CJE Benchmark clinical EXAM COVERAGE
judgment Exam 1
The CJE Benchmark Clinical Judgment Exam
1 covers clinical decision-making in nursing,
including medication safety and adverse
drug effects, postoperative and wound
assessment, infection recognition, chronic
disease management, and interpretation of
laboratory values and arterial blood gases.
It also includes emergency and
cardiovascular care, respiratory procedures,
neurological and psychiatric nursing, patient
education, infection control, and
prioritization of safe nursing interventions in
patient care scenarios.
,The nurse is assessing a client "You should add a thickener all liquids and
with Parkinson's disease who make sure he sits upright while eating."
has been admitted to the
hospital because of significant
weight loss. Assessment data
reveals a masklike facial
expression and slurred speech.
A swallowing evaluation reveals
some difficulty swallowing. The
client's daughter asks the nurse,
"How am I supposed to feed
him at home?" What is an
appropriate response by the
nurse?
1
"He will be scheduled for
surgery to have a feeding tube
,placed".
2
"It's best to feed him only three
meals a day to reduce the
chance of choking."
3
"Make sure he drinks all liquids
through a straw and recline in
chair while eating."
4
"You should add a thickener all
liquids and make sure he sits
upright while eating."
,What would the nurse expect to Acute confusion
find in the care of an 80-year-
old client who is experiencing a Dry cough - Vague sign
complication after a right knee Acute confusion - Correct - sign of
replacement? The patient is infection in an older adult
post-op day 1. Increased temperature - Older adult may
not exhibit normal signs of infection
1 Purulent drainage from incision - Older
Dry cough adult may not exhibit normal signs of
2 infection
Acute confusion
3
Increased temperature
4
Purulent drainage from incision
,Which of these clients should 48-year-old African-American male who is
the nurse consider at greatest obese and father and mother have type 2
risk for developing type 2 DM.
diabetes mellitus?
1
48-year-old African-American
male who is obese and father
and mother have type 2 DM.
2
50-year-old male hemoglobin
A1C of 5.5% during a routine
physical examination.
3
A 30-year-old female who
delivered a 9-pound baby.
4
,A 62-year-old male with an
elevated triglyceride level.
The nurse is caring for a client Yellowish sclera.
with tuberculosis who is
receiving isoniazid and rifampin Possible side effect related to liver damage
for tuberculosis. Which adverse
effect should the nurse be most
concerned with?
1
Blurred vision.
2
Yellowish sclera.
3
Nausea and vomiting.
4
Decreased urine output.
,The nurse is caring for a client "It appears you are hearing voices again.
who has been admitted to the Tell me what you are hearing."
psychiatric in-client unit with
schizophrenia. While talking with
the nurse alone, the client
suddenly stops midsentence,
turns to stare at the wall and
states, "I told you I can't do
that!" What is an appropriate
response by the nurse?
1
"I will talk to you later when you
can pay attention."
2
"I will leave the room if you
continue to not pay attention"
3
,"Is your mother talking to you
again? I wish she would leave
you alone."
4
"It appears you are hearing
voices again. Tell me what you
are hearing."
,The nurse is participating in the "I know that my blood pressure is high when
discharge plans for a client with my nose starts bleeding."
hypertension. Which statement
by the client would cause Correct - Hypertension is usually
concern? asymptomatic. A nose bleed can occur with
high blood pressure, but it can occur for
1 many other reasons as well. It is quite
"I am at risk for stroke or heart common that the client's blood pressure is
attack if my blood pressure is high and the client experiences no
not controlled." symptoms. It is important to help clients
2 understand that they cannot rely on one
"I know that my blood pressure particular symptom to tell if their pressure is
is high when my nose starts elevated. It would be very dangerous for
bleeding." clients to think their blood pressure is only
3 high if they have a nose bleed.
"I will take my blood pressure
two times a day for at least 7
days."
