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CJE Benchmark Exam clinical judgment NURS 3251 CJE EXAM COVERAGE
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.
,1. The nurse is caring for a patient 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 - ANSWER ✔ B. Sitting in
tripod position
2. Which virus is a strain of the bird flu?
A. H1N7
B. H1N1
C. H1N5
D. H5N1 - ANSWER ✔ D. H5N1
3. What is the most important information for the nurse to 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." - ANSWER ✔ C.
"Take the medication exactly as prescribed."
4. A patient with pneumonia is producing a smaller volume of thicker
secretions than the day before. The patient is receiving intravenous
antibiotics. What action does the nurse take?
, A. Monitor peak flow levels every 4 hours.
B. Encourage the patient to drink more fluids.
C. Request an order to switch to an oral antibiotic.
D. Reassure the patient that the infection is improving. - ANSWER ✔ B.
Encourage the patient to drink more fluids.
5. The nurse is preparing to admit an adult patient with pertussis. Which
symptom does the nurse anticipate finding in this patient?
A. Hemoptysis
B. Post-cough emesis
C. Mild cold-like symptoms
D. "Whooping" after a cough - ANSWER ✔ B. Post-cough emesis
6. A healthy patient expresses worries about developing tuberculosis (TB) after
spending time at a family reunion and learning later that a family member is
being treated for the disease. What does the nurse tell this patient?
A. "You have most likely been exposed to TB and will need to be
tested."
B. "You should receive TB prophylaxis until your provider rules out
active disease."
C. "TB is spread from person to person by sharing drinking cups and
eating utensils.
D. "Among people exposed to the disease, only a small percentage
develop active TB." - ANSWER ✔ D. "Among people exposed to the
disease, only a small percentage develop active TB."
7. A female patient presents to the ambulatory clinic with complaints of a
cough. Which other signs or symptoms, if present, would cause the nurse to
, begin wearing an N-95 mask and place the patient in an isolated
environment? Select all that apply.
A. Anorexia
B. Blood-streaked sputum
C. Menstrual irregularities
D. Sharp chest pain when coughing
E. Nighttime oral temperature greater than 101°F - ANSWER ✔ A.
Anorexia
B. Blood-streaked sputum
C. Menstrual irregularities
8. The nurse is counseling a young woman about drug therapy with isoniazid
and rifampin to treat tuberculosis. Before developing the teaching plan, what
must the nurse assess for first?
A. History of gout
B. Color blindness
C. Susceptibility to sunburn
D. Contraceptive methods used - ANSWER ✔ D. Contraceptive methods
used
9. A patient with tuberculosis (TB) who is homeless and has been living in
shelters for the past 6 months asks the nurse why he must take so many
medications. What information will the nurse provide in answering this
question? Select all that apply.
A. Multiple drug regimens destroy organisms as quickly as possible.
B. Combination drug therapy is effective in preventing transmission.
C. Combination drug therapy is the most effective method of treating
TB.