NR324 CJE Exam Questions and Verified
Answers 2026 -2027
.
Pass your specialized clinical assessment with this premium study guide
optimized for the 2026 Chamberlain University NR324 Adult Health I
Clinical Junior Evaluation (CJE) Exam. This comprehensive document
delivers realistic practice questions, verified answer keys, and deep
evidentiary rationales covering advanced medical-surgical nursing
concepts, acute disease processes, and client care management. Tailored
specifically for nursing students, it highlights essential diagnostic
algorithms, pharmacological profiles, and prioritization frameworks to
ensure level 3 proficiency.
QUESTION 1
A patient has a prescription for a PRN pain medication. What should
the nurse assess before administration?
A) Vital signs only
B) Pain level and characteristics
C) Allergies only
D) Both pain assessment and allergies
Rationale: A comprehensive pain assessment (location, intensity, quality)
and allergies are necessary before administering a PRN pain medication.
While vital signs should also be assessed, the priority is evaluating the need
for the medication .
QUESTION 2
Which of the following is a risk factor for catheter-associated urinary
tract infection (CAUTI)?
,A) Indwelling urinary catheter
B) Broken arm
C) Hypertension
D) Sprain
Rationale: An indwelling urinary catheter is the primary risk factor for
CAUTI, a preventable healthcare-associated infection requiring careful
monitoring and adherence to insertion and maintenance protocols .
QUESTION 3
A nurse is caring for a client with a seizure. Which action by the nurse
requires correction?
A) "I will place the client on their side."
B) "I will go to the nurses' station for assistance."
C) "I will note the time that the seizure begins."
D) "I will prepare to insert an airway."
Rationale: During a seizure, the nurse should stay with the client and call for
help from the bedside. Leaving the client alone is unsafe and requires
correction. The client should be placed on their side to maintain airway
patency .
QUESTION 4
Which of the following is the priority intervention to prevent
complications in an NPO client?
A) Provide oral care every 2 hours
B) Place NPO sign on the door
C) Assess for thirst every 4 hours
D) Keep water at bedside
,Rationale: Providing oral care every 2 hours prevents dry mucous
membranes, cracking, and infection, which are common complications of
NPO status. While signage and assessment are important, oral care is the
direct intervention to prevent tissue breakdown .
QUESTION 5
What is the correct procedure for cleaning a hearing aid?
A) Clean the ear mold with alcohol
B) Clean the ear mold with mild soap and water while keeping the
hearing aid dry
C) Submerge the entire hearing aid in water
D) Wipe with a dry cloth only
Rationale: Hearing aids should be cleaned by cleaning the ear mold with
mild soap and water while keeping the hearing aid dry. When not in use for
extended periods, the hearing aid should be turned off and the battery
removed .
QUESTION 6
A Coudé catheter ("bent tip") is most commonly used for which type
of client?
A) Female clients with urinary retention
B) Male clients with some kind of blockage or obstruction
C) Pediatric clients
D) Clients with neurogenic bladder
Rationale: The Coudé catheter has a bent tip most commonly used for male
clients with some kind of blockage or obstruction, such as an enlarged
, prostate. The curved tip helps navigate around anatomical obstacles that a
straight catheter cannot pass .
QUESTION 7
The nurse is preparing to administer subcutaneous heparin. Which site
is best?
A) Deltoid muscle
B) Ventrogluteal site
C) Abdomen, 2 inches away from umbilicus
D) Vastus lateralis
Rationale: The abdomen is the preferred site for subcutaneous heparin due
to consistent absorption and adequate subcutaneous tissue. The 2-inch area
around the umbilicus should be avoided to prevent bruising and bleeding .
QUESTION 8
A patient falls while ambulating to the bathroom. What is the nurse's
first action?
A) Call the provider
B) Assess the patient for injuries
C) Complete an incident report
D) Notify the charge nurse
Rationale: Assessment of the patient for injuries is the immediate priority
(ABCs and safety). Calling the provider, completing an incident report, and
notifying the charge nurse come after the initial patient assessment .
