CJE Benchmark Exam clinical
judgmen
-ALERT; Relenza is to be used in warning in sufferers with COPD or allergies. - ANS-
"Pneumonia with Consolidations" - ANS-solidification which dispose of airspace
A 75-year-vintage affected person tells the nurse he isn't making plans to acquire a "flu shot"
this yr due to the fact the shot makes him ill. What is the nurse's great response?
A. "The injectable flu vaccine isn't always a live virus and can not cause influenza."
B. "If you had a 'flu shot' ultimate year, you should nonetheless have immunity to influenza."
C. "If the shot makes you unwell, your company can order an antiviral medicine."
D. "The virus within the injection is attenuated, which means it may purpose moderate
symptoms." - ANS-A. "The injectable flu vaccine is not a live virus and can't reason
influenza."
A seventy six-yr-old patient who is improving from influenza A reviews intense dry mouth
and constipation. After reviewing the patient's medicine list, the nurse suspects the patient is
experiencing the anticholinergic impact of which remedy?
A. Oseltamivir
B. Hydroxyzine
C. Phenylephrine
D. Cephalosporin - ANS-B. Hydroxyzine
A patron did now not seek scientific remedy for a previous breathing infection, and sooner or
later an empyema advanced within the left lung. The nurse have to investigate the client for
which signs and symptoms and signs associated with this problem?
A. Pleural ache and fever
B. Decreased respiration charge
C. Diaphoresis at some stage in the day
D. Hyperresonant breath sounds over the left thorax - ANS-A. Pleural ache and fever
A patron's baseline vital symptoms are as follows: temperature ninety eight.8°F (37.1°C)
oral, pulse seventy four beats/min, respirations 18 breaths/min, and blood pressure
124/seventy six mm Hg. The client's temperature unexpectedly spikes to 103°F (39.4°C).
Which corresponding breathing rate should the nurse count on on this client as part of the
frame's reaction to the trade in fame?
A. Respiratory fee of 12 breaths/min
B. Respiratory rate of sixteen breaths/min
,C. Respiratory fee of 18 breaths/min
D. Respiratory price of 22 breaths/min - ANS-D. Respiratory fee of twenty-two breaths/min
A health facility nurse is providing teaching for a affected person who has been diagnosed
with a peritonsillar abscess. What does the nurse encompass in this affected person's
teaching?
A. "Gargling with heat saline might also make pain worse."
B. "Take the prescribed antibiotics until the swelling subsides."
C. "Go to the emergency department if drooling or stridor arise."
D. "A tonsillectomy may be necessary when the intense contamination is beyond." - ANS-C.
"Go to the emergency branch if drooling or stridor occur."
A hospital nurse notes that huge numbers of customers gift with flulike signs. Which tips
must the nurse include in the plan of take care of these clients? Select all that apply.
A. Get lots of rest.
B. Increase intake of drinks.
C. Take antipyretics for fever.
D. Get a flu shot at once.
E. Eat culmination and greens excessive in diet C. - ANS-A. Get plenty of relaxation.
B. Increase intake of liquids.
C. Take antipyretics for fever.
E. Eat fruits and vegetables excessive in vitamin C.
A co-worker tells the nurse that she can not get the flu shot due to the fact she believes it's
miles higher to develop her very own immunity to the flu. What does the nurse tell this
co-employee?
A. "Getting the flu shot reasons you to have influenza symptoms."
B. "Since you're healthy, you'll probably best have a moderate case of the flu."
C. "If you're exposed to influenza, you may take an antiviral medication."
D. "You are setting your sufferers at accelerated chance for serious respiration
contamination." - ANS-D. "You are setting your sufferers at increased risk for severe
respiratory illness."
A network fitness nurse is making ready a community schooling elegance on bioterrorism
and using inhalation anthrax. When getting ready to speak about the manifestations of the
fulminant level of the infection, what manifestation does the nurse consist of in the coaching?
A. Fever
B. Fatigue
C. Dry cough
D. Hypotension - ANS-D. Hypotension
A family member of a patient who has been identified with severe acute breathing syndrome
(SARS) asks the nurse why the patient isn't always receiving an antibiotic. How does the
nurse respond to this member of the family?
