CJE PRACTICE EXAM 1
Yellowish sclera.
Possible side effect related to liver damage - Answer-The nurse is caring for a client with tuberculosis
who is receiving isoniazid and rifampin for tuberculosis. Which adverse effect should the nurse be most
concerned with?
1
Blurred vision.
2
Yellowish sclera.
3
Nausea and vomiting.
4
Decreased urine output.
Acute confusion
Dry cough - Vague sign
Acute confusion - Correct - sign of infection in an older adult
,Increased temperature - Older adult may not exhibit normal signs of infection
Purulent drainage from incision - Older adult may not exhibit normal signs of infection - Answer-What
would the nurse expect to find in the care of an 80-year-old client who is experiencing a complication
after a right knee replacement? The patient is post-op day 1.
1
Dry cough
2
Acute confusion
3
Increased temperature
4
Purulent drainage from incision
48-year-old African-American male who is obese and father and mother have type 2 DM. - Answer-
Which of these clients should the nurse consider at greatest risk for developing type 2 diabetes mellitus?
1
48-year-old African-American male who is obese and father and mother have type 2 DM.
2
50-year-old male hemoglobin A1C of 5.5% during a routine physical examination.
3
A 30-year-old female who delivered a 9-pound baby.
4
A 62-year-old male with an elevated triglyceride level.
,"You should add a thickener all liquids and make sure he sits upright while eating." - Answer-The nurse is
assessing a client with Parkinson's disease who has been admitted to the hospital because of significant
weight loss. Assessment data reveals a masklike facial expression and slurred speech. A swallowing
evaluation reveals some difficulty swallowing. The client's daughter asks the nurse, "How am I supposed
to feed him at home?" What is an appropriate response by the nurse?
1
"He will be scheduled for surgery to have a feeding tube placed".
2
"It's best to feed him only three meals a day to reduce the chance of choking."
3
"Make sure he drinks all liquids through a straw and recline in chair while eating."
4
"You should add a thickener all liquids and make sure he sits upright while eating."
"It appears you are hearing voices again. Tell me what you are hearing." - Answer-The nurse is caring for
a client who has been admitted to the psychiatric in-client unit with schizophrenia. While talking with
the nurse alone, the client suddenly stops midsentence, turns to stare at the wall and states, "I told you I
can't do that!" What is an appropriate response by the nurse?
1
"I will talk to you later when you can pay attention."
2
"I will leave the room if you continue to not pay attention"
3
"Is your mother talking to you again? I wish she would leave you alone."
4
"It appears you are hearing voices again. Tell me what you are hearing."
, "I know that my blood pressure is high when my nose starts bleeding."
Correct - Hypertension is usually asymptomatic. A nose bleed can occur with high blood pressure, but it
can occur for many other reasons as well. It is quite common that the client's blood pressure is high and
the client experiences no symptoms. It is important to help clients understand that they cannot rely on
one particular symptom to tell if their pressure is elevated. It would be very dangerous for clients to
think their blood pressure is only high if they have a nose bleed. - Answer-The nurse is participating in
the discharge plans for a client with hypertension. Which statement by the client would cause concern?
1
"I am at risk for stroke or heart attack if my blood pressure is not controlled."
2
"I know that my blood pressure is high when my nose starts bleeding."
3
"I will take my blood pressure two times a day for at least 7 days."
4
"I will ask my spouse to start walking with me in the mornings."
pH 7.50.
CO2 28.
pH 7.50. Correct - pH level is elevated with respiratory alkalosis
pH 7.30. A low pH can indicate respiratory acidosis
carbon dioxide (CO2 ) 50. A high CO2 can indicate respiratory acidosis
CO2 28. Correct - In respiratory alkalosis, the client is blowing off too much CO2 which leads to a low
level.
Yellowish sclera.
Possible side effect related to liver damage - Answer-The nurse is caring for a client with tuberculosis
who is receiving isoniazid and rifampin for tuberculosis. Which adverse effect should the nurse be most
concerned with?
1
Blurred vision.
2
Yellowish sclera.
3
Nausea and vomiting.
4
Decreased urine output.
Acute confusion
Dry cough - Vague sign
Acute confusion - Correct - sign of infection in an older adult
,Increased temperature - Older adult may not exhibit normal signs of infection
Purulent drainage from incision - Older adult may not exhibit normal signs of infection - Answer-What
would the nurse expect to find in the care of an 80-year-old client who is experiencing a complication
after a right knee replacement? The patient is post-op day 1.
1
Dry cough
2
Acute confusion
3
Increased temperature
4
Purulent drainage from incision
48-year-old African-American male who is obese and father and mother have type 2 DM. - Answer-
Which of these clients should the nurse consider at greatest risk for developing type 2 diabetes mellitus?
1
48-year-old African-American male who is obese and father and mother have type 2 DM.
2
50-year-old male hemoglobin A1C of 5.5% during a routine physical examination.
3
A 30-year-old female who delivered a 9-pound baby.
4
A 62-year-old male with an elevated triglyceride level.
,"You should add a thickener all liquids and make sure he sits upright while eating." - Answer-The nurse is
assessing a client with Parkinson's disease who has been admitted to the hospital because of significant
weight loss. Assessment data reveals a masklike facial expression and slurred speech. A swallowing
evaluation reveals some difficulty swallowing. The client's daughter asks the nurse, "How am I supposed
to feed him at home?" What is an appropriate response by the nurse?
1
"He will be scheduled for surgery to have a feeding tube placed".
2
"It's best to feed him only three meals a day to reduce the chance of choking."
3
"Make sure he drinks all liquids through a straw and recline in chair while eating."
4
"You should add a thickener all liquids and make sure he sits upright while eating."
"It appears you are hearing voices again. Tell me what you are hearing." - Answer-The nurse is caring for
a client who has been admitted to the psychiatric in-client unit with schizophrenia. While talking with
the nurse alone, the client suddenly stops midsentence, turns to stare at the wall and states, "I told you I
can't do that!" What is an appropriate response by the nurse?
1
"I will talk to you later when you can pay attention."
2
"I will leave the room if you continue to not pay attention"
3
"Is your mother talking to you again? I wish she would leave you alone."
4
"It appears you are hearing voices again. Tell me what you are hearing."
, "I know that my blood pressure is high when my nose starts bleeding."
Correct - Hypertension is usually asymptomatic. A nose bleed can occur with high blood pressure, but it
can occur for many other reasons as well. It is quite common that the client's blood pressure is high and
the client experiences no symptoms. It is important to help clients understand that they cannot rely on
one particular symptom to tell if their pressure is elevated. It would be very dangerous for clients to
think their blood pressure is only high if they have a nose bleed. - Answer-The nurse is participating in
the discharge plans for a client with hypertension. Which statement by the client would cause concern?
1
"I am at risk for stroke or heart attack if my blood pressure is not controlled."
2
"I know that my blood pressure is high when my nose starts bleeding."
3
"I will take my blood pressure two times a day for at least 7 days."
4
"I will ask my spouse to start walking with me in the mornings."
pH 7.50.
CO2 28.
pH 7.50. Correct - pH level is elevated with respiratory alkalosis
pH 7.30. A low pH can indicate respiratory acidosis
carbon dioxide (CO2 ) 50. A high CO2 can indicate respiratory acidosis
CO2 28. Correct - In respiratory alkalosis, the client is blowing off too much CO2 which leads to a low
level.
