Questions and Correct Verified Answers|
Adult Health Clinical Judgement Exam
(CJE) 2025 (Brand New!)
The nurse is assessing a client who is receiving warfarin (Coumadin). Assessment
findings include increased drowsiness, blood pressure 90/57 mmHg, pulse 108
beats/minute, and respirations 22 breaths/min. What medication should the nurse
prepare to administer?
1
Vitamin K.
2
Metoprolol.
3
Protamine sulfate.
4
Amiodarone. - ANSWER-Vitamin K.
The nurse is preparing to teach a client on preventing the spread of methicillin-
resistant staph areus (MRSA). Which statement by the client causes concern?
1
"I need to tell my spouse to sleep in the guest bedroom until my wound heals."
2
"I should wash my hands before and after changing the bandage."
pg. 1
,3
"I will stop by the store to buy some bleach before I go home."
4
"I should bathe daily with antibacterial soap." - ANSWER-"I should bathe daily
with antibacterial soap."
"I need to tell my spouse to sleep in the guest bedroom until my wound heals."
Client should sleep in separate bed from others until infection has cleared
"I should wash my hands before and after changing the bandage." Client should
wash hands before and after wound care
"I will stop by the store to buy some bleach before I go home." Surfaces that come
in contact with infection should be cleaned with bleach water
"I should bathe daily with antibacterial soap." Correct - Showering rather than
bathing is recommended
Review the chart below. After completing the admission assessment, which
prescription does the nurse identify as a priority?
1
Oxygen
2
NG tube
3
Morphine
4
Normal saline - ANSWER-Oxygen - Indicated to improve oxygen saturation
NG tube - Required to decompress abdomen, which helps to relieve pain
pg. 2
,Morphine - Correct - Pain control is a priority to prevent hemodynamic instability
Normal saline - Indicated to prevent fluid volume deficit because client will be
NPO
The nurse is caring for a client who is being treated for diabetes insipidus (DI).
Which statements by the client indicate treatment has been effective? Select all that
apply
1
"My skin is so dry."
2
"I feel like I'm drooling."
3
"My heart is beating so fast."
4
"I urinated yellow urine 3 hours ago."
5
"I don't have to drink as much water anymore." - ANSWER-"I urinated yellow
urine 3 hours ago."
"I don't have to drink as much water anymore."
The nurse is caring for a client with lung cancer who had a right pneumonectomy 2
days ago. After lunch, the nurse finds the client lying in bed on the left side. What
is an appropriate action by the nurse?
1
Reposition the client on the right side and inform client to avoid lying on the left
side.
pg. 3
, 2
Raise the head of the bed and continue to monitor client.
3
Apply oxygen and suction the client.
4
Perform chest physiotherapy and apply oxygen. - ANSWER-Reposition the client
on the right side and inform client to avoid lying on the left side.
Reposition the client on the right side and inform client to avoid lying on the left
side. Correct - Client should be positioned on the operative side to facilitate
expansion of remaining lung
The nurse is assessing a client in the emergency department who was involved in a
motor vehicle accident. Assessment findings include periorbital ecchymosis,
bruising behind the ears, and leakage of clear fluid from the nose. What is an
appropriate action by the nurse?
1
Instruct the client to apply firm pressure to the nose.
2
Obtain a specimen of the fluid for culture and sensitivity.
3
Obtain a specimen of the fluid for presence of glucose.
4
Prepare to administer a broad-spectrum antibiotic. - ANSWER-Obtain a specimen
of the fluid for presence of glucose.
pg. 4