CJE Benchmark Exam #2 Questions & Answers | Verified Complete Solutions (Updated 2025/2026)

CJE Benchmark Exam #2 Questions & Answers | Verified Complete Solutions (Updated 2025/2026) -ALERT; Relenza is to be used in caution in patients with COPD or asthma. - ANSWERS- ."Pneumonia with Consolidations" - ANSWERS-solidification which take away airspace .A 75-year-old patient tells the nurse he is not planning to receive a "flu shot" this year because the shot makes him sick. What is the nurse's best response? A. "The injectable flu vaccine is not a live virus and cannot cause influenza." B. "If you had a 'flu shot' last year, you should still have immunity to influenza." C. "If the shot makes you sick, your provider can order an antiviral medication." D. "The virus in the injection is attenuated, meaning it can cause mild symptoms." - ANSWERS-A. "The injectable flu vaccine is not a live virus and cannot cause influenza." .A 76-year-old patient who is recovering from influenza A reports severe dry mouth and constipation. After reviewing the patient's medication list, the nurse suspects the patient is experiencing the anticholinergic effect of which medication? A. Oseltamivir B. Hydroxyzine C. Phenylephrine D. Cephalosporin - ANSWERS-B. Hydroxyzine .A client did not seek medical treatment for a previous respiratory infection, and subsequently an empyema developed in the left lung. The nurse should assess the client for which signs and symptoms associated with this problem? A. Pleural pain and fever B. Decreased respiratory rate C. Diaphoresis during the day D. Hyperresonant breath sounds over the left thorax - ANSWERS-A. Pleural pain and fever .A client's baseline vital signs are as follows: temperature 98.8°F (37.1°C) oral, pulse 74 beats/min, respirations 18 breaths/min, and blood pressure 124/76 mm Hg. The client's temperature suddenly spikes to 103°F (39.4°C). Which corresponding respiratory rate should the nurse anticipate in this client as part of the body's response to the change in status? A. Respiratory rate of 12 breaths/min B. Respiratory rate of 16 breaths/min C. Respiratory rate of 18 breaths/min D. Respiratory rate of 22 breaths/min - ANSWERS-D. Respiratory rate of 22 breaths/min .A clinic nurse is providing teaching for a patient who has been diagnosed with a peritonsillar abscess. What does the nurse include in this patient's teaching? A. "Gargling with warm saline may make discomfort worse." B. "Take the prescribed antibiotics until the swelling subsides." C. "Go to the emergency department if drooling or stridor occur." D. "A tonsillectomy will be necessary when the acute infection is past." - ANSWERS-C. "Go to the emergency department if drooling or stridor occur." .A clinic nurse notes that large numbers of clients present with flulike symptoms. Which recommendations should the nurse include in the plan of care for these clients? Select all that apply. A. Get plenty of rest. B. Increase intake of liquids. C. Take antipyretics for fever. D. Get a flu shot immediately. E. Eat fruits and vegetables high in vitamin C. - ANSWERS-A. Get plenty of rest. B. Increase intake of liquids. C. Take antipyretics for fever. E. Eat fruits and vegetables high in vitamin C. .A co-worker tells the nurse that she will not get the flu shot because she believes it is better to develop her own immunity to the flu. What does the nurse tell this co-worker? A. "Getting the flu shot causes you to have influenza symptoms." B. "Since you are healthy, you will probably only have a mild case of the flu." C. "If you are exposed to influenza, you can take an antiviral medication." D. "You are putting your patients at increased risk for serious respiratory illness." - ANSWERS-D. "You are putting your patients at increased risk for serious respiratory illness." .A community health nurse is preparing a community education class on bioterrorism and the use of inhalation anthrax. When preparing to discuss the manifestations of the fulminant stage of the infection, what manifestation does the nurse include in the teaching? A. Fever B. Fatigue C. Dry cough D. Hypotension - ANSWERS-D. Hypotension .A family member of a patient who has been diagnosed with severe acute respiratory syndrome (SARS) asks the nurse why the patient is not receiving an antibiotic. How does the nurse respond to this family member? A. "The organism that causes SARS is resistant to all antibiotics." B. "I will notify the provider to see if an antibiotic can be ordered." C. "Antibiotics are not effective because SARS is caused by a virus." D. "Antibiotics are usually given when the disease becomes more severe." - ANSWERS-C. "Antibiotics are not effective because SARS is caused by a virus." .A febrile patient presents to the emergency department with a headache, chills, fatigue, nausea, vomiting, and diarrhea. What illness does the nurse suspects that the patient has? A. Influenza A B. Influenza B C. Influenza C D. Influenza AB - ANSWERS-B. Influenza B .A female patient presents to the ambulatory clinic with complaints of a cough. Which other signs or symptoms, if present, would cause the nurse to begin wearing an N-95 mask and place the patient in an isolated environment? Select