CJE Benchmark Exam #1 Exam Questions and
Answers
\.A charge nurse is assisting a newly-licensed nurse to insert an indwelling urinary catheter for a
male client. Which of the following actions requires the charge nurse to intervene? -
ANSWERS✔-Lubricate the first 2.5 to 5 cm (1 to 2 in) of the catheter tubing
\.A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of
the following data should the charge nurse identify as objective data? - ANSWERS✔-Respiratory
rate is 22/min with even, unlabored respirations; Skin is pink warm & dry; The AP reports the
client the client walked with a limp
\.A charge nurse is talking with a newly licensed nurse & is reviewing nursing interventions that
don't require a providers prescription. Which of the following interventions should the charge
nurse include? - ANSWERS✔-Showing a client how to use progressive muscle relaxation,
Performing a daily bath after the evening meal, Repositioning the client every 2 hr to reduce risk
of pressure ulcer
\.A client is about to undergo an elective surgical procedure. Which of the following is the role
of the nurse providing pre-op care regarding informed consent? - ANSWERS✔-Witness the
client's signature
\.A client who has had a cerebrovascular accident has persistent problems w/dysphasia. The
nurse caring for the client should initiate a referral with which of the following members of the
ICT? - ANSWERS✔-Speech-language pathologist
\.A client who is post-op following knee arthroplasty is concerned about the adverse effects of
the med he's receiving for pain management. Which of the following members of the ICT can
,assist the client in understanding the medications effects? - ANSWERS✔-Provider, Pharmacist,
RN
\.A goal for a client who has difficulty w/self-feeding due to RA is to use adaptive devices. The
nurse caring for the client should initiate a referral to which of the following members of the
inter- professional care team? - ANSWERS✔-Occupational therapist
\.A nurse caring for a client who has a chest tube to water-seal drainage plans to straighten the
client's bed linens, rub her back & assist her to reposition in bed. For which of the following
purposes should the nurse perform these actions for this client? - ANSWERS✔-To modify the
client's perception of pain
\.A nurse finds an open vial of morphine lying on top of the cabinet in a client's room. Which of
the following actions should the nurse take? - ANSWERS✔-Report the discrepancy immediately
\.A nurse has noticed several occasions in the past week when another nurse on the unit
seemed drowsy & unable to focus on the issue at hand. Today, she found the nurse asleep in a
chair in the break room when she wasn't on break. Which of the following actions should the
nurse take? - ANSWERS✔-Report the observations to the nurse manager on the unit
\.A nurse in a dialysis center is caring for a client who has a new diagnosis of ESRD, client says, "I
decided to come today, but I'm not sure if I will need to come back again this week. I'm feeling
much better since my discharge from the hospital & I think my kidneys are working again."
What is the Kübler-Ross stage? - ANSWERS✔-Denial
\.A nurse in a long-term care facility is observing an AP changing the linen for a client who has
fecal incontinence. Which of the following actions indicates that the AP understands the
principles of infection control? - ANSWERS✔-Places clean linen that touched the floor in the
soiled linen bag
,\.A nurse in a long-term care facility is planning care for several clients. Which of the following
activities should the nurse plan to delegate to an AP? - ANSWERS✔-Assisting a client w/feeding
\.A nurse in a surgeon's office is providing pre-op teaching for a client who's scheduled for
surgery the following week. The client tells the nurse that he'll prepare his advance directives b4
he goes to the hospital. Which of the following should indicate to the nurse an understanding of
advance directives? - ANSWERS✔-"I plan to write that I don't want them to keep me on a
breathing machine."
