CJE BENCHMARK CLINICAL JUDGMENT EXAM 2 /NURS 3251 EXAM
ACTUAL 2026/2027 COMPREHENSIVE HIGH YIELD PRACTICE
QUESTIONS AND STUDY GUIDE COMPLETE ACCURATE EXAM
APPROVED QUESTIONS WITH WELL ELABORATED ANSWERS AND
DETAILED RATIONALES (100% CORRECT VERIFIED ANSWERS)
CURRENTLY UPDATED VERSION 2026 EDITION |GUARANTEED PASS
A+ |FULL REVISED CJE BENCHMARK CLINICAL JUDGMENT EXAM
2 /NURS 3251 EXAM |JUST RELEASED
1. The nurse is caring for a patient who was admitted with
pneumonia. Which position assumed by the patient leads the nurse
to suspect that the patient is developing hypoxia?
A. Side-lying
B. Sitting in tripod position
C. Prone with head of bed at 30° angle
D. Supine with head of bed at 45° angle
Correct Answer: B
Rationale: The tripod position (sitting upright, leaning forward with
arms resting on a table or knees) is an instinctive position that
increases lung expansion and is often assumed by patients
experiencing respiratory distress or hypoxia.
2. Which virus is a strain of the bird flu?
A. H1N7
B. H1N1
C. H1N5
D. H5N1
Correct Answer: D
,Rationale: H5N1 is a strain of avian influenza (bird flu) that has
caused outbreaks in birds and has been transmitted to humans.
3. What is the most important information for the nurse to convey to
a patient who is beginning pharmacological therapy for the treatment
of tuberculosis to ensure suppression of the disease?
A. "Eat a diet rich in Vitamin K."
B. "Do not drink alcoholic beverages."
C. "Take the medication exactly as prescribed."
D. "Contact the health care provider if you become ill."
Correct Answer: C
Rationale: Adherence to the prescribed regimen is crucial for
suppressing TB and preventing drug resistance. Taking medications
exactly as prescribed is the most important instruction.
4. What education will be provided for the family of a patient being
treated for tuberculosis convalescing at home?
A. Use airborne precautions.
B. Place used tissues in a trash can.
C. Cover your mouth and nose when sneezing.
D. Everyone must undergo tuberculosis testing.
Correct Answer: D
Rationale: Family members and close contacts of a patient with
active TB should be screened for TB infection to prevent further
transmission.
5. A patient who has begun standard multidrug treatment for
tuberculosis (TB) reports orange-tinged sputum and urine. The nurse
tells the patient that this symptom represents which response to the
treatment regimen?
,A. Normal drug side effects of rifampin
B. Hemolysis and a potential for anemia
C. Drug resistance with spread of infection
D. Hepatotoxicity caused by drinking alcohol
Correct Answer: A
Rationale: Rifampin commonly causes orange discoloration of body
fluids, including sputum, urine, tears, and sweat. This is a benign,
expected side effect.
6. A patient is about to begin drug therapy for the treatment of
tuberculosis (TB). What information is most important for the nurse
to give to this patient prior to the start of therapy?
A. "Do not drink alcohol."
B. "Eat foods high in carbohydrates."
C. "Take medications in the morning."
D. "Limit ingestion of orange or grapefruit juice."
Correct Answer: A
Rationale: Isoniazid and rifampin are hepatotoxic; alcohol
consumption increases the risk of liver damage. Patients should be
advised to avoid alcohol.
7. A patient with pneumonia has difficulty clearing secretions in his
airway, which are quite thick. Which nursing intervention does the
nurse include in this patient's plan of care?
A. Encourage an intake of 2 liters of fluid per day.
B. Help the patient to ambulate several times daily.
C. Give intravenous antibiotics as ordered by the provider.
D. Administer a cough suppressant before bedtime.
Correct Answer: A
, Rationale: Adequate hydration helps thin respiratory secretions,
making them easier to expectorate.
8. Which signs and symptoms does the nurse anticipate finding in a
patient diagnosed with tuberculosis? Select all that apply.
A. Lethargy
B. Dyspnea
C. Weight gain
D. Night sweats
E. Low-grade fever
Correct Answer: A, D, E
Rationale: Classic symptoms of TB include lethargy, night sweats,
low-grade fever, weight loss, and a productive cough. Dyspnea and
weight gain are not typical.
9. A nurse is providing discharge instructions for a patient with
active tuberculosis (TB) who has been prescribed isoniazid. What
information about medication administration does the nurse include
when providing discharge instructions?
A. "Take the drug on an empty stomach."
B. "Take the drug with food for better absorption."
C. "Take an antacid with the drug for better absorption."
D. "Take the drug with a full glass of water and increase your water
intake."
Correct Answer: A
Rationale: Isoniazid is best absorbed on an empty stomach. If GI
upset occurs, it may be taken with food, but absorption is reduced.
