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CJE CLINICAL JUDGEMENT ADVANCED MED
SURGE II EXAM LATEST 2026-2027 WITH
COMPLETE 250 QUESTIONS AND CORRECT
DETAILED SOLUTIONS
EXAM COVERAGE
- CARDIAC
-NEURO
- SUPER MEMORY
- RENAL
- ENDOCRINE
-INFECTION
- CRITICAL LABS
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Question 1: GI (Liver Disease)
A patient with Cirrhosis develops ascites and shortness of breath. What is the highest priority?
A. Restrict fluids
B. Weigh the patient daily
C. Assess respiratory status
D. Encourage a low-sodium diet
Correct Answer: C. Assess respiratory status
Rationale:
Ascites can compromise respiratory function. Immediate assessment is crucial before dietary or
fluid interventions.
A patient with Heart Failure presents with worsening shortness of breath and orthopnea. What
is the nurse’s priority action?
A. Administer prescribed diuretic
B. Elevate head of the bed
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C. Obtain vital signs
D. Encourage ambulation
Correct Answer: C. Obtain vital signs
Rationale:
Assessment comes before interventions. Vital signs provide critical information about
hemodynamic stability, guiding safe next steps (diuretics, oxygen, etc.).
Question 12: Respiratory (Pneumonia)
A patient with Community-Acquired Pneumonia shows confusion, hypotension, and tachypnea.
Which is most urgent?
A. Encourage fluids
B. Administer oxygen
C. Obtain blood cultures
D. Monitor temperature
Correct Answer: B. Administer oxygen
Rationale:
Confusion and hypotension indicate hypoxemia and sepsis risk. Oxygen is life-saving and
immediate, followed by cultures and antibiotics
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Question 14: Endocrine (Hypoglycemia)
A diabetic patient on insulin is diaphoretic, confused, and shaky. Blood glucose is 50 mg/dL.
What is the first action?
A. Administer insulin
B. Give 15–20 g fast-acting carbohydrate
C. Check hemoglobin
D. Notify physician
Correct Answer: B. Give 15–20 g fast-acting carbohydrate
Rationale:
Hypoglycemia is life-threatening. Rapid administration of glucose corrects blood sugar and
prevents neurological damage.
Question 15: Neurological (Seizures)
A patient with Epilepsy begins a generalized tonic-clonic seizure. What should the nurse do
first?
A. Place a tongue blade in the mouth
B. Protect patient from injury
CJE CLINICAL JUDGEMENT ADVANCED MED
SURGE II EXAM LATEST 2026-2027 WITH
COMPLETE 250 QUESTIONS AND CORRECT
DETAILED SOLUTIONS
EXAM COVERAGE
- CARDIAC
-NEURO
- SUPER MEMORY
- RENAL
- ENDOCRINE
-INFECTION
- CRITICAL LABS
, Page 2 of 131
.
Question 1: GI (Liver Disease)
A patient with Cirrhosis develops ascites and shortness of breath. What is the highest priority?
A. Restrict fluids
B. Weigh the patient daily
C. Assess respiratory status
D. Encourage a low-sodium diet
Correct Answer: C. Assess respiratory status
Rationale:
Ascites can compromise respiratory function. Immediate assessment is crucial before dietary or
fluid interventions.
A patient with Heart Failure presents with worsening shortness of breath and orthopnea. What
is the nurse’s priority action?
A. Administer prescribed diuretic
B. Elevate head of the bed
, Page 3 of 131
C. Obtain vital signs
D. Encourage ambulation
Correct Answer: C. Obtain vital signs
Rationale:
Assessment comes before interventions. Vital signs provide critical information about
hemodynamic stability, guiding safe next steps (diuretics, oxygen, etc.).
Question 12: Respiratory (Pneumonia)
A patient with Community-Acquired Pneumonia shows confusion, hypotension, and tachypnea.
Which is most urgent?
A. Encourage fluids
B. Administer oxygen
C. Obtain blood cultures
D. Monitor temperature
Correct Answer: B. Administer oxygen
Rationale:
Confusion and hypotension indicate hypoxemia and sepsis risk. Oxygen is life-saving and
immediate, followed by cultures and antibiotics
, Page 4 of 131
Question 14: Endocrine (Hypoglycemia)
A diabetic patient on insulin is diaphoretic, confused, and shaky. Blood glucose is 50 mg/dL.
What is the first action?
A. Administer insulin
B. Give 15–20 g fast-acting carbohydrate
C. Check hemoglobin
D. Notify physician
Correct Answer: B. Give 15–20 g fast-acting carbohydrate
Rationale:
Hypoglycemia is life-threatening. Rapid administration of glucose corrects blood sugar and
prevents neurological damage.
Question 15: Neurological (Seizures)
A patient with Epilepsy begins a generalized tonic-clonic seizure. What should the nurse do
first?
A. Place a tongue blade in the mouth
B. Protect patient from injury