,A. "The organism that reasons SARS is proof against all antibiotics."
B. "I will notify the company to peer if an antibiotic can be ordered."
C. "Antibiotics aren't powerful due to the fact SARS is resulting from a pandemic."
D. "Antibiotics are normally given when the disorder will become extra extreme." - ANS-C.
"Antibiotics are not effective because SARS is because of a plague."
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 - ANS-B. Influenza B
A lady patient presents to the ambulatory health facility with court cases of a cough. Which
other signs or signs, if gift, might reason the nurse to start wearing an N-95 mask and area
the patient in an isolated surroundings? Select all that apply.
A. Anorexia
B. Blood-streaked sputum
C. Menstrual irregularities
D. Sharp chest pain when coughing
E. Nighttime oral temperature more than 101°F - ANS-A. Anorexia
B. Blood-streaked sputum
C. Menstrual irregularities
A wholesome patient expresses concerns about developing tuberculosis (TB) after spending
time at a own family reunion and mastering later that a member of the family is being treated
for the ailment. What does the nurse inform this affected person?
A. "You have most probable been uncovered to TB and will want to be examined."
B. "You should obtain TB prophylaxis until your issuer regulations out energetic sickness."
C. "TB is spread from person to man or woman through sharing ingesting cups and eating
utensils.
D. "Among people uncovered to the ailment, handiest a small percentage broaden energetic
TB." - ANS-D. "Among human beings exposed to the disorder, best a small percent increase
lively TB."
A newly admitted affected person with pneumonia has an oral temperature of 102°F, an
oxygen saturation of 93%, faded breath sounds bilaterally, and the patient is unable to cough
effectively. The nurse has acquired orders for oxygen therapy, intravenous antibiotics,
antipyretic remedy, and sputum specimen collection. What ought to 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. - ANS-C. Give the intravenous antibiotic.
A nurse is being concerned for a patient who appears cachectic and pale however appears
in no acute misery. The affected person tells the nurse that he has had a continual cough for
months and produces a large amount of foul-smelling sputum. He additionally states that he
from time to time suffers from a stabbing pain while taking a deep breath. When reviewing
the affected person's history, the nurse notes that the affected person has a recent records
of influenza. Breath sounds monitor decreased sound with rhonchi to the right decrease lobe
and percussion to the proper lower lobe is stupid. What technique does the nurse count on
making ready 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 - ANS-B. Insertion of a thoracentesis
needle and drainage
A nurse is being concerned for a patient who is orally intubated and mechanically ventilated.
The nurse is familiar with that this patient is at an extended chance for developing ventilator
related pneumonia. When planning care for this affected person, what pathophysiological
principles concerning an artificial airway does the nurse apprehend as a contributing issue to
the development of this condition? Select all that practice.
A. It bypasses the protective airway mechanisms
B. It alters and reduces the frame's immune reaction
C. It prevents ok fuel alternate on the cellular level
D. It reasons a hyperactive response of the mucociliary clearance
E. It lets in aspiration of secretions from the oropharynx and stomach - ANS-A. It bypasses
the protective airway mechanisms
E. It permits aspiration of secretions from the oropharynx and belly
A nurse is being concerned for a affected person with persistent obstructive pulmonary
disease (COPD). The patient's 52-12 months-antique caregiver asks the nurse if she have to
receive an annual influenza vaccination. What is the nurse's first-class reaction?
A. "Yes, you have to acquire the influenza vaccination by injection and ought to acquire it
every 12 months."
B. "Yes, as long as you're wholesome you could get hold of the intranasal spray influenza
vaccine each 12 months."
C. "No, as long as the affected person has acquired the influenza vaccination by using
injection, you do no longer need it every year."
D. "No, so long as you're wholesome you do no longer have an expanded hazard of
spreading or turning into infected with influenza." - ANS-A. "Yes, you need to obtain the
influenza vaccination through injection and must get hold of it every yr."
