1|Page
CJE MED SURG I EXAM NEWEST 2026 ACTUAL
EXAM| CJE MED SURG I EXAM REVIEW WITH
COMPLETE 150 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
Client admitted from the skilled nursing facility with Stage IV pressure
injury 6 cm x 4 cm with a depth of 2 cm. Foul-smelling purulent
drainage and areas of eschar present on the left side of the wound.
Temperature 99.6 °F (37.6 °C), heart rate 88, respiratory rate 22, blood
pressure 110/68, 02 saturation 94%
The nurse reviews the nursing note from the previous shift for a 79-year-
old client.
What is the nurse's priority action? - ANSWER - Start IV fluids and
obtain blood samples for culture and sensitivity to start antibiotics.
The nurse cares for an 81-year-old client with an indwelling catheter for
urinary incontinence and retention. What assessment result supports the
nurse removing the catheter? - ANSWER - Urine output is 240 mL in 8
hours
The emergency department nurse cares for a client brought in with a
respiratory rate of 6, blood pressure 90/54, and unresponsive to voice.
The nurse assesses multiple needle track marks on both arms. What is
the priority action by the nurse? - ANSWER - Prepare to administer
intravenous naloxone.
pg. 1
,2|Page
The nurse cares for a client with a tracheostomy and notes a cuff
pressure of 12 cm H20. What is the priority action by the nurse? -
ANSWER - Inflate the cuff to 20 cm H₂O
A client is ordered to receive tobramycin 12 mg/kg/day PO. The client
weighs 143 Ibs. Available is tobramycin 175 mg/2 mL. How many
milliliters (mL) should the nurse administer per dose? Round to the
nearest tenth. - ANSWER - 8.9 mL per dose
The nurse develops a plan of care for a client with a new ileostomy.
Which intervention helps prevent the disruption of skin integrity related
to the loose, watery stool around the stoma site? - ANSWER - Clean the
ostomy site gently with warm water and mild soap, rinse, and pat dry.
A client underwent an open cholecystectomy with common bile duct
exploration 2 days ago and reports cramping, pain, and passing blood
and mucus but no stool. The nurse auscultates absent bowel sounds in all
quadrants. What is the priority action by the nurse after notifying the
health care provider? - ANSWER - Monitor the client's fluid and
electrolyte status
The emergency department nurse suspects stroke for a client that
presents with numbness and drooping of the right side of face and
difficulty understanding speech. Which cardiac rhythm is most likely
associated with the stroke? - ANSWER - Atrial fibrillation
pg. 2
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Client reports headache, nausea, and has vomited bile-stained emesis
three times in 1 hour (100mL). Watery loose stools x5. Has been NPO
since 2100 last night due to scheduled upper endoscopy!
1200
BP 88/48, P 68, R 16, T97.2 °F 36.2 °C O2 94%
The nurse cares for a client with Addison's disease.
What is the priority medication the nurse should administer? - ANSWER
- Hydrocortisone 200 mg IV
A client with diabetes reports severe thirst, urinating copious amounts of
urine, and extreme fatigue. The nurse assesses a blood pressure of 88/52
mmg and a glucose level of 550 mg/dL. What is the priority action by
the nurse? - ANSWER - Start an IV and begin fluid replacement with
0.9% NaCl.
The nurse cares for a client with a traumatic brain injury and monitors
for increased intracranial pressure after the insertion of a
ventriculostomy catheter. Which assessment finding should the nurse
immediately report to the provider? - ANSWER - Intracranial pressure
(ICP) is 25 mmHg.
The emergency department nurse wraps a client's knee with an elastic
bandage after the client's x-ray. Soon after, the client experiences
flushing and itching, wheezing, and difficulty breathing.
What is the nurse's priority action? - ANSWER - Administer
subcutaneous epinephrine
pg. 3
, 4|Page
Client reports chest pain began 1 hour previously, and the first
nitroglycerin was taken. The client explained that they felt it was
indigestion from spicy food eaten at dinner the night before. Reports
nausea and has vomited twice. Skin cool, clammy and pale.
History of hypertention, ischemic stroke 8 months ago, Crohns disease.
Temperature 97.0.°F (36.1 °C), heart rate 66, respiratory rate 18, blood
pressure 110/68, oxygen saturations 94%. ECG shows ST-segment
elevation in V-5 and V-6 and Lead II.A client with a history of angina
arrives in a facility without a cardiac catheterization lab. The client states
they have taken a total of 3 nitroglycerin tablets without any relief
The nurse reviews the electronic health record and identifies which data
that contraindicates fibrinolytic therapy? - ANSWER - Stroke history
The nurse assesses a client that had a kidney transplant 4 days ago.
Which assessment findings are of greatest concern to the nurse? Select
all that apply. - ANSWER - -Urine output 7 mL/hr
-Creatinine 4.6 mg/dL
Client laying supine with head of bed elevated 45 degrees, limited range
of motion in lower extremities and 4x4 cm pressure injury on sacrum.
Hyperactive bowel sounds auscultated in all four quadrants, abdomen
soft and non-tender to palpation, aspirated 118 mL of residual gastric
content. Temperature 97 °F (36.1 °C), heart rate 88, respiratory rate 20,
blood pressure 120/82, 02 saturation 96%.
