ANSWERS 100% CORRECT
,CJE PRACTICE EXAM 1 QUESTIONS
AND ANSWERS 100% CORRECT
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