CJE PRACTICE (ACTUAL 2025/2026) EXAM 1. QUESTIONS AND
VERIFIED 100% ANSWERS (LATEST UPDATE
Prepare for intubation. - --Answers---The nurse is assessing
a client who has the following arterial blood gas results: pH
7.30; PaCO2 56 mmHg; HCO3 28 mEq/L; PAO2 75 mmHg.
Assessment findings include decreased level of
consciousness, blood pressure of 90/58mmHg, weak, thready
pulse, respirations 10 breaths/minute and shallow. What is a
priority action by the nurse?
1
Prepare for intubation.
2
Initiate fluid resuscitation.
3
Place the client on a cardiac monitor.
4
Initiate fall precautions.
Absent pedal and popliteal pulses.
Black eschar on toes.
Pain in lower extremity caused by walking and relieved with
rest. This is an early sign of PAD
,Absent pedal and popliteal pulses. Correct - Indicates
ischemia
Numbness and tingling in toes. This is an early symptom
Black eschar on toes. Correct - Indicates ischemia
Loss of hair on lower leg. This is an early symptom - --
Answers---The nurse is assessing a client with a history of
peripheral artery disease (PAD) in right lower extremity for
evidence of progression of the disease. Which new findings are
of greatest concern? Select all that apply
1
Pain in lower extremity caused by walking and relieved with
rest.
2
Absent pedal and popliteal pulses.
3
Numbness and tingling in toes.
4
Black eschar on toes.
5
Loss of hair on lower leg.
Client is difficult to arouse
Mild swelling around incision - This is expected
,Client is difficult to arouse - Correct - Change is mental status
is a sign of infection
Serous-sanguineous drainage - This is expected
Client report hip pain 8 out of 10 - This is expected. Pain
medication should be administered - --Answers---The nurse
is caring for a client who had a right hip replacement 2 days
ago. Which change in assessment requires further action?
1
Mild swelling around incision
2
Client is difficult to arouse
3
Serous-sanguineous drainage
4
Client report hip pain 8 out of 10
Collect the fluid from peritoneal catheter and send for culture.
Collect the fluid from peritoneal catheter and send for culture.
Correct - The client is exhibiting signs of peritonitis. A culture
will confirm diagnosis. - --Answers---The nurse is caring for
a client receiving peritoneal dialysis who reports nausea and
diarrhea. Assessment findings include an enlarged abdomen
, with hyperactive bowel sounds. What is an appropriate action
by the nurse?
1
Collect the fluid from peritoneal catheter and send for culture.
2
Initiate cefazolin (Rocephin) intravenously.
3
Administer an enema after vomiting resolves.
4
Ensure the drainage bag is lower than the client's abdomen.
Assess a client who reports severe pain before administering
routine medications. - --Answers---The charge nurse is
observing a newly hired nurse on the medical-surgical unit.
Which client situation should the nurse address first to
demonstrate the ability to safely prioritize care?
1
Attempt to calm a patient with anxiety before inserting a Foley
catheter.
2
Administer medication for nausea before assessing a client
who is complaining of chest pain.
3
VERIFIED 100% ANSWERS (LATEST UPDATE
Prepare for intubation. - --Answers---The nurse is assessing
a client who has the following arterial blood gas results: pH
7.30; PaCO2 56 mmHg; HCO3 28 mEq/L; PAO2 75 mmHg.
Assessment findings include decreased level of
consciousness, blood pressure of 90/58mmHg, weak, thready
pulse, respirations 10 breaths/minute and shallow. What is a
priority action by the nurse?
1
Prepare for intubation.
2
Initiate fluid resuscitation.
3
Place the client on a cardiac monitor.
4
Initiate fall precautions.
Absent pedal and popliteal pulses.
Black eschar on toes.
Pain in lower extremity caused by walking and relieved with
rest. This is an early sign of PAD
,Absent pedal and popliteal pulses. Correct - Indicates
ischemia
Numbness and tingling in toes. This is an early symptom
Black eschar on toes. Correct - Indicates ischemia
Loss of hair on lower leg. This is an early symptom - --
Answers---The nurse is assessing a client with a history of
peripheral artery disease (PAD) in right lower extremity for
evidence of progression of the disease. Which new findings are
of greatest concern? Select all that apply
1
Pain in lower extremity caused by walking and relieved with
rest.
2
Absent pedal and popliteal pulses.
3
Numbness and tingling in toes.
4
Black eschar on toes.
5
Loss of hair on lower leg.
Client is difficult to arouse
Mild swelling around incision - This is expected
,Client is difficult to arouse - Correct - Change is mental status
is a sign of infection
Serous-sanguineous drainage - This is expected
Client report hip pain 8 out of 10 - This is expected. Pain
medication should be administered - --Answers---The nurse
is caring for a client who had a right hip replacement 2 days
ago. Which change in assessment requires further action?
1
Mild swelling around incision
2
Client is difficult to arouse
3
Serous-sanguineous drainage
4
Client report hip pain 8 out of 10
Collect the fluid from peritoneal catheter and send for culture.
Collect the fluid from peritoneal catheter and send for culture.
Correct - The client is exhibiting signs of peritonitis. A culture
will confirm diagnosis. - --Answers---The nurse is caring for
a client receiving peritoneal dialysis who reports nausea and
diarrhea. Assessment findings include an enlarged abdomen
, with hyperactive bowel sounds. What is an appropriate action
by the nurse?
1
Collect the fluid from peritoneal catheter and send for culture.
2
Initiate cefazolin (Rocephin) intravenously.
3
Administer an enema after vomiting resolves.
4
Ensure the drainage bag is lower than the client's abdomen.
Assess a client who reports severe pain before administering
routine medications. - --Answers---The charge nurse is
observing a newly hired nurse on the medical-surgical unit.
Which client situation should the nurse address first to
demonstrate the ability to safely prioritize care?
1
Attempt to calm a patient with anxiety before inserting a Foley
catheter.
2
Administer medication for nausea before assessing a client
who is complaining of chest pain.
3