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CJE FUNDAMENTALS BENCHMARK EXAM 2
NEWEST 2026/ 2027 ACTUAL EXAM TEST BANK|
FUNDAMENTALS CJE 2 WITH COMPLETE 300 REAL
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
A client is 6 hours postoperative following abdominal surgery. The client
suddenly becomes restless and reports shortness of breath. Assessment
reveals HR 118/min, RR 30/min, SpO₂ 86% on room air, and diminished
breath sounds on the right. The client is anxious and repeatedly asks
whether they are dying.
Which finding should the nurse address first?
A. Anxiety
B. Tachycardia
C. Hypoxemia
D. Surgical discomfort - Correct Answer - C. Hypoxemia
SpO₂ of 86% indicates significant impaired oxygenation. Airway and
breathing take priority over anxiety, pain, and tachycardia.
A client with heart failure has received IV fluids continuously for 12
hours. The nurse notes a 2-kg weight increase, bilateral crackles, jugular
venous distention, and increasing dyspnea. The IV pump shows the
prescribed infusion rate.
Which action should the nurse take first?
A. Restrict sodium
B. Stop the IV infusion
C. Obtain a daily weight
pg. 1
,2|Page
D. Encourage coughing exercises - Correct Answer - B. Stop the IV
infusion
The combination of rapid weight gain, pulmonary crackles, JVD, and
dyspnea indicates fluid overload. Continuing the infusion may worsen
pulmonary congestion.
A client receiving an opioid after surgery becomes difficult to arouse.
The respiratory rate is 6/min, SpO₂ is 82%, and the client has shallow
respirations. The nurse administers naloxone as prescribed. Five minutes
later, the client becomes awake, but respirations remain 10/min.
Which action is most important?
A. Discontinue oxygen
B. Continue respiratory monitoring
C. Administer the opioid again
D. Allow the client to sleep - Correct Answer - B. Continue respiratory
monitoring
Naloxone can wear off before some opioids, causing recurrent
respiratory depression. Continued respiratory assessment is essential.
A client with diabetes is receiving a continuous enteral feeding. The
feeding becomes disconnected from the tube, and approximately 250 mL
has infused beyond the intended amount. The client is awake and
asymptomatic. Which assessment is the priority?
A. Skin integrity
B. Bowel sounds
C. Blood glucose
D. Oral intake - Correct Answer - C. Blood glucose
pg. 2
,3|Page
Enteral feeding provides carbohydrates and affects glycemic control. An
unintended change in feeding delivery can contribute to glucose
abnormalities.
A client admitted with pneumonia has received IV antibiotics and fluids
for 6 hours. Initially, BP was 118/72 mm Hg and urine output was 45
mL/hr. The latest assessment shows BP 88/52 mm Hg, HR 126/min, RR
28/min, SpO₂ 90%, and urine output of 15 mL over the past hour. The
client is newly confused.
Which finding provides the strongest evidence of impaired tissue
perfusion?
A. SpO₂ of 90%
B. Heart rate of 126/min
C. New confusion
D. Urine output of 15 mL/hr - Correct Answer - D. Urine output of 15
mL/hr
Markedly reduced urine output reflects decreased renal perfusion. In
combination with hypotension and infection, it is a significant indicator
of systemic hypoperfusion.
A client with pneumonia has received antibiotics for 48 hours. The nurse
notes that the temperature has decreased from 39.1°C to 37.8°C, but the
client is now confused, BP is 86/50 mm Hg, HR is 124/min, and urine
output is 15 mL/hr.
Which finding is the strongest indicator of deterioration?
A. Temperature
B. Confusion
C. Hypotension
pg. 3
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D. Urine output - Correct Answer - C. Hypotension
Severe hypotension in the setting of infection suggests impaired
perfusion and possible septic shock. Immediate intervention is required.
A nurse is caring for four clients. Which client should be assessed first?
A. Client with COPD whose SpO₂ is 90% on prescribed oxygen
B. Client with a new tracheostomy who has noisy respirations
C. Client with diabetes reporting hunger before lunch
D. Client awaiting assistance with a routine bath - Correct Answer - B.
Client with a new tracheostomy who has noisy respirations
New noisy respirations after tracheostomy placement may indicate
airway obstruction. Airway threats take priority.
A client receiving heparin develops a platelet count decrease from
220,000/mm³ to 92,000/mm³ several days after therapy begins. The
client reports new pain in the left calf.
Which complication should the nurse suspect?
A. Hemophilia
B. Heparin-induced thrombocytopenia
C. Vitamin K deficiency
D. Disseminated infection - Correct Answer - B.
A substantial platelet decline during heparin exposure combined with
new thrombosis-related symptoms is concerning for HIT.
