Benchmark Clinical Judgment Exam (CJE) Practice Exam

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• In suspected spinal injury, what is the initial management step before imaging?
• What is meningitis?
• What is the primary risk associated with total parenteral nutrition?
• Which finding requires immediate action when corticosteroids are rapidly tapered after adrenal surgery, suggesting Addisonian crisis?
• Calcium channel blockers primarily achieve their therapeutic effect by which mechanism?
• In a diabetic patient with suspected osteomyelitis and MRSA, what is a priority initial intervention?
• What happens during a sickle cell crisis?
• Which condition is a contraindication to giving a bolus due to risk of fluid volume overload?
• What is the main goal of therapy for estrogen receptor–positive breast cancer?
• What is intrarenal acute kidney injury?
• After fluids in septic shock, what is the next step?
• A client with heart failure presents with dyspnea, crackles, and +3 pitting edema. Which assessment finding indicates worsening fluid overload?
• In acute kidney injury, which urine finding is commonly observed?
• When do you administer a bolus?
• Which lab finding best indicates rifampin hepatotoxicity?
• How do TIA symptoms compare to a stroke?
• Which cooling method should be avoided during a sickle cell crisis due to vasoconstriction?
• A client with iron-deficiency anemia has a swollen, red, burning tongue. Which lab confirms this diagnosis?
• In ARDS management, which ventilator setting most directly improves oxygenation by keeping alveoli open?
• Which statement correctly describes the role of H. pylori in peptic ulcer disease?
• In a client in sickle cell crisis admitted with severe pain, what is the priority action?
• Which combination of symptoms is commonly associated with metastatic bone cancer?
• What is the purpose of proton pump inhibitors in peptic ulcer disease?
• Why are we concerned with sugar levels in a patient with MRSA?
• Which of the following is a hallmark lab finding in iron-deficiency anemia?
• A patient with sepsis presents with BP 82/50, HR 120, and fever. What is the priority intervention?
• Which statement best describes the relationship between metastatic bone cancer and calcium?
• How long should a patient be kept upright after completing an enteral feeding to reduce aspiration risk?
• Which of the following is NOT a sign or symptom of sickle cell crisis?
• Why is meningitis dangerous?
• Why do we give antibiotics for peptic ulcer disease?
• Which procedure is used as the initial treatment for cardiac tamponade?
• Which of the following is listed as a cause of meningitis?
• A patient with a C6 spinal cord injury suddenly develops a pounding headache and a blood pressure of 220/110. What is the nurse's first priority?
• Which laboratory pattern suggests hepatotoxicity from rifampin?
• Which of the following is a common symptom of metastatic bone cancer?
• When should the nurse question a prescription for tPA?
• In a patient with elevated intracranial pressure, what does unilateral pupil dilation indicate?
• Which of the following can cause meningitis?
• Which statement accurately describes the Glasgow Coma Scale score 15?
• Which antibiotic is commonly first-line for MRSA infections?
• An ileostomy comes from which part of the digestive tract?
• What is a priority monitoring parameter for a burn patient in the acute phase?
• A patient with H. pylori–related gastric ulcer is prescribed amoxicillin, clarithromycin, and omeprazole. What best explains the rationale for using three medications?
• Which finding is the most important indicator that a steroid taper is too fast?
• Which breathing pattern is commonly associated with COPD?
• A client with end-stage renal failure has nausea, confusion, and Kussmaul respirations. What is the priority action?
• An ischemic stroke patient presents with right-sided weakness and slurred speech, last known well at 0900 and evaluated at 1400. Which action is appropriate regarding tPA?
• After sustaining a burn, the patient is at risk of developing which temperature-related condition?
• What does hemodynamic status primarily assess?
• Which of the following is a classic symptom of meningitis?
• Why is a stoma created?
• Long-term use of proton pump inhibitors is associated with which adverse effect?
• In septic shock, fluids first, then cultures, antibiotics, oxygen. Which option shows the correct initial management sequence?
• What best describes tension pneumothorax?
• How long do TIA symptoms typically last?
• Which finding is MOST suggestive of a pulmonary embolism?