\.A nurse is acquainting a group of newly licensed nurses w/the-roles-of-various members of the
health care team they'll encounter on a med-surg unit. When she gives examples of the types of
tasks CNAs may perform, which of the following client activities should she include? -
ANSWERS✔-Bathing, Ambulating, Toileting, Measure VS
\.A nurse is assisting a client during ambulation when the client begins to fall. Which of the
following actions should the nurse take? - ANSWERS✔-Lower the client to the floor
\.A nurse is assisting in interviewing a client who is being admitted from a long-term care
facility. In which of the following situations should the nurse ask a close-ended question? -
ANSWERS✔-Asking if the client took his meds this morning
\.A nurse is assisting in preparing a presentation at a senior center about age-related
musculoskeletal changes. Which of the following alterations is appropriate for the nurse to
include? - ANSWERS✔-Decreased muscle mass
\.A nurse is assisting w/admission of a toddler who has a respiratory syncytial virus. Which of
the following types of transmission-based precautions should the nurse initiate? - ANSWERS✔-
Contact
, \.A nurse is assisting w/plan-of-care for a client who doesn't speak the same language as the
nurse. Which of the following interventions should the nurse include in the plan? - ANSWERS✔-
Use pics to reinforce instructions given to the client
\.A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales,
the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as
which of the following adventitious lung sounds? - ANSWERS✔-Wheezes
\.A nurse is caring for a client who came to the ED w/abdominal-distention & is now on the
med-surg unit with an NG tube in place to low gastric suction. The client reports anxiety,
discomfort & a feeling of bloating. Which of the following actions is the nurse's priority? -
ANSWERS✔-Check to see if the suction equipment is working
\.A nurse is caring for a client who decides not to have surgery despite significant blockages in
his coronary arteries. The nurse understands that this client's choice is an example of which of
the following ethical principles? - ANSWERS✔-Authority
\.A nurse is caring for a client who has a chest tube to water-seal drainage plans to straighten
the client's bed linens, rub her back & assist her to reposition in bed. For which of the following
purposes should the nurse perform these actions for this client? - ANSWERS✔-To modify the
client's perception of pain
\.A nurse is caring for a client who has hemophilia and has developed Hemarthrosis of the left
knee. Which of the following actions should the nurse take? - ANSWERS✔-Elevate the knee
\.A nurse is caring for a client who has MRSA in an abdominal wound. The nurse enters the
room to check the client's pulse. Which of the following items should the nurse wear? -
ANSWERS✔-Clean gloves
\.A nurse is caring for a client who has pneumonia and has been receiving O2 therapy for
several days. When collecting data from the client, the nurse should identify which of the
Answers
\.A charge nurse is assisting a newly-licensed nurse to insert an indwelling urinary catheter for a
male client. Which of the following actions requires the charge nurse to intervene? -
ANSWERS✔-Lubricate the first 2.5 to 5 cm (1 to 2 in) of the catheter tubing
\.A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of
the following data should the charge nurse identify as objective data? - ANSWERS✔-Respiratory
rate is 22/min with even, unlabored respirations; Skin is pink warm & dry; The AP reports the
client the client walked with a limp
\.A charge nurse is talking with a newly licensed nurse & is reviewing nursing interventions that
don't require a providers prescription. Which of the following interventions should the charge
nurse include? - ANSWERS✔-Showing a client how to use progressive muscle relaxation,
Performing a daily bath after the evening meal, Repositioning the client every 2 hr to reduce risk
of pressure ulcer
\.A client is about to undergo an elective surgical procedure. Which of the following is the role
of the nurse providing pre-op care regarding informed consent? - ANSWERS✔-Witness the
client's signature
\.A client who has had a cerebrovascular accident has persistent problems w/dysphasia. The
nurse caring for the client should initiate a referral with which of the following members of the
ICT? - ANSWERS✔-Speech-language pathologist
\.A client who is post-op following knee arthroplasty is concerned about the adverse effects of
the med he's receiving for pain management. Which of the following members of the ICT can
,assist the client in understanding the medications effects? - ANSWERS✔-Provider, Pharmacist,
RN
\.A goal for a client who has difficulty w/self-feeding due to RA is to use adaptive devices. The
nurse caring for the client should initiate a referral to which of the following members of the
inter- professional care team? - ANSWERS✔-Occupational therapist
\.A nurse caring for a client who has a chest tube to water-seal drainage plans to straighten the
client's bed linens, rub her back & assist her to reposition in bed. For which of the following
purposes should the nurse perform these actions for this client? - ANSWERS✔-To modify the
client's perception of pain
\.A nurse finds an open vial of morphine lying on top of the cabinet in a client's room. Which of
the following actions should the nurse take? - ANSWERS✔-Report the discrepancy immediately
\.A nurse has noticed several occasions in the past week when another nurse on the unit
seemed drowsy & unable to focus on the issue at hand. Today, she found the nurse asleep in a
chair in the break room when she wasn't on break. Which of the following actions should the
nurse take? - ANSWERS✔-Report the observations to the nurse manager on the unit
\.A nurse in a dialysis center is caring for a client who has a new diagnosis of ESRD, client says, "I
decided to come today, but I'm not sure if I will need to come back again this week. I'm feeling
much better since my discharge from the hospital & I think my kidneys are working again."
