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CJE Benchmark Exam clinical judgment NURS 3251 CJE - correct answer <<<<<💕💕💕✔✔EXAM
COVERAGE
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.
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 - correct answer <<<<<💕💕💕✔✔B. Sitting in tripod
position
Which virus is a strain of the bird flu?
,A. H1N7
B. H1N1
C. H1N5
D. H5N1 - correct answer <<<<<💕💕💕✔✔D. H5N1
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." - correct answer <<<<<💕💕💕✔✔C. "Take
the medication exactly as prescribed."
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. - correct answer <<<<<💕💕💕✔✔D. Everyone
must undergo tuberculosis testing.
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 - correct answer <<<<<💕💕💕✔✔A. Normal drug
side effects of rifampin
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." - correct answer <<<<<💕💕💕✔✔A. "Do not
drink alcohol."
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. - correct answer
<<<<<💕💕💕✔✔A. Encourage an intake of 2 liters of fluid per day.
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 - correct answer <<<<<💕💕💕✔✔B. Lobar
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 - correct answer <<<<<💕💕💕✔✔A. Myalgia
B. Dyspnea
E. Hemoptysis
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." - correct answer
<<<<<💕💕💕✔✔A. "Take the drug on an empty stomach."
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. - correct answer <<<<<💕💕💕✔✔B. Monitor
for early signs of sepsis.
Which nursing interventions are focused on preventing the spread of severe acute respiratory syndrome
(SARS) caused by coronaviruses? Select all that apply.