Answers 2026 -2027
.
Pass your specialized clinical assessment with this premium study guide
optimized for the 2026 Chamberlain University NR324 Adult Health I
Clinical Junior Evaluation (CJE) Exam. This comprehensive document
delivers realistic practice questions, verified answer keys, and deep
evidentiary rationales covering advanced medical-surgical nursing
concepts, acute disease processes, and client care management. Tailored
specifically for nursing students, it highlights essential diagnostic
algorithms, pharmacological profiles, and prioritization frameworks to
ensure level 3 proficiency.
QUESTION 1
A patient has a prescription for a PRN pain medication. What should
the nurse assess before administration?
A) Vital signs only
B) Pain level and characteristics
C) Allergies only
D) Both pain assessment and allergies
Rationale: A comprehensive pain assessment (location, intensity, quality)
and allergies are necessary before administering a PRN pain medication.
While vital signs should also be assessed, the priority is evaluating the need
for the medication .
QUESTION 2
Which of the following is a risk factor for catheter-associated urinary
tract infection (CAUTI)?
,A) Indwelling urinary catheter
B) Broken arm
C) Hypertension
D) Sprain
Rationale: An indwelling urinary catheter is the primary risk factor for
CAUTI, a preventable healthcare-associated infection requiring careful
monitoring and adherence to insertion and maintenance protocols .
QUESTION 3
A nurse is caring for a client with a seizure. Which action by the nurse
requires correction?
A) "I will place the client on their side."
B) "I will go to the nurses' station for assistance."
C) "I will note the time that the seizure begins."
D) "I will prepare to insert an airway."
Rationale: During a seizure, the nurse should stay with the client and call for
help from the bedside. Leaving the client alone is unsafe and requires
correction. The client should be placed on their side to maintain airway
patency .
QUESTION 4
Which of the following is the priority intervention to prevent
complications in an NPO client?
A) Provide oral care every 2 hours
B) Place NPO sign on the door
C) Assess for thirst every 4 hours
D) Keep water at bedside
,Rationale: Providing oral care every 2 hours prevents dry mucous
membranes, cracking, and infection, which are common complications of
NPO status. While signage and assessment are important, oral care is the
direct intervention to prevent tissue breakdown .
QUESTION 5
What is the correct procedure for cleaning a hearing aid?
A) Clean the ear mold with alcohol
B) Clean the ear mold with mild soap and water while keeping the
hearing aid dry
C) Submerge the entire hearing aid in water
D) Wipe with a dry cloth only
Rationale: Hearing aids should be cleaned by cleaning the ear mold with
mild soap and water while keeping the hearing aid dry. When not in use for
extended periods, the hearing aid should be turned off and the battery
removed .
QUESTION 6
A Coudé catheter ("bent tip") is most commonly used for which type
of client?
A) Female clients with urinary retention
B) Male clients with some kind of blockage or obstruction
C) Pediatric clients
D) Clients with neurogenic bladder
Rationale: The Coudé catheter has a bent tip most commonly used for male
clients with some kind of blockage or obstruction, such as an enlarged
, prostate. The curved tip helps navigate around anatomical obstacles that a
straight catheter cannot pass .
QUESTION 7
The nurse is preparing to administer subcutaneous heparin. Which site
is best?
A) Deltoid muscle
B) Ventrogluteal site
C) Abdomen, 2 inches away from umbilicus
D) Vastus lateralis
Rationale: The abdomen is the preferred site for subcutaneous heparin due
to consistent absorption and adequate subcutaneous tissue. The 2-inch area
around the umbilicus should be avoided to prevent bruising and bleeding .
QUESTION 8
A patient falls while ambulating to the bathroom. What is the nurse's
first action?
A) Call the provider
B) Assess the patient for injuries
C) Complete an incident report
D) Notify the charge nurse
Rationale: Assessment of the patient for injuries is the immediate priority
(ABCs and safety). Calling the provider, completing an incident report, and
notifying the charge nurse come after the initial patient assessment .
