Page 1 of 54
CJE PRACTICE EXAM 1 | FREQUENTLY TESTED
QUESTIONS WITH CORRECT ANSWERS |
BRAND NEW!
Which lab finding concerns the nurse the most in the care of the
client receiving Lisinopril (Prinivil) for heart failure?
1
Potassium of 6.0
2
Sodium of 150
3
Microalbuminuria
4
Elevated b-type natriuretic peptide (BNP) - ✔✔✔ Correct Answer >
Potassium of 6.0
Potassium of 6.0. Correct - Correct Lisinopril preserves the
amount of potassium excreted through the kidneys which can
lead to hyperkalemia. An elevated potassium can cause
dangerous dysrhythmias.
,Page 2 of 54
Sodium of 150. - Lisinopril can lead to hyponatremia and not
hypernatremia
Microalbuminuria. - Lisinopril decreases the amount of albumin
excreted.
Elevated b-type natriuretic peptide (BNP). - BNP level will
decrease while taking lisinopril.
The nurse is assessing a client who had a transsphenoidal
hypophysectomy two days ago for removal of a pituitary tumor.
The client reports a headache along with neck pain and stiffness.
Vital signs are: BP 100/58; pulse 110 beats/minute; respiration 24,
99.9°F (37.7°C). Which medications is the nurse likely to
administer based on the assessment findings? Select all that
apply
1
Morphine sulfate.
2
Codeine sulfate.
3
Propranolol (Inderal).
4
ceftriaxone (Rocephin).
5
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acetaminophen (Tylenol). - ✔✔✔ Correct Answer > Codeine sulfate.
ceftriaxone (Rocephin).
acetaminophen (Tylenol).
Morphine sulfate. Contraindicated because of sedative effects
Codeine sulfate. Correct - Treats headache without sedation to
assess neurological status
Propranolol (Inderal). Not indicated, because reducing the
temperature will lower heartrate
ceftriaxone (Rocephin). Correct - Antibiotic to treat meningitis,
which is potential complication of the surgery
acetaminophen (Tylenol). Correct - Treats the fever.
The nurse is assessing a client who has the following arterial
blood gas results: pH 7.30; PaCO2 56 mmHg; HCO3 28 mEq/L;
PAO2 75 mmHg. Assessment findings include decreased level of
consciousness, blood pressure of 90/58mmHg, weak, thready
pulse, respirations 10 breaths/minute and shallow. What is a
priority action by the nurse?
1
Prepare for intubation.
2
, Page 4 of 54
Initiate fluid resuscitation.
3
Place the client on a cardiac monitor.
4
Initiate fall precautions. - ✔✔✔ Correct Answer > Prepare for
intubation.
The nurse is assessing a client with a history of peripheral artery
disease (PAD) in right lower extremity for evidence of
progression of the disease. Which new findings are of greatest
concern? Select all that apply
1
Pain in lower extremity caused by walking and relieved with rest.
2
Absent pedal and popliteal pulses.
3
Numbness and tingling in toes.
4
Black eschar on toes.
5
Loss of hair on lower leg. - ✔✔✔ Correct Answer > Absent pedal and
popliteal pulses.
CJE PRACTICE EXAM 1 | FREQUENTLY TESTED
QUESTIONS WITH CORRECT ANSWERS |
BRAND NEW!
Which lab finding concerns the nurse the most in the care of the
client receiving Lisinopril (Prinivil) for heart failure?
1
Potassium of 6.0
2
Sodium of 150
3
Microalbuminuria
4
Elevated b-type natriuretic peptide (BNP) - ✔✔✔ Correct Answer >
Potassium of 6.0
Potassium of 6.0. Correct - Correct Lisinopril preserves the
amount of potassium excreted through the kidneys which can
lead to hyperkalemia. An elevated potassium can cause
dangerous dysrhythmias.
,Page 2 of 54
Sodium of 150. - Lisinopril can lead to hyponatremia and not
hypernatremia
Microalbuminuria. - Lisinopril decreases the amount of albumin
excreted.
Elevated b-type natriuretic peptide (BNP). - BNP level will
decrease while taking lisinopril.
The nurse is assessing a client who had a transsphenoidal
hypophysectomy two days ago for removal of a pituitary tumor.
The client reports a headache along with neck pain and stiffness.
Vital signs are: BP 100/58; pulse 110 beats/minute; respiration 24,
99.9°F (37.7°C). Which medications is the nurse likely to
administer based on the assessment findings? Select all that
apply
1
Morphine sulfate.
2
Codeine sulfate.
3
Propranolol (Inderal).
4
ceftriaxone (Rocephin).
5
,Page 3 of 54
acetaminophen (Tylenol). - ✔✔✔ Correct Answer > Codeine sulfate.
ceftriaxone (Rocephin).
acetaminophen (Tylenol).
Morphine sulfate. Contraindicated because of sedative effects
Codeine sulfate. Correct - Treats headache without sedation to
assess neurological status
Propranolol (Inderal). Not indicated, because reducing the
temperature will lower heartrate
ceftriaxone (Rocephin). Correct - Antibiotic to treat meningitis,
which is potential complication of the surgery
acetaminophen (Tylenol). Correct - Treats the fever.
The nurse is assessing a client who has the following arterial
blood gas results: pH 7.30; PaCO2 56 mmHg; HCO3 28 mEq/L;
PAO2 75 mmHg. Assessment findings include decreased level of
consciousness, blood pressure of 90/58mmHg, weak, thready
pulse, respirations 10 breaths/minute and shallow. What is a
priority action by the nurse?
1
Prepare for intubation.
2
, Page 4 of 54
Initiate fluid resuscitation.
3
Place the client on a cardiac monitor.
4
Initiate fall precautions. - ✔✔✔ Correct Answer > Prepare for
intubation.
The nurse is assessing a client with a history of peripheral artery
disease (PAD) in right lower extremity for evidence of
progression of the disease. Which new findings are of greatest
concern? Select all that apply
1
Pain in lower extremity caused by walking and relieved with rest.
2
Absent pedal and popliteal pulses.
3
Numbness and tingling in toes.
4
Black eschar on toes.
5
Loss of hair on lower leg. - ✔✔✔ Correct Answer > Absent pedal and
popliteal pulses.
