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CJE CLINICAL JUDGEMENT ADVANCED MED
SURGE 2 EXAM PRACTICE QUESTIONS AND
CORRECT VERIFIED ANSWERS LATEST UPDATE
JUST RELEASED THIS YEAR
Title: CLINICAL JUDGMENT EXAMINATION (CJE) ADVANCED MED-SURG II
Edition: 2026-2027
Question Type: Multiple Choice Questions (MCQs)
Coverage Areas:
• Cardiac Disorders
• Pulmonary Disorders
• Neurological Disorders
• Renal Disorders
• Gastrointestinal Disorders
• Endocrine Disorders
• Infection & Sepsis
1
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Question 1: Clinical Judgment (Respiratory)
A patient with Chronic Obstructive Pulmonary Disease is receiving oxygen therapy. Which
finding indicates the need to adjust oxygen delivery?
A. Oxygen saturation of 90%
B. Increased drowsiness
C. Respiratory rate of 20
D. Mild wheezing
Correct Answer: B. Increased drowsiness
Rationale:
In COPD patients, excess oxygen can suppress respiratory drive, leading to CO₂ retention and
drowsiness (CO₂ narcosis). This is a critical sign requiring intervention.
Question 3: Fluid & Electrolytes (Renal)
A patient with Acute Kidney Injury has potassium level of 6.2 mEq/L. What is the priority
intervention?
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A. Administer potassium supplements
B. Monitor intake and output
C. Prepare to administer IV calcium gluconate
D. Encourage oral fluids
Correct Answer: C. Prepare to administer IV calcium gluconate
Rationale:
Hyperkalemia can cause fatal cardiac arrhythmias. Calcium gluconate stabilizes cardiac
membranes and is the priority life-saving intervention.
Question 4: Infection Control (Sepsis)
A patient is suspected of Sepsis. What is the nurse’s first action?
A. Administer antibiotics
B. Obtain blood cultures
C. Start IV fluids
D. Measure temperature
Correct Answer: B. Obtain blood cultures
Rationale:
Blood cultures should be obtained before antibiotic therapy to identify the causative organism.
However, this must be done quickly so antibiotics are not delayed.
3
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Question 5: Neurological (Stroke)
A patient presents with symptoms of Stroke. Which action is most time-sensitive?
A. Administer aspirin
B. Obtain CT scan
C. Check blood glucose
D. Elevate head of bed
Correct Answer: B. Obtain CT scan
Rationale:
A CT scan differentiates ischemic vs hemorrhagic stroke, which determines treatment (e.g.,
thrombolytics). Time is critical (“time is brain”).
Question 6: Endocrine (Diabetes)
A patient with Diabetic Ketoacidosis has the following findings. Which requires immediate
attention?
A. Blood glucose 350 mg/dL
B. Fruity breath odor
4
SUCCESS!
CJE CLINICAL JUDGEMENT ADVANCED MED
SURGE 2 EXAM PRACTICE QUESTIONS AND
CORRECT VERIFIED ANSWERS LATEST UPDATE
JUST RELEASED THIS YEAR
Title: CLINICAL JUDGMENT EXAMINATION (CJE) ADVANCED MED-SURG II
Edition: 2026-2027
Question Type: Multiple Choice Questions (MCQs)
Coverage Areas:
• Cardiac Disorders
• Pulmonary Disorders
• Neurological Disorders
• Renal Disorders
• Gastrointestinal Disorders
• Endocrine Disorders
• Infection & Sepsis
1
SUCCESS!
,Page 2 of 117
Question 1: Clinical Judgment (Respiratory)
A patient with Chronic Obstructive Pulmonary Disease is receiving oxygen therapy. Which
finding indicates the need to adjust oxygen delivery?
A. Oxygen saturation of 90%
B. Increased drowsiness
C. Respiratory rate of 20
D. Mild wheezing
Correct Answer: B. Increased drowsiness
Rationale:
In COPD patients, excess oxygen can suppress respiratory drive, leading to CO₂ retention and
drowsiness (CO₂ narcosis). This is a critical sign requiring intervention.
Question 3: Fluid & Electrolytes (Renal)
A patient with Acute Kidney Injury has potassium level of 6.2 mEq/L. What is the priority
intervention?
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A. Administer potassium supplements
B. Monitor intake and output
C. Prepare to administer IV calcium gluconate
D. Encourage oral fluids
Correct Answer: C. Prepare to administer IV calcium gluconate
Rationale:
Hyperkalemia can cause fatal cardiac arrhythmias. Calcium gluconate stabilizes cardiac
membranes and is the priority life-saving intervention.
Question 4: Infection Control (Sepsis)
A patient is suspected of Sepsis. What is the nurse’s first action?
A. Administer antibiotics
B. Obtain blood cultures
C. Start IV fluids
D. Measure temperature
Correct Answer: B. Obtain blood cultures
Rationale:
Blood cultures should be obtained before antibiotic therapy to identify the causative organism.
However, this must be done quickly so antibiotics are not delayed.
3
SUCCESS!
, Page 4 of 117
Question 5: Neurological (Stroke)
A patient presents with symptoms of Stroke. Which action is most time-sensitive?
A. Administer aspirin
B. Obtain CT scan
C. Check blood glucose
D. Elevate head of bed
Correct Answer: B. Obtain CT scan
Rationale:
A CT scan differentiates ischemic vs hemorrhagic stroke, which determines treatment (e.g.,
thrombolytics). Time is critical (“time is brain”).
Question 6: Endocrine (Diabetes)
A patient with Diabetic Ketoacidosis has the following findings. Which requires immediate
attention?
A. Blood glucose 350 mg/dL
B. Fruity breath odor
4
SUCCESS!