What is the Kübler-Ross stage? - ANSWERS✔-Denial
\.A nurse in a long-term care facility is observing an AP changing the linen for a client who has
fecal incontinence. Which of the following actions indicates that the AP understands the
principles of infection control? - ANSWERS✔-Places clean linen that touched the floor in the
soiled linen bag
,\.A nurse in a long-term care facility is planning care for several clients. Which of the following
activities should the nurse plan to delegate to an AP? - ANSWERS✔-Assisting a client w/feeding
\.A nurse in a surgeon's office is providing pre-op teaching for a client who's scheduled for
surgery the following week. The client tells the nurse that he'll prepare his advance directives b4
he goes to the hospital. Which of the following should indicate to the nurse an understanding of
advance directives? - ANSWERS✔-"I plan to write that I don't want them to keep me on a
breathing machine."
\.A nurse is acquainting a group of newly licensed nurses w/the-roles-of-various members of the
health care team they'll encounter on a med-surg unit. When she gives examples of the types of
tasks CNAs may perform, which of the following client activities should she include? -
ANSWERS✔-Bathing, Ambulating, Toileting, Measure VS
\.A nurse is assisting a client during ambulation when the client begins to fall. Which of the
following actions should the nurse take? - ANSWERS✔-Lower the client to the floor
\.A nurse is assisting in interviewing a client who is being admitted from a long-term care
facility. In which of the following situations should the nurse ask a close-ended question? -
ANSWERS✔-Asking if the client took his meds this morning
\.A nurse is assisting in preparing a presentation at a senior center about age-related
musculoskeletal changes. Which of the following alterations is appropriate for the nurse to
include? - ANSWERS✔-Decreased muscle mass
\.A nurse is assisting w/admission of a toddler who has a respiratory syncytial virus. Which of
the following types of transmission-based precautions should the nurse initiate? - ANSWERS✔-
Contact
, \.A nurse is assisting w/plan-of-care for a client who doesn't speak the same language as the
nurse. Which of the following interventions should the nurse include in the plan? - ANSWERS✔-
Use pics to reinforce instructions given to the client
\.A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales,
the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as
which of the following adventitious lung sounds? - ANSWERS✔-Wheezes
\.A nurse is caring for a client who came to the ED w/abdominal-distention & is now on the
med-surg unit with an NG tube in place to low gastric suction. The client reports anxiety,
discomfort & a feeling of bloating. Which of the following actions is the nurse's priority? -
ANSWERS✔-Check to see if the suction equipment is working
\.A nurse is caring for a client who decides not to have surgery despite significant blockages in
his coronary arteries. The nurse understands that this client's choice is an example of which of
the following ethical principles? - ANSWERS✔-Authority
\.A nurse is caring for a client who has a chest tube to water-seal drainage plans to straighten
the client's bed linens, rub her back & assist her to reposition in bed. For which of the following
purposes should the nurse perform these actions for this client? - ANSWERS✔-To modify the
client's perception of pain
\.A nurse is caring for a client who has hemophilia and has developed Hemarthrosis of the left
knee. Which of the following actions should the nurse take? - ANSWERS✔-Elevate the knee
\.A nurse is caring for a client who has MRSA in an abdominal wound. The nurse enters the
room to check the client's pulse. Which of the following items should the nurse wear? -
ANSWERS✔-Clean gloves
\.A nurse is caring for a client who has pneumonia and has been receiving O2 therapy for
several days. When collecting data from the client, the nurse should identify which of the