• A postop patient on PCA morphine is difficult to arouse and has RR 8/min. What is the nurse's priority?
• Why is enteral nutrition used in patients with cancer?
• Which of the following is a sign associated with right-sided heart failure?
• Which condition can cause prerenal AKI due to decreased kidney perfusion?
• Which assessment finding indicates worsening acidosis?
• Which action is last in the initial septic shock management sequence?
• Which action is identified as a nursing priority to reduce sickling?
• A client with Crohn's disease has an ileostomy pouch with 1750 mL urine output. What is the nurse's first priority?
• During chemotherapy, if infection becomes present, which hematologic condition commonly develops?
• A patient has potassium level 6.8 mEq/L. Which medication should the nurse anticipate?
• What is metastatic bone cancer?
• A bolus is often given prior to administering which of the following to address potential life-threatening issues?
• Rifampin hepatotoxicity is suggested by which laboratory finding?
• Which labs are important to check for a patient with renal calculi?
• A patient on total parenteral nutrition who is sweating, anxious, and tachycardic. The nurse should check first?
• A client with metastatic bone cancer is receiving enteral feedings. Which gastric residual value would prompt you to hold the feeding?
• Which is an early sign of hypoxia?
• Which statement describes a TIA?
• What is the rationale for hydration in a sickle cell crisis?
• What is prerenal acute kidney injury?
• End-stage renal failure is defined as kidneys failing with how much function remaining?
• A patient with COPD is very drowsy, RR 10, O2 sat 86% on 2 L NC. What is the priority action?
• Which combination represents the classic symptoms of meningitis?
• What is renal calculi?
• What is cardiac tamponade?
• What happens when a patient has acute kidney injury?
• What is peptic ulcer disease?
• Why do we give proton pump inhibitors for a peptic ulcer disease?
• What is post renal, acute kidney injury?
• AKI affects which kidney functions?
• Which of the following is NOT an example of intrarenal AKI?
• Which vent setting improves oxygenation in ARDS?
• Which symptom is most characteristic of a pulmonary embolism?
• Which of the following is a sign of carbon dioxide retention in COPD?
• Which condition would most likely cause postrenal AKI?
• Which ECG finding is most concerning in a patient with potassium level 6.5 mEq/L?
• Which of the following is NOT a trigger of a sickle cell crisis?
• Which infection-control measure is appropriate for neutropenia?
• Treatment for peptic ulcer disease?
• Which of the following is NOT an example of prerenal acute kidney injury?
• What is the primary acid-base disturbance seen in end-stage renal failure?
• Polystyrene sulfonate is used to treat hyperkalemia; its effectiveness is indicated by which change in potassium?
• Which of the following is listed as a cause of heart failure?
• Types of stomas in colorectal cancer?
• Which finding in a patient with diabetes most strongly suggests diabetic ketoacidosis?
• In an Addisonian crisis, what is the most important immediate treatment?
• In end-stage renal failure with metabolic acidosis, which laboratory finding is typical?
• Which lab value is expected in acute kidney injury?
• An older adult fell and hit his head and is awake and oriented. Which medication makes the nurse most concerned about possible intracranial bleed?
• A client on rifampin for TB reports fatigue and dark urine. Which lab finding is most concerning?
• A burn patient is at high risk for which condition?
• A patient with COPD is most at risk for which complication due to impaired elimination of carbon dioxide?
• If hypothermia is not treated in a burn patient, which complication may occur?
• Which measure helps prevent aspiration during enteral feeding?
• What is the typical starting oxygen flow for a COPD patient unless otherwise directed by a provider?
• Which of the following is an infection-control measure for neutropenia?
• Which of the following is a cause of myocardial infarction?
• Which of the following is NOT a sign of carbon dioxide retention in COPD?
• Urinalysis in renal calculi typically looks for which findings?
• In electrical burn injuries, how do the depth and extent of tissue damage typically compare to the external appearance?
• Which finding is most consistent with right-sided heart failure in a COPD patient?
• When should the enteral feeding tube be flushed?
• Which statement best describes chronic obstructive pulmonary disease (COPD)?