A nurse is being concerned for a affected person with coccidioidomycosis who has currently
migrated from Mexico. When making plans care for this affected person, what manifestation
judgmen
-ALERT; Relenza is to be used in warning in sufferers with COPD or allergies. - ANS-
"Pneumonia with Consolidations" - ANS-solidification which dispose of airspace
A 75-year-vintage affected person tells the nurse he isn't making plans to acquire a "flu shot"
this yr due to the fact the shot makes him ill. What is the nurse's great response?
A. "The injectable flu vaccine isn't always a live virus and can not cause influenza."
B. "If you had a 'flu shot' ultimate year, you should nonetheless have immunity to influenza."
C. "If the shot makes you unwell, your company can order an antiviral medicine."
D. "The virus within the injection is attenuated, which means it may purpose moderate
symptoms." - ANS-A. "The injectable flu vaccine is not a live virus and can't reason
influenza."
A seventy six-yr-old patient who is improving from influenza A reviews intense dry mouth
and constipation. After reviewing the patient's medicine list, the nurse suspects the patient is
experiencing the anticholinergic impact of which remedy?
A. Oseltamivir
B. Hydroxyzine
C. Phenylephrine
D. Cephalosporin - ANS-B. Hydroxyzine
A patron did now not seek scientific remedy for a previous breathing infection, and sooner or
later an empyema advanced within the left lung. The nurse have to investigate the client for
which signs and symptoms and signs associated with this problem?
A. Pleural ache and fever
B. Decreased respiration charge
C. Diaphoresis at some stage in the day
D. Hyperresonant breath sounds over the left thorax - ANS-A. Pleural ache and fever
A patron's baseline vital symptoms are as follows: temperature ninety eight.8°F (37.1°C)
oral, pulse seventy four beats/min, respirations 18 breaths/min, and blood pressure
124/seventy six mm Hg. The client's temperature unexpectedly spikes to 103°F (39.4°C).
Which corresponding breathing rate should the nurse count on on this client as part of the
frame's reaction to the trade in fame?
A. Respiratory fee of 12 breaths/min
B. Respiratory rate of sixteen breaths/min
,C. Respiratory fee of 18 breaths/min
D. Respiratory price of 22 breaths/min - ANS-D. Respiratory fee of twenty-two breaths/min
A health facility nurse is providing teaching for a affected person who has been diagnosed
with a peritonsillar abscess. What does the nurse encompass in this affected person's
teaching?
A. "Gargling with heat saline might also make pain worse."
B. "Take the prescribed antibiotics until the swelling subsides."
C. "Go to the emergency department if drooling or stridor arise."
D. "A tonsillectomy may be necessary when the intense contamination is beyond." - ANS-C.
"Go to the emergency branch if drooling or stridor occur."
A hospital nurse notes that huge numbers of customers gift with flulike signs. Which tips
must the nurse include in the plan of take care of these clients? Select all that apply.
A. Get lots of rest.
B. Increase intake of drinks.
C. Take antipyretics for fever.
D. Get a flu shot at once.
E. Eat culmination and greens excessive in diet C. - ANS-A. Get plenty of relaxation.
B. Increase intake of liquids.
C. Take antipyretics for fever.
E. Eat fruits and vegetables excessive in vitamin C.
A co-worker tells the nurse that she can not get the flu shot due to the fact she believes it's
miles higher to develop her very own immunity to the flu. What does the nurse tell this
co-employee?
A. "Getting the flu shot reasons you to have influenza symptoms."
B. "Since you're healthy, you'll probably best have a moderate case of the flu."
C. "If you're exposed to influenza, you may take an antiviral medication."
D. "You are setting your sufferers at accelerated chance for serious respiration
contamination." - ANS-D. "You are setting your sufferers at increased risk for severe
respiratory illness."
A network fitness nurse is making ready a community schooling elegance on bioterrorism
and using inhalation anthrax. When getting ready to speak about the manifestations of the
fulminant level of the infection, what manifestation does the nurse consist of in the coaching?
A. Fever
B. Fatigue
C. Dry cough
D. Hypotension - ANS-D. Hypotension
A family member of a patient who has been identified with severe acute breathing syndrome
(SARS) asks the nurse why the patient isn't always receiving an antibiotic. How does the
nurse respond to this member of the family?
