CJE Practice Exam: ChatGPT Questions
12. Recognize Cues A client presents with confusion and dry mucous membranes. Which assessment finding should the nurse prioritize? A. Blood pressure 88/56 mmHg B. Skin turgor brisk C. Urine output of 50 mL/hour D. Respiratory rate of 14 breaths/min
a
15. Generate Solutions A client is experiencing severe hypoglycemia. Which intervention should the nurse implement? A. Administer 1 mg of glucagon IM B. Call the provider for further orders C. Offer a glass of orange juice D. Monitor blood glucose levels every hour
a
25. Spirituality Concept A client with a terminal diagnosis expresses a desire for prayer. What is the nurse's priority action? A. Arrange for a clergy visit B. Offer to pray with the client C. Encourage the client to share feelings D. Document the client's spiritual request
a
26. Spirituality Concept A nurse observes a family performing a religious ritual at the client's bedside. What is the most appropriate response? A. Provide privacy for the ritual B. Notify the provider about the ritual C. Ask the family to step outside D. Document the event as a safety concern
a
29. Pain System A client rates postoperative pain as 8/10. What is the nurse's priority? A. Administer prescribed analgesics B. Provide distraction techniques C. Apply a warm compress D. Reassess in 30 minutes
a
32. Legal Issues Concept A nurse administers medication without a client's consent. This is an example of: A. Battery B. Negligence C. Malpractice D. Assault
a
44. Deep Vein Thrombosis (DVT) Which intervention is most effective in preventing DVT in a postoperative client? A. Administering anticoagulants as prescribed B. Encouraging the client to lie still in bed C. Applying warm compresses to the legs D. Restricting fluid intake
a
46. Ethical Advocacy A nurse notices a provider ignoring a client's request for pain medication. What is the nurse's best action? A. Discuss the client's concerns with the provider. B. Administer the medication without notifying the provider. C. Report the provider to the hospital administration. D. Document the provider's action in the medical record.
a
51. Pain in Non-Verbal Clients A non-verbal client grimaces and clenches their fists during care. What is the nurse's best action? A. Administer the prescribed PRN pain medication. B. Ask the client if they are in pain. C. Document the client's behavior and continue care. D. Notify the provider about the client's behavior.
a
10. Health Promotion and Maintenance What is the best way to encourage a teenage patient to adopt healthy eating habits? A. Telling the patient they will gain weight if they don't B. Explaining the long-term benefits of a balanced diet C. Advising the patient to eliminate all snacks D. Warning the patient that poor diet will lead to illness
b
13. Analyze Cues A nurse reviews a client's labs: potassium 3.0 mEq/L, sodium 140 mEq/L, and calcium 9.0 mg/dL. Which condition is most concerning? A. Risk for seizures B. Risk for cardiac dysrhythmias C. Risk for dehydration D. Risk for osteoporosis
b
16. Take Actions A nurse administers a wrong medication dose. What is the priority action? A. Complete an incident report B. Monitor the client for adverse effects C. Inform the provider immediately D. Reassure the client
b
18. Fluid & Electrolyte Balance Concept A client has a sodium level of 120 mEq/L. The nurse should prepare to administer: A. 0.45% saline B. 3% saline C. Oral fluids D. Potassium supplements
b
19. Infection Control A client with active tuberculosis requires: A. Contact precautions B. Airborne precautions C. Droplet precautions D. Standard precautions
b
2. Comfort Concept Which intervention should the nurse prioritize for a postoperative patient reporting a pain level of 8 on a scale of 0 to 10? A. Encouraging deep breathing exercises B. Administering prescribed analgesics C. Repositioning the patient for comfort D. Applying a warm compress to the area
b
21. Recognize Cues A client presents with diaphoresis, dyspnea, and chest discomfort. What should the nurse assess first? A. Skin temperature B. Oxygen saturation C. Blood pressure D. Pain scale rating
b
23. Analyze Cues A client's potassium level is 5.8 mEq/L. Which clinical manifestation supports this lab result? A. Decreased deep tendon reflexes B. Irregular heart rate C. Muscle weakness D. Constipation
b
27. Falls A client with a history of falls is found wandering in the hallway. What should the nurse do first? A. Return the client to bed B. Assess the client for injuries C. Obtain an order for restraints D. Provide education on fall prevention
b
3. Culture Concept A nurse is caring for a patient who believes in traditional healing practices. Which response is most culturally sensitive? A. "These practices aren't effective; let's focus on modern medicine." B. "How can I incorporate your practices with our current treatment?" C. "I'll consult with a spiritual advisor to learn more about your beliefs." D. "You should avoid these practices to prevent interference with medication."