A client with chronic kidney disease has potassium 6.4 mEq/L. The
cardiac monitor shows peaked T waves. The client reports generalized
weakness.
pg. 4
CJE FUNDAMENTALS BENCHMARK EXAM 2
NEWEST 2026/ 2027 ACTUAL EXAM TEST BANK|
FUNDAMENTALS CJE 2 WITH COMPLETE 300 REAL
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
A client is 6 hours postoperative following abdominal surgery. The client
suddenly becomes restless and reports shortness of breath. Assessment
reveals HR 118/min, RR 30/min, SpO₂ 86% on room air, and diminished
breath sounds on the right. The client is anxious and repeatedly asks
whether they are dying.
Which finding should the nurse address first?
A. Anxiety
B. Tachycardia
C. Hypoxemia
D. Surgical discomfort - Correct Answer - C. Hypoxemia
SpO₂ of 86% indicates significant impaired oxygenation. Airway and
breathing take priority over anxiety, pain, and tachycardia.
A client with heart failure has received IV fluids continuously for 12
hours. The nurse notes a 2-kg weight increase, bilateral crackles, jugular
venous distention, and increasing dyspnea. The IV pump shows the
prescribed infusion rate.
Which action should the nurse take first?
A. Restrict sodium
B. Stop the IV infusion
C. Obtain a daily weight
pg. 1
,2|Page
D. Encourage coughing exercises - Correct Answer - B. Stop the IV
infusion
The combination of rapid weight gain, pulmonary crackles, JVD, and
dyspnea indicates fluid overload. Continuing the infusion may worsen
pulmonary congestion.
A client receiving an opioid after surgery becomes difficult to arouse.
The respiratory rate is 6/min, SpO₂ is 82%, and the client has shallow
respirations. The nurse administers naloxone as prescribed. Five minutes
later, the client becomes awake, but respirations remain 10/min.
Which action is most important?
A. Discontinue oxygen
B. Continue respiratory monitoring
C. Administer the opioid again
D. Allow the client to sleep - Correct Answer - B. Continue respiratory
monitoring
Naloxone can wear off before some opioids, causing recurrent
respiratory depression. Continued respiratory assessment is essential.
A client with diabetes is receiving a continuous enteral feeding. The
feeding becomes disconnected from the tube, and approximately 250 mL
has infused beyond the intended amount. The client is awake and
asymptomatic. Which assessment is the priority?
A. Skin integrity
B. Bowel sounds
C. Blood glucose
D. Oral intake - Correct Answer - C. Blood glucose
pg. 2
,3|Page
Enteral feeding provides carbohydrates and affects glycemic control. An
unintended change in feeding delivery can contribute to glucose
abnormalities.
A client admitted with pneumonia has received IV antibiotics and fluids
for 6 hours. Initially, BP was 118/72 mm Hg and urine output was 45
mL/hr. The latest assessment shows BP 88/52 mm Hg, HR 126/min, RR
28/min, SpO₂ 90%, and urine output of 15 mL over the past hour. The
client is newly confused.
Which finding provides the strongest evidence of impaired tissue
perfusion?
A. SpO₂ of 90%
B. Heart rate of 126/min
C. New confusion
D. Urine output of 15 mL/hr - Correct Answer - D. Urine output of 15
mL/hr
Markedly reduced urine output reflects decreased renal perfusion. In
combination with hypotension and infection, it is a significant indicator
of systemic hypoperfusion.
A client with pneumonia has received antibiotics for 48 hours. The nurse
notes that the temperature has decreased from 39.1°C to 37.8°C, but the
client is now confused, BP is 86/50 mm Hg, HR is 124/min, and urine
output is 15 mL/hr.
Which finding is the strongest indicator of deterioration?
A. Temperature
B. Confusion
C. Hypotension
pg. 3
, 4|Page
D. Urine output - Correct Answer - C. Hypotension
Severe hypotension in the setting of infection suggests impaired
perfusion and possible septic shock. Immediate intervention is required.
A nurse is caring for four clients. Which client should be assessed first?
A. Client with COPD whose SpO₂ is 90% on prescribed oxygen
B. Client with a new tracheostomy who has noisy respirations
C. Client with diabetes reporting hunger before lunch
D. Client awaiting assistance with a routine bath - Correct Answer - B.
Client with a new tracheostomy who has noisy respirations
New noisy respirations after tracheostomy placement may indicate
airway obstruction. Airway threats take priority.
A client receiving heparin develops a platelet count decrease from
220,000/mm³ to 92,000/mm³ several days after therapy begins. The
client reports new pain in the left calf.
Which complication should the nurse suspect?
A. Hemophilia
B. Heparin-induced thrombocytopenia
C. Vitamin K deficiency
D. Disseminated infection - Correct Answer - B.
A substantial platelet decline during heparin exposure combined with
new thrombosis-related symptoms is concerning for HIT.
A client with chronic kidney disease has potassium 6.4 mEq/L. The
cardiac monitor shows peaked T waves. The client reports generalized
weakness.
pg. 4
