Adult Health CJE Exam 2026 – 100
Prep Questions with 100% Correct
Answers | Chamberlain College of
Nursing A+
1. The nurse is assessing a client who is receiving warfarin (Coumadin). Assessment findings
include increased drowsiness, BP 90/57 mmHg, pulse 108 bpm, and respirations 22/min. What
medication should the nurse prepare to administer?
a. Metoprolol
b. Protamine sulfate
c. Amiodarone
d. Vitamin K
Correct answer: d
2. A nurse is caring for a client with chronic kidney disease and hyperkalemia (K+ 6.5 mEq/L).
Which medication should the nurse anticipate administering?
a. Sodium polystyrene sulfonate
b. Furosemide
c. Calcium gluconate
d. Allopurinol
Correct answer: a
3. A client with COPD reports increased dyspnea and wheezing. Oxygen saturation is 88% on
room air. Which action should the nurse take first?
a. Administer prescribed inhaled bronchodilator
b. Position the client upright
c. Notify the provider
d. Encourage coughing and deep breathing
Correct answer: b
4. A client is receiving IV heparin therapy for a DVT. Lab results show an aPTT of 110 seconds.
What is the priority nursing action?
a. Continue the infusion and monitor
b. Administer vitamin K
c. Hold the infusion and notify the provider
d. Increase the infusion rate
Correct answer: c
,5. A nurse is planning care for a client with a new diagnosis of type 2 diabetes mellitus. Which
teaching topic is the highest priority?
a. Exercise plan
b. Blood glucose monitoring
c. Signs and symptoms of hyperglycemia and hypoglycemia
d. Dietary supplements
Correct answer: c
6. A client is prescribed digoxin 0.25 mg daily. The client’s apical pulse is 52 bpm. What should
the nurse do?
a. Administer the medication
b. Hold the medication and notify the provider
c. Recheck pulse in 1 hour
d. Give half the dose
Correct answer: b
7. A nurse is delegating tasks to a UAP. Which task is appropriate to delegate?
a. Assessing pain levels
b. Measuring vital signs for a stable client
c. Administering oral medications
d. Performing initial admission assessment
Correct answer: b
8. A client with end-stage liver disease has ascites and edema. Which lab value should the
nurse monitor most closely?
a. Hemoglobin
b. Serum albumin
c. Serum sodium
d. Platelet count
Correct answer: b
9. A client is receiving morphine for pain. The nurse notes respiratory rate 8/min, O2 sat 89%,
and miosis. Which action is priority?
a. Administer naloxone
b. Call rapid response
c. Stop the infusion and assess airway
d. Increase oxygen
Correct answer: c
10. A client refuses a blood transfusion due to religious beliefs. Which nursing action is correct?
a. Document refusal and notify the provider
b. Force the transfusion
c. Ask family to consent
d. Withhold information from the client
Correct answer: a
, 11. The nurse is caring for a client with a central venous catheter. Which action prevents
infection?
a. Flush with normal saline before use
b. Use aseptic technique during dressing changes
c. Cover with dry gauze only
d. Change dressing weekly
Correct answer: b
12. A client with atrial fibrillation is prescribed warfarin. Which lab value should the nurse
monitor to determine therapeutic effect?
a. aPTT
b. PT/INR
c. Platelet count
d. Hematocrit
Correct answer: b
13. A client is admitted with suspected sepsis. Which finding indicates early septic shock?
a. Bradycardia
b. Hypotension with tachycardia
c. Low-grade fever only
d. Hypernatremia
Correct answer: b
14. A nurse is prioritizing care using Maslow’s hierarchy. Which client need should be addressed
first?
a. Spiritual support
b. Pain management
c. Airway and breathing
d. Emotional support
Correct answer: c
15. A client is being discharged with a prescription for furosemide. Which teaching is priority?
a. Take with meals
b. Monitor daily weight and report gain >2 lb/day
c. Avoid exercise
d. Restrict fluids only
Correct answer: b
16. A client with heart failure is prescribed an ACE inhibitor. Which adverse effect should the
nurse monitor?
