CJE-Collaborative-Final Exam
Questions and All Actual Answers
2025-2026 Updated.
The nurse is providing dietary education to a pregnant client with phenylketonuria (PKU). Which
foods, if appearing on the client's lunch tray, would indicate a need for further teaching? Select
all that apply.
Bananas
Dairy
Eggs
Nuts
Legumes
Meat - Answer Dairy
Eggs
Nuts
Legumes
Meat
Rationale: Phenylketonuria (PKU) is a genetic disorder that results in central nervous system
damage from toxic levels of phenylalanine, an essential amino acid. Foods containing
phenylalanine should be restricted to keep blood phenylalanine levels low, especially during
pregnancy.
Phenylketonuria diet restrictions can be remembered using the acrostic, "Meet Dirty Dan's New
Enemies," which stands for meat, dairy products, dry beans, nuts, and eggs.
The nurse is caring for a client with a phosphate level of 6.2 mg/dL (reference range: 3 - 4.5
mg/dL). For each finding, click to specify if the assessment finding is anticipated or not
anticipated. - Answer Hypotension
Diminished peripheral pulses
Positive Chvostek's sign
Prolonged cardiac QT interval
Causes & Initial Action: Early deceleration, Variable deceleration ,Late deceleration - Answer
Causes & Initial Action
Early deceleration: Fetal head compression, Continue to monitor
Variable deceleration: Umbilical cord compression, Position change
Late deceleration: Placental insufficiency, Discontinue oxytocin infusion
,The nurse is caring for a child with rotavirus who is vomiting and has diarrhea. Which protective
precautions should the nurse employ to prevent contraction and spread of the infection?
A. Gown and gloves
B. Contact precautions
C. Droplet precautions
D. Gloves and surgical mask - Answer B. Contact precautions
The nurse is planning care for a client who will undergo an esophagogastroduodenoscopy (EGD)
in the morning. Which pre-procedure instructions should the nurse provide to the client? Select
all that apply.
A. Take all routine medications the morning before the procedure.
B. Drink only clear liquids the morning of the procedure.
C. Avoid eating or drinking for 8 hours before the procedure.
D. Never take routine medications before a procedure.
E. Every client is required to arrive at 0800 for the procedure. - Answer C. Avoid eating or
drinking for 8 hours before the procedure.
A nurse is educating a client about which clinical manifestations of left-sided heart failure they
should report to the healthcare provider. Which symptoms identified by the client would
indicate understanding of the teaching? Select all that apply.
A. Dyspnea
B. Hepatomegaly
C. Ascites
D. Crackles in lung fields
E. Coughing
F. Distended neck veins
G. Peripheral edema
H. Weight gain
I. Hemoptysis - Answer A. Dyspnea
D. Crackles in lung fields
E. Coughing
I. Hemoptysis
ABG interpretation - Answer
, A nurse is preparing to instruct a client who is newly diagnosed with diabetes mellitus type 1 on
mixing regular and NPH insulin into one syringe for subcutaneous injection. Place the steps for
this procedure into the correct order. - Answer 1. Gently rotate NPH insulin vial
2. Clean top of each vial with alcohol
3. Inject air into the vial of NPH insulin
4. Inject air into the vial of regular insulin
5. Withdraw regular insulin
6. Withdraw NPH insulin
7. Safely recap the needle using a single-hand approach
The nurse is caring for a client who is 30 weeks pregnant. Which assessment findings must be
immediately reported to the healthcare provider? Select all that apply.
A. Chronic low back ache
B. Constipation with hemorrhoids
C. Dyspepsia and frequent belching
D. Spots in the visual field
E. Swelling of the face and hands - Answer D. Spots in the visual field
E. Swelling of the face and hands
The nurse is caring for a client with a peripheral intravenous (PIV) site in the left hand and notes
pallor and edema at the site. The dressing is damp and the infusion is running slowly. Which
action should the nurse implement first?
A. Remove the peripheral IV
B. Elevate the extremity
C. Apply a warm compress
D. Restart the peripheral IV - Answer A. Remove the peripheral IV
The nurse is caring for a child who is hospitalized with respiratory syncytial virus (RSV). Which
protective items should the nurse assemble before entering the client's room? Select all that
apply.
A. Shoe protectors
B. Gown
C. Surgical mask
D. Face shield
E. Gloves
F. N95 mask - Answer B. Gown
C. Surgical mask
Questions and All Actual Answers
2025-2026 Updated.
