CJE BENCHMARK EXAM #1 QUESTIONS &
ANSWERS | 300 VERIFIED QUESTIONS WITH
COMPLETE SOLUTIONS | NCLEX-STYLE
NURSING PRACTICE | UPDATED 2026/2027
1. A patient is prescribed 1000 mL of lactated Ringer's solution to infuse over
8 hours. The IV tubing delivers 20 gtt/mL. What is the required flow rate in
gtt/min?
A) 32 gtt/min
B) 42 gtt/min
C) 52 gtt/min
D) 62 gtt/min
Answer B: 42 gtt/min
Rationale: Formula: (Volume × drop factor) ÷ time in minutes = (1000 × 20) ÷
480 = 20000 ÷ 480 = 41.67 ≈ 42 gtt/min.
2. The nurse is preparing to insert an indwelling urinary catheter for a male
client. Which action requires the charge nurse to intervene?
A) Lubricate the first 2.5 to 5 cm (1 to 2 inches) of the catheter tubing
B) Lubricate the entire catheter tubing
C) Clean the meatus with antiseptic swabs
D) Use sterile technique throughout the procedure
Answer B: Lubricate the entire catheter tubing
,Rationale: Only the first 2.5 to 5 cm (1 to 2 in) of the catheter should be
lubricated to maintain sterility of the portion inserted into the bladder.
3. Which of the following data should the charge nurse identify as objective
data?
A) Client reports "my stomach hurts"
B) Blood pressure 140/90 mmHg
C) Client states "I feel anxious"
D) Client reports "I haven't slept well"
Answer B: Blood pressure 140/90 mmHg
Rationale: Objective data are measurable and observable findings (vital signs, lab
results). Subjective data are what the client reports.
4. The nurse is assessing a client who has a temperature of 99.6°F following
hemodialysis. What is an appropriate action by the nurse?
A) Order blood cultures
B) Continue to monitor
C) Increase fluid intake
D) Lower room temperature
Answer B: Continue to monitor
Rationale: A low-grade fever is expected after hemodialysis because the dialysis
machine warms the blood to around 100°F to prevent hypothermia. The nurse
should continue to monitor temperature and other vital signs.
,5. The nurse is caring for a client receiving peritoneal dialysis who reports
nausea and diarrhea. Assessment findings include an enlarged abdomen with
hyperactive bowel sounds. What is an appropriate action by the nurse?
A) Collect fluid from peritoneal catheter and send for culture
B) Initiate cefazolin IV
C) Administer an enema after vomiting resolves
D) Ensure the drainage bag is lower than the client's abdomen
Answer D: Ensure the drainage bag is lower than the client's abdomen
Rationale: In peritoneal dialysis, the drainage bag must be kept lower than the
abdomen to facilitate proper drainage and prevent backflow.
6. The nurse is teaching a client with type 2 diabetes mellitus about insulin
self-injection. Which statement by the client changes the teaching plan?
A) "I will rotate injection sites"
B) "I will check my blood sugar before injecting"
C) "I will inject into my abdomen"
D) "I will reuse the same needle for a week to save money"
Answer D: "I will reuse the same needle for a week to save money"
Rationale: Needles should be used once and discarded to prevent infection,
lipohypertrophy, and inaccurate dosing.
, 7. The nurse is participating in discharge plans for a client who has a cast on
the right forearm due to a fracture. Which statement by the client requires
additional follow-up?
A) "I am starting to feel tingling in the right arm"
B) "My fingers are slightly swollen"
C) "I can move my fingers"
D) "The cast feels snug"
Answer A: "I am starting to feel tingling in the right arm"
Rationale: Tingling, numbness, or paresthesia may indicate neurovascular
compromise (compartment syndrome) and requires immediate evaluation.
8. The nurse is reviewing a client's lab values who has respiratory alkalosis.
Which results should the nurse expect? Select all that apply. E) Oxygen
saturation 85% F) Bicarbonate 25
A) pH 7.50
B) pH 7.30
C) CO2 50
D) CO2 28
Answer A: , D, F: pH 7.50, CO2 28, Bicarbonate 25
Rationale: Respiratory alkalosis presents with elevated pH (>7.45), low CO2 (<35),
and normal or slightly decreased bicarbonate (compensation).
