Leadership CJE Study Guide | Comprehensive Nursing Examination Flashcards
LEADERSHIP CJE
COMPREHENSIVE
STUDY GUIDE
NURSING EXAMINATION FLASHCARDS
Questions and Answers with Detailed Rationales
Answers Highlighted in Yellow for Easy Study
CONTAINS 16 SECTIONS
100+ Practice Questions
Comprehensive Coverage of All Major Topics
Detailed Explanations and Rationales
KEY FEATURES OF THIS STUDY GUIDE
✓ Color-coded question types for quick identification
✓ Yellow-highlighted answers for efficient review
✓ Detailed rationales explaining correct answers
✓ Organized by nursing specialty for targeted study
Page 1 of 49 | © Leadership CJE Study Materials
, Leadership CJE Study Guide | Comprehensive Nursing Examination Flashcards
TABLE OF CONTENTS
Section 1: Pharmacology & Medication Administration................................6 Questions
Section 2: Maternal-Child Nursing................................................................7 Questions
Section 3: Pediatric Nursing......................................................................... 6 Questions
Section 4: Mental Health Nursing.................................................................6 Questions
Section 5: Medical-Surgical Nursing............................................................ 7 Questions
Section 6: Respiratory Nursing.....................................................................5 Questions
Section 7: Emergency & Critical Care.......................................................... 6 Questions
Section 8: Leadership & Delegation.............................................................8 Questions
Section 9: Safety & Infection Control............................................................6 Questions
Section 10: Ethics & Professional Practice.................................................. 6 Questions
Section 11: Medication Safety & Calculations..............................................6 Questions
Section 12: Chronic Disease Management..................................................6 Questions
Section 13: Neurological & Orthopedic Nursing...........................................4 Questions
Section 14: Communication & Patient Education.........................................3 Questions
Section 15: Workplace Behavior & Civility................................................... 2 Questions
Section 16: Disaster & Emergency Preparedness....................................... 4 Questions
Total Questions: 88
Page 2 of 49 | © Leadership CJE Study Materials
, Leadership CJE Study Guide | Comprehensive Nursing Examination Flashcards
SECTION 1: PHARMACOLOGY & MEDICATION
ADMINISTRATION
QUESTION 1
A client with pneumonia is being treated with levofloxacin and takes antacids daily for
heartburn. After 5 days of taking the antibiotic, the nurse observes that the client's
pneumonia is not resolving. What is an appropriate nursing action?
ANSWER
Recommend that the health care provider stop the antacid.
RATIONALE / EXPLANATION
Antacids can significantly reduce the absorption of fluoroquinolones like levofloxacin by binding
to the drug in the GI tract, reducing its effectiveness.
QUESTION 2
A 5-year-old child is admitted with severe dehydration. Lactated Ringer's solution 22 mL/kg
is prescribed as an intravenous bolus over 20 minutes. The child weighs 44 pounds. How
many total milliliters (mL) should the child receive?
ANSWER
440 mL Lactated Ringer's solution
RATIONALE / EXPLANATION
Step 1: Convert pounds to kg (44 ÷ 2.2 = 20 kg). Step 2: Calculate dose (20 kg × 22 mL/kg =
440 mL).
QUESTION 3
The nurse administers an inhaled corticosteroid to a client with chronic obstructive
pulmonary disease. What is the most important intervention for the nurse to implement to
prevent a common adverse effect of this drug?
Page 3 of 49 | © Leadership CJE Study Materials
, Leadership CJE Study Guide | Comprehensive Nursing Examination Flashcards
ANSWER
Provide the client with a cup of water to rinse the mouth.
RATIONALE / EXPLANATION
Rinsing the mouth after using inhaled corticosteroids prevents oral candidiasis (thrush), a
common side effect.
QUESTION 4
Client with history of bipolar disorder called provider's office to report new onset of
symptoms: nausea, vomiting, sleepiness, and shaky hands. Lithium serum level is 0.6
mEq/L. What statements by the nurse are appropriate?
ANSWER
• "Do not take your next dose of lithium." - Appropriate
• "It is best if you can come to see the provider today." - Appropriate
• "The provider will discuss alternatives to lithium with you." - Appropriate
• "Your lithium dose will likely need to be increased." - NOT Appropriate
• "The hemodialysis nurse will prepare for your arrival." - NOT Appropriate
• "These are expected side effects of your medication." - NOT Appropriate
RATIONALE / EXPLANATION
These symptoms suggest lithium toxicity even with a normal serum level. The client needs
immediate evaluation and should not take additional doses.
QUESTION 5
A client was seen in the emergency department for a fractured arm and a short-arm cast
was applied. The nurse observes swelling in the fingers. What should the nurse plan to do
when the client returns?
ANSWER
Perform a neurovascular assessment on the client's fingers.
