CJE Med-Surg 1
Exam Coverage
Exam coverage for the CJE Med-Surg 1 Exam includes foundational
medical-surgical nursing concepts, clinical assessment,
pathophysiology, pharmacology, and evidence-based nursing
interventions for adult patients experiencing acute and chronic
health conditions. It focuses on the nursing process, clinical
judgment, prioritization, patient safety, and individualized care
planning. The exam also evaluates the ability to recognize changes
in patient condition, interpret clinical findings, implement
appropriate interventions, and collaborate effectively with the
healthcare team.
,The catheter-associated urinary tract infection (CAUTI) rate is up in
the hospital and the quality committee is meeting to devise a plan
aimed at decreasing the rate. Nurses are assessing all clients in the
hospital with urinary drainage catheters to determine which
catheters can be discontinued.
Which client should have the catheter removed?
C. The client with generalized weakness who is incontinent of bowel
and bladder.
, A client is in the observation unit of the emergency department with
lightheadedness upon standing, dry mouth, and a headache. The
client reports running a marathon two days ago and has been
feeling unwell since then.
Blood pressure is 92/60, temperature 101.1 °F (38.3 °C), respiratory
rate 22, heart rate 112, and oxygen saturation 94%. Serum laboratory
tests reveal hyponatremia and hyperkalemia. The client is asked to
give a urine sample for urinalysis and is only able to urinate 30 mL of
very dark urine.
What does the nurse anticipate will be in the client's immediate plan
of care? Select all that apply.
A. Monitor intake and output - Yes, this is critical for assessing fluid
balance in a potentially dehydrated client.
C. Intravenous fluid replacement - Yes, this is essential to correct
Exam Coverage
Exam coverage for the CJE Med-Surg 1 Exam includes foundational
medical-surgical nursing concepts, clinical assessment,
pathophysiology, pharmacology, and evidence-based nursing
interventions for adult patients experiencing acute and chronic
health conditions. It focuses on the nursing process, clinical
judgment, prioritization, patient safety, and individualized care
planning. The exam also evaluates the ability to recognize changes
in patient condition, interpret clinical findings, implement
appropriate interventions, and collaborate effectively with the
healthcare team.
,The catheter-associated urinary tract infection (CAUTI) rate is up in
the hospital and the quality committee is meeting to devise a plan
aimed at decreasing the rate. Nurses are assessing all clients in the
hospital with urinary drainage catheters to determine which
catheters can be discontinued.
Which client should have the catheter removed?
C. The client with generalized weakness who is incontinent of bowel
and bladder.
, A client is in the observation unit of the emergency department with
lightheadedness upon standing, dry mouth, and a headache. The
client reports running a marathon two days ago and has been
feeling unwell since then.
Blood pressure is 92/60, temperature 101.1 °F (38.3 °C), respiratory
rate 22, heart rate 112, and oxygen saturation 94%. Serum laboratory
tests reveal hyponatremia and hyperkalemia. The client is asked to
give a urine sample for urinalysis and is only able to urinate 30 mL of
very dark urine.
What does the nurse anticipate will be in the client's immediate plan
of care? Select all that apply.
A. Monitor intake and output - Yes, this is critical for assessing fluid
balance in a potentially dehydrated client.
C. Intravenous fluid replacement - Yes, this is essential to correct