10. What consideration is important for the nurse to remember when
managing the care of a patient with hospital-acquired pneumonia?
ACTUAL 2026/2027 COMPREHENSIVE HIGH YIELD PRACTICE
QUESTIONS AND STUDY GUIDE COMPLETE ACCURATE EXAM
APPROVED QUESTIONS WITH WELL ELABORATED ANSWERS AND
DETAILED RATIONALES (100% CORRECT VERIFIED ANSWERS)
CURRENTLY UPDATED VERSION 2026 EDITION |GUARANTEED PASS
A+ |FULL REVISED CJE BENCHMARK CLINICAL JUDGMENT EXAM
2 /NURS 3251 EXAM |JUST RELEASED
1. The nurse is caring for a patient who was admitted with
pneumonia. Which position assumed by the patient leads the nurse
to suspect that the patient is developing hypoxia?
A. Side-lying
B. Sitting in tripod position
C. Prone with head of bed at 30° angle
D. Supine with head of bed at 45° angle
Correct Answer: B
Rationale: The tripod position (sitting upright, leaning forward with
arms resting on a table or knees) is an instinctive position that
increases lung expansion and is often assumed by patients
experiencing respiratory distress or hypoxia.
2. Which virus is a strain of the bird flu?
A. H1N7
B. H1N1
C. H1N5
D. H5N1
Correct Answer: D
,Rationale: H5N1 is a strain of avian influenza (bird flu) that has
caused outbreaks in birds and has been transmitted to humans.
3. What is the most important information for the nurse to convey to
a patient who is beginning pharmacological therapy for the treatment
of tuberculosis to ensure suppression of the disease?
A. "Eat a diet rich in Vitamin K."
B. "Do not drink alcoholic beverages."
C. "Take the medication exactly as prescribed."
D. "Contact the health care provider if you become ill."
Correct Answer: C
Rationale: Adherence to the prescribed regimen is crucial for
suppressing TB and preventing drug resistance. Taking medications
exactly as prescribed is the most important instruction.
4. What education will be provided for the family of a patient being
treated for tuberculosis convalescing at home?
A. Use airborne precautions.
B. Place used tissues in a trash can.
C. Cover your mouth and nose when sneezing.
D. Everyone must undergo tuberculosis testing.
Correct Answer: D
Rationale: Family members and close contacts of a patient with
active TB should be screened for TB infection to prevent further
transmission.
5. A patient who has begun standard multidrug treatment for
tuberculosis (TB) reports orange-tinged sputum and urine. The nurse
tells the patient that this symptom represents which response to the
treatment regimen?
,A. Normal drug side effects of rifampin
B. Hemolysis and a potential for anemia
C. Drug resistance with spread of infection
D. Hepatotoxicity caused by drinking alcohol
Correct Answer: A
Rationale: Rifampin commonly causes orange discoloration of body
fluids, including sputum, urine, tears, and sweat. This is a benign,
expected side effect.
6. A patient is about to begin drug therapy for the treatment of
tuberculosis (TB). What information is most important for the nurse
to give to this patient prior to the start of therapy?
A. "Do not drink alcohol."
B. "Eat foods high in carbohydrates."
C. "Take medications in the morning."
D. "Limit ingestion of orange or grapefruit juice."
Correct Answer: A
Rationale: Isoniazid and rifampin are hepatotoxic; alcohol
consumption increases the risk of liver damage. Patients should be
advised to avoid alcohol.
7. A patient with pneumonia has difficulty clearing secretions in his
airway, which are quite thick. Which nursing intervention does the
nurse include in this patient's plan of care?
A. Encourage an intake of 2 liters of fluid per day.
B. Help the patient to ambulate several times daily.
C. Give intravenous antibiotics as ordered by the provider.
D. Administer a cough suppressant before bedtime.
Correct Answer: A
, Rationale: Adequate hydration helps thin respiratory secretions,
making them easier to expectorate.
8. Which signs and symptoms does the nurse anticipate finding in a
patient diagnosed with tuberculosis? Select all that apply.
A. Lethargy
B. Dyspnea
C. Weight gain
D. Night sweats
E. Low-grade fever
Correct Answer: A, D, E
Rationale: Classic symptoms of TB include lethargy, night sweats,
low-grade fever, weight loss, and a productive cough. Dyspnea and
weight gain are not typical.
9. A nurse is providing discharge instructions for a patient with
active tuberculosis (TB) who has been prescribed isoniazid. What
information about medication administration does the nurse include
when providing discharge instructions?
A. "Take the drug on an empty stomach."
B. "Take the drug with food for better absorption."
C. "Take an antacid with the drug for better absorption."
D. "Take the drug with a full glass of water and increase your water
intake."
Correct Answer: A
Rationale: Isoniazid is best absorbed on an empty stomach. If GI
upset occurs, it may be taken with food, but absorption is reduced.
10. What consideration is important for the nurse to remember when
managing the care of a patient with hospital-acquired pneumonia?