• Dehydration is known to worsen sickle cell crisis. Which statement best reflects this relationship?
• Autonomic dysreflexia is a life-threatening emergency in patients with spinal cord injury at or above which level?
• Which fluid is recommended as an initial resuscitation fluid for suspected ruptured appendix?
• During evaluation of a hyperkalemic patient receiving sodium polystyrene sulfonate (kayexalate), which result indicates the drug is working?
• For a patient in sickle cell crisis with dehydration and severe generalized pain, what is the priority nursing intervention?
• In a patient with potassium level 6.5 mEq/L, what is the most urgent clinical concern?
• Which practice is part of preventing aspiration during enteral feeding?
• A patient suddenly becomes tachypneic and anxious, complaining of sharp chest pain. What is the priority action?
• Which finding is most consistent with septic shock?
• Which temperature-related instruction is correct for preventing a sickle cell crisis?
• What is the main drug used for estrogen receptor–positive breast cancer?
• A chest tube suddenly stops draining. The nurse should check first?
• Which electrolyte disturbance is common in acute kidney injury?
• For a patient with a displaced cervical spine fracture (C8), what is the first priority?
• Which factor contributes to impaired thermoregulation after a burn?
• Which drug is a proton pump inhibitor that is commonly included in H. pylori eradication therapy?
• Which of the following is an example of postrenal AKI?
• Burn patients can develop overheating due to impaired sweating. Which condition would this predispose to?
• Which action is not recommended as part of maintaining normothermia in burn care?
• Which statement correctly describes a colostomy?
• In end-stage renal disease with metabolic acidosis, what is the pH status?
• Which physical sign is associated with metabolic acidosis in ESRD?
• Which of the following is considered a classic symptom of COPD?
• Which color change indicates stoma necrosis and requires contacting the healthcare provider?
• What is the normal daily urine output range for an adult?
• A patient is prescribed a proton pump inhibitor. Which administration instruction is correct?
• Which cardiovascular complication is most concerning after an electrical burn?
• Which symptom/finding is typical of metastatic bone cancer affecting bones?
• Which of the following is a sign of hypothermia in a burn patient?
• Which statement about ileostomy output is correct?
• Which description best describes a normal stoma appearance?
• Which respiratory pattern is most often associated with diabetic ketoacidosis?
• Before feeding a patient through an enteral tube, which procedure is typically performed to confirm placement?
• What is estrogen receptor–positive breast cancer?
• Polystyrene sulfonate (Kayexalate) is used to treat hyperkalemia. Which lab change indicates it is effective?
• Which measure helps prevent hypothermia in burn patients?
• A patient on proton pump inhibitors should report which symptom?
• In sickle cell crisis, hydration helps by reducing what property of blood?
• Calcium channel blockers are primarily used to treat which condition by relaxing blood vessels and slowing the heart rate?
• Which of the following is a recognized risk factor for heart failure?
• Which of the following is a key component of enteral feeding assessment during care?
• What is a priority intervention for a patient with a ruptured appendix?
• Interpreting the Glasgow Coma Scale, which statement is true?
• End-stage renal failure is characterized by remaining kidney function left at what percentage?
• What is meningitis?
• Hypercapnia refers to an excess of which gas in the blood?
• What is acute kidney injury?
• Which scenario best suggests a line infection in a patient receiving TPN?
• What primarily causes metabolic acidosis in end-stage renal failure?
• What is the immediate nursing action when a patient on PCA morphine has a respiratory rate of 8 breaths per minute?
• Which finding indicates a complication of Total Parenteral Nutrition?
• What is neutropenia?
• Which statement would prompt questioning a tPA prescription?
• Which organism is associated with peptic ulcer disease?
• How is neutropenia defined?
• Which statement best describes a bleeding stoma as a normal finding?
• The Glasgow Coma Scale is used to assess what aspect of a patient?
• A client with a new ileostomy has urine output of 1750 mL in 24 hours. What is priority action?
• Which burn depths are associated with thermoregulation impairment?
• Metastatic bone cancer can lead to elevated calcium levels. Which option best describes this metabolic change?