CJE Benchmark Exam #3 Final Questions & Answers | Verified
Complete Solutions (Updated 2026/2027)
Question 1
What is the most effective method for a nurse to reduce microbial
counts on hands when they are not visibly soiled?
• A. Using an alcohol-based hand rub for 10 seconds
• B. Washing with soap and warm water for 15 seconds
• C. Washing with antiseptic soap for 30 seconds
• D. Using an alcohol-based hand rub, applying it until hands are
dry, for at least 20 to 30 seconds
Correct Answer: D. Using an alcohol-based hand rub, applying it until
hands are dry, for at least 20 to 30 seconds
Detailed Rationale: Alcohol-based hand rubs are highly effective when
applied thoroughly and allowed to dry for at least 20 seconds, provided
the hands are not visibly soiled. Soap and water is preferred when
hands are visibly dirty or contaminated with spores.
Question 2
Which intervention is most important for a nurse to implement to
prevent aspiration in a client receiving continuous enteral feedings via a
nasogastric tube?
• A. Flush the tube with 30 mL of water every 4 hours
, • B. Keep the head of the bed elevated to at least 30 to 45 degrees
during feeding and for 30 to 60 minutes afterward
• C. Check gastric residual volume every 2 hours
• D. Change the enteral feeding bag and tubing every 24 hours
Correct Answer: B. Keep the head of the bed elevated to at least 30 to
45 degrees during feeding and for 30 to 60 minutes afterward
Detailed Rationale: Elevating the head of the bed to 30–45 degrees is
the primary mechanical measure to reduce the risk of reflux and
pulmonary aspiration during enteral nutrition.
Question 3
A client is 1 day postoperative following a total knee arthroplasty and
reports pain of 7 on a 0-10 scale. What initial action should the nurse
take?
• A. Administer the prescribed PRN opioid analgesic immediately
• B. Reposition the client to a comfortable alignment
• C. Apply an ice pack to the surgical knee
• D. Assess the client's pain characteristics and inspect the surgical
site
Correct Answer: D. Assess the client's pain characteristics and inspect
the surgical site
Detailed Rationale: The nursing process requires assessment before
intervention. The nurse must first fully assess the pain and inspect the
surgical site to rule out acute complications such as hemorrhage or
,compartment syndrome before administering medication or
treatments.
Question 4
A client with a history of recurrent falls is being discharged home.
Which interprofessional referral is most appropriate to mitigate
environmental fall risks?
• A. Occupational therapy for a home safety and hazard assessment
• B. Physical therapy for strength training
• C. Social work for financial assistance
• D. Home health aide for daily personal hygiene
Correct Answer: A. Occupational therapy for a home safety and hazard
assessment
Detailed Rationale: Occupational therapists specialize in evaluating the
home environment (e.g., rugs, lighting, grab bars, clutter) to
recommend modifications that enhance safety and independence.
Question 5
When preparing to administer a unit of packed red blood cells (PRBCs),
which action is most critical to prevent a fatal transfusion error?
• A. Check the blood product expiration date and lot number
• B. Verify the client's identity using two unique client identifiers at
the bedside with a second licensed nurse
• C. Obtain baseline vital signs immediately prior to initiation
, • D. Prime the blood administration tubing with 5% Dextrose in
Water
Correct Answer: B. Verify the client's identity using two unique client
identifiers at the bedside with a second licensed nurse
Detailed Rationale: Positive client identification using two identifiers
matched against the blood bank tag and provider prescription is the
single most vital safeguard against acute hemolytic transfusion
reactions. Blood tubing must be primed with 0.9% sodium chloride, not
dextrose.
Question 1
What is the most effective method for a nurse to reduce microbial
counts on hands when they are not visibly soiled?
• A. Using an alcohol-based hand rub for 10 seconds
• B. Washing with soap and warm water for 15 seconds
• C. Washing with antiseptic soap for 30 seconds
• D. Using an alcohol-based hand rub, applying it until hands are
dry, for at least 20 to 30 seconds
Correct Answer: D. Using an alcohol-based hand rub, applying it until
hands are dry, for at least 20 to 30 seconds
Detailed Rationale: Alcohol-based hand rubs are highly effective when
applied thoroughly and allowed to dry for at least 20 seconds, provided
the hands are not visibly soiled. Soap and water is preferred when
hands are visibly dirty or contaminated with spores.
