1|Page
CJE Med-Surg 1 Exam Review 2026–2027 | Complete
Updated Real Exam Bank With 100% Verified Questions
& High-Level Correct Answers | Guaranteed Pass
Medical-Surgical Mastery Edition
The nurse is caring for a client with tuberculosis who is receiving isoniazid and
rifampin for tuberculosis. Which adverse effect should the nurse be most
concerned with?
1
Blurred vision.
2
Yellowish sclera.
3
Nausea and vomiting.
4
Decreased urine output. ......ANSWER......Yellowish sclera.
Possible side effect related to liver damage
What would the nurse expect to find in the care of an 80-year-old client who is
experiencing a complication after a right knee replacement? The patient is post-
op day 1.
1
pg. 1
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Dry cough
2
Acute confusion
3
Increased temperature
4
Purulent drainage from incision ......ANSWER......Acute confusion
Dry cough - Vague sign
Acute confusion - Correct - sign of infection in an older adult
Increased temperature - Older adult may not exhibit normal signs of infection
Purulent drainage from incision - Older adult may not exhibit normal signs of
infection
Which of these clients should the nurse consider at greatest risk for developing
type 2 diabetes mellitus?
1
48-year-old African-American male who is obese and father and mother have
type 2 DM.
2
50-year-old male hemoglobin A1C of 5.5% during a routine physical
examination.
3
A 30-year-old female who delivered a 9-pound baby.
4
pg. 2
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A 62-year-old male with an elevated triglyceride level. ......ANSWER......48-year-
old African-American male who is obese and father and mother have type 2 DM.
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?
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." ......ANSWER......"You should add a thickener all liquids and make sure
he sits upright while eating."
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?
1
"I will talk to you later when you can pay attention."
pg. 3
, 4|Page
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."
......ANSWER......"It appears you are hearing voices again. Tell me what you are
hearing."
The nurse is participating in the discharge plans for a client with hypertension.
Which statement by the client would cause concern?
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."
......ANSWER......"I know that my blood pressure is high when my nose starts
bleeding."
Correct - Hypertension is usually asymptomatic. A nose bleed can occur with
high blood pressure, but it can occur for many other reasons as well. It is quite
common that the client's blood pressure is high and the client experiences no
symptoms. It is important to help clients understand that they cannot rely on
pg. 4
CJE Med-Surg 1 Exam Review 2026–2027 | Complete
Updated Real Exam Bank With 100% Verified Questions
& High-Level Correct Answers | Guaranteed Pass
Medical-Surgical Mastery Edition
The nurse is caring for a client with tuberculosis who is receiving isoniazid and
rifampin for tuberculosis. Which adverse effect should the nurse be most
concerned with?
1
Blurred vision.
2
Yellowish sclera.
3
Nausea and vomiting.
4
Decreased urine output. ......ANSWER......Yellowish sclera.
Possible side effect related to liver damage
What would the nurse expect to find in the care of an 80-year-old client who is
experiencing a complication after a right knee replacement? The patient is post-
op day 1.
1
pg. 1
,2|Page
Dry cough
2
Acute confusion
3
Increased temperature
4
Purulent drainage from incision ......ANSWER......Acute confusion
Dry cough - Vague sign
Acute confusion - Correct - sign of infection in an older adult
Increased temperature - Older adult may not exhibit normal signs of infection
Purulent drainage from incision - Older adult may not exhibit normal signs of
infection
Which of these clients should the nurse consider at greatest risk for developing
type 2 diabetes mellitus?
1
48-year-old African-American male who is obese and father and mother have
type 2 DM.
2
50-year-old male hemoglobin A1C of 5.5% during a routine physical
examination.
3
A 30-year-old female who delivered a 9-pound baby.
4
pg. 2
,3|Page
A 62-year-old male with an elevated triglyceride level. ......ANSWER......48-year-
old African-American male who is obese and father and mother have type 2 DM.
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?
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." ......ANSWER......"You should add a thickener all liquids and make sure
he sits upright while eating."
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?
1
"I will talk to you later when you can pay attention."
pg. 3
, 4|Page
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."
......ANSWER......"It appears you are hearing voices again. Tell me what you are
hearing."
The nurse is participating in the discharge plans for a client with hypertension.
Which statement by the client would cause concern?
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."
......ANSWER......"I know that my blood pressure is high when my nose starts
bleeding."
Correct - Hypertension is usually asymptomatic. A nose bleed can occur with
high blood pressure, but it can occur for many other reasons as well. It is quite
common that the client's blood pressure is high and the client experiences no
symptoms. It is important to help clients understand that they cannot rely on
pg. 4
