Advanced Med-Surg CJE Exam
Study Guide – Practice
Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update
Client is alert and oriented X4. Speech is clear. Respirations even, shallow, slight
tachypnea. Low-pitched rhonchi noted in bases bilaterally. Congestive cough
with productive green sputum. Cup of green thick sputum at bedside.
Abdomen is soft, nontender, non-distended. Active bowel sounds X4
quadrants.
5/5 strength noted in lower extremities. Left hip dressing, adhesive tape is
peeling, not intact. Client reports hip pain is 3/10.
100/81
Heart Rate
95
Respiratory Rate
20
Temperature
100.9 °F
38.3 °C
Sp02
,88% RAA client had total hip arthroplasty 2 days ago, and the nurse prepares to
change the client's dressing.
Past medical history includes obesity, severe osteoarthritis, and hypertension.
History of smoking for two years; discontinued smoking six months prior to
surgery.
Review the electronic health record.
Complete the diagram by dragging from the choices below to specify what
condition the client is most likely - Answer✔✔-Condition:
Pneumonia
Actions:
Administer oxygen 2 L via NC
Administer acetaminophen for fever
Monitor:
Oxygen saturation
Temperature
A client prescribed phenytoin for the treatment of frequent tonic-clonic
seizures has a phenytoin level of 38 mcg/mL (Therapeutic range: 10-20
mcg/mL).
Which findings is the nurse likely to observe related to this laboratory result?
Select all that apply. - Answer✔✔--Slurred speech
-Ataxia
-Nystagmus
0630
,Client admitted from the skilled nursing facility with Stage IV pressure injury 6
cm x 4 cm with a depth of 2 cm. Foul-smelling purulent drainage and areas of
eschar present on the left side of the wound. Temperature 99.6 °F (37.6 °C),
heart rate 88, respiratory rate 22, blood pressure 110/68, 02 saturation 94%
The nurse reviews the nursing note from the previous shift for a 79-year-old
client.
What is the nurse's priority action? - Answer✔✔-Start IV fluids and obtain
blood samples for culture and sensitivity to start antibiotics.
The nurse cares for an 81-year-old client with an indwelling catheter for urinary
incontinence and retention.
What assessment result supports the nurse removing the catheter? -
Answer✔✔-Urine output is 240 mL in 8 hours
The emergency department nurse cares for a client brought in with a
respiratory rate of 6, blood pressure 90/54, and unresponsive to voice. The
nurse assesses multiple needle track marks on both arms.
What is the priority action by the nurse? - Answer✔✔-Prepare to administer
intravenous naloxone.
The nurse cares for a client with a tracheostomy and notes a cuff pressure of 12
cm H20.
What is the priority action by the nurse? - Answer✔✔-Inflate the cuff to 20 cm
H₂O
1500
, Crackles auscultated in bilateral lung bases. Client reports they can ambulate to
the bathroom and back without shortness of breath.
Temperature 98.2 °F (36.8 °C), heart rate 86, respiratory rate 18, blood pressure
140/68.
A client is prescribed furosemide 40 mg PO daily for left-sided heart failure.
What documented assessment data indicates to the nurse that the treatment is
effective? - Answer✔✔-Lung sounds
• Admit to medical-surgical unit
• Diet: 1500-2000 mg sodium, 3-4 grams potassium, 0.8-1.2 grams phosphorus,
1.2-1.5 grams/kg protein
• Vital signs every 4 hours
• Polyethylene glycol 3350 17 grams PO daily, start 4 hours before dialysis
• Assess Tenckhoff peritoneal catheter site every 8 hours
• Gentamicin 0.1% cream topically to PD access site daily
• Obtain dry weight
The registered nurse (RN) admits a client with end-stage renal disease who
receives peritoneal dialysis. After reviewing the health care provider's orders,
the nurse plans to delegate client care to the licensed practical/vocational
nurse (LPN/LVN) and unlicensed assistive personnel (UAP).
