CJE Benchmark Clinical Judgment Exam 3
EXAM COVERAGE
The CJE Benchmark Clinical Judgment Exam 3 evaluates
clinical reasoning in the assessment and management of
complex patient care conditions. The exam typically
covers cardiovascular disorders, fluid and electrolyte
imbalances, endocrine and metabolic conditions,
gastrointestinal and renal disorders, and complications
requiring priority nursing interventions. It also assesses
interpretation of laboratory values, recognition of early
,and late signs of clinical deterioration, medication
management and adverse effects, and implementation of
emergency and safety-focused nursing actions. Additional
areas include patient education, infection prevention, and
prioritization of care using clinical judgment to ensure safe
and effective nursing practice across various patient care
scenarios.
,Which intervention should the nurse prioritize to prevent
orthostatic hypotension in an immobile patient?
Administering a diuretic
Encouraging the patient to sit up slowly before standing
Placing the patient in the Trendelenburg position
Restricting fluid intake
Encouraging the patient to sit up slowly before standing
,An immobile patient is at risk for which of the following
respiratory complications?
Pulmonary embolism
Atelectasis
Hyperventilation
Asthma
Atelectasis-Prolonged immobility can result in decreased
lung expansion and accumulation of secretions, increasing
the risk of atelectasis
,A nurse is providing care for a patient who has been on
bed rest for two weeks. Which of the following
complications is most likely to occur due to immobility?
Increased bone density
Muscle hypertrophy
Joint contractures
Increased joint flexibility
Joint contractures
,A patient on prolonged bed rest reports abdominal
discomfort and decreased bowel movements. Which
nursing intervention is most appropriate?
Administering a stool softener as prescribed
Encouraging high-fat foods
Restricting fluids to reduce bloating
Discouraging ambulation
Administering a stool softener as prescribed
,Which patient is at greatest risk for developing a pressure
injury related to immobility?
A patient with intact sensation who repositions themselves
frequently
A patient with impaired sensation who has urinary
incontinence
A patient with adequate nutritional intake
A patient ambulating every 2 hours
A patient with impaired sensation who has urinary
incontinence
,An immobile patient reports feeling isolated and
withdrawn. What is the most appropriate nursing
intervention?
Providing privacy to allow the patient time alone
Encouraging participation in social activities and
conversation
Restricting visitors to reduce overstimulation
Avoiding discussion of the patient's emotional state
Encouraging participation in social activities and
conversation
,
, A 78-year-old patient with a history of osteoporosis has
been on prolonged bed rest following a hip fracture.
Which intervention should the nurse prioritize to prevent
complications related to bone demineralization?
Administer calcium supplements as prescribed.
Encourage passive range-of-motion (ROM) exercises and
sitting upright.
Limit weight-bearing activities to avoid further injury.
Increase the patient's dietary intake of vitamin D and
protein.
Encourage passive range-of-motion (ROM) exercises and
sitting upright.
EXAM COVERAGE
The CJE Benchmark Clinical Judgment Exam 3 evaluates
clinical reasoning in the assessment and management of
complex patient care conditions. The exam typically
covers cardiovascular disorders, fluid and electrolyte
imbalances, endocrine and metabolic conditions,
gastrointestinal and renal disorders, and complications
requiring priority nursing interventions. It also assesses
interpretation of laboratory values, recognition of early
,and late signs of clinical deterioration, medication
management and adverse effects, and implementation of
emergency and safety-focused nursing actions. Additional
areas include patient education, infection prevention, and
prioritization of care using clinical judgment to ensure safe
and effective nursing practice across various patient care
scenarios.
,Which intervention should the nurse prioritize to prevent
orthostatic hypotension in an immobile patient?
Administering a diuretic
Encouraging the patient to sit up slowly before standing
Placing the patient in the Trendelenburg position
Restricting fluid intake
Encouraging the patient to sit up slowly before standing
,An immobile patient is at risk for which of the following
respiratory complications?
Pulmonary embolism
Atelectasis
Hyperventilation
Asthma
Atelectasis-Prolonged immobility can result in decreased
lung expansion and accumulation of secretions, increasing
the risk of atelectasis
,A nurse is providing care for a patient who has been on
bed rest for two weeks. Which of the following
complications is most likely to occur due to immobility?
Increased bone density
Muscle hypertrophy
Joint contractures
Increased joint flexibility
Joint contractures
,A patient on prolonged bed rest reports abdominal
discomfort and decreased bowel movements. Which
nursing intervention is most appropriate?
Administering a stool softener as prescribed
Encouraging high-fat foods
Restricting fluids to reduce bloating
Discouraging ambulation
Administering a stool softener as prescribed
,Which patient is at greatest risk for developing a pressure
injury related to immobility?
A patient with intact sensation who repositions themselves
frequently
A patient with impaired sensation who has urinary
incontinence
A patient with adequate nutritional intake
A patient ambulating every 2 hours
A patient with impaired sensation who has urinary
incontinence
,An immobile patient reports feeling isolated and
withdrawn. What is the most appropriate nursing
intervention?
Providing privacy to allow the patient time alone
Encouraging participation in social activities and
conversation
Restricting visitors to reduce overstimulation
Avoiding discussion of the patient's emotional state
Encouraging participation in social activities and
conversation
,
, A 78-year-old patient with a history of osteoporosis has
been on prolonged bed rest following a hip fracture.
Which intervention should the nurse prioritize to prevent
complications related to bone demineralization?
Administer calcium supplements as prescribed.
Encourage passive range-of-motion (ROM) exercises and
sitting upright.
Limit weight-bearing activities to avoid further injury.
Increase the patient's dietary intake of vitamin D and
protein.
Encourage passive range-of-motion (ROM) exercises and
sitting upright.
