CJE PRACTICE EXAM 1
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+
1. Yellowish sclera.
Possible side effect related to liver damage: The nurse is caring for a client with tuberculosis who is receiving isoniazid
and rifampin for tuberculosis. Which adverse ettect should the nurse be most concerned with?
1
Blurred vision. 2
Yellowish sclera.
3
Nausea and vomiting.
4
Decreased urine output.
2. Acute confusion
Dry cough - Vague sign
Acute confusion - Correct - sign of infection in an older adult
Increased temperature - Older adult may not exhibit normal signs of infection Purulent
drainage from incision - Older adult may not exhibit normal signs of infection: What would the nurse
expect to find in the care of an 80-year-old client who is experiencing a complication after a right knee replacement? The patient is post-
op day 1.
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, 1
Dry cough 2
Acute confusion 3
Increased temperature 4
Purulent drainage from incision
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, 3. 48-year-old African-American male who is obese and father and mother have type 2 DM.: Which
of these clients should the nurse consider at greatest risk for developing type 2 diabetes mellitus?
1
48-year-old African-American male who is obese and father and mother have type 2 DM. 2
50-year-old male hemoglobin A1C of 5.5% during a routine physical examination. 3
A 30-year-old female who delivered a 9-pound baby. 4
A 62-year-old male with an elevated triglyceride level.
4. "You should add a thickener all liquids and make sure he sits upright while eating.": The nurse is
assessing a client with Parkinson's disease who has been admitted to the hospital because of significant weight loss. Assessment data
reveals a masklike facial expression and slurred speech. A swallowing evaluation reveals some diflculty swallowing. The client's daughter asks
the nurse, "How am I supposed to feed him at home?" What is an appropriate response by the nurse?
1
"He will be scheduled for surgery to have a feeding tube placed". 2
"It's best to feed him only three meals a day to reduce the chance of choking." 3
"Make sure he drinks all liquids through a straw and recline in chair while eating." 4
"You should add a thickener all liquids and make sure he sits upright while eating."
5. "It appears you are hearing voices again. Tell me what you are hearing.": The nurse is caring for a client
who has been admitted to the psychiatric in-client unit with schizophrenia. While talking with the nurse alone, the client suddenly stops
midsentence, turns to stare at the wall and states, "I told you I can't do that!" What is an appropriate response by the nurse?
1
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, "I will talk to you later when you can pay attention." 2
7 7 7 7 7 7 7 7 7 7 7
"I will leave the room if you continue to not pay attention" 3
7 7 7 7 7 7 7 7 7 7 7 7
"Is your mother talking to you again? I wish she would leave you alone." 4
7 7 7 7 7 7 7 7 7 7 7 7 7 7
"It appears you are hearing voices again. Tell me what you are hearing."
7 7 7 7 7 7 7 7 7 7 7 7
6. "I know that my blood pressure is high when my nose starts bleeding."
7 7 7 7 7 7 7 7 7 7 7 7
Correct - Hypertension is usually asymptomatic. A nose bleed can occur with high blood
7 7 7 7 7 7 7 7 7 7 7 7 7
pressure, but it can occur for many other reasons as well. It is quite common that the client's blood
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
pressure is high and the client experiences no symptoms. It is important to help clients
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
understand that they cannot rely on one particular symptom to tell if their pressure is
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
elevated. It would be very dangerous for clients to think their blood pressure is only high if
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
they have a nose bleed.: The nurse is participating in the discharge plans for a client with hypertension. Which statement by the client
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
would cause concern?
7 7 7
1
"I am at risk for stroke or heart attack if my blood pressure is not controlled." 2
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
"I know that my blood pressure is high when my nose starts bleeding." 3
7 7 7 7 7 7 7 7 7 7 7 7 7
"I will take my blood pressure two times a day for at least 7 days." 4
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
"I will ask my spouse to start walking with me in the mornings."
7 7 7 7 7 7 7 7 7 7 7 7
7. pH 7.50. 7
CO2 28. 7
pH 7.50. Correct - pH level is elevated with respiratory alkalosis pH 7.30. A low
7 7 7 7 7 7 7 7 7 7 7 7 7 7
pH can indicate respiratory acidosis
7 7 7 7 7
mailto:https://www.stuvia.com/user/Wisdoms
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+
1. Yellowish sclera.
Possible side effect related to liver damage: The nurse is caring for a client with tuberculosis who is receiving isoniazid
and rifampin for tuberculosis. Which adverse ettect should the nurse be most concerned with?
