judgment NURS 3251 CJE
The CJE Benchmark Clinical Judgment Exam
2 focuses on respiratory disorders and
infectious disease management. The exam
covers assessment, diagnosis, and nursing
management of conditions such as
tuberculosis (TB), pneumonia, severe acute
respiratory syndrome (SARS), influenza, and
throat infections such as peritonsillar
abscess. It includes recognition of signs and
symptoms, interpretation of diagnostic tests
such as chest X-rays and TB screening tests,
and identification of complications
including hypoxia and sepsis. The exam also
assesses pharmacological management
including tuberculosis drug therapy,
,medication administration guidelines, side
effects of medications such as rifampin and
isoniazid, and the importance of medication
adherence and directly observed therapy
(DOT). Additional topics include respiratory
care interventions such as hydration, airway
clearance, incentive spirometry, infection
control precautions, prevention strategies
for respiratory infections, and patient and
family education to reduce disease
transmission. Overall, the exam emphasizes
respiratory assessment, infection
prevention, medication management, and
clinical judgment in caring for patients with
respiratory and infectious diseases.
,The nurse is caring for a patient B. Sitting in tripod position
who was admitted with
pneumonia. Which position
assumed by the patient leads
the nurse to suspect that the
patient is developing hypoxia?
A. Side-lying
B. Sitting in tripod position
C. Prone with head of bed at
30° angle
D. Supine with head of bed at
45° angle
,Which virus is a strain of the bird D. H5N1
flu?
A. H1N7
B. H1N1
C. H1N5
D. H5N1
,What is the most important C. "Take the medication exactly as
information for the nurse to prescribed."
convey to a patient who is
beginning pharmacological
therapy for the treatment of
tuberculosis to ensure
suppression of the disease?
A. "Eat a diet rich in Vitamin K."
B. "Do not drink alcoholic
beverages."
C. "Take the medication exactly
as prescribed."
D. "Contact the health care
provider if you become ill."
,What education will be D. Everyone must undergo tuberculosis
provided for the family of a testing.
patient being treated for
tuberculosis convalescing at
home?
A. Use airborne precautions.
B. Place used tissues in a trash
can.
C. Cover your mouth and nose
when sneezing.
D. Everyone must undergo
tuberculosis testing.
,A patient who has begun A. Normal drug side effects of rifampin
standard multidrug treatment
for tuberculosis (TB) reports
orange-tinged sputum and
urine. The nurse tells the patient
that this symptom represents
which response to the treatment
regimen?
A. Normal drug side effects of
rifampin
B. Hemolysis and a potential for
anemia
C. Drug resistance with spread
of infection
D. Hepatotoxicity caused by
drinking alcohol
,A patient is about to begin drug A. "Do not drink alcohol."
therapy for the treatment of
tuberculosis (TB). What
information is most important
for the nurse to give to this
patient prior to the start of
therapy?
A. "Do not drink alcohol."
B. "Eat foods high in
carbohydrates."
C. "Take medications in the
morning."
D. "Limit ingestion of orange or
grapefruit juice."
,A patient with pneumonia has A. Encourage an intake of 2 liters of fluid
difficulty clearing secretions in per day.
his airway, which are quite thick.
Which nursing intervention does
the nurse include in this patient's
plan of care?
A. Encourage an intake of 2
liters of fluid per day.
B. Help the patient to ambulate
several times daily.
C. Give intravenous antibiotics
as ordered by the provider.
D. Administer pain medications
on schedule to provide comfort.
, The radiology report of a B. Lobar
patient who has had a chest x-
ray shows consolidation in a
segment of the patient's left
lung. This is typical of which
type of pneumonia?
A. Viral
B. Lobar
C. Bronchial
D. Bacterial