Question 6
Complete Solutions (Updated 2026/2027)
Question 1
What is the most effective method for a nurse to reduce microbial
counts on hands when they are not visibly soiled?
• A. Using an alcohol-based hand rub for 10 seconds
• B. Washing with soap and warm water for 15 seconds
• C. Washing with antiseptic soap for 30 seconds
• D. Using an alcohol-based hand rub, applying it until hands are
dry, for at least 20 to 30 seconds
Correct Answer: D. Using an alcohol-based hand rub, applying it until
hands are dry, for at least 20 to 30 seconds
Detailed Rationale: Alcohol-based hand rubs are highly effective when
applied thoroughly and allowed to dry for at least 20 seconds, provided
the hands are not visibly soiled. Soap and water is preferred when
hands are visibly dirty or contaminated with spores.
Question 2
Which intervention is most important for a nurse to implement to
prevent aspiration in a client receiving continuous enteral feedings via a
nasogastric tube?
• A. Flush the tube with 30 mL of water every 4 hours
, • B. Keep the head of the bed elevated to at least 30 to 45 degrees
during feeding and for 30 to 60 minutes afterward
• C. Check gastric residual volume every 2 hours
• D. Change the enteral feeding bag and tubing every 24 hours
Correct Answer: B. Keep the head of the bed elevated to at least 30 to
45 degrees during feeding and for 30 to 60 minutes afterward
Detailed Rationale: Elevating the head of the bed to 30–45 degrees is
the primary mechanical measure to reduce the risk of reflux and
pulmonary aspiration during enteral nutrition.
Question 3
A client is 1 day postoperative following a total knee arthroplasty and
reports pain of 7 on a 0-10 scale. What initial action should the nurse
take?
• A. Administer the prescribed PRN opioid analgesic immediately
• B. Reposition the client to a comfortable alignment
• C. Apply an ice pack to the surgical knee
• D. Assess the client's pain characteristics and inspect the surgical
site
Correct Answer: D. Assess the client's pain characteristics and inspect
the surgical site
Detailed Rationale: The nursing process requires assessment before
intervention. The nurse must first fully assess the pain and inspect the
surgical site to rule out acute complications such as hemorrhage or
,compartment syndrome before administering medication or
treatments.
Question 4
A client with a history of recurrent falls is being discharged home.
Which interprofessional referral is most appropriate to mitigate
environmental fall risks?
• A. Occupational therapy for a home safety and hazard assessment
• B. Physical therapy for strength training
• C. Social work for financial assistance
• D. Home health aide for daily personal hygiene
Correct Answer: A. Occupational therapy for a home safety and hazard
assessment
Detailed Rationale: Occupational therapists specialize in evaluating the
home environment (e.g., rugs, lighting, grab bars, clutter) to
recommend modifications that enhance safety and independence.
Question 5
When preparing to administer a unit of packed red blood cells (PRBCs),
which action is most critical to prevent a fatal transfusion error?
• A. Check the blood product expiration date and lot number
• B. Verify the client's identity using two unique client identifiers at
the bedside with a second licensed nurse
• C. Obtain baseline vital signs immediately prior to initiation
, • D. Prime the blood administration tubing with 5% Dextrose in
Water
Correct Answer: B. Verify the client's identity using two unique client
identifiers at the bedside with a second licensed nurse
Detailed Rationale: Positive client identification using two identifiers
matched against the blood bank tag and provider prescription is the
single most vital safeguard against acute hemolytic transfusion
reactions. Blood tubing must be primed with 0.9% sodium chloride, not
dextrose.
Question 1
What is the most effective method for a nurse to reduce microbial
counts on hands when they are not visibly soiled?
• A. Using an alcohol-based hand rub for 10 seconds
• B. Washing with soap and warm water for 15 seconds
• C. Washing with antiseptic soap for 30 seconds
• D. Using an alcohol-based hand rub, applying it until hands are
dry, for at least 20 to 30 seconds
Correct Answer: D. Using an alcohol-based hand rub, applying it until
hands are dry, for at least 20 to 30 seconds
Detailed Rationale: Alcohol-based hand rubs are highly effective when
applied thoroughly and allowed to dry for at least 20 seconds, provided
the hands are not visibly soiled. Soap and water is preferred when
hands are visibly dirty or contaminated with spores.
Question 6
