5/14/26, 7:34 CJE Benchmark Exam #1
AM
CJE Benchmark Exam #1 139 Questions and Answers 2025/2026 |
Clinical Judgment Nursing Review | NCLEX Practice Questions with
Rationales | Med Surg, Pharmacology & Patient Safety.
EXAM COVERAGE
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.
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."
"You should add a thickener all liquids and make sure he sits upright while eating."
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
1/54
,5/14/26, 7:34 CJE Benchmark Exam #1
AMIncreased temperature
2/54
,5/14/26, 7:34 CJE Benchmark Exam #1
AM
4
Purulent drainage from incision
Acute confusion
Dry cough - Vague sign
Acute confusion - Correct - sign of infection in an older adult
Increased temperature - Older adult may not exhibit normal signs of
infection Purulent drainage from incision - Older adult may not exhibit
normal signs of infection
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.
48-year-old African-American male who is obese and father and mother have type 2 DM.
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.
Yellowish sclera.
Possible side effect related to liver damage
3/54
, 5/14/26, 7:34 CJE Benchmark Exam #1
AM
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."
"It appears you are hearing voices again. Tell me what you are hearing."
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."
"I know that my blood pressure is high when my nose starts bleeding."
Correct - Hypertension is usually asymptomatic. A nose bleed can occur with high
blood pressure, but it can occur for many other reasons as well. It is quite common
that the client's blood pressure is high and the client experiences no symptoms. It is
important to help clients understand that they cannot rely on one particular symptom
to tell if their pressure is elevated. It would be very dangerous for clients to think their
blood pressure is only high if they have a nose bleed.
The nurse is reviewing the client's lab values who has respiratory alkalosis. Which results
should the nurse expect? Select all that apply
1
4/54
AM
CJE Benchmark Exam #1 139 Questions and Answers 2025/2026 |
Clinical Judgment Nursing Review | NCLEX Practice Questions with
Rationales | Med Surg, Pharmacology & Patient Safety.
EXAM COVERAGE
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.
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."
"You should add a thickener all liquids and make sure he sits upright while eating."
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
1/54
,5/14/26, 7:34 CJE Benchmark Exam #1
AMIncreased temperature
2/54
,5/14/26, 7:34 CJE Benchmark Exam #1
AM
4
Purulent drainage from incision
Acute confusion
Dry cough - Vague sign
Acute confusion - Correct - sign of infection in an older adult
Increased temperature - Older adult may not exhibit normal signs of
infection Purulent drainage from incision - Older adult may not exhibit
normal signs of infection
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.
48-year-old African-American male who is obese and father and mother have type 2 DM.
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.
Yellowish sclera.
Possible side effect related to liver damage
3/54
, 5/14/26, 7:34 CJE Benchmark Exam #1
AM
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."
"It appears you are hearing voices again. Tell me what you are hearing."
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."
"I know that my blood pressure is high when my nose starts bleeding."
Correct - Hypertension is usually asymptomatic. A nose bleed can occur with high
blood pressure, but it can occur for many other reasons as well. It is quite common
that the client's blood pressure is high and the client experiences no symptoms. It is
important to help clients understand that they cannot rely on one particular symptom
to tell if their pressure is elevated. It would be very dangerous for clients to think their
blood pressure is only high if they have a nose bleed.
The nurse is reviewing the client's lab values who has respiratory alkalosis. Which results
should the nurse expect? Select all that apply
1
4/54
