NR324 CLINICAL JUDGMENT EXAM (CJE) –
COMPREHENSIVE STUDY GUIDE Chamberlain
University Adult Health I
Based on Verified Exam Content & NCLEX-Style Practice Questions
Answers + Detailed Rationales
SECTION 1: COURSE OVERVIEW
NR-324: Adult Health I focuses on the needs of adult patients and their families in
relation to health promotion and management of conditions requiring acute and
chronic care [citation:4]. The exam tests clinical judgment across key domains
[citation:12]:
| Content Area | Weight |
|--|--|
| Decision-Making (Prioritization, Delegation, Nursing Process) | 20% |
| Monitoring & Assessment | 20% |
| Pharmacological & Parenteral Therapies | 20% |
| Safety & Infection Control | 12% |
| Prevention & Health Promotion | 12% |
1
,| Ethical & Legal Principles | 16% |
SECTION 2: SAFETY & INFECTION CONTROL
QUESTION 1
Clients who have latex allergies should use which products?
A) Natural rubber products
B) Silicon or Teflon products
C) Vinyl products only
D) Cotton-based products
Correct Answer: B
Rationale: Clients with latex allergies should use silicon or Teflon products to
avoid allergic reactions, which can range from mild contact dermatitis to life-
threatening anaphylaxis [citation:1][citation:2].
2
,QUESTION 2
A nurse is caring for a client who is sitting in a chair and asks to return to bed.
Which action is the nurse's priority at this time?
A) Obtain a walker for the client to use to transfer back to bed
B) Call for additional staff to assist with the transfer
C) Use a transfer belt and assist the client back into bed
D) Determine the client's ability to help with the transfer
Correct Answer: D
Rationale: The nurse must first determine the client's ability to help with the
transfer to assess the level of assistance needed and ensure safety. Assessment is
the first step of the nursing process [citation:1][citation:3].
QUESTION 3
A nurse is preparing to instill an enteral feeding for a client who has an NG tube in
place. Which action is the nurse's highest assessment priority before performing
this procedure?
A) Check how long the feeding container has been open
3
, B) Verify the placement of the NG tube
C) Confirm that the client does not have diarrhea
D) Make sure the client is alert and oriented
Correct Answer: B
Rationale: Verifying the placement of the NG tube is the highest priority to prevent
aspiration. This is the most critical safety assessment before enteral feeding
administration [citation:1].
QUESTION 4
During a seizure, which nursing action requires further instruction?
A) "I will place the client on their side."
B) "I will go to the nurses' station for assistance."
C) "I will note the time that the seizure begins."
D) "I will prepare to insert an airway."
Correct Answer: B
4
COMPREHENSIVE STUDY GUIDE Chamberlain
University Adult Health I
Based on Verified Exam Content & NCLEX-Style Practice Questions
Answers + Detailed Rationales
SECTION 1: COURSE OVERVIEW
NR-324: Adult Health I focuses on the needs of adult patients and their families in
relation to health promotion and management of conditions requiring acute and
chronic care [citation:4]. The exam tests clinical judgment across key domains
[citation:12]:
| Content Area | Weight |
|--|--|
| Decision-Making (Prioritization, Delegation, Nursing Process) | 20% |
| Monitoring & Assessment | 20% |
| Pharmacological & Parenteral Therapies | 20% |
| Safety & Infection Control | 12% |
| Prevention & Health Promotion | 12% |
1
,| Ethical & Legal Principles | 16% |
SECTION 2: SAFETY & INFECTION CONTROL
QUESTION 1
Clients who have latex allergies should use which products?
A) Natural rubber products
B) Silicon or Teflon products
C) Vinyl products only
D) Cotton-based products
Correct Answer: B
Rationale: Clients with latex allergies should use silicon or Teflon products to
avoid allergic reactions, which can range from mild contact dermatitis to life-
threatening anaphylaxis [citation:1][citation:2].
2
,QUESTION 2
A nurse is caring for a client who is sitting in a chair and asks to return to bed.
Which action is the nurse's priority at this time?
A) Obtain a walker for the client to use to transfer back to bed
B) Call for additional staff to assist with the transfer
C) Use a transfer belt and assist the client back into bed
D) Determine the client's ability to help with the transfer
Correct Answer: D
Rationale: The nurse must first determine the client's ability to help with the
transfer to assess the level of assistance needed and ensure safety. Assessment is
the first step of the nursing process [citation:1][citation:3].
QUESTION 3
A nurse is preparing to instill an enteral feeding for a client who has an NG tube in
place. Which action is the nurse's highest assessment priority before performing
this procedure?
A) Check how long the feeding container has been open
3
, B) Verify the placement of the NG tube
C) Confirm that the client does not have diarrhea
D) Make sure the client is alert and oriented
Correct Answer: B
Rationale: Verifying the placement of the NG tube is the highest priority to prevent
aspiration. This is the most critical safety assessment before enteral feeding
administration [citation:1].
QUESTION 4
During a seizure, which nursing action requires further instruction?
A) "I will place the client on their side."
B) "I will go to the nurses' station for assistance."
C) "I will note the time that the seizure begins."
D) "I will prepare to insert an airway."
Correct Answer: B
4
