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NR341 Medical-Surgical Nursing CJE Practice – 400 Q&A on Neuro, Cardiac, Respiratory & Critical Care | Chamberlain University 2026

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This document contains approximately 400 expert-verified Clinical Judgment Exam (CJE) practice questions and answers for NR341 Medical-Surgical Nursing (2026) at Chamberlain University. The material provides comprehensive coverage of neurological, cardiovascular, respiratory, and critical care nursing concepts aligned with high-level clinical reasoning and NCLEX-style application. The content begins with foundational concepts such as modifiable vs. nonmodifiable risk factors, aspects of health, triage levels (1–5), and the ABCDE primary survey approach. It then progresses into detailed neurological content including increased intracranial pressure (ICP), meningitis, seizures, status epilepticus, Parkinson’s disease, Alzheimer’s disease, multiple sclerosis, stroke (ischemic, hemorrhagic, embolic, thrombotic), spinal cord injuries, autonomic dysreflexia, and diagnostic testing such as EEG, MRI, CT, lumbar puncture, and cerebral angiography. Cardiovascular topics include hemodynamic monitoring (CVP, PAP, PAWP), arterial lines, pulmonary artery catheters, cardiac catheterization, pacemakers (temporary, permanent, demand, fixed), cardioversion vs. defibrillation, percutaneous coronary intervention (PCI), thrombolytics, anticoagulants, and post-angiography care. Respiratory content is extensive, covering ABGs interpretation, oxygen delivery systems, mechanical ventilation modes (AC, SIMV, PSV, PEEP, IRV), ARDS, SARS, pneumonia, COPD, asthma, tuberculosis, pulmonary embolism, pneumothorax, hemothorax, chest tube management, bronchoscopy, thoracentesis, and respiratory failure management. The document emphasizes nursing priorities, monitoring parameters, medication side effects, emergency interventions, post-procedure care, and patient education. It is especially valuable for students enrolled in Medical-Surgical Nursing, Adult Health Nursing, Complex Adult Health, and Clinical Judgment-focused courses. It is also highly beneficial for Chamberlain University nursing students preparing for the NR341 CJE, HESI exams, ATI assessments, and NCLEX-style comprehensive finals. The material aligns with standard medical-surgical nursing textbooks such as “Lewis’s Medical-Surgical Nursing: Assessment and Management of Clinical Problems” by Harding, Kwong, Roberts, Hagler, and Reinisch, particularly chapters covering neurological disorders, respiratory failure, cardiac procedures, stroke management, mechanical ventilation, and critical care interventions. Keywords: NR341 CJE practice questions, medical surgical nursing exam review, ABCDE primary survey nursing, increased intracranial pressure ICP, stroke ischemic hemorrhagic embolic, mechanical ventilation modes AC SIMV PEEP, ABG interpretation nursing, chest tube management system, pulmonary embolism nursing care, COPD asthma management, tuberculosis precautions airborne, cardiac catheterization monitoring, pacemaker types nursing, ARDS nursing interventions, seizure status epilepticus management, autonomic dysreflexia T6, hemodynamic monitoring CVP PAP PAWP, oxygen delivery devices nasal cannula venturi, meningitis assessment and treatment, spinal cord injury shock management

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Institution
NR341 MS CJE
Course
NR341 MS CJE

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NR341 MS CJE PRACTICE 2026
EXPERT VERIFIED | ACE THE
TEST



Modifiable - 🧠 ANSWER ✔✔Can be changed


Nonmodifiable - 🧠 ANSWER ✔✔Cannot be changed


Aspects of Health - 🧠 ANSWER ✔✔Physical, Emotional, Social, Intellectual,

Spiritual, Occupational, Environmental

,Social Environment - 🧠 ANSWER ✔✔Crime vs. safety, poverty vs.

prosperity, peace vs. social unrest, and presence vs. absence of support

from social networks


Physical Environment - 🧠 ANSWER ✔✔Access to health care, sanitation,

availability of clean water, and geographic location


Triage Level 1 - 🧠 ANSWER ✔✔Resuscitation


Triage Level 2 - 🧠 ANSWER ✔✔Emergent


Triage Level 3 - 🧠 ANSWER ✔✔Urgent


Triage Level 4 - 🧠 ANSWER ✔✔Less Urgent


Triage Level 5 - 🧠 ANSWER ✔✔Nonurgent


Primary Survey - 🧠 ANSWER ✔✔Rapid assessment of life threatening

conditions; completed systematically; standard precautions; guided by

ABCDE principle


ABCDE Principle - Airway - 🧠 ANSWER ✔✔Maintain airway, head-tilt/chin-

lift if unresponsive; DO NOT perform if potential cervical spine injury; if

trauma suspected use modified jaw thrust maneuver; bag valve mask with

100% O2 with nonrebreather for spontaneous breathers

,ABCDE Principle - Breathing - 🧠 ANSWER ✔✔If NOT breathing, manual

vent with bag valve mask or mouth to mouth


ABCDE Principle - Circulation - 🧠 ANSWER ✔✔HR, BP, pulses, cap refill;

to restore circulation: CPR, assess for internal bleed, hemorrhage control;

IV access; Isotonic fluids/blood; to alleviate shock: O2, pressure to bleed,

elevate lower extremities, IV fluids & blood, VS, stay with patient


ABCDE Principle - Disability - 🧠 ANSWER ✔✔Assess LOC; GCS; AVPU


ABCDE Principle - Exposure - 🧠 ANSWER ✔✔Complete physical

assessment; clothing removed; hypothermia primary concern


Poisoning - 🧠 ANSWER ✔✔Medical emergency; history, type of poison;

respiratory support, circulation, restore fluids, BP/EKG; ingested poison use

activated charcoal, gastric lavage (done within 1 hour), aspiration;

diazepam if seizures occur


Rapid Response Team - 🧠 ANSWER ✔✔Respond to emergency when

patient has indications of rapid decline; early recognition before

respiratory/cardiac arrest or stroke occurs


Cardiac Arrest - 🧠 ANSWER ✔✔Cardiac emergency



COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED

, Vfib/Pulseless VT - 🧠 ANSWER ✔✔Defibrillate, CPR, administer IV

antidysrhythmic (epinephrine, amiodarone, lidocaine, magnesium sulfate)


Ventricular Asystole - 🧠 ANSWER ✔✔Cardiac emergency


Pulseless Electrical Activity (PEA) & Asystole - 🧠 ANSWER ✔✔CPR, if

shockable use Defibrillator, IV access, Epinephrine IVP every 3-5 minutes


Epinephrine - 🧠 ANSWER ✔✔Stimulates alpha 1 (vasoconstrict), beta 1

(increases HR), beta 2 (bronchodilator); used for superficial bleeding,

increased BP, AV block, cardiac arrest, & asthma; adverse effects include

hypertension crisis, dysrhythmias, angina


Dopamine - 🧠 ANSWER ✔✔Renal blood vessel dilation, beta 1 (increases

HR); used for shock, heart failure, acute kidney injury; adverse effects

include dysrhythmias, angina


Dobutamine - 🧠 ANSWER ✔✔Beta 1 (increases HR); used for heart failure


Cerebral Angiography - 🧠 ANSWER ✔✔Visualization of cerebral blood

vessels, assess blood flow in brain, identify aneurysms; do NOT perform if

pregnant, NPO for 4-6 hours prior, assess allergy to shellfish or iodine,

assess bleeding risk/use of anticoagulants, assess BUN & Creatinine;

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Institution
NR341 MS CJE
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NR341 MS CJE

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