CJE BENCHMARK EXAM #1
COMPLETE QUESTIONS WITH 100%
CORRECT ANSWERS
\.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." - ANSWERS-"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
Increased temperature
4
Purulent drainage from incision - ANSWERS-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. - ANSWERS-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. - ANSWERS-Yellowish sclera.
Possible side effect related to liver damage
\.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
COMPLETE QUESTIONS WITH 100%
CORRECT ANSWERS
\.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." - ANSWERS-"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
Increased temperature
4
Purulent drainage from incision - ANSWERS-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. - ANSWERS-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. - ANSWERS-Yellowish sclera.
Possible side effect related to liver damage
\.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
