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Examen

CJE Readiness II Exam Study Questions and ANSWER.s ASSESS → PRIORITIZE → INTERVENE → EVALUATE 2026

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CJE Readiness II Exam Study Questions and ANSWER.s ASSESS → PRIORITIZE → INTERVENE → EVALUATE 2026

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CJE Readiness II Exam Study Questions and
ANSWER>.>s
ASSESS → PRIORITIZE → INTERVENE →
EVALUATE 2026


[Clinical Judgment] During routine care, which action best demonstrates clinical judgment?



A) Prioritize assessment based on airway, breathing, circulation and patient-specific risk



B) Treat every patient identically



C) Ignore changes from baseline



D) Delegate assessment without considering scope



Correct ANSWER>.>: A) Prioritize assessment based on airway, breathing, circulation and patient-
specific risk



Rationale:



A) CORRECT: Clinical judgment involves prioritizing assessments based on ABCs and individual patient
risk factors, ensuring the most critical needs are addressed first.



B) INCORRECT: Treating every patient identically ignores individual variations and clinical nuances, which
is contrary to sound clinical judgment.

,C) INCORRECT: Ignoring changes from baseline is dangerous and demonstrates poor clinical judgment;
changes often indicate deteriorating conditions.



D) INCORRECT: Delegating assessment without considering scope of practice violates nursing standards
and compromises patient safety.



[Delegation] When reviewing the patient's situation, which task is generally appropriate to delegate to
assistive personnel when the patient is stable?



A) Routine measurement of vital signs



B) Initial assessment of a newly unstable patient



C) Development of the nursing care plan



D) Evaluation of response to medication



Correct ANSWER>.>: A) Routine measurement of vital signs



Rationale:



A) CORRECT: Routine vital sign measurement on stable patients falls within the scope of practice for
assistive personnel and does not require clinical judgment.



B) INCORRECT: Initial assessment of an unstable patient requires professional nursing judgment and
should not be delegated to assistive personnel.



C) INCORRECT: Development of the nursing care plan requires professional education and critical
thinking, making it inappropriate for delegation.

,D) INCORRECT: Evaluation of medication response requires professional knowledge and clinical
judgment, not within assistive personnel scope.



[Safety] A nurse is caring for a client and asks, which finding should be reported immediately?



A) Sudden change in level of consciousness



B) Stable chronic pain



C) Expected appetite



D) Normal temperature



Correct ANSWER>.>: A) Sudden change in level of consciousness



Rationale:



A) CORRECT: A sudden change in LOC indicates potential neurological deterioration, hypoxia, or other
life-threatening conditions requiring immediate reporting.



B) INCORRECT: Stable chronic pain, while requiring management, does not constitute an immediate
emergency.



C) INCORRECT: Expected appetite is a normal finding that does not require immediate reporting.



D) INCORRECT: Normal temperature is an expected finding and does not need immediate reporting.



[Infection Control] During an examination scenario, which intervention is most effective for preventing
transmission of many infections?

, A) Perform hand hygiene at appropriate times



B) Reuse disposable gloves



C) Skip environmental cleaning



D) Wear the same gloves between patients



Correct ANSWER>.>: A) Perform hand hygiene at appropriate times



Rationale:



A) CORRECT: Hand hygiene is the single most effective measure for preventing healthcare-associated
infections and should be performed at appropriate times.



B) INCORRECT: Reusing disposable gloves violates infection control standards and increases transmission
risk.



C) INCORRECT: Skipping environmental cleaning allows pathogens to survive on surfaces and increases
infection risk.



D) INCORRECT: Wearing the same gloves between patients is a breach of standard precautions and
promotes cross-contamination.



[Prioritization] A clinician is planning care and considers, which patient should the nurse assess first?



A) A patient with poor difficulty breathing



B) A patient with stable vital signs awaiting discharge

Información del documento

Subido en
17 de agosto de 2026
Número de páginas
172
Escrito en
2026/2027
Tipo
Examen
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