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The CJE Benchmark Clinical Judgment Exam 2 focuses on respiratory disorders and
infectious disease management. The exam covers assessment, diagnosis, and
nursing management of conditions such as tuberculosis (TB), pneumonia, severe
acute respiratory syndrome (SARS), influenza, and throat infections such as
peritonsillar abscess. It includes recognition of signs and symptoms, interpretation
of diagnostic tests such as chest X-rays and TB screening tests, and identification
of complications including hypoxia and sepsis. The exam also assesses
pharmacological management including tuberculosis drug therapy, medication
administration guidelines, side effects of medications such as rifampin and
isoniazid, and the importance of medication adherence and directly observed
therapy (DOT). Additional topics include respiratory care interventions such as
hydration, airway clearance, incentive spirometry, infection control precautions,
prevention strategies for respiratory infections, and patient and family education
to reduce disease transmission. Overall, the exam emphasizes respiratory
assessment, infection prevention, medication management, and clinical judgment
in caring for patients with respiratory and infectious diseases.
,1. A patient presents with pain and difficulty swallowing, swelling in the throat,
difficulty in opening the mouth, and a history of tonsillectomy performed 20 days
ago. What should be the order of the treatment?
1. Antibiotic therapy
2. Incision and drainage
3. Additional antibiotic therapy
4. Intravenous (IV) opioids and IV steroids
5. Percutaneous needle aspiration and drainage of the abscess
6. Hospitalization, if the patient is showing slow response to the drugs -
Correct Answer: 5. Percutaneous needle aspiration and drainage of the abscess
1. Antibiotic therapy
4. Intravenous (IV) opioids and IV steroids
6. Hospitalization, if the patient is showing slow response to the drugs
2. Incision and drainage
3. Additional antibiotic therapy
2. A public health nurse is providing education to a community about preparation
for a possible influenza epidemic leading to a worldwide pandemic. What does
the nurse instruct community members to do upon learning that an influenza
outbreak has occurred?
A. Attend meetings to learn how to manage the outbreak.
B. Take antiviral medications to prevent developing symptoms.
C. Obtain a vaccine if not already vaccinated against influenza.
,D. Stock their homes with a 2-week supply of food and medicine. - Correct
Answer: C. Obtain a vaccine if not already vaccinated against influenza.
3. A patient taking ethambutol for tuberculosis is receiving discharge teaching
from the nurse. What is the most important sign or symptom of a serious adverse
reaction to this medication that the nurse should teach this patient?
A. Fatigue
B. Anorexia
C. Changes in vision
D. Aching of the feet - Correct Answer: C. Changes in vision
4. The nurse is performing health assessments at an ambulatory walk-in clinic.
Which patients would the nurse consider at risk for tuberculosis? Select all that
apply.
A. The patient who abuses alcohol
B. The patient who has congestive heart failure
C. The patient who recently emigrated from Spain
D. The patient who doesn't have a permanent residence
E. The patient recently released from a corrective facility - Correct Answer: A.
The patient who abuses alcohol
D. The patient who doesn't have a permanent residence
E. The patient recently released from a corrective facility
5. In a patient with pneumonia, what is the most important nursing intervention?
A. Preventing sepsis
, B. Decreasing anxiety
C. Managing hypoxemia
D. Teaching safe oxygen management - Correct Answer: C. Managing
hypoxemia
6. Which statements about pulmonary tuberculosis (TB) are correct? Select all
that apply.
A. Infected people are not infectious to others until manifestations of the disease
occur.
B. Mycobacterium tuberculosis is transmitted from person to person via the
airborne route.
C. An asymptomatic period of up to years or decades can follow the time of
primary infection.
D. Foreign immigrants, especially from Mexico, the Philippines, and Vietnam, are
at greatest risk.
E. Anergy is not a problem with the use of a TB skin test once a person presents
with symptoms. - Correct Answer: A. Infected people are not infectious to
others until manifestations of the disease occur.
B. Mycobacterium tuberculosis is transmitted from person to person via the
airborne route.
C. An asymptomatic period of up to years or decades can follow the time of
primary infection.
D. Foreign immigrants, especially from Mexico, the Philippines, and Vietnam, are
at greatest risk.