Which statement by the student indicates a need for
further teaching?
,Page 2 of 102
A. "I will suction subglottic secretions every 2 hours and as
needed."
B. "I will provide meticulous oral care every 24 hours and as
needed."
C. "I should not wear hand jewelry while providing care to this
patient."
D. "I should keep the head of the bed elevated at least 30 degrees
at all times." - ✔✔✔ Correct Answer > B. "I will provide meticulous oral
care every 24 hours and as needed."
The medical-surgical unit has one negative airflow room. Which
of these four newly arrived patients should the charge nurse
admit to this room?
A. Patient with neutropenia and pneumonia caused by Candida
albicans
B. Patient with bacterial pneumonia and a cough productive of
green sputum
C. Patient with right empyema who has a chest tube and a fever
of 103.2° F
D. Patient with possible pulmonary tuberculosis who currently
has hemoptysis - ✔✔✔ Correct Answer > D. Patient with possible
pulmonary tuberculosis who currently has hemoptysis
,Page 3 of 102
An older adult resident in a long-term care facility becomes
confused and agitated, telling the nurse "Get out of here! You're
going to kill me!" Which action should the nurse take first?
A. Give the prescribed PRN lorazepam.
B. Do a complete neurologic assessment.
C. Check the resident's oxygen saturation.
D. Notify the resident's primary care provider. - ✔✔✔ Correct Answer >
C. Check the resident's oxygen saturation.
A patient has been diagnosed with community-acquired
pneumonia (CAP). What risk-factors are associated with CAP?
Select all that apply.
A. Use of tobacco
B. Recent aspiration
C. History of chronic lung disease
D. Pneumococcal vaccine more than 5 years ago
E. Presence of gram-negative colonization of the mouth and
throat - ✔✔✔ Correct Answer > A. Use of tobacco
D. Pneumococcal vaccine more than 5 years ago
, Page 4 of 102
A patient admitted to the hospital with an exacerbation of chronic
obstructive pulmonary disease (COPD) and chronic malnutrition
develops a cough, a temperature of 39°C, an oxygen saturation of
94%, and crackles in both lungs. Which action would the nurse
take first?
A. Provide supplemental oxygen.
B. Request an order for a chest x-ray.
C. Monitor closely for respiratory failure.
D. Ask the provider to order a complete blood count. - ✔✔✔ Correct
Answer > B. Request an order for a chest x-ray.
A nurse is caring for a patient who appears cachectic and pale
but appears in no acute distress. The patient tells the nurse that
he has had a chronic cough for months and produces a large
amount of foul-smelling sputum. He also states that he
occasionally suffers from a stabbing pain when taking a deep
breath. When reviewing the patient's history, the nurse notes that
the patient has a recent history of influenza. Breath sounds
reveal decreased sound with rhonchi to the right lower lobe and
percussion to the right lower lobe is dull. What procedure does
the nurse anticipate preparing for?
A. Administration of a bronchodilator
B. Insertion of a thoracentesis needle and drainage
CJE BENCHMARK EXAM #2/ NURS 3251 CJE
PRACTICE EXAM | FREQUENTLY TESTED
QUESTIONS WITH CORRECT ANSWERS |
BRAND NEW!
A patient with pneumonia has a cough productive of thick green
mucus, is in bed with the head of bed elevated to 30 degrees, and
has an oxygen saturation of 94% with 3 L/min of oxygen via nasal
cannula. The nurse notes that the patient is anxious and tense.
Which is the priority nursing action for this patient?
A. Increasing the oxygen flow to 4 L/min
B. Placing the patient in an upright position
C. Using a calm, slow approach with the patient
D. Telling the patient to relax and take deep breaths - ✔✔✔ Correct
Answer > C. Using a calm, slow approach with the patient
The nurse is instructing a nursing student on how to prevent
pneumonia in an older adult who is receiving mechanical
ventilation. Which statement by the student indicates a need for
further teaching?
,Page 2 of 102
A. "I will suction subglottic secretions every 2 hours and as
needed."
B. "I will provide meticulous oral care every 24 hours and as
needed."
C. "I should not wear hand jewelry while providing care to this
patient."
D. "I should keep the head of the bed elevated at least 30 degrees
at all times." - ✔✔✔ Correct Answer > B. "I will provide meticulous oral
care every 24 hours and as needed."
The medical-surgical unit has one negative airflow room. Which
of these four newly arrived patients should the charge nurse
admit to this room?
A. Patient with neutropenia and pneumonia caused by Candida
albicans
B. Patient with bacterial pneumonia and a cough productive of
green sputum
C. Patient with right empyema who has a chest tube and a fever
of 103.2° F
D. Patient with possible pulmonary tuberculosis who currently
has hemoptysis - ✔✔✔ Correct Answer > D. Patient with possible
pulmonary tuberculosis who currently has hemoptysis
,Page 3 of 102
An older adult resident in a long-term care facility becomes
confused and agitated, telling the nurse "Get out of here! You're
going to kill me!" Which action should the nurse take first?
A. Give the prescribed PRN lorazepam.
B. Do a complete neurologic assessment.
C. Check the resident's oxygen saturation.
D. Notify the resident's primary care provider. - ✔✔✔ Correct Answer >
C. Check the resident's oxygen saturation.
A patient has been diagnosed with community-acquired
pneumonia (CAP). What risk-factors are associated with CAP?
Select all that apply.
A. Use of tobacco
B. Recent aspiration
C. History of chronic lung disease
D. Pneumococcal vaccine more than 5 years ago
E. Presence of gram-negative colonization of the mouth and
throat - ✔✔✔ Correct Answer > A. Use of tobacco
D. Pneumococcal vaccine more than 5 years ago
, Page 4 of 102
A patient admitted to the hospital with an exacerbation of chronic
obstructive pulmonary disease (COPD) and chronic malnutrition
develops a cough, a temperature of 39°C, an oxygen saturation of
94%, and crackles in both lungs. Which action would the nurse
take first?
A. Provide supplemental oxygen.
B. Request an order for a chest x-ray.
C. Monitor closely for respiratory failure.
D. Ask the provider to order a complete blood count. - ✔✔✔ Correct
Answer > B. Request an order for a chest x-ray.
A nurse is caring for a patient who appears cachectic and pale
but appears in no acute distress. The patient tells the nurse that
he has had a chronic cough for months and produces a large
amount of foul-smelling sputum. He also states that he
occasionally suffers from a stabbing pain when taking a deep
breath. When reviewing the patient's history, the nurse notes that
the patient has a recent history of influenza. Breath sounds
reveal decreased sound with rhonchi to the right lower lobe and
percussion to the right lower lobe is dull. What procedure does
the nurse anticipate preparing for?
A. Administration of a bronchodilator
B. Insertion of a thoracentesis needle and drainage