b
35. Psychosocial Integrity A client shows signs of depression after surgery. What is the nurse's priority action? A. Encourage the client to join a support group. B. Assess for suicidal ideation. C. Document the client's mood changes in the medical record. D. Provide the client with relaxation techniques.
b
36. Ethical Principles A nurse questions an order they believe may harm the client. What should they do first? A. Administer the medication and monitor the client closely. B. Contact the prescribing provider to clarify the order. C. Refuse to administer the medication and notify the charge nurse. D. Report the issue to the facility's ethics committee.
b
37. Recognize Cues A client presents with confusion, dry mucous membranes, and tachycardia. What assessment should the nurse prioritize? A. Skin turgor B. Blood pressure C. Urine output D. Respiratory rate
b
39. Spirituality A client undergoing chemotherapy requests a chaplain visit. What is the nurse's priority action? A. Document the request B. Contact the chaplain service C. Sit with the client for prayer D. Inform the provider of the request
b
4. Mobility Concept Which is the best intervention to promote mobility in an elderly patient at risk for falls? A. Keeping the bed in a high position to promote strength training B. Encouraging short, supervised walks daily C. Allowing the patient to walk unassisted to increase confidence D. Restricting movement to prevent potential injuries
b
42. Legal Issues A client refuses a blood transfusion for religious reasons. What is the nurse's priority action? A. Administer the transfusion to save the client's life B. Respect the client's decision and notify the provider C. Attempt to persuade the client to change their mind D. Contact the hospital ethics committee
b
45. Vulnerable Populations A client with limited English proficiency needs to consent to a procedure. What should the nurse do? A. Ask a bilingual family member to translate. B. Use a professional medical interpreter. C. Provide written instructions in English. D. Explain the procedure slowly and clearly.
b
47. Advocacy and Safety A client expresses concern about the safety of a new medication prescribed by the provider. What should the nurse do first? A. Educate the client about the medication's benefits. B. Inform the provider of the client's concerns. C. Reassure the client that the medication is safe. D. Encourage the client to take the medication as prescribed.
b
49. Pain Reassessment A client received IV morphine for acute pain 15 minutes ago. What is the most appropriate nursing action? A. Document that the client received the medication. B. Reassess the client's pain level. C. Encourage the client to rest. D. Notify the provider of the administered dose.
b
5. Legal Issues Concept A nurse administers the wrong medication to a patient. Which action best aligns with legal and ethical nursing principles? A. Ignoring the error if no adverse effects are observed B. Reporting the error to the supervisor immediately C. Documenting the error but not informing the patient D. Re-administering the correct medication without further action
b
7. Advocacy A patient voices concerns about understanding their treatment options. How should the nurse advocate for this patient? A. Explain that the doctor will make all treatment decisions B. Listen to the patient's concerns and review the options together C. Reassure the patient without providing additional information D. Advise the patient to follow whatever the doctor recommends
b
8. Falls Which is the most important intervention to prevent falls for an older patient at high risk? A. Keeping the lights dim to promote rest B. Removing clutter and ensuring clear pathways C. Placing the patient's call bell out of reach to prevent excessive use D. Restricting movement to the bed only
b
9. Calculation A patient is prescribed 500 mg of a medication. The available dose is 250 mg per tablet. How many tablets should the nurse administer? A. 1 tablet B. 2 tablets C. 2.5 tablets D. 3 tablets
b
1. Recognize Cues A patient presents with increased respiratory rate, use of accessory muscles, and low oxygen saturation. Which cue should the nurse recognize as the most critical? A. Increased respiratory rate B. Use of accessory muscles C. Low oxygen saturation D. Mild chest discomfort
c
14. Prioritize Hypotheses A client reports chest pain radiating to the left arm. What should the nurse do first? A. Administer pain medication B. Assess vital signs C. Obtain a 12-lead ECG D. Notify the provider
c
24. Analyze Cues Which lab result requires follow-up in a client receiving diuretics? A. Sodium 140 mEq/L B. Calcium 9.5 mg/dL C. Potassium 3.1 mEq/L D. Magnesium 2.0 mg/dL
c
28. Falls Which intervention is most effective for fall prevention in an elderly client? A. Bed alarms B. Hourly rounding C. Non-skid footwear D. Adequate lighting
c
30. Pain System A client with chronic pain requests additional pain medication. What should the nurse assess first? A. Last administered dose B. Pain relief strategies used C. Current pain level D. Client's medication history
c
33. Mobility Concept What is the priority intervention for a client at risk for pressure ulcers due to limited mobility? A. Apply a warm compress to areas of redness. B. Massage bony prominences to increase circulation. C. Reposition the client every two hours. D. Use a donut-shaped cushion for support.
