CJE BENCHMARK EXAM
CLINICAL JUDGMENT NURS
3251 CJE BANK 250
QUESTIONS AND CORRECT
ANSWERS ALREADY A
SCORE 2026-2027.
Why can gastric distention become a problem in patient with COPD? - .....ANS...this
condition elevates the diaphragm and inhibits full lung expansion
CDC TB Guidelines - .....ANS...indicate that the Quanti-Feron-TB Gold test, a new blood test,
is more reliable than skin testing OR nucleic acid amplification (NAA) testing may be
recommended when a client has signs & symptoms of TB
Removal of Cancerous Tumors - .....ANS...some tumors are so large they fill up the entire
lobe of a lung which causes large spaces left when removed, chest tubes are NOT usually
used with these clients because the mediastinal cavity needs to fill up with fluid to prevent
the shift of remaining chest orgANS into the new empty space
,What are the actions needed to be taken if a chest tube becomes disconnected? -
.....ANS...DO NOT CLAMP! Immediately place the end of the tube in a container of sterile
saline or water until a new drainage system can be connected
What are the actions needed to be taken if a chest tube is accidentally dislodged from the
client? - .....ANS...the nurse should cover the tube with a dry or Vaseline sterile dressing
taped on three sides; if an air leak is noted, tape the dressing on three sides ONLY to allow
air to escape & prevent the possible formation of a tension pneumothorax AND THEN we
can notify the healthcare provider
Chest Tube Fluid Tidaling/Fluctuations - .....ANS...will occur if there's no external suction,
fluctuations are a good indicator that the system is intact (moves upward with each
inspiration & downward with each expiration)
What are the actions needed to be taken if the fluid in a chest tube ceases to fluctuate? -
.....ANS...check for kind tubing or accumulation of fluid in the tubing, change the client's
,position (expanding lung tissue may be occluding the opening), and continuous/excessive
bubbling will be indicative of an air leak when it is connected to suction
Two hours later, the patient has a weak cough, crackles in both lower lobes, and an SaO2
reading of 90% by pulse oximetry. What interventions should be implemented by the nurse
at this time? - .....ANS...encourage coughing & deep breathing every two hours, incentive
spirometer use every hour while awake, consumption of 3 L of fluid per day, monitoring
intake & output, and administration of a bronchodilator if ordered (patient has developed
problems with her airway)
CJE Benchmark Exam clinical judgment NURS 3251 CJE - .....ANS...EXAM COVERAGE
The CJE Benchmark Clinical Judgment Exam 2 focuses on respiratory disorders and
infectious disease management. The exam covers assessment, diagnosis, and nursing
management of conditions such as tuberculosis (TB), pneumonia, severe acute respiratory
syndrome (SARS), influenza, and throat infections such as peritonsillar abscess. It includes
recognition of signs and symptoms, interpretation of diagnostic tests such as chest X-rays
and TB screening tests, and identification of complications including hypoxia and sepsis.
, The exam also assesses pharmacological management including tuberculosis drug therapy,
medication administration guidelines, side effects of medications such as rifampin and
isoniazid, and the importance of medication adherence and directly observed therapy
(DOT). Additional topics include respiratory care interventions such as hydration, airway
clearance, incentive spirometry, infection control precautions, prevention strategies for
respiratory infections, and patient and family education to reduce disease trANSmission.
Overall, the exam emphasizes respiratory assessment, infection prevention, medication
management, and clinical judgment in caring for patients with respiratory and infectious
diseases.
The nurse is caring for a patient who was admitted with pneumonia. Which position
assumed by the patient leads the nurse to suspect that the patient is developing hypoxia?
A. Side-lying
B. Sitting in tripod position
C. Prone with head of bed at 30° angle
D. Supine with head of bed at 45° angle - .....ANS...B. Sitting in tripod position
CLINICAL JUDGMENT NURS
3251 CJE BANK 250
QUESTIONS AND CORRECT
ANSWERS ALREADY A
SCORE 2026-2027.
Why can gastric distention become a problem in patient with COPD? - .....ANS...this
condition elevates the diaphragm and inhibits full lung expansion
CDC TB Guidelines - .....ANS...indicate that the Quanti-Feron-TB Gold test, a new blood test,
is more reliable than skin testing OR nucleic acid amplification (NAA) testing may be
recommended when a client has signs & symptoms of TB
Removal of Cancerous Tumors - .....ANS...some tumors are so large they fill up the entire
lobe of a lung which causes large spaces left when removed, chest tubes are NOT usually
used with these clients because the mediastinal cavity needs to fill up with fluid to prevent
the shift of remaining chest orgANS into the new empty space
,What are the actions needed to be taken if a chest tube becomes disconnected? -
.....ANS...DO NOT CLAMP! Immediately place the end of the tube in a container of sterile
saline or water until a new drainage system can be connected
What are the actions needed to be taken if a chest tube is accidentally dislodged from the
client? - .....ANS...the nurse should cover the tube with a dry or Vaseline sterile dressing
taped on three sides; if an air leak is noted, tape the dressing on three sides ONLY to allow
air to escape & prevent the possible formation of a tension pneumothorax AND THEN we
can notify the healthcare provider
Chest Tube Fluid Tidaling/Fluctuations - .....ANS...will occur if there's no external suction,
fluctuations are a good indicator that the system is intact (moves upward with each
inspiration & downward with each expiration)
What are the actions needed to be taken if the fluid in a chest tube ceases to fluctuate? -
.....ANS...check for kind tubing or accumulation of fluid in the tubing, change the client's
,position (expanding lung tissue may be occluding the opening), and continuous/excessive
bubbling will be indicative of an air leak when it is connected to suction
Two hours later, the patient has a weak cough, crackles in both lower lobes, and an SaO2
reading of 90% by pulse oximetry. What interventions should be implemented by the nurse
at this time? - .....ANS...encourage coughing & deep breathing every two hours, incentive
spirometer use every hour while awake, consumption of 3 L of fluid per day, monitoring
intake & output, and administration of a bronchodilator if ordered (patient has developed
problems with her airway)
CJE Benchmark Exam clinical judgment NURS 3251 CJE - .....ANS...EXAM COVERAGE
The CJE Benchmark Clinical Judgment Exam 2 focuses on respiratory disorders and
infectious disease management. The exam covers assessment, diagnosis, and nursing
management of conditions such as tuberculosis (TB), pneumonia, severe acute respiratory
syndrome (SARS), influenza, and throat infections such as peritonsillar abscess. It includes
recognition of signs and symptoms, interpretation of diagnostic tests such as chest X-rays
and TB screening tests, and identification of complications including hypoxia and sepsis.
, The exam also assesses pharmacological management including tuberculosis drug therapy,
medication administration guidelines, side effects of medications such as rifampin and
isoniazid, and the importance of medication adherence and directly observed therapy
(DOT). Additional topics include respiratory care interventions such as hydration, airway
clearance, incentive spirometry, infection control precautions, prevention strategies for
respiratory infections, and patient and family education to reduce disease trANSmission.
Overall, the exam emphasizes respiratory assessment, infection prevention, medication
management, and clinical judgment in caring for patients with respiratory and infectious
diseases.
The nurse is caring for a patient who was admitted with pneumonia. Which position
assumed by the patient leads the nurse to suspect that the patient is developing hypoxia?
A. Side-lying
B. Sitting in tripod position
C. Prone with head of bed at 30° angle
D. Supine with head of bed at 45° angle - .....ANS...B. Sitting in tripod position