,A. "The organism that reasons SARS is proof against all antibiotics."
B. "I will notify the company to peer if an antibiotic can be ordered."
C. "Antibiotics aren't powerful due to the fact SARS is resulting from a pandemic."
D. "Antibiotics are normally given when the disorder will become extra extreme." - ANS-C.
"Antibiotics are not effective because SARS is because of a plague."
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 - ANS-B. Influenza B
A lady patient presents to the ambulatory health facility with court cases of a cough. Which
other signs or signs, if gift, might reason the nurse to start wearing an N-95 mask and area
the patient in an isolated surroundings? Select all that apply.
A. Anorexia
B. Blood-streaked sputum
C. Menstrual irregularities
D. Sharp chest pain when coughing
E. Nighttime oral temperature more than 101°F - ANS-A. Anorexia
B. Blood-streaked sputum
C. Menstrual irregularities
A wholesome patient expresses concerns about developing tuberculosis (TB) after spending
time at a own family reunion and mastering later that a member of the family is being treated
for the ailment. What does the nurse inform this affected person?
A. "You have most probable been uncovered to TB and will want to be examined."
B. "You should obtain TB prophylaxis until your issuer regulations out energetic sickness."
C. "TB is spread from person to man or woman through sharing ingesting cups and eating
utensils.
D. "Among people uncovered to the ailment, handiest a small percentage broaden energetic
TB." - ANS-D. "Among human beings exposed to the disorder, best a small percent increase
lively TB."
A newly admitted affected person with pneumonia has an oral temperature of 102°F, an
oxygen saturation of 93%, faded breath sounds bilaterally, and the patient is unable to cough
effectively. The nurse has acquired orders for oxygen therapy, intravenous antibiotics,
antipyretic remedy, and sputum specimen collection. What ought to 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. - ANS-C. Give the intravenous antibiotic.
A nurse is being concerned for a patient who appears cachectic and pale however appears
in no acute misery. The affected person tells the nurse that he has had a continual cough for
months and produces a large amount of foul-smelling sputum. He additionally states that he
from time to time suffers from a stabbing pain while taking a deep breath. When reviewing
the affected person's history, the nurse notes that the affected person has a recent records
of influenza. Breath sounds monitor decreased sound with rhonchi to the right decrease lobe
and percussion to the proper lower lobe is stupid. What technique does the nurse count on
making ready 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 - ANS-B. Insertion of a thoracentesis
needle and drainage
A nurse is being concerned for a patient who is orally intubated and mechanically ventilated.
The nurse is familiar with that this patient is at an extended chance for developing ventilator
related pneumonia. When planning care for this affected person, what pathophysiological
principles concerning an artificial airway does the nurse apprehend as a contributing issue to
the development of this condition? Select all that practice.
A. It bypasses the protective airway mechanisms
B. It alters and reduces the frame's immune reaction
C. It prevents ok fuel alternate on the cellular level
D. It reasons a hyperactive response of the mucociliary clearance
E. It lets in aspiration of secretions from the oropharynx and stomach - ANS-A. It bypasses
the protective airway mechanisms
E. It permits aspiration of secretions from the oropharynx and belly
A nurse is being concerned for a affected person with persistent obstructive pulmonary
disease (COPD). The patient's 52-12 months-antique caregiver asks the nurse if she have to
receive an annual influenza vaccination. What is the nurse's first-class reaction?
A. "Yes, you have to acquire the influenza vaccination by injection and ought to acquire it
every 12 months."
B. "Yes, as long as you're wholesome you could get hold of the intranasal spray influenza
vaccine each 12 months."
C. "No, as long as the affected person has acquired the influenza vaccination by using
injection, you do no longer need it every year."
D. "No, so long as you're wholesome you do no longer have an expanded hazard of
spreading or turning into infected with influenza." - ANS-A. "Yes, you need to obtain the
influenza vaccination through injection and must get hold of it every yr."
A nurse is being concerned for a affected person with coccidioidomycosis who has currently
migrated from Mexico. When making plans care for this affected person, what manifestation