The nurse prepares to administer an enteral bolus feeding to a client with
a percutaneous endoscopic gastronomy (PEG) tube.
pg. 4
CJE MED SURG I EXAM NEWEST 2026 ACTUAL
EXAM| CJE MED SURG I EXAM REVIEW WITH
COMPLETE 150 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
Client admitted from the skilled nursing facility with Stage IV pressure
injury 6 cm x 4 cm with a depth of 2 cm. Foul-smelling purulent
drainage and areas of eschar present on the left side of the wound.
Temperature 99.6 °F (37.6 °C), heart rate 88, respiratory rate 22, blood
pressure 110/68, 02 saturation 94%
The nurse reviews the nursing note from the previous shift for a 79-year-
old client.
What is the nurse's priority action? - ANSWER - Start IV fluids and
obtain blood samples for culture and sensitivity to start antibiotics.
The nurse cares for an 81-year-old client with an indwelling catheter for
urinary incontinence and retention. What assessment result supports the
nurse removing the catheter? - ANSWER - Urine output is 240 mL in 8
hours
The emergency department nurse cares for a client brought in with a
respiratory rate of 6, blood pressure 90/54, and unresponsive to voice.
The nurse assesses multiple needle track marks on both arms. What is
the priority action by the nurse? - ANSWER - Prepare to administer
intravenous naloxone.
pg. 1
,2|Page
The nurse cares for a client with a tracheostomy and notes a cuff
pressure of 12 cm H20. What is the priority action by the nurse? -
ANSWER - Inflate the cuff to 20 cm H₂O
A client is ordered to receive tobramycin 12 mg/kg/day PO. The client
weighs 143 Ibs. Available is tobramycin 175 mg/2 mL. How many
milliliters (mL) should the nurse administer per dose? Round to the
nearest tenth. - ANSWER - 8.9 mL per dose
The nurse develops a plan of care for a client with a new ileostomy.
Which intervention helps prevent the disruption of skin integrity related
to the loose, watery stool around the stoma site? - ANSWER - Clean the
ostomy site gently with warm water and mild soap, rinse, and pat dry.
A client underwent an open cholecystectomy with common bile duct
exploration 2 days ago and reports cramping, pain, and passing blood
and mucus but no stool. The nurse auscultates absent bowel sounds in all
quadrants. What is the priority action by the nurse after notifying the
health care provider? - ANSWER - Monitor the client's fluid and
electrolyte status
The emergency department nurse suspects stroke for a client that
presents with numbness and drooping of the right side of face and
difficulty understanding speech. Which cardiac rhythm is most likely
associated with the stroke? - ANSWER - Atrial fibrillation
pg. 2
,3|Page
Client reports headache, nausea, and has vomited bile-stained emesis
three times in 1 hour (100mL). Watery loose stools x5. Has been NPO
since 2100 last night due to scheduled upper endoscopy!
1200
BP 88/48, P 68, R 16, T97.2 °F 36.2 °C O2 94%
The nurse cares for a client with Addison's disease.
What is the priority medication the nurse should administer? - ANSWER
- Hydrocortisone 200 mg IV
A client with diabetes reports severe thirst, urinating copious amounts of
urine, and extreme fatigue. The nurse assesses a blood pressure of 88/52
mmg and a glucose level of 550 mg/dL. What is the priority action by
the nurse? - ANSWER - Start an IV and begin fluid replacement with
0.9% NaCl.
The nurse cares for a client with a traumatic brain injury and monitors
for increased intracranial pressure after the insertion of a
ventriculostomy catheter. Which assessment finding should the nurse
immediately report to the provider? - ANSWER - Intracranial pressure
(ICP) is 25 mmHg.
The emergency department nurse wraps a client's knee with an elastic
bandage after the client's x-ray. Soon after, the client experiences
flushing and itching, wheezing, and difficulty breathing.
What is the nurse's priority action? - ANSWER - Administer
subcutaneous epinephrine
pg. 3
, 4|Page
Client reports chest pain began 1 hour previously, and the first
nitroglycerin was taken. The client explained that they felt it was
indigestion from spicy food eaten at dinner the night before. Reports
nausea and has vomited twice. Skin cool, clammy and pale.
History of hypertention, ischemic stroke 8 months ago, Crohns disease.
Temperature 97.0.°F (36.1 °C), heart rate 66, respiratory rate 18, blood
pressure 110/68, oxygen saturations 94%. ECG shows ST-segment
elevation in V-5 and V-6 and Lead II.A client with a history of angina
arrives in a facility without a cardiac catheterization lab. The client states
they have taken a total of 3 nitroglycerin tablets without any relief
The nurse reviews the electronic health record and identifies which data
that contraindicates fibrinolytic therapy? - ANSWER - Stroke history
The nurse assesses a client that had a kidney transplant 4 days ago.
Which assessment findings are of greatest concern to the nurse? Select
all that apply. - ANSWER - -Urine output 7 mL/hr
-Creatinine 4.6 mg/dL
Client laying supine with head of bed elevated 45 degrees, limited range
of motion in lower extremities and 4x4 cm pressure injury on sacrum.
Hyperactive bowel sounds auscultated in all four quadrants, abdomen
soft and non-tender to palpation, aspirated 118 mL of residual gastric
content. Temperature 97 °F (36.1 °C), heart rate 88, respiratory rate 20,
blood pressure 120/82, 02 saturation 96%.
The nurse prepares to administer an enteral bolus feeding to a client with
a percutaneous endoscopic gastronomy (PEG) tube.
pg. 4