all that apply. A. Anorexia B. Blood-streaked sputum C. Menstrual irregularities D. Sharp chest pain when coughing E. Nighttime oral temperature greater than 101°F - ANSWERS-A. Anorexia B. Blood-streaked sputum C. Menstrual irregularities .A healthy patient expresses worries about developing tuberculosis (TB) after spending time at a family reunion and learning later that a family member is being treated for the disease. What does the nurse tell this patient? A. "You have most likely been exposed to TB and will need to be tested." B. "You should receive TB prophylaxis until your provider rules out active disease." C. "TB is spread from person to person by sharing drinking cups and eating utensils. D. "Among people exposed to the disease, only a small percentage develop active TB." - ANSWERS-D. "Among people exposed to the disease, only a small percentage develop active TB." .A newly admitted patient with pneumonia has an oral temperature of 102°F, an oxygen saturation of 93%, diminished breath sounds bilaterally, and the patient is unable to cough effectively. The nurse has received orders for oxygen therapy, intravenous antibiotics, antipyretic medication, and sputum specimen collection. What should be the nurse's first action? A. Provide humidified oxygen. B. Obtain the sputum specimen. C. Give the intravenous antibiotic. D. Administer the antipyretic medication. - ANSWERS-C. Give the intravenous antibiotic. .A nurse is caring for a patient who appears cachectic and pale but appears in no acute distress. The patient tells the nurse that he has had a chronic cough for months and produces a large amount of foul-smelling sputum. He also states that he occasionally suffers from a stabbing pain when taking a deep breath. When reviewing the patient's history, the nurse notes that the patient has a recent history of influenza. Breath sounds reveal decreased sound with rhonchi to the right lower lobe and percussion to the right lower lobe is dull. What procedure does the nurse anticipate preparing for? A. Administration of a bronchodilator B. Insertion of a thoracentesis needle and drainage C. Intubation and initiation of mechanical ventilation D. Placement of a nasogastric tube and tube feedings - ANSWERS-B. Insertion of a thoracentesis needle and drainage .A nurse is caring for a patient who is orally intubated and mechanically ventilated. The nurse understands that this patient is at an increased risk for developing ventilator associated pneumonia. When planning care for this patient, what pathophysiological concepts regarding an artificial airway does the nurse recognize as a contributing factor to the development of this condition? Select all that apply. -ALERT; Relenza is to be used in caution in patients with COPD or asthma. - ANSWERS- ."Pneumonia with Consolidations" - ANSWERS-solidification which take away airspace .A 75-year-old patient tells the nurse he is not planning to receive a "flu shot" this year because the shot makes him sick. What is the nurse's best response? A. "The injectable flu vaccine is not a live virus and cannot cause influenza." B. "If you had a 'flu shot' last year, you should still have immunity to influenza." C. "If the shot makes you sick, your provider can order an antiviral medication." D. "The virus in the injection is attenuated, meaning it can cause mild symptoms." - ANSWERS-A. "The injectable flu vaccine is not a live virus and cannot cause influenza." .A 76-year-old patient who is recovering from influenza A reports severe dry mouth and constipation. After reviewing the patient's medication list, the nurse suspects the patient is experiencing the anticholinergic effect of which medication? A. Oseltamivir B. Hydroxyzine C. Phenylephrine D. Cephalosporin - ANSWERS-B. Hydroxyzine .A client did not seek medical treatment for a previous respiratory infection, and subsequently an empyema developed in the left lung. The nurse should assess the client for which signs and symptoms associated with this problem? A. Pleural pain and fever B. Decreased respiratory rate C. Diaphoresis during the day D. Hyperresonant breath sounds over the left thorax - ANSWERS-A. Pleural pain and fever .A client's baseline vital signs are as follows: temperature 98.8°F (37.1°C) oral, pulse 74 beats/min, respirations 18 breaths/min, and blood pressure 124/76 mm Hg. The client's temperature suddenly spikes to 103°F (39.4°C). Which corresponding respiratory rate should the nurse anticipate in this client as part of the body's response to the change in status? A. Respiratory rate of 12 breaths/min B. Respiratory rate of 16 breaths/min C. Respiratory rate of 18 breaths/min D. Respiratory rate of 22 breaths/min - ANSWERS-D. Respiratory rate of 22 breaths/min .A clinic nurse is providing teaching for a patient who has been diagnosed with a peritonsillar abscess. What does the nurse include in this patient's teaching? A. "Gargling with warm saline may make discomfort worse." B. "Take the prescribed antibiotics until the swelling subsides." C. "Go to the emergency department if drooling or stridor occur." D. "A tonsillectomy will be necessary when the acute infection is past." - ANSWERS-C. "Go to the emergency department if