, 4
"I will ask my spouse to start
walking with me in the
mornings."
judgment Exam 1
The CJE Benchmark Clinical Judgment Exam
1 covers clinical decision-making in nursing,
including medication safety and adverse
drug effects, postoperative and wound
assessment, infection recognition, chronic
disease management, and interpretation of
laboratory values and arterial blood gases.
It also includes emergency and
cardiovascular care, respiratory procedures,
neurological and psychiatric nursing, patient
education, infection control, and
prioritization of safe nursing interventions in
patient care scenarios.
,The nurse is assessing a client "You should add a thickener all liquids and
with Parkinson's disease who make sure he sits upright while eating."
has been admitted to the
hospital because of significant
weight loss. Assessment data
reveals a masklike facial
expression and slurred speech.
A swallowing evaluation reveals
some difficulty swallowing. The
client's daughter asks the nurse,
"How am I supposed to feed
him at home?" What is an
appropriate response by the
nurse?
1
"He will be scheduled for
surgery to have a feeding tube
,placed".
2
"It's best to feed him only three
meals a day to reduce the
chance of choking."
3
"Make sure he drinks all liquids
through a straw and recline in
chair while eating."
4
"You should add a thickener all
liquids and make sure he sits
upright while eating."
,What would the nurse expect to Acute confusion
find in the care of an 80-year-
old client who is experiencing a Dry cough - Vague sign
complication after a right knee Acute confusion - Correct - sign of
replacement? The patient is infection in an older adult
post-op day 1. Increased temperature - Older adult may
not exhibit normal signs of infection
1 Purulent drainage from incision - Older
Dry cough adult may not exhibit normal signs of
2 infection
Acute confusion
3
Increased temperature
4
Purulent drainage from incision
,Which of these clients should 48-year-old African-American male who is
the nurse consider at greatest obese and father and mother have type 2
risk for developing type 2 DM.
diabetes mellitus?
1
48-year-old African-American
male who is obese and father
and mother have type 2 DM.
2
50-year-old male hemoglobin
A1C of 5.5% during a routine
physical examination.
3
A 30-year-old female who
delivered a 9-pound baby.
4
,A 62-year-old male with an
elevated triglyceride level.
The nurse is caring for a client Yellowish sclera.
with tuberculosis who is
receiving isoniazid and rifampin Possible side effect related to liver damage
for tuberculosis. Which adverse
effect should the nurse be most
concerned with?
1
Blurred vision.
2
Yellowish sclera.
3
Nausea and vomiting.
4
Decreased urine output.
,The nurse is caring for a client "It appears you are hearing voices again.
who has been admitted to the Tell me what you are hearing."
psychiatric in-client unit with
schizophrenia. While talking with
the nurse alone, the client
suddenly stops midsentence,
turns to stare at the wall and
states, "I told you I can't do
that!" What is an appropriate
response by the nurse?
1
"I will talk to you later when you
can pay attention."
2
"I will leave the room if you
continue to not pay attention"
3
,"Is your mother talking to you
again? I wish she would leave
you alone."
4
"It appears you are hearing
voices again. Tell me what you
are hearing."
,The nurse is participating in the "I know that my blood pressure is high when
discharge plans for a client with my nose starts bleeding."
hypertension. Which statement
by the client would cause Correct - Hypertension is usually
concern? asymptomatic. A nose bleed can occur with
high blood pressure, but it can occur for
1 many other reasons as well. It is quite
"I am at risk for stroke or heart common that the client's blood pressure is
attack if my blood pressure is high and the client experiences no
not controlled." symptoms. It is important to help clients
2 understand that they cannot rely on one
"I know that my blood pressure particular symptom to tell if their pressure is
is high when my nose starts elevated. It would be very dangerous for
bleeding." clients to think their blood pressure is only
3 high if they have a nose bleed.
"I will take my blood pressure
two times a day for at least 7
days."
, 4
"I will ask my spouse to start
walking with me in the
mornings."
