CJE BENCHMARK CLINICAL JUDGMENT EXAM 1 WITH VERIFIED
QUESTIONS AND ANSWERS GRADED A+
The CJE Benchmark Clinical Judgment Exam 1 covers clinical decision-
making in nursing, including medication safety and adverse drug effects,
postoperative and wound assessment, infection recognition, chronic
disease management, and interpretation of laboratory values and
arterial blood gases. It also includes emergency and cardiovascular care,
respiratory procedures, neurological and psychiatric nursing, patient
education, infection control, and prioritization of safe nursing
interventions in patient care scenarios.
randomly shuffled.
1
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 difficulty 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."
, Answer: 4. "You should add a thickener all liquids and make sure
he sits upright while eating."
2
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.
1. Dry cough
2. Acute confusion
3. Increased temperature
4. Purulent drainage from incision
Answer: 2. Acute confusion
3
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.
Answer: 1. 48-year-old African-American male who is obese and
father and mother have type 2 DM.
4
The nurse is caring for a client with tuberculosis who is receiving
,isoniazid and rifampin for tuberculosis. Which adverse effect should the
nurse be most concerned with?
1. Blurred vision.
2. Yellowish sclera.
3. Nausea and vomiting.
4. Decreased urine output.
Answer: 2. Yellowish sclera.
5
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. "I will talk to you later when you can pay attention."
2. "I will leave the room if you continue to not pay attention"
3. "Is your mother talking to you again? I wish she would leave you
alone."
4. "It appears you are hearing voices again. Tell me what you are
hearing."
Answer: 4. "It appears you are hearing voices again. Tell me what
you are hearing."
6
The nurse is participating in the discharge plans for a client with
hypertension. Which statement by the client would cause concern?
, 1. "I am at risk for stroke or heart attack if my blood pressure is not
controlled."
2. "I know that my blood pressure is high when my nose starts
bleeding."
3. "I will take my blood pressure two times a day for at least 7 days."
4. "I will ask my spouse to start walking with me in the mornings."
Answer: 2. "I know that my blood pressure is high when my nose
starts bleeding."
7
The nurse is reviewing the client's lab values who has respiratory
alkalosis. Which results should the nurse expect? Select all that apply
1. pH 7.50.
2. pH 7.30.
3. Carbon dioxide (CO2 ) 50.
4. CO2 28.
5. Oxygen saturation 85%.
6. Bicarbonate 25.
Answer: 1. pH 7.50., 4. CO2 28.
8
A nurse is teaching a group of middle-aged men about stroke
prevention. Which statement by a client requires further teaching?
1. "I will start an exercise program to lose weight."
2. "I have to stop my daily trip to the donut shop for breakfast".
QUESTIONS AND ANSWERS GRADED A+
The CJE Benchmark Clinical Judgment Exam 1 covers clinical decision-
making in nursing, including medication safety and adverse drug effects,
postoperative and wound assessment, infection recognition, chronic
disease management, and interpretation of laboratory values and
arterial blood gases. It also includes emergency and cardiovascular care,
respiratory procedures, neurological and psychiatric nursing, patient
education, infection control, and prioritization of safe nursing
interventions in patient care scenarios.
randomly shuffled.
1
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 difficulty 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."
, Answer: 4. "You should add a thickener all liquids and make sure
he sits upright while eating."
2
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.
1. Dry cough
2. Acute confusion
3. Increased temperature
4. Purulent drainage from incision
Answer: 2. Acute confusion
3
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.
Answer: 1. 48-year-old African-American male who is obese and
father and mother have type 2 DM.
4
The nurse is caring for a client with tuberculosis who is receiving
,isoniazid and rifampin for tuberculosis. Which adverse effect should the
nurse be most concerned with?
1. Blurred vision.
2. Yellowish sclera.
3. Nausea and vomiting.
4. Decreased urine output.
Answer: 2. Yellowish sclera.
5
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. "I will talk to you later when you can pay attention."
2. "I will leave the room if you continue to not pay attention"
3. "Is your mother talking to you again? I wish she would leave you
alone."
4. "It appears you are hearing voices again. Tell me what you are
hearing."
Answer: 4. "It appears you are hearing voices again. Tell me what
you are hearing."
6
The nurse is participating in the discharge plans for a client with
hypertension. Which statement by the client would cause concern?
, 1. "I am at risk for stroke or heart attack if my blood pressure is not
controlled."
2. "I know that my blood pressure is high when my nose starts
bleeding."
3. "I will take my blood pressure two times a day for at least 7 days."
4. "I will ask my spouse to start walking with me in the mornings."
Answer: 2. "I know that my blood pressure is high when my nose
starts bleeding."
7
The nurse is reviewing the client's lab values who has respiratory
alkalosis. Which results should the nurse expect? Select all that apply
1. pH 7.50.
2. pH 7.30.
3. Carbon dioxide (CO2 ) 50.
4. CO2 28.
5. Oxygen saturation 85%.
6. Bicarbonate 25.
Answer: 1. pH 7.50., 4. CO2 28.
8
A nurse is teaching a group of middle-aged men about stroke
prevention. Which statement by a client requires further teaching?
1. "I will start an exercise program to lose weight."
2. "I have to stop my daily trip to the donut shop for breakfast".