drooling or stridor occur." .A clinic nurse notes that large numbers of clients present with flulike symptoms. Which recommendations should the nurse include in the plan of care for these clients? Select all that apply. A. Get plenty of rest. B. Increase intake of liquids. C. Take antipyretics for fever. D. Get a flu shot immediately. E. Eat fruits and vegetables high in vitamin C. - ANSWERS-A. Get plenty of rest. B. Increase intake of liquids. C. Take antipyretics for fever. E. Eat fruits and vegetables high in vitamin C. .A co-worker tells the nurse that she will not get the flu shot because she believes it is better to develop her own immunity to the flu. What does the nurse tell this co-worker? A. "Getting the flu shot causes you to have influenza symptoms." B. "Since you are healthy, you will probably only have a mild case of the flu." C. "If you are exposed to influenza, you can take an antiviral medication." D. "You are putting your patients at increased risk for serious respiratory illness." - ANSWERS-D. "You are putting your patients at increased risk for serious respiratory illness." .A community health nurse is preparing a community education class on bioterrorism and the use of inhalation anthrax. When preparing to discuss the manifestations of the fulminant stage of the infection, what manifestation does the nurse include in the teaching? A. Fever B. Fatigue C. Dry cough D. Hypotension - ANSWERS-D. Hypotension .A family member of a patient who has been diagnosed with severe acute respiratory syndrome (SARS) asks the nurse why the patient is not receiving an antibiotic. How does the nurse respond to this family member? A. "The organism that causes SARS is resistant to all antibiotics." B. "I will notify the provider to see if an antibiotic can be ordered." C. "Antibiotics are not effective because SARS is caused by a virus." D. "Antibiotics are usually given when the disease becomes more severe." - ANSWERS-C. "Antibiotics are not effective because SARS is caused by a virus." .A febrile patient presents to the emergency department with a headache, chills, fatigue, nausea, vomiting, and diarrhea. What illness does the nurse suspects that the patient has? A. Influenza A B. Influenza B C. Influenza C D. Influenza AB - ANSWERS-B. Influenza B .A female patient presents to the ambulatory clinic with complaints of a cough. Which other signs or symptoms, if present, would cause the nurse to begin wearing an N-95 mask and place the patient in an isolated environment? Select all that apply. A. Anorexia B. Blood-streaked sputum C. Menstrual irregularities D. Sharp chest pain when coughing E. Nighttime oral temperature greater than 101°F - ANSWERS-A. Anorexia B. Blood-streaked sputum C. Menstrual irregularities .A healthy patient expresses worries about developing tuberculosis (TB) after spending time at a family reunion and learning later that a family member is being treated for the disease. What does the nurse tell this patient? A. "You have most likely been exposed to TB and will need to be tested." B. "You should receive TB prophylaxis until your provider rules out active disease." C. "TB is spread from person to person by sharing drinking cups and eating utensils. D. "Among people exposed to the disease, only a small percentage develop active TB." - ANSWERS-D. "Among people exposed to the disease, only a small percentage develop active TB." .A newly admitted patient with pneumonia has an oral temperature of 102°F, an oxygen saturation of 93%, diminished breath sounds bilaterally, and the patient is unable to cough effectively. The nurse has received orders for oxygen therapy, intravenous antibiotics, antipyretic medication, and sputum specimen collection. What should be the nurse's first action? A. Provide humidified oxygen. B. Obtain the sputum specimen. C. Give the intravenous antibiotic. D. Administer the antipyretic medication. - ANSWERS-C. Give the intravenous antibiotic. .A nurse is caring for a patient who appears cachectic and pale but appears in no acute distress. The patient tells the nurse that he has had a chronic cough for months and produces a large amount of foul-smelling sputum. He also states that he occasionally suffers from a stabbing pain when taking a deep breath. When reviewing the patient's history, the nurse notes that the patient has a recent history of influenza. Breath sounds reveal decreased sound with rhonchi to the right lower lobe and percussion to the right lower lobe is dull. What procedure does the nurse anticipate preparing for? A. Administration of a bronchodilator B. Insertion of a thoracentesis needle and drainage C. Intubation and initiation of mechanical ventilation D. Placement of a nasogastric tube and tube feedings - ANSWERS-B. Insertion of a thoracentesis needle and drainage .A nurse is caring for a patient who is orally intubated and mechanically ventilated. The nurse understands that this patient is at an increased risk for developing ventilator associated pneumonia. When planning care for this patient, what pathophysiological concepts regarding an artificial airway does the nurse recognize as a contributing factor to the development of this condition? Select all that apply.