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NR324 CJE Exam 2026/2027 | Adult Health I Clinical Judgment | Practice Questions & Answers

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Prepare for the NR324 Clinical Judgment Exam in Adult Health I with focused practice questions, answers, and detailed rationales. Review clinical judgment and prioritization, patient assessment, fluid and electrolyte balance, acid-base disorders, cardiovascular and respiratory conditions, renal and endocrine disorders, gastrointestinal and neurologic conditions, pharmacology, medication safety, infection control, perioperative care, patient education, and nursing interventions. Use the questions and rationales to reinforce key concepts, strengthen clinical reasoning, identify areas needing additional review, and prepare effectively for the NR324 CJE.

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NR324 CJE EXAM 2026/2027 | QUESTIONS & VERIFIED ANSWERS |
COMPLETE EXAM PREP STUDY GUIDE | HIGH-YIELD PRACTICE TEST |
WELL-EXPLAINED SOLUTIONS & DETAILED RATIONALES | LATEST
UPDATE
1. The nurse is caring for a client who is about to be discharged from the
hospital. The client asks the nurse for suggestions on how to improve the
quality of sleep in order to wake feeling refreshed in the morning. After
reviewing the client's medical history, which suggestions by the nurse is
appropriate ?

Increase the use of Nicotine as a stimulant early evening

Increase the use of alcohol to early in the evening

Adjusting the room temperature to a comfortable level for sleep

Exercise 30 minutes before bedtime

2. If a client reports that they have previously used deep breathing exercises to
cope with stress, how might a nurse incorporate this information into their
care plan for cardiac catheterization?

The nurse should schedule a follow-up appointment to discuss stress
management.

The nurse could include deep breathing exercises as a non-
pharmacological intervention to help manage the client's stress.

The nurse should recommend medication to alleviate stress.

The nurse should disregard this information as it is not relevant.

3. A nurse is collecting a history and physical on a patient who is in the middle
adulthood stage. The nurse should expect to find the following physiologic
processes except which:

Decreased metabolism

Decreased glomerular filtration

, Decreased gastric secretions

Ability to hear low-pitched sounds

4. What is an analgesic?

Application of heat

Drug that relieves pain

Freezing of abnormal tissue

Drug that destroys or inhibits the growth of microorganisms

5. A nurse is preparing to change a dressing on a patient with a history of
severe pain during the procedure. What would be the best nursing action
regarding pain management?

Change the dressing without any pain management.

Administer pain medication before the dressing change.

Administer pain medication after the dressing change.

Wait for the patient to report pain before administering medication.

6. Describe how the production of endorphins through exercise can impact a
person's mental health.

The production of endorphins through exercise can improve mood
and reduce feelings of anxiety.

Endorphins produced during exercise lead to increased stress and
anxiety levels.

Endorphins have no impact on mental health.

Exercise only benefits physical health, not mental health.

,7. What is the primary assessment a nurse must perform before instilling an
enteral feeding through an NG tube?

Confirm that the client does not have diarrhea.

Make sure the client is alert and oriented.

Verify the placement of the NG tube.

Check how long the feeding container has been open.

8. What does the abbreviation NPO mean in medical terminology?

Nutritional patient outcome

Nurse practitioner order

No physical observation

Nothing by mouth

9. Why is it critical for a nurse to verify the placement of the NG tube before
administering enteral feeding?

To confirm the feeding container is fresh and safe to use.

To ensure that the tube is correctly positioned in the stomach and to
prevent aspiration.

To assess the client's mental status before feeding.

To check for any signs of gastrointestinal distress.

10. What is one important aspect of client education regarding the maintenance
of hearing aids?

Using hearing aids only in quiet environments

Regular cleaning of the hearing aids

, Replacing batteries every month

Avoiding all forms of moisture

11. Which of the following statements is true relative to biofeedback?

It is very easy for individuals to voluntarily control functions of the
autonomic nervous system.

With practice, individuals can learn to reverse the "fight or flight"
effects of the sympathetic nervous system.

Individuals who use biofeedback routinely outperform those
individuals who do not.

Individuals cannot voluntarily control functions of the autonomic
nervous system.

12. What is the term used to describe difficulty in falling or staying asleep, as
indicated by the client's statement?

Hypersomnolence

Insomnia

Sleep apnea

Narcolepsy

13. A nurse manager is reviewing with nurses on the unit in the care of a client
who has had a seizure? which of the following statements by a nurse need
further instruction?

I will note the time the seizure started

I will prepare to insert an airway

I will place the client on their side

I will go the nurse's station for assistance

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September 17, 2026
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