NR 324 CJE EXAM QUESTIONS
AND ANSWERS 2026 - 2027
A client with history of kidney disease is complaining of muscle
cramping, ascending weakness, diarrhea, and the ECG is showing
abnormally tall T waves. Thick would the nurse expect?
Hypernatremia
Hyponatremia
Hyperkalemia
Hypokalemia - ANSWERS-Hyperkalemia
A nurse is reviewing the medical record of a client who has
hypocalcemia. The nurse should identify which finding as a risk
factor?
Crohn's disease
Post op following appendectomy
History of bone cancer
Hyperthyroidism - ANSWERS-Chron's disease
A nurse is collecting data from a client who has hypercalcemia as a
result of long-term use of glucocorticoids. Which finding should the
nurse expect. Select all that apply.
,1. Hyperreflexia (Increase DTR)
2. Confusion
3. Positive Chvostek's sign
4. Bone pain
5. Nausea and vomiting
6. Tall, peaked T wave - ANSWERS-2, 4, 5
Case Study:
A nurse is caring for a client with voniting for the last 3 days. The
client is NPO with NG to low intermittent suction.
1. Which acid base imbalance
2. What manifestation
3. At-risk for which fluid and electrolyte imbalances?
4. Treatment/nursing intervention - ANSWERS-1. Metabolic alkalosis
2. Restlessness, muscle twitching, numbness and tingling
3. Low sodium, low potassium, hypovolemia
4. Control vomiting/nausea with meds and give fluids IV. Monitor
I&Os
Which client is at risk for Respiratory Alkalosis?
, 1. Opioid overdose (6 breaths per min)
2. Aspirin overdose
3. Hyperventilating (28 breaths per min)
4. Emphysema (chronic lung condition) - ANSWERS-3
Which client is at risk for Respiratory Acidosis? (Select all that apply)
1. Hyperventilating
2. Emphysema
3. Acetylsalicylic acid overdose
4. Opioid overdose
5.Vomiting and set up with NG section
6. Diarrhea after a GI infection - ANSWERS-2, 4
A nurse is assessing a client who has fluid volume overload from a
cardiovascular disorder. Which of the following manifestations should
the nurse expect?
A. JVD
B. Moist crackles
C. Postural hypotension
D. Increased heart rate
E. Fever - ANSWERS-A, B, D
AND ANSWERS 2026 - 2027
A client with history of kidney disease is complaining of muscle
cramping, ascending weakness, diarrhea, and the ECG is showing
abnormally tall T waves. Thick would the nurse expect?
Hypernatremia
Hyponatremia
Hyperkalemia
Hypokalemia - ANSWERS-Hyperkalemia
A nurse is reviewing the medical record of a client who has
hypocalcemia. The nurse should identify which finding as a risk
factor?
Crohn's disease
Post op following appendectomy
History of bone cancer
Hyperthyroidism - ANSWERS-Chron's disease
A nurse is collecting data from a client who has hypercalcemia as a
result of long-term use of glucocorticoids. Which finding should the
nurse expect. Select all that apply.
,1. Hyperreflexia (Increase DTR)
2. Confusion
3. Positive Chvostek's sign
4. Bone pain
5. Nausea and vomiting
6. Tall, peaked T wave - ANSWERS-2, 4, 5
Case Study:
A nurse is caring for a client with voniting for the last 3 days. The
client is NPO with NG to low intermittent suction.
1. Which acid base imbalance
2. What manifestation
3. At-risk for which fluid and electrolyte imbalances?
4. Treatment/nursing intervention - ANSWERS-1. Metabolic alkalosis
2. Restlessness, muscle twitching, numbness and tingling
3. Low sodium, low potassium, hypovolemia
4. Control vomiting/nausea with meds and give fluids IV. Monitor
I&Os
Which client is at risk for Respiratory Alkalosis?
, 1. Opioid overdose (6 breaths per min)
2. Aspirin overdose
3. Hyperventilating (28 breaths per min)
4. Emphysema (chronic lung condition) - ANSWERS-3
Which client is at risk for Respiratory Acidosis? (Select all that apply)
1. Hyperventilating
2. Emphysema
3. Acetylsalicylic acid overdose
4. Opioid overdose
5.Vomiting and set up with NG section
6. Diarrhea after a GI infection - ANSWERS-2, 4
A nurse is assessing a client who has fluid volume overload from a
cardiovascular disorder. Which of the following manifestations should
the nurse expect?
A. JVD
B. Moist crackles
C. Postural hypotension
D. Increased heart rate
E. Fever - ANSWERS-A, B, D