c
34. Advocacy A client reports poor treatment by another staff member. What should the nurse do? A. Encourage the client to confront the staff member directly. B. Reassure the client and take no further action. C. Report the incident to the supervisor. D. Advise the client to document the incident in writing.
c
38. Recognize Cues What is the most important initial step when a client with pneumonia reports worsening shortness of breath? A. Elevate the head of the bed B. Notify the healthcare provider C. Assess oxygen saturation D. Administer a bronchodilator
c
40. Falls Which intervention is most effective in preventing falls for an elderly client with a history of falls? A. Encourage independence in ambulation B. Place personal items within reach C. Use a bed alarm D. Schedule physical therapy sessions
c
41. Falls A client at risk for falls insists on walking to the bathroom without assistance. What is the nurse's best response? A. "I must insist you call me for help." B. "It's fine as long as you move slowly." C. "Let me help you to the bathroom." D. "You should use a bedside commode instead."
c
43. Therapeutic Communication A client expresses fear about an upcoming surgery. What is the most therapeutic response? A. "Many people feel the same way before surgery." B. "Why are you afraid of the surgery?" C. "Tell me more about what is worrying you." D. "Your surgeon is very skilled, so there's nothing to worry about."
c
48. Chronic Pain Assessment A client with chronic back pain reports difficulty performing daily activities despite taking over-the-counter pain medication. What is the nurse's priority action? A. Refer the client to physical therapy. B. Encourage the client to keep a pain journal. C. Assess the client's current pain management strategies. D. Teach the client relaxation techniques.
c
52. Chronic Pain and Mental Health A client with chronic pain states, "I don't see the point of going on like this." What is the nurse's priority action? A. Document the client's statement in the medical record. B. Notify the healthcare provider immediately. C. Assess the client for suicidal ideation. D. Offer the client information about support groups.
c
6. Spirituality Concept Which intervention best addresses the spiritual needs of a patient who requests prayer before surgery? A. Telling the patient that surgery is imminent and there isn't time B. Suggesting the patient prays privately C. Offering to contact the hospital chaplain for support D. Ignoring the request and preparing the patient for surgery
c
11. Psychosocial Integrity A patient expresses feelings of hopelessness. What is the nurse's best response? A. "You have a lot to be thankful for." B. "You should try to stay positive." C. "It's best not to dwell on negative thoughts." D. "Can you tell me more about how you're feeling?"
d
17. Evaluate Outcomes A diabetic client's blood sugar remains elevated despite insulin. What should the nurse evaluate next? A. Client's diet B. Insulin injection technique C. Medication adherence D. All of the above
d
20. Pharmacological Therapies Before administering digoxin, the nurse checks: A. Potassium levels B. Heart rate C. Blood pressure D. A and B E. All of the above
d
22. Recognize Cues Which assessment finding requires immediate follow-up for a client with a urinary catheter? A. Urine output of 50 mL/hour B. Cloudy urine with sediment C. A reddened meatus D. Urine leakage around the catheter
d
31. Legal Issues Concept A client refuses treatment for a serious condition. What is the nurse's priority action? A. Inform the provider B. Document the refusal C. Educate the client on risks D. Respect the client's decision
d
50. Non-Pharmacological Pain Management A client with chronic arthritis asks for non-pharmacological ways to manage pain. What intervention should the nurse suggest? A. Taking frequent naps during the day. B. Increasing dietary calcium intake. C. Avoiding any physical activity to rest the joints. D. Using a heating pad on the affected joints.
d
