ADVANCED MED-SURG CJE EXAM ACTUAL QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST
UPDATE 100% GUARANTEED PASS
Client is alert and oriented X4. Speech is clear.
Condition: Respirations even, shallow, slight
tachypnea. Low-pitched
Pneumonia rhonchi noted in bases bilaterally.
Congestive cough with
productive green sputum. Cup of green thick sputum at Actions:
bedside. Abdomen is soft, nontender, non-distended.
Administer oxygen 2 L
via NC Active bowel sounds X4 quadrants. Administer
acetaminophen for fever 5/5 strength noted in lower extremities.
Left hip dressing,
adhesive tape is peeling, not intact. Client reports hip Monitor:
pain is 3/10. Oxygen saturation
100/81 Temperature
Heart
Rate 95
Respiratory
Rate 20
Temperature
,100.9 °F
38.3
°C
Sp02
88% RAA client had total hip arthroplasty
2 days ago, and the nurse prepares to
change the client's dressing.
Past medical history includes
obesity, severe osteoarthritis,
and hypertension.
History of smoking for two years;
discontinued smoking six months prior
to surgery.
Review the electronic health record.
Complete the diagram by dragging
from the choices below to specify what
condition the client is most likely
,A client prescribed phenytoin for the
treatment of -Slurred
speech frequent tonic-clonic seizures
has a phenytoin level of 38 -Ataxia
mcg/mL (Therapeutic range: 10-20
mcg/mL). -
Nystagmus Which findings is the nurse
likely to observe related to -
Coma
this laboratory result? Select all that apply.
0630 Start IV fluids and obtain blood samples
for culture and sensitivity to start Client admitted from the skilled
nursing facility with Stage antibiotics.
IV pressure injury 6 cm x 4 cm
with a depth of 2 cm. Foul-
smelling purulent drainage
and areas of eschar present
on the left side of the wound.
Temperature 99.6 °F (37.6
°C), heart rate 88, respiratory
rate 22, blood pressure 110/68,
, 02 saturation 94%
The nurse reviews the nursing
note from the previous shift for a
79-year-old client.
What is the nurse's priority action?
The nurse cares for an 81-year-old client with an
Urine output is
240 mL in 8 hours indwelling catheter for urinary
incontinence and
retention.
What assessment result supports
the nurse removing the
catheter?
The emergency department nurse cares for a client
Prepare to administer
intravenous naloxone. brought in with a respiratory rate
of 6, blood pressure
90/54, and unresponsive to
voice. The nurse assesses
multiple needle track marks
on both arms.
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST
UPDATE 100% GUARANTEED PASS
Client is alert and oriented X4. Speech is clear.
Condition: Respirations even, shallow, slight
tachypnea. Low-pitched
Pneumonia rhonchi noted in bases bilaterally.
Congestive cough with
productive green sputum. Cup of green thick sputum at Actions:
bedside. Abdomen is soft, nontender, non-distended.
Administer oxygen 2 L
via NC Active bowel sounds X4 quadrants. Administer
acetaminophen for fever 5/5 strength noted in lower extremities.
Left hip dressing,
adhesive tape is peeling, not intact. Client reports hip Monitor:
pain is 3/10. Oxygen saturation
100/81 Temperature
Heart
Rate 95
Respiratory
Rate 20
Temperature
,100.9 °F
38.3
°C
Sp02
88% RAA client had total hip arthroplasty
2 days ago, and the nurse prepares to
change the client's dressing.
Past medical history includes
obesity, severe osteoarthritis,
and hypertension.
History of smoking for two years;
discontinued smoking six months prior
to surgery.
Review the electronic health record.
Complete the diagram by dragging
from the choices below to specify what
condition the client is most likely
,A client prescribed phenytoin for the
treatment of -Slurred
speech frequent tonic-clonic seizures
has a phenytoin level of 38 -Ataxia
mcg/mL (Therapeutic range: 10-20
mcg/mL). -
Nystagmus Which findings is the nurse
likely to observe related to -
Coma
this laboratory result? Select all that apply.
0630 Start IV fluids and obtain blood samples
for culture and sensitivity to start Client admitted from the skilled
nursing facility with Stage antibiotics.
IV pressure injury 6 cm x 4 cm
with a depth of 2 cm. Foul-
smelling purulent drainage
and areas of eschar present
on the left side of the wound.
Temperature 99.6 °F (37.6
°C), heart rate 88, respiratory
rate 22, blood pressure 110/68,
, 02 saturation 94%
The nurse reviews the nursing
note from the previous shift for a
79-year-old client.
What is the nurse's priority action?
The nurse cares for an 81-year-old client with an
Urine output is
240 mL in 8 hours indwelling catheter for urinary
incontinence and
retention.
What assessment result supports
the nurse removing the
catheter?
The emergency department nurse cares for a client
Prepare to administer
intravenous naloxone. brought in with a respiratory rate
of 6, blood pressure
90/54, and unresponsive to
voice. The nurse assesses
multiple needle track marks
on both arms.
