CJE BENCHMARK EXAM CLINICAL JUDGMENT NURS 3251 CJE
PRACTICE QUESTIONS AND ANSWERS 2026 GRADED A+
The CJE Benchmark Clinical Judgment Exam 2 focuses on respiratory disorders and
infectious disease management. The exam covers assessment, diagnosis, and
nursing management of conditions such as tuberculosis (TB), pneumonia, severe
acute respiratory syndrome (SARS), influenza, and throat infections such as
peritonsillar abscess. It includes recognition of signs and symptoms, interpretation
of diagnostic tests such as chest X-rays and TB screening tests, and identification
of complications including hypoxia and sepsis. The exam also assesses
pharmacological management including tuberculosis drug therapy, medication
administration guidelines, side effects of medications such as rifampin and
isoniazid, and the importance of medication adherence and directly observed
therapy (DOT). Additional topics include respiratory care interventions such as
hydration, airway clearance, incentive spirometry, infection control precautions,
prevention strategies for respiratory infections, and patient and family education
to reduce disease transmission. Overall, the exam emphasizes respiratory
assessment, infection prevention, medication management, and clinical judgment
in caring for patients with respiratory and infectious diseases.
1
The nurse is caring for a patient who was admitted with pneumonia. Which
position assumed by the patient leads the nurse to suspect that the patient is
developing hypoxia?
A. Side-lying
B. Sitting in tripod position
C. Prone with head of bed at 30° angle
D. Supine with head of bed at 45° angle
Answer: B. Sitting in tripod position
2
Which virus is a strain of the bird flu?
A. H1N7
B. H1N1
,C. H1N5
D. H5N1
Answer: D. H5N1
3
What is the most important information for the nurse to convey to a patient who
is beginning pharmacological therapy for the treatment of tuberculosis to ensure
suppression of the disease?
A. "Eat a diet rich in Vitamin K."
B. "Do not drink alcoholic beverages."
C. "Take the medication exactly as prescribed."
D. "Contact the health care provider if you become ill."
Answer: C. "Take the medication exactly as prescribed."
4
What education will be provided for the family of a patient being treated for
tuberculosis convalescing at home?
A. Use airborne precautions.
B. Place used tissues in a trash can.
C. Cover your mouth and nose when sneezing.
D. Everyone must undergo tuberculosis testing.
Answer: D. Everyone must undergo tuberculosis testing.
5
A patient who has begun standard multidrug treatment for tuberculosis (TB)
reports orange-tinged sputum and urine. The nurse tells the patient that this
symptom represents which response to the treatment regimen?
A. Normal drug side effects of rifampin
B. Hemolysis and a potential for anemia
C. Drug resistance with spread of infection
D. Hepatotoxicity caused by drinking alcohol
Answer: A. Normal drug side effects of rifampin
6
A patient is about to begin drug therapy for the treatment of tuberculosis (TB).
,What information is most important for the nurse to give to this patient prior to
the start of therapy?
A. "Do not drink alcohol."
B. "Eat foods high in carbohydrates."
C. "Take medications in the morning."
D. "Limit ingestion of orange or grapefruit juice."
Answer: A. "Do not drink alcohol."
7
A patient with pneumonia has difficulty clearing secretions in his airway, which are
quite thick. Which nursing intervention does the nurse include in this patient's
plan of care?
A. Encourage an intake of 2 liters of fluid per day.
B. Help the patient to ambulate several times daily.
C. Give intravenous antibiotics as ordered by the provider.
D. Administer pain medications on schedule to provide comfort.
Answer: A. Encourage an intake of 2 liters of fluid per day.
8
The radiology report of a patient who has had a chest x-ray shows consolidation in
a segment of the patient's left lung. This is typical of which type of pneumonia?
A. Viral
B. Lobar
C. Bronchial
D. Bacterial
Answer: B. Lobar
9
Which assessment findings does the nurse anticipate for the patient suspected of
having pneumonia? Select all that apply.
A. Myalgia
B. Dyspnea
C. Bradypnea
D. Bradycardia
, E. Hemoptysis
Answer: A. Myalgia, B. Dyspnea, E. Hemoptysis
10
A nurse is providing discharge instructions for a patient with active tuberculosis
(TB) who has been prescribed isoniazid. What information about medication
administration does the nurse include when providing discharge instructions?
A. "Take the drug on an empty stomach."
B. "Take the drug with food for better absorption."
C. "Take an antacid with the drug for better absorption."
D. "Take the drug with a full glass of water and increase your water intake."
Answer: A. "Take the drug on an empty stomach."
11
What consideration is important for the nurse to remember when managing the
care of a patient with hospital-acquired pneumonia?
A. Provide suctioning as needed.
B. Monitor for early signs of sepsis.
C. Provide stress ulcer prophylaxis.
D. Elevate the head of the bed at least 30 degrees.
Answer: B. Monitor for early signs of sepsis.
12
Which nursing interventions are focused on preventing the spread of severe acute
respiratory syndrome (SARS) caused by coronaviruses? Select all that apply.