1
Blurred vision. 2
Yellowish sclera.
3
Nausea and vomiting.
4
Decreased urine output.
2. Acute confusion
Dry cough - Vague sign
Acute confusion - Correct - sign of infection in an older adult
Increased temperature - Older adult may not exhibit normal signs of infection Purulent
drainage from incision - Older adult may not exhibit normal signs of infection: What would the nurse
expect to find in the care of an 80-year-old client who is experiencing a complication after a right knee replacement? The patient is post-
op day 1.
mailto:https://www.stuvia.com/user/Wisdoms
, 1
Dry cough 2
Acute confusion 3
Increased temperature 4
Purulent drainage from incision
mailto:https://www.stuvia.com/user/Wisdoms
, 3. 48-year-old African-American male who is obese and father and mother have type 2 DM.: Which
of these clients should the nurse consider at greatest risk for developing type 2 diabetes mellitus?
1
48-year-old African-American male who is obese and father and mother have type 2 DM. 2
50-year-old male hemoglobin A1C of 5.5% during a routine physical examination. 3
A 30-year-old female who delivered a 9-pound baby. 4
A 62-year-old male with an elevated triglyceride level.
4. "You should add a thickener all liquids and make sure he sits upright while eating.": The nurse is
assessing a client with Parkinson's disease who has been admitted to the hospital because of significant weight loss. Assessment data
reveals a masklike facial expression and slurred speech. A swallowing evaluation reveals some diflculty swallowing. The client's daughter asks
the nurse, "How am I supposed to feed him at home?" What is an appropriate response by the nurse?
1
"He will be scheduled for surgery to have a feeding tube placed". 2
"It's best to feed him only three meals a day to reduce the chance of choking." 3
"Make sure he drinks all liquids through a straw and recline in chair while eating." 4
"You should add a thickener all liquids and make sure he sits upright while eating."
5. "It appears you are hearing voices again. Tell me what you are hearing.": The nurse is caring for a client
who has been admitted to the psychiatric in-client unit with schizophrenia. While talking with the nurse alone, the client suddenly stops
midsentence, turns to stare at the wall and states, "I told you I can't do that!" What is an appropriate response by the nurse?
1
mailto:https://www.stuvia.com/user/Wisdoms
, "I will talk to you later when you can pay attention." 2
7 7 7 7 7 7 7 7 7 7 7
"I will leave the room if you continue to not pay attention" 3
7 7 7 7 7 7 7 7 7 7 7 7
"Is your mother talking to you again? I wish she would leave you alone." 4
7 7 7 7 7 7 7 7 7 7 7 7 7 7
"It appears you are hearing voices again. Tell me what you are hearing."
7 7 7 7 7 7 7 7 7 7 7 7
6. "I know that my blood pressure is high when my nose starts bleeding."
7 7 7 7 7 7 7 7 7 7 7 7
Correct - Hypertension is usually asymptomatic. A nose bleed can occur with high blood
7 7 7 7 7 7 7 7 7 7 7 7 7
pressure, but it can occur for many other reasons as well. It is quite common that the client's blood
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
pressure is high and the client experiences no symptoms. It is important to help clients
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
understand that they cannot rely on one particular symptom to tell if their pressure is
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
elevated. It would be very dangerous for clients to think their blood pressure is only high if
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
they have a nose bleed.: The nurse is participating in the discharge plans for a client with hypertension. Which statement by the client
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
would cause concern?
7 7 7
1
"I am at risk for stroke or heart attack if my blood pressure is not controlled." 2
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
"I know that my blood pressure is high when my nose starts bleeding." 3
7 7 7 7 7 7 7 7 7 7 7 7 7
"I will take my blood pressure two times a day for at least 7 days." 4
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
"I will ask my spouse to start walking with me in the mornings."
7 7 7 7 7 7 7 7 7 7 7 7
7. pH 7.50. 7
CO2 28. 7
pH 7.50. Correct - pH level is elevated with respiratory alkalosis pH 7.30. A low
7 7 7 7 7 7 7 7 7 7 7 7 7 7
pH can indicate respiratory acidosis
7 7 7 7 7
mailto:https://www.stuvia.com/user/Wisdoms