For each task, click to specify if the task should be delegated to the UAP or the
LPN/LVN or can only be completed by the RN. - Answer✔✔-Administer
polyethylene glycol: LPN/LVN
Obtain vital signs: UAP
Assess catheter site: RN
Study Guide – Practice
Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update
Client is alert and oriented X4. Speech is clear. Respirations even, shallow, slight
tachypnea. Low-pitched rhonchi noted in bases bilaterally. Congestive cough
with productive green sputum. Cup of green thick sputum at bedside.
Abdomen is soft, nontender, non-distended. Active bowel sounds X4
quadrants.
5/5 strength noted in lower extremities. Left hip dressing, adhesive tape is
peeling, not intact. Client reports hip pain is 3/10.
100/81
Heart Rate
95
Respiratory Rate
20
Temperature
100.9 °F
38.3 °C
Sp02
,88% RAA client had total hip arthroplasty 2 days ago, and the nurse prepares to
change the client's dressing.
Past medical history includes obesity, severe osteoarthritis, and hypertension.
History of smoking for two years; discontinued smoking six months prior to
surgery.
Review the electronic health record.
Complete the diagram by dragging from the choices below to specify what
condition the client is most likely - Answer✔✔-Condition:
Pneumonia
Actions:
Administer oxygen 2 L via NC
Administer acetaminophen for fever
Monitor:
Oxygen saturation
Temperature
A client prescribed phenytoin for the treatment of frequent tonic-clonic
seizures has a phenytoin level of 38 mcg/mL (Therapeutic range: 10-20
mcg/mL).
Which findings is the nurse likely to observe related to this laboratory result?
Select all that apply. - Answer✔✔--Slurred speech
-Ataxia
-Nystagmus
0630
,Client admitted from the skilled nursing facility with Stage IV pressure injury 6
cm x 4 cm with a depth of 2 cm. Foul-smelling purulent drainage and areas of
eschar present on the left side of the wound. Temperature 99.6 °F (37.6 °C),
heart rate 88, respiratory rate 22, blood pressure 110/68, 02 saturation 94%
The nurse reviews the nursing note from the previous shift for a 79-year-old
client.
What is the nurse's priority action? - Answer✔✔-Start IV fluids and obtain
blood samples for culture and sensitivity to start antibiotics.
The nurse cares for an 81-year-old client with an indwelling catheter for urinary
incontinence and retention.
What assessment result supports the nurse removing the catheter? -
Answer✔✔-Urine output is 240 mL in 8 hours
The emergency department nurse cares for a client brought in with a
respiratory rate of 6, blood pressure 90/54, and unresponsive to voice. The
nurse assesses multiple needle track marks on both arms.
What is the priority action by the nurse? - Answer✔✔-Prepare to administer
intravenous naloxone.
The nurse cares for a client with a tracheostomy and notes a cuff pressure of 12
cm H20.
What is the priority action by the nurse? - Answer✔✔-Inflate the cuff to 20 cm
H₂O
1500
, Crackles auscultated in bilateral lung bases. Client reports they can ambulate to
the bathroom and back without shortness of breath.
Temperature 98.2 °F (36.8 °C), heart rate 86, respiratory rate 18, blood pressure
140/68.
A client is prescribed furosemide 40 mg PO daily for left-sided heart failure.
What documented assessment data indicates to the nurse that the treatment is
effective? - Answer✔✔-Lung sounds
• Admit to medical-surgical unit
• Diet: 1500-2000 mg sodium, 3-4 grams potassium, 0.8-1.2 grams phosphorus,
1.2-1.5 grams/kg protein
• Vital signs every 4 hours
• Polyethylene glycol 3350 17 grams PO daily, start 4 hours before dialysis
• Assess Tenckhoff peritoneal catheter site every 8 hours
• Gentamicin 0.1% cream topically to PD access site daily
• Obtain dry weight
The registered nurse (RN) admits a client with end-stage renal disease who
receives peritoneal dialysis. After reviewing the health care provider's orders,
the nurse plans to delegate client care to the licensed practical/vocational
nurse (LPN/LVN) and unlicensed assistive personnel (UAP).
For each task, click to specify if the task should be delegated to the UAP or the
LPN/LVN or can only be completed by the RN. - Answer✔✔-Administer
polyethylene glycol: LPN/LVN
Obtain vital signs: UAP
Assess catheter site: RN
