Page 1 of 94
Adult Health CJE Exam ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT ANSWERS LATEST UPDATE
THIS YEAR
SUMMARIZED ADULT HEALTH CJE EXAM COVERAGE
The Adult Health CJE Exam focuses on:
• Safety, infection control, and emergency response
• Vital signs, assessment, and recognizing deterioration
• Medication administration safety and high-alert drugs
• Cardiac, respiratory, neurological, endocrine, renal, and GI conditions
• Wound care, pressure injury prevention, and post-op care
• Fluids/electrolytes and IV therapy basics
• Pain control and patient comfort
• Mental health support and therapeutic communication
• Patient teaching, discharge planning, and legal documentation
• Delegation, prioritization, and ethical nursing responsibilities
1. A nurse finds a postoperative patient restless with oxygen saturation dropping from 96% to 88% on
room air. What is the best first action?
A. Call the family to calm the patient down
B. Apply oxygen and assess airway and breathing immediately before calling the provider
C. Document the finding and recheck in one hour
D. Give prescribed pain medication first to reduce restlessness
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Answer: B
Rationale: ABC priority requires immediate oxygenation support and respiratory assessment for possible
hypoxia or atelectasis.
2. A patient with diabetes becomes pale, shaky, and confused before lunch. Which intervention
should the nurse perform first?
A. Give rapid-acting insulin immediately
B. Check blood glucose and treat suspected hypoglycemia with fast-acting carbohydrate
C. Encourage the patient to walk to improve circulation
D. Restrict fluids until the provider arrives
Answer: B
Rationale: Symptoms suggest hypoglycemia, requiring immediate glucose check and treatment to
prevent seizure or coma.
3. A patient receiving IV fluids suddenly develops crackles in both lungs and pitting edema. What
complication is most likely occurring?
A. Dehydration
B. Fluid volume overload
C. Metabolic acidosis
D. Hypoglycemia
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Answer: B
Rationale: Crackles, edema, and possible weight gain indicate fluid overload, which can progress to
pulmonary edema.
4. A patient taking warfarin reports black, tarry stools and dizziness. What should the nurse do first?
A. Reassure the patient this is expected with warfarin therapy
B. Hold the medication and notify the provider immediately for suspected GI bleeding
C. Encourage the patient to take aspirin for discomfort
D. Tell the patient to increase vitamin K intake immediately
Answer: B
Rationale: Melena and dizziness suggest bleeding, a serious warfarin complication requiring urgent
provider notification.
5. A patient with COPD is receiving oxygen at 6 L/min via nasal cannula and becomes increasingly
drowsy. What is the nurse’s best action?
A. Increase oxygen to 10 L/min immediately
B. Assess respiratory status, consider CO₂ retention, and notify provider for oxygen adjustment
C. Turn off oxygen completely and wait for improvement
D. Give the patient a sedative to help them rest
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Answer: B
Rationale: High oxygen flow in COPD can worsen CO₂ retention; assessment and provider involvement
are needed.
6. A patient with suspected stroke suddenly develops slurred speech and right-sided weakness. What
is the priority nursing action?
A. Offer food to prevent low blood sugar
B. Activate emergency response and prepare for rapid imaging and stroke protocol
C. Place the patient in Trendelenburg position
D. Wait for symptoms to resolve before calling the provider
Answer: B
Rationale: Stroke is time-sensitive; rapid activation of stroke protocol improves outcomes and eligibility
for clot-busting therapy.
7. A patient has a blood transfusion started and develops chills, fever, and back pain within 15
minutes. What should the nurse do first?
A. Slow the infusion and reassess in 30 minutes
B. Stop the transfusion immediately and maintain IV access with normal saline
C. Give acetaminophen and continue transfusion
D. Document symptoms as mild and expected
Adult Health CJE Exam ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT ANSWERS LATEST UPDATE
THIS YEAR
SUMMARIZED ADULT HEALTH CJE EXAM COVERAGE
The Adult Health CJE Exam focuses on:
• Safety, infection control, and emergency response
• Vital signs, assessment, and recognizing deterioration
• Medication administration safety and high-alert drugs
• Cardiac, respiratory, neurological, endocrine, renal, and GI conditions
• Wound care, pressure injury prevention, and post-op care
• Fluids/electrolytes and IV therapy basics
• Pain control and patient comfort
• Mental health support and therapeutic communication
• Patient teaching, discharge planning, and legal documentation
• Delegation, prioritization, and ethical nursing responsibilities
1. A nurse finds a postoperative patient restless with oxygen saturation dropping from 96% to 88% on
room air. What is the best first action?
A. Call the family to calm the patient down
B. Apply oxygen and assess airway and breathing immediately before calling the provider
C. Document the finding and recheck in one hour
D. Give prescribed pain medication first to reduce restlessness
, Page 2 of 94
Answer: B
Rationale: ABC priority requires immediate oxygenation support and respiratory assessment for possible
hypoxia or atelectasis.
2. A patient with diabetes becomes pale, shaky, and confused before lunch. Which intervention
should the nurse perform first?
A. Give rapid-acting insulin immediately
B. Check blood glucose and treat suspected hypoglycemia with fast-acting carbohydrate
C. Encourage the patient to walk to improve circulation
D. Restrict fluids until the provider arrives
Answer: B
Rationale: Symptoms suggest hypoglycemia, requiring immediate glucose check and treatment to
prevent seizure or coma.
3. A patient receiving IV fluids suddenly develops crackles in both lungs and pitting edema. What
complication is most likely occurring?
A. Dehydration
B. Fluid volume overload
C. Metabolic acidosis
D. Hypoglycemia
, Page 3 of 94
Answer: B
Rationale: Crackles, edema, and possible weight gain indicate fluid overload, which can progress to
pulmonary edema.
4. A patient taking warfarin reports black, tarry stools and dizziness. What should the nurse do first?
A. Reassure the patient this is expected with warfarin therapy
B. Hold the medication and notify the provider immediately for suspected GI bleeding
C. Encourage the patient to take aspirin for discomfort
D. Tell the patient to increase vitamin K intake immediately
Answer: B
Rationale: Melena and dizziness suggest bleeding, a serious warfarin complication requiring urgent
provider notification.
5. A patient with COPD is receiving oxygen at 6 L/min via nasal cannula and becomes increasingly
drowsy. What is the nurse’s best action?
A. Increase oxygen to 10 L/min immediately
B. Assess respiratory status, consider CO₂ retention, and notify provider for oxygen adjustment
C. Turn off oxygen completely and wait for improvement
D. Give the patient a sedative to help them rest
, Page 4 of 94
Answer: B
Rationale: High oxygen flow in COPD can worsen CO₂ retention; assessment and provider involvement
are needed.
6. A patient with suspected stroke suddenly develops slurred speech and right-sided weakness. What
is the priority nursing action?
A. Offer food to prevent low blood sugar
B. Activate emergency response and prepare for rapid imaging and stroke protocol
C. Place the patient in Trendelenburg position
D. Wait for symptoms to resolve before calling the provider
Answer: B
Rationale: Stroke is time-sensitive; rapid activation of stroke protocol improves outcomes and eligibility
for clot-busting therapy.
7. A patient has a blood transfusion started and develops chills, fever, and back pain within 15
minutes. What should the nurse do first?
A. Slow the infusion and reassess in 30 minutes
B. Stop the transfusion immediately and maintain IV access with normal saline
C. Give acetaminophen and continue transfusion
D. Document symptoms as mild and expected
