CJE ACTUAL TEST PAPER 2026 UPDATED
QUESTIONS ANSWERS REVIEW
● 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. Answer: 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
,● 48-year-old African-American male who is obese and father and
mother have type 2 DM.. Answer: 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.
● "You should add a thickener all liquids and make sure he sits upright
while eating.". Answer: 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."
● "It appears you are hearing voices again. Tell me what you are
hearing.". Answer: 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."
● "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.. Answer: 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."
QUESTIONS ANSWERS REVIEW
● 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. Answer: 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
,● 48-year-old African-American male who is obese and father and
mother have type 2 DM.. Answer: 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.
● "You should add a thickener all liquids and make sure he sits upright
while eating.". Answer: 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."
● "It appears you are hearing voices again. Tell me what you are
hearing.". Answer: 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."
● "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.. Answer: 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."
