JEA CJE TEST COMPREHENSIVE STUDY GUIDE 2026 FULL
QUESTIONS AND SOLUTIONS GRADED A+
● Yellowish sclera. Possible side effect related to liver damage. Answer: The nurse is
caring for a client with tuberculosis who is receiving isoniazid and rifampin 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.
● Acute confusion Dry cough - Vague sign Acute confusion - Correct - sign of infection
in an older adult Increased temperature - Older adult may not exhibit normal signs of
infection Purulent drainage from incision - Older adult may not exhibit normal signs of
infection. Answer: What would the nurse expect to find in the care of an 80-year-old client
who is experiencing a complication after a right knee replacement? The patient is post-op day
1. 1 Dry cough 2 Acute confusion 3 Increased temperature 4 Purulent drainage from incision
● 48-year-old African-American male who is obese and father and mother have type 2
DM.. Answer: Which of these clients should the nurse consider at greatest risk for developing
type 2 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.
● "You should add a thickener all liquids and make sure he sits upright while eating.".
Answer: The nurse is assessing a client with Parkinson's disease who 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."
● "It appears you are hearing voices again. Tell me what you are hearing.". Answer: The
nurse is caring for a client who has been admitted to the 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."
● "I know that my blood pressure is high when my nose starts bleeding." Correct -
Hypertension is usually asymptomatic. A nose bleed can occur with high blood
pressure, but it can occur for many other reasons as well. It is quite common that the
client's blood pressure is high and the client experiences no symptoms. It is important
to help clients understand that they cannot rely on one particular symptom to tell if
their pressure is elevated. It would be very dangerous for clients to think their blood
pressure is only high if they have a nose bleed.. Answer: The nurse is participating in the
discharge plans for a client with hypertension. Which statement by the client would cause
concern? 1 "I am at risk for stroke or heart attack if my blood pressure is not controlled." 2 "I
know that my blood pressure is high when my nose starts bleeding." 3 "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."
● pH 7.50. CO2 28. pH 7.50. Correct - pH level is elevated with respiratory alkalosis pH
7.30. A low pH can indicate respiratory acidosis carbon dioxide (CO2 ) 50. A high CO2
can indicate respiratory acidosis CO2 28. Correct - In respiratory alkalosis, the client is
blowing off too much CO2 which leads to a low level. Oxygen saturation 85%. Oxygen
levels are usually normal in respiratory alkalosis. Bicarbonate 25. Bicarbonate levels
are usually normal in respiratory alkalosis. Answer: The nurse is reviewing the client's lab
values who has respiratory alkalosis. Which results should the nurse expect? Select all that
apply 1 pH 7.50. 2 pH 7.30. 3 Carbon dioxide (CO2 ) 50. 4 CO2 28. 5 Oxygen saturation 85%.
6 Bicarbonate 25.
● "I will continue smoking but decrease the number of cigarettes." Correct - Smoking
cessation can lower the risk for stroke. Answer: A nurse is teaching a group of
middle-aged men about stroke prevention. Which statement by a client requires further
teaching? 1 "I will start an exercise program to lose weight." 2 "I have to stop my daily trip to
the donut shop for breakfast". 3 "I will decrease my consumption of beer to only one per day."
4 "I will continue smoking but decrease the number of cigarettes."
● Establish intravenous access Administer atropine External pacing if needed Obtain
baseline CBC and electrolytes. Answer: The nurse is participating in the emergency
management of a client with sinus bradycardia who reports the "room is spinning, chest pain,
which is 8 out of 10, and shortness of breath. In what order should these steps be conducted?
Establish intravenous access Obtain baseline CBC and electrolytes Administer atropine
External pacing if needed
QUESTIONS AND SOLUTIONS GRADED A+
● Yellowish sclera. Possible side effect related to liver damage. Answer: The nurse is
caring for a client with tuberculosis who is receiving isoniazid and rifampin 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.
● Acute confusion Dry cough - Vague sign Acute confusion - Correct - sign of infection
in an older adult Increased temperature - Older adult may not exhibit normal signs of
infection Purulent drainage from incision - Older adult may not exhibit normal signs of
infection. Answer: What would the nurse expect to find in the care of an 80-year-old client
who is experiencing a complication after a right knee replacement? The patient is post-op day
1. 1 Dry cough 2 Acute confusion 3 Increased temperature 4 Purulent drainage from incision
● 48-year-old African-American male who is obese and father and mother have type 2
DM.. Answer: Which of these clients should the nurse consider at greatest risk for developing
type 2 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.
● "You should add a thickener all liquids and make sure he sits upright while eating.".
Answer: The nurse is assessing a client with Parkinson's disease who 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."
● "It appears you are hearing voices again. Tell me what you are hearing.". Answer: The
nurse is caring for a client who has been admitted to the 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."
● "I know that my blood pressure is high when my nose starts bleeding." Correct -
Hypertension is usually asymptomatic. A nose bleed can occur with high blood
pressure, but it can occur for many other reasons as well. It is quite common that the
client's blood pressure is high and the client experiences no symptoms. It is important
to help clients understand that they cannot rely on one particular symptom to tell if
their pressure is elevated. It would be very dangerous for clients to think their blood
pressure is only high if they have a nose bleed.. Answer: The nurse is participating in the
discharge plans for a client with hypertension. Which statement by the client would cause
concern? 1 "I am at risk for stroke or heart attack if my blood pressure is not controlled." 2 "I
know that my blood pressure is high when my nose starts bleeding." 3 "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."
● pH 7.50. CO2 28. pH 7.50. Correct - pH level is elevated with respiratory alkalosis pH
7.30. A low pH can indicate respiratory acidosis carbon dioxide (CO2 ) 50. A high CO2
can indicate respiratory acidosis CO2 28. Correct - In respiratory alkalosis, the client is
blowing off too much CO2 which leads to a low level. Oxygen saturation 85%. Oxygen
levels are usually normal in respiratory alkalosis. Bicarbonate 25. Bicarbonate levels
are usually normal in respiratory alkalosis. Answer: The nurse is reviewing the client's lab
values who has respiratory alkalosis. Which results should the nurse expect? Select all that
apply 1 pH 7.50. 2 pH 7.30. 3 Carbon dioxide (CO2 ) 50. 4 CO2 28. 5 Oxygen saturation 85%.
6 Bicarbonate 25.
● "I will continue smoking but decrease the number of cigarettes." Correct - Smoking
cessation can lower the risk for stroke. Answer: A nurse is teaching a group of
middle-aged men about stroke prevention. Which statement by a client requires further
teaching? 1 "I will start an exercise program to lose weight." 2 "I have to stop my daily trip to
the donut shop for breakfast". 3 "I will decrease my consumption of beer to only one per day."
4 "I will continue smoking but decrease the number of cigarettes."
● Establish intravenous access Administer atropine External pacing if needed Obtain
baseline CBC and electrolytes. Answer: The nurse is participating in the emergency
management of a client with sinus bradycardia who reports the "room is spinning, chest pain,
which is 8 out of 10, and shortness of breath. In what order should these steps be conducted?
Establish intravenous access Obtain baseline CBC and electrolytes Administer atropine
External pacing if needed
