CJE MS II BENCHMARK PRACTICE
EXAM QUESTIONS WITH 100%
CORRECT ANSWERS
A client presents to the emergency department with nausea, vomiting, and
right lower quadrant abdominal pain. CT scan confirms that the client has a
ruptured appendix with peritonitis. The client is being transferred to the
operating room for surgery. What should the nurse include as a priority in the
client's immediate plan of care?
Starting IV fluids and IV antibiotics immediately
The nurse reviews laboratory results for a client in septic shock. Which
results should the nurse immediately report to the health care provider?
Elevated fibrin split products or D-dimer assay
Erythromycin 1000 mg divided into two equal doses daily is prescribed IV.
Each dose over 30 minutes. Supply: erythromycin 500 mg/100 mL. At what
rate should the nurse administer? Round to whole number. Answer in mL/hr.
500mg
The nurse evaluates a client with a right leg deep vein thrombosis (DVT) to
determine if treatment is effective. Which findings indicate that treatment is
not therapeutic? Select all that apply.
-The client is reporting sudden difficulty breathing and shortness of
breath.
-the client's IV site where heparin is being infused has infiltrated.
,-The client's left calf is swollen, red, and painful.
The nurse reviews three clients' ECG strips. For which client should the plan
of care be updated to include a prescription for a permanent pacemaker?
see attached pic
A client presents to the ED with severe headache, neck rigidity, photophobia,
fever, and vomiting. Blood cultures and antibiotics are prescribed. What is
the most important nursing action before implementing the prescriptions?
Ensure the client is placed on isolation
A client admitted with ulcerative colitis is weak and requires assistance for
activities of daily living. In the clients plan of care, the nurse has documented
the need for UAP to provide frequent perneal care and apply a skin barrier to
the perineum. why has the nurse included these interventions in the clients
plan of care?
it is expected that the client will have several loose stools daily
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?
, Surgical site infection
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?
set the room temp to 85
A client on the hospice unit with terminal cancer is actively dying, and the
family is sad and crying. the clients sister says "shes starving. you havent
fed her since yesterday. can i give her water or a nutritional milkshake? how
should the nurse respond? select all that apply
- It is unsafe to feed her as she is no longer able to swallow
- At this stage your sister is really not experiencing hunger
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
does?
1225
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?
EXAM QUESTIONS WITH 100%
CORRECT ANSWERS
A client presents to the emergency department with nausea, vomiting, and
right lower quadrant abdominal pain. CT scan confirms that the client has a
ruptured appendix with peritonitis. The client is being transferred to the
operating room for surgery. What should the nurse include as a priority in the
client's immediate plan of care?
Starting IV fluids and IV antibiotics immediately
The nurse reviews laboratory results for a client in septic shock. Which
results should the nurse immediately report to the health care provider?
Elevated fibrin split products or D-dimer assay
Erythromycin 1000 mg divided into two equal doses daily is prescribed IV.
Each dose over 30 minutes. Supply: erythromycin 500 mg/100 mL. At what
rate should the nurse administer? Round to whole number. Answer in mL/hr.
500mg
The nurse evaluates a client with a right leg deep vein thrombosis (DVT) to
determine if treatment is effective. Which findings indicate that treatment is
not therapeutic? Select all that apply.
-The client is reporting sudden difficulty breathing and shortness of
breath.
-the client's IV site where heparin is being infused has infiltrated.
,-The client's left calf is swollen, red, and painful.
The nurse reviews three clients' ECG strips. For which client should the plan
of care be updated to include a prescription for a permanent pacemaker?
see attached pic
A client presents to the ED with severe headache, neck rigidity, photophobia,
fever, and vomiting. Blood cultures and antibiotics are prescribed. What is
the most important nursing action before implementing the prescriptions?
Ensure the client is placed on isolation
A client admitted with ulcerative colitis is weak and requires assistance for
activities of daily living. In the clients plan of care, the nurse has documented
the need for UAP to provide frequent perneal care and apply a skin barrier to
the perineum. why has the nurse included these interventions in the clients
plan of care?
it is expected that the client will have several loose stools daily
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?
, Surgical site infection
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?
set the room temp to 85
A client on the hospice unit with terminal cancer is actively dying, and the
family is sad and crying. the clients sister says "shes starving. you havent
fed her since yesterday. can i give her water or a nutritional milkshake? how
should the nurse respond? select all that apply
- It is unsafe to feed her as she is no longer able to swallow
- At this stage your sister is really not experiencing hunger
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
does?
1225
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?