a. Hyperglycemia
b. Persistent cough
c. Constipation
d. Bradycardia
Correct answer: b
Prep Questions with 100% Correct
Answers | Chamberlain College of
Nursing A+
1. The nurse is assessing a client who is receiving warfarin (Coumadin). Assessment findings
include increased drowsiness, BP 90/57 mmHg, pulse 108 bpm, and respirations 22/min. What
medication should the nurse prepare to administer?
a. Metoprolol
b. Protamine sulfate
c. Amiodarone
d. Vitamin K
Correct answer: d
2. A nurse is caring for a client with chronic kidney disease and hyperkalemia (K+ 6.5 mEq/L).
Which medication should the nurse anticipate administering?
a. Sodium polystyrene sulfonate
b. Furosemide
c. Calcium gluconate
d. Allopurinol
Correct answer: a
3. A client with COPD reports increased dyspnea and wheezing. Oxygen saturation is 88% on
room air. Which action should the nurse take first?
a. Administer prescribed inhaled bronchodilator
b. Position the client upright
c. Notify the provider
d. Encourage coughing and deep breathing
Correct answer: b
4. A client is receiving IV heparin therapy for a DVT. Lab results show an aPTT of 110 seconds.
What is the priority nursing action?
a. Continue the infusion and monitor
b. Administer vitamin K
c. Hold the infusion and notify the provider
d. Increase the infusion rate
Correct answer: c
,5. A nurse is planning care for a client with a new diagnosis of type 2 diabetes mellitus. Which
teaching topic is the highest priority?
a. Exercise plan
b. Blood glucose monitoring
c. Signs and symptoms of hyperglycemia and hypoglycemia
d. Dietary supplements
Correct answer: c
6. A client is prescribed digoxin 0.25 mg daily. The client’s apical pulse is 52 bpm. What should
the nurse do?
a. Administer the medication
b. Hold the medication and notify the provider
c. Recheck pulse in 1 hour
d. Give half the dose
Correct answer: b
7. A nurse is delegating tasks to a UAP. Which task is appropriate to delegate?
a. Assessing pain levels
b. Measuring vital signs for a stable client
c. Administering oral medications
d. Performing initial admission assessment
Correct answer: b
8. A client with end-stage liver disease has ascites and edema. Which lab value should the
nurse monitor most closely?
a. Hemoglobin
b. Serum albumin
c. Serum sodium
d. Platelet count
Correct answer: b
9. A client is receiving morphine for pain. The nurse notes respiratory rate 8/min, O2 sat 89%,
and miosis. Which action is priority?
a. Administer naloxone
b. Call rapid response
c. Stop the infusion and assess airway
d. Increase oxygen
Correct answer: c
10. A client refuses a blood transfusion due to religious beliefs. Which nursing action is correct?
a. Document refusal and notify the provider
b. Force the transfusion
c. Ask family to consent
d. Withhold information from the client
Correct answer: a
, 11. The nurse is caring for a client with a central venous catheter. Which action prevents
infection?
a. Flush with normal saline before use
b. Use aseptic technique during dressing changes
c. Cover with dry gauze only
d. Change dressing weekly
Correct answer: b
12. A client with atrial fibrillation is prescribed warfarin. Which lab value should the nurse
monitor to determine therapeutic effect?
a. aPTT
b. PT/INR
c. Platelet count
d. Hematocrit
Correct answer: b
13. A client is admitted with suspected sepsis. Which finding indicates early septic shock?
a. Bradycardia
b. Hypotension with tachycardia
c. Low-grade fever only
d. Hypernatremia
Correct answer: b
14. A nurse is prioritizing care using Maslow’s hierarchy. Which client need should be addressed
first?
a. Spiritual support
b. Pain management
c. Airway and breathing
d. Emotional support
Correct answer: c
15. A client is being discharged with a prescription for furosemide. Which teaching is priority?
a. Take with meals
b. Monitor daily weight and report gain >2 lb/day
c. Avoid exercise
d. Restrict fluids only
Correct answer: b
16. A client with heart failure is prescribed an ACE inhibitor. Which adverse effect should the
nurse monitor?
a. Hyperglycemia
b. Persistent cough
c. Constipation
d. Bradycardia
Correct answer: b