ANSWERS | 300 VERIFIED QUESTIONS WITH
COMPLETE SOLUTIONS | NCLEX-STYLE
NURSING PRACTICE | UPDATED 2026/2027
1. A patient is prescribed 1000 mL of lactated Ringer's solution to infuse over
8 hours. The IV tubing delivers 20 gtt/mL. What is the required flow rate in
gtt/min?
A) 32 gtt/min
B) 42 gtt/min
C) 52 gtt/min
D) 62 gtt/min
Answer B: 42 gtt/min
Rationale: Formula: (Volume × drop factor) ÷ time in minutes = (1000 × 20) ÷
480 = 20000 ÷ 480 = 41.67 ≈ 42 gtt/min.
2. The nurse is preparing to insert an indwelling urinary catheter for a male
client. Which action requires the charge nurse to intervene?
A) Lubricate the first 2.5 to 5 cm (1 to 2 inches) of the catheter tubing
B) Lubricate the entire catheter tubing
C) Clean the meatus with antiseptic swabs
D) Use sterile technique throughout the procedure
Answer B: Lubricate the entire catheter tubing
,Rationale: Only the first 2.5 to 5 cm (1 to 2 in) of the catheter should be
lubricated to maintain sterility of the portion inserted into the bladder.
3. Which of the following data should the charge nurse identify as objective
data?
A) Client reports "my stomach hurts"
B) Blood pressure 140/90 mmHg
C) Client states "I feel anxious"
D) Client reports "I haven't slept well"
Answer B: Blood pressure 140/90 mmHg
Rationale: Objective data are measurable and observable findings (vital signs, lab
results). Subjective data are what the client reports.
4. The nurse is assessing a client who has a temperature of 99.6°F following
hemodialysis. What is an appropriate action by the nurse?
A) Order blood cultures
B) Continue to monitor
C) Increase fluid intake
D) Lower room temperature
Answer B: Continue to monitor
Rationale: A low-grade fever is expected after hemodialysis because the dialysis
machine warms the blood to around 100°F to prevent hypothermia. The nurse
should continue to monitor temperature and other vital signs.
,5. The nurse is caring for a client receiving peritoneal dialysis who reports
nausea and diarrhea. Assessment findings include an enlarged abdomen with
hyperactive bowel sounds. What is an appropriate action by the nurse?
A) Collect fluid from peritoneal catheter and send for culture
B) Initiate cefazolin IV
C) Administer an enema after vomiting resolves
D) Ensure the drainage bag is lower than the client's abdomen
Answer D: Ensure the drainage bag is lower than the client's abdomen
Rationale: In peritoneal dialysis, the drainage bag must be kept lower than the
abdomen to facilitate proper drainage and prevent backflow.
6. The nurse is teaching a client with type 2 diabetes mellitus about insulin
self-injection. Which statement by the client changes the teaching plan?
A) "I will rotate injection sites"
B) "I will check my blood sugar before injecting"
C) "I will inject into my abdomen"
D) "I will reuse the same needle for a week to save money"
Answer D: "I will reuse the same needle for a week to save money"
Rationale: Needles should be used once and discarded to prevent infection,
lipohypertrophy, and inaccurate dosing.
, 7. The nurse is participating in discharge plans for a client who has a cast on
the right forearm due to a fracture. Which statement by the client requires
additional follow-up?
A) "I am starting to feel tingling in the right arm"
B) "My fingers are slightly swollen"
C) "I can move my fingers"
D) "The cast feels snug"
Answer A: "I am starting to feel tingling in the right arm"
Rationale: Tingling, numbness, or paresthesia may indicate neurovascular
compromise (compartment syndrome) and requires immediate evaluation.
8. The nurse is reviewing a client's lab values who has respiratory alkalosis.
Which results should the nurse expect? Select all that apply. E) Oxygen
saturation 85% F) Bicarbonate 25
A) pH 7.50
B) pH 7.30
C) CO2 50
D) CO2 28
Answer A: , D, F: pH 7.50, CO2 28, Bicarbonate 25
Rationale: Respiratory alkalosis presents with elevated pH (>7.45), low CO2 (<35),
and normal or slightly decreased bicarbonate (compensation).