The nurse is providing dietary education to a pregnant client with phenylketonuria (PKU). Which
foods, if appearing on the client's lunch tray, would indicate a need for further teaching? Select
all that apply.
Bananas
Dairy
Eggs
Nuts
Legumes
Meat - Answer Dairy
Eggs
Nuts
Legumes
Meat
Rationale: Phenylketonuria (PKU) is a genetic disorder that results in central nervous system
damage from toxic levels of phenylalanine, an essential amino acid. Foods containing
phenylalanine should be restricted to keep blood phenylalanine levels low, especially during
pregnancy.
Phenylketonuria diet restrictions can be remembered using the acrostic, "Meet Dirty Dan's New
Enemies," which stands for meat, dairy products, dry beans, nuts, and eggs.
The nurse is caring for a client with a phosphate level of 6.2 mg/dL (reference range: 3 - 4.5
mg/dL). For each finding, click to specify if the assessment finding is anticipated or not
anticipated. - Answer Hypotension
Diminished peripheral pulses
Positive Chvostek's sign
Prolonged cardiac QT interval
Causes & Initial Action: Early deceleration, Variable deceleration ,Late deceleration - Answer
Causes & Initial Action
Early deceleration: Fetal head compression, Continue to monitor
Variable deceleration: Umbilical cord compression, Position change
Late deceleration: Placental insufficiency, Discontinue oxytocin infusion
,The nurse is caring for a child with rotavirus who is vomiting and has diarrhea. Which protective
precautions should the nurse employ to prevent contraction and spread of the infection?
A. Gown and gloves
B. Contact precautions
C. Droplet precautions
D. Gloves and surgical mask - Answer B. Contact precautions
The nurse is planning care for a client who will undergo an esophagogastroduodenoscopy (EGD)
in the morning. Which pre-procedure instructions should the nurse provide to the client? Select
all that apply.
A. Take all routine medications the morning before the procedure.
B. Drink only clear liquids the morning of the procedure.
C. Avoid eating or drinking for 8 hours before the procedure.
D. Never take routine medications before a procedure.
E. Every client is required to arrive at 0800 for the procedure. - Answer C. Avoid eating or
drinking for 8 hours before the procedure.
A nurse is educating a client about which clinical manifestations of left-sided heart failure they
should report to the healthcare provider. Which symptoms identified by the client would
indicate understanding of the teaching? Select all that apply.
A. Dyspnea
B. Hepatomegaly
C. Ascites
D. Crackles in lung fields
E. Coughing
F. Distended neck veins
G. Peripheral edema
H. Weight gain
I. Hemoptysis - Answer A. Dyspnea
D. Crackles in lung fields
E. Coughing
I. Hemoptysis
ABG interpretation - Answer
, A nurse is preparing to instruct a client who is newly diagnosed with diabetes mellitus type 1 on
mixing regular and NPH insulin into one syringe for subcutaneous injection. Place the steps for
this procedure into the correct order. - Answer 1. Gently rotate NPH insulin vial
2. Clean top of each vial with alcohol
3. Inject air into the vial of NPH insulin
4. Inject air into the vial of regular insulin
5. Withdraw regular insulin
6. Withdraw NPH insulin
7. Safely recap the needle using a single-hand approach
The nurse is caring for a client who is 30 weeks pregnant. Which assessment findings must be
immediately reported to the healthcare provider? Select all that apply.
A. Chronic low back ache
B. Constipation with hemorrhoids
C. Dyspepsia and frequent belching
D. Spots in the visual field
E. Swelling of the face and hands - Answer D. Spots in the visual field
E. Swelling of the face and hands
The nurse is caring for a client with a peripheral intravenous (PIV) site in the left hand and notes
pallor and edema at the site. The dressing is damp and the infusion is running slowly. Which
action should the nurse implement first?
A. Remove the peripheral IV
B. Elevate the extremity
C. Apply a warm compress
D. Restart the peripheral IV - Answer A. Remove the peripheral IV
The nurse is caring for a child who is hospitalized with respiratory syncytial virus (RSV). Which
protective items should the nurse assemble before entering the client's room? Select all that
apply.
A. Shoe protectors
B. Gown
C. Surgical mask
D. Face shield
E. Gloves
F. N95 mask - Answer B. Gown
C. Surgical mask