A. Using strict airborne isolation techniques
B. Handwashing before and after all patient care
C. Disinfecting contaminated surfaces and equipment
D. Using Contact Precautions with people suspected to have SARS
E. Reporting the occurrence to the Centers for Disease Control and Prevention
(CDC)
Answer: A. Using strict airborne isolation techniques, B. Handwashing before
and after all patient care, C. Disinfecting contaminated surfaces and equipment,
D. Using Contact Precautions with people suspected to have SARS
PRACTICE QUESTIONS AND ANSWERS 2026 GRADED A+
The CJE Benchmark Clinical Judgment Exam 2 focuses on respiratory disorders and
infectious disease management. The exam covers assessment, diagnosis, and
nursing management of conditions such as tuberculosis (TB), pneumonia, severe
acute respiratory syndrome (SARS), influenza, and throat infections such as
peritonsillar abscess. It includes recognition of signs and symptoms, interpretation
of diagnostic tests such as chest X-rays and TB screening tests, and identification
of complications including hypoxia and sepsis. The exam also assesses
pharmacological management including tuberculosis drug therapy, medication
administration guidelines, side effects of medications such as rifampin and
isoniazid, and the importance of medication adherence and directly observed
therapy (DOT). Additional topics include respiratory care interventions such as
hydration, airway clearance, incentive spirometry, infection control precautions,
prevention strategies for respiratory infections, and patient and family education
to reduce disease transmission. Overall, the exam emphasizes respiratory
assessment, infection prevention, medication management, and clinical judgment
in caring for patients with respiratory and infectious diseases.
1
The nurse is caring for a patient who was admitted with pneumonia. Which
position assumed by the patient leads the nurse to suspect that the patient is
developing hypoxia?
A. Side-lying
B. Sitting in tripod position
C. Prone with head of bed at 30° angle
D. Supine with head of bed at 45° angle
Answer: B. Sitting in tripod position
2
Which virus is a strain of the bird flu?
A. H1N7
B. H1N1
,C. H1N5
D. H5N1
Answer: D. H5N1
3
What is the most important information for the nurse to convey to a patient who
is beginning pharmacological therapy for the treatment of tuberculosis to ensure
suppression of the disease?
A. "Eat a diet rich in Vitamin K."
B. "Do not drink alcoholic beverages."
C. "Take the medication exactly as prescribed."
D. "Contact the health care provider if you become ill."
Answer: C. "Take the medication exactly as prescribed."
4
What education will be provided for the family of a patient being treated for
tuberculosis convalescing at home?
A. Use airborne precautions.
B. Place used tissues in a trash can.
C. Cover your mouth and nose when sneezing.
D. Everyone must undergo tuberculosis testing.
Answer: D. Everyone must undergo tuberculosis testing.
5
A patient who has begun standard multidrug treatment for tuberculosis (TB)
reports orange-tinged sputum and urine. The nurse tells the patient that this
symptom represents which response to the treatment regimen?
A. Normal drug side effects of rifampin
B. Hemolysis and a potential for anemia
C. Drug resistance with spread of infection
D. Hepatotoxicity caused by drinking alcohol
Answer: A. Normal drug side effects of rifampin
6
A patient is about to begin drug therapy for the treatment of tuberculosis (TB).
,What information is most important for the nurse to give to this patient prior to
the start of therapy?
A. "Do not drink alcohol."
B. "Eat foods high in carbohydrates."
C. "Take medications in the morning."
D. "Limit ingestion of orange or grapefruit juice."
Answer: A. "Do not drink alcohol."
7
A patient with pneumonia has difficulty clearing secretions in his airway, which are
quite thick. Which nursing intervention does the nurse include in this patient's
plan of care?
A. Encourage an intake of 2 liters of fluid per day.
B. Help the patient to ambulate several times daily.
C. Give intravenous antibiotics as ordered by the provider.
D. Administer pain medications on schedule to provide comfort.
Answer: A. Encourage an intake of 2 liters of fluid per day.
8
The radiology report of a patient who has had a chest x-ray shows consolidation in
a segment of the patient's left lung. This is typical of which type of pneumonia?
A. Viral
B. Lobar
C. Bronchial
D. Bacterial
Answer: B. Lobar
9
Which assessment findings does the nurse anticipate for the patient suspected of
having pneumonia? Select all that apply.
A. Myalgia
B. Dyspnea
C. Bradypnea
D. Bradycardia
, E. Hemoptysis
Answer: A. Myalgia, B. Dyspnea, E. Hemoptysis
10
A nurse is providing discharge instructions for a patient with active tuberculosis
(TB) who has been prescribed isoniazid. What information about medication
administration does the nurse include when providing discharge instructions?
A. "Take the drug on an empty stomach."
B. "Take the drug with food for better absorption."
C. "Take an antacid with the drug for better absorption."
D. "Take the drug with a full glass of water and increase your water intake."
Answer: A. "Take the drug on an empty stomach."
11
What consideration is important for the nurse to remember when managing the
care of a patient with hospital-acquired pneumonia?
A. Provide suctioning as needed.
B. Monitor for early signs of sepsis.
C. Provide stress ulcer prophylaxis.
D. Elevate the head of the bed at least 30 degrees.
Answer: B. Monitor for early signs of sepsis.
12
Which nursing interventions are focused on preventing the spread of severe acute
respiratory syndrome (SARS) caused by coronaviruses? Select all that apply.
A. Using strict airborne isolation techniques
B. Handwashing before and after all patient care
C. Disinfecting contaminated surfaces and equipment
D. Using Contact Precautions with people suspected to have SARS
E. Reporting the occurrence to the Centers for Disease Control and Prevention
(CDC)
Answer: A. Using strict airborne isolation techniques, B. Handwashing before
and after all patient care, C. Disinfecting contaminated surfaces and equipment,
D. Using Contact Precautions with people suspected to have SARS