RATIONALE / EXPLANATION
Page 4 of 49 | © Leadership CJE Study Materials
LEADERSHIP CJE
COMPREHENSIVE
STUDY GUIDE
NURSING EXAMINATION FLASHCARDS
Questions and Answers with Detailed Rationales
Answers Highlighted in Yellow for Easy Study
CONTAINS 16 SECTIONS
100+ Practice Questions
Comprehensive Coverage of All Major Topics
Detailed Explanations and Rationales
KEY FEATURES OF THIS STUDY GUIDE
✓ Color-coded question types for quick identification
✓ Yellow-highlighted answers for efficient review
✓ Detailed rationales explaining correct answers
✓ Organized by nursing specialty for targeted study
Page 1 of 49 | © Leadership CJE Study Materials
, Leadership CJE Study Guide | Comprehensive Nursing Examination Flashcards
TABLE OF CONTENTS
Section 1: Pharmacology & Medication Administration................................6 Questions
Section 2: Maternal-Child Nursing................................................................7 Questions
Section 3: Pediatric Nursing......................................................................... 6 Questions
Section 4: Mental Health Nursing.................................................................6 Questions
Section 5: Medical-Surgical Nursing............................................................ 7 Questions
Section 6: Respiratory Nursing.....................................................................5 Questions
Section 7: Emergency & Critical Care.......................................................... 6 Questions
Section 8: Leadership & Delegation.............................................................8 Questions
Section 9: Safety & Infection Control............................................................6 Questions
Section 10: Ethics & Professional Practice.................................................. 6 Questions
Section 11: Medication Safety & Calculations..............................................6 Questions
Section 12: Chronic Disease Management..................................................6 Questions
Section 13: Neurological & Orthopedic Nursing...........................................4 Questions
Section 14: Communication & Patient Education.........................................3 Questions
Section 15: Workplace Behavior & Civility................................................... 2 Questions
Section 16: Disaster & Emergency Preparedness....................................... 4 Questions
Total Questions: 88
Page 2 of 49 | © Leadership CJE Study Materials
, Leadership CJE Study Guide | Comprehensive Nursing Examination Flashcards
SECTION 1: PHARMACOLOGY & MEDICATION
ADMINISTRATION
QUESTION 1
A client with pneumonia is being treated with levofloxacin and takes antacids daily for
heartburn. After 5 days of taking the antibiotic, the nurse observes that the client's
pneumonia is not resolving. What is an appropriate nursing action?
ANSWER
Recommend that the health care provider stop the antacid.
RATIONALE / EXPLANATION
Antacids can significantly reduce the absorption of fluoroquinolones like levofloxacin by binding
to the drug in the GI tract, reducing its effectiveness.
QUESTION 2
A 5-year-old child is admitted with severe dehydration. Lactated Ringer's solution 22 mL/kg
is prescribed as an intravenous bolus over 20 minutes. The child weighs 44 pounds. How
many total milliliters (mL) should the child receive?
ANSWER
440 mL Lactated Ringer's solution
RATIONALE / EXPLANATION
Step 1: Convert pounds to kg (44 ÷ 2.2 = 20 kg). Step 2: Calculate dose (20 kg × 22 mL/kg =
440 mL).
QUESTION 3
The nurse administers an inhaled corticosteroid to a client with chronic obstructive
pulmonary disease. What is the most important intervention for the nurse to implement to
prevent a common adverse effect of this drug?
Page 3 of 49 | © Leadership CJE Study Materials
, Leadership CJE Study Guide | Comprehensive Nursing Examination Flashcards
ANSWER
Provide the client with a cup of water to rinse the mouth.
RATIONALE / EXPLANATION
Rinsing the mouth after using inhaled corticosteroids prevents oral candidiasis (thrush), a
common side effect.
QUESTION 4
Client with history of bipolar disorder called provider's office to report new onset of
symptoms: nausea, vomiting, sleepiness, and shaky hands. Lithium serum level is 0.6
mEq/L. What statements by the nurse are appropriate?
ANSWER
• "Do not take your next dose of lithium." - Appropriate
• "It is best if you can come to see the provider today." - Appropriate
• "The provider will discuss alternatives to lithium with you." - Appropriate
• "Your lithium dose will likely need to be increased." - NOT Appropriate
• "The hemodialysis nurse will prepare for your arrival." - NOT Appropriate
• "These are expected side effects of your medication." - NOT Appropriate
RATIONALE / EXPLANATION
These symptoms suggest lithium toxicity even with a normal serum level. The client needs
immediate evaluation and should not take additional doses.
QUESTION 5
A client was seen in the emergency department for a fractured arm and a short-arm cast
was applied. The nurse observes swelling in the fingers. What should the nurse plan to do
when the client returns?
ANSWER
Perform a neurovascular assessment on the client's fingers.
RATIONALE / EXPLANATION
Page 4 of 49 | © Leadership CJE Study Materials
