COLLABORATIVE CJE
QUESTIONS AND CORRECT ANSWER
S 2026/2027 | VERIFIED NCLEX
STUDY GUIDE WITH DETAILED
RATIONALES FOR A GRADE
SUCCESS
1. The nurse is providing dietary education to a pregnant
client with phenylketonuria (PKU). Which foods, if
appearing on the client's lunch tray, would indicate a need
for further teaching? Select all that apply.
A. Bananas
B. Dairy
C. Eggs
D. Nuts
E. Legumes
F. Meat
CORRECT ANSWER : B. Dairy; C. Eggs; D. Nuts; E.
Legumes; F. Meat
,Rationale: Foods high in phenylalanine must be restricted in
PKU, particularly during pregnancy. Major sources include
meat, dairy products, eggs, nuts, and legumes.
2. The nurse is caring for a client with a phosphate level of
6.2 mg/dL (reference range: 3–4.5 mg/dL). Which
assessment findings are anticipated? Select all that apply.
A. Hypotension
B. Diminished peripheral pulses
C. Positive Chvostek's sign
D. Prolonged cardiac QT interval
CORRECT ANSWER : C. Positive Chvostek's sign; D.
Prolonged cardiac QT interval
3. What are the causes and initial nursing actions for fetal
heart-rate decelerations?
CORRECT ANSWER :
, • Early deceleration — Fetal head compression →
Continue to monitor
• Variable deceleration — Umbilical cord compression →
Reposition the client
• Late deceleration — Placental insufficiency →
Discontinue oxytocin infusion
4. The nurse is caring for a child with rotavirus who is
vomiting and has diarrhea. Which protective precautions
should the nurse employ?
A. Gown and gloves
B. Contact precautions
C. Droplet precautions
D. Gloves and surgical mask
CORRECT ANSWER : B. Contact precautions
5. The nurse is planning care for a client who will undergo
an esophagogastroduodenoscopy (EGD) in the morning.
, Which pre-procedure instruction should the nurse
provide?
A. Take all routine medications the morning before the
procedure.
B. Drink only clear liquids the morning of the procedure.
C. Avoid eating or drinking for 8 hours before the procedure.
D. Never take routine medications before a procedure.
E. Every client is required to arrive at 0800 for the procedure.
CORRECT ANSWER : C. Avoid eating or drinking for 8
hours before the procedure.
6. Which symptoms of left-sided heart failure should the
client report to the healthcare provider? Select all that
apply.
A. Dyspnea
B. Hepatomegaly
C. Ascites
D. Crackles in lung fields
E. Coughing
F. Distended neck veins
QUESTIONS AND CORRECT ANSWER
S 2026/2027 | VERIFIED NCLEX
STUDY GUIDE WITH DETAILED
RATIONALES FOR A GRADE
SUCCESS
1. The nurse is providing dietary education to a pregnant
client with phenylketonuria (PKU). Which foods, if
appearing on the client's lunch tray, would indicate a need
for further teaching? Select all that apply.
A. Bananas
B. Dairy
C. Eggs
D. Nuts
E. Legumes
F. Meat
CORRECT ANSWER : B. Dairy; C. Eggs; D. Nuts; E.
Legumes; F. Meat
,Rationale: Foods high in phenylalanine must be restricted in
PKU, particularly during pregnancy. Major sources include
meat, dairy products, eggs, nuts, and legumes.
2. The nurse is caring for a client with a phosphate level of
6.2 mg/dL (reference range: 3–4.5 mg/dL). Which
assessment findings are anticipated? Select all that apply.
A. Hypotension
B. Diminished peripheral pulses
C. Positive Chvostek's sign
D. Prolonged cardiac QT interval
CORRECT ANSWER : C. Positive Chvostek's sign; D.
Prolonged cardiac QT interval
3. What are the causes and initial nursing actions for fetal
heart-rate decelerations?
CORRECT ANSWER :
, • Early deceleration — Fetal head compression →
Continue to monitor
• Variable deceleration — Umbilical cord compression →
Reposition the client
• Late deceleration — Placental insufficiency →
Discontinue oxytocin infusion
4. The nurse is caring for a child with rotavirus who is
vomiting and has diarrhea. Which protective precautions
should the nurse employ?
A. Gown and gloves
B. Contact precautions
C. Droplet precautions
D. Gloves and surgical mask
CORRECT ANSWER : B. Contact precautions
5. The nurse is planning care for a client who will undergo
an esophagogastroduodenoscopy (EGD) in the morning.
, Which pre-procedure instruction should the nurse
provide?
A. Take all routine medications the morning before the
procedure.
B. Drink only clear liquids the morning of the procedure.
C. Avoid eating or drinking for 8 hours before the procedure.
D. Never take routine medications before a procedure.
E. Every client is required to arrive at 0800 for the procedure.
CORRECT ANSWER : C. Avoid eating or drinking for 8
hours before the procedure.
6. Which symptoms of left-sided heart failure should the
client report to the healthcare provider? Select all that
apply.
A. Dyspnea
B. Hepatomegaly
C. Ascites
D. Crackles in lung fields
E. Coughing
F. Distended neck veins
