REXPN FINAL PAPER 2026 QUESTIONS WITH
FULL ANSWERS
◉ Right lung lobectomy. Answer: A surgical procedure requiring
assessment of chest tube fluctuations in the water seal chamber.
◉ Enalapril. Answer: A medication that requires the patient to avoid
driving for the first day after starting.
◉ Salt substitutes. Answer: Patients should avoid seasoning food
with salt substitutes while taking enalapril.
◉ Serum calcium level check. Answer: A blood specimen should be
obtained in 1 month to check serum calcium levels.
◉ Blood Pressure Monitoring. Answer: Check your blood pressure
once every month, and notify your primary health care provider of
significant changes.
◉ Human Sexuality Understanding. Answer: Physical strength is
reduced on the day following sexual intercourse.
,◉ Infection Control Guidelines. Answer: I should assign a client with
streptococcal pneumonia to a room with a client who has bacterial
meningitis.
◉ Papanicolaou (Pap) Test Understanding. Answer: The onset of my
menses will not interfere with having a Pap test performed.
◉ Spirituality in Nursing. Answer: Physical pain often causes
spiritual distress for clients.
◉ Moderate Sedation Follow-up. Answer: It would require
immediate follow-up if the client is reporting sanguineous drainage
from the puncture site.
◉ Mycoplasma Pneumonia Precautions. Answer: Place the client in a
private room.
◉ Occupational Therapy Referral. Answer: Recommend that a
referral to an occupational therapist be initiated for the client with
rheumatoid arthritis (RA).
◉ Pharyngeal Diphtheria Care. Answer: The nurse is caring for a
client who has pharyngeal diphtheria.
,◉ Pharyngeal diphtheria infection control. Answer: 1. Place a
surgical mask on the client during transport out of the assigned
room. 2. Wear a particulate respirator mask (N95) when entering
the client's room. 3. Put on a protective gown before administering
medications to the client. 4. Remove clean gloves after leaving the
client's room.
◉ Findings in hyperparathyroidism. Answer: 1. dry skin 2. hair loss
3. bone pain 4. brittle nails
◉ Cerebral angiography teaching. Answer: 1. 'You will feel a warm
flushing sensation when the dye is injected.' 2. 'You will remain on
bed rest for 12 hours after the procedure.' 3. 'You may wear your
dentures during the procedure.' 4. 'You may experience numbness or
tingling during the procedure.'
◉ Pernicious anemia deficiency. Answer: The nurse should
understand that the client's condition will most likely result in a
deficiency of vitamin B12.
◉ IV infusion calculation for pediatric client. Answer: The client
weighs 4.5 kg (10 lb). The order is for 5% dextrose in 0.2% sodium
chloride (quarter-strength saline), IV, 100 ml/kg/day. Calculate
ml/hr.
, ◉ COPD infection control precautions. Answer: 1. Place the client in
a room with monitored negative air pressure. 2. Wear a particulate
respirator mask (N95) when taking the client's vital signs. 3. Wear
clean gloves when assisting the client to remove the soiled gown. 4.
Remove the gloves before leaving the client's room. 5. Clean the
reusable blood pressure cuff before taking the client's blood
pressure.
◉ Medical records education. Answer: 1. 'The client's medical record
is the property of the client.' 2. 'The nurse is required to document
information in a timely manner.' 3. 'The client has the right to
request restrictions on the uses and disclosures of the medical
record.' 4. 'A family member may be given access to the client's
medical record after the client is discharged from a facility.' 5. 'A
researcher may study the client's medical record to identify
information that may be helpful in treating other clients.'
◉ Discharge planning for Alzheimer's disease. Answer: The best
action for the nurse to take is to initiate a referral to a social worker.
◉ Contact precautions for infections. Answer: The nurse should
implement contact precautions for the client who has respiratory
syncytial virus (RSV).
◉ Celiac disease dietary management. Answer: Correct menu
options include gluten-free foods.
FULL ANSWERS
◉ Right lung lobectomy. Answer: A surgical procedure requiring
assessment of chest tube fluctuations in the water seal chamber.
◉ Enalapril. Answer: A medication that requires the patient to avoid
driving for the first day after starting.
◉ Salt substitutes. Answer: Patients should avoid seasoning food
with salt substitutes while taking enalapril.
◉ Serum calcium level check. Answer: A blood specimen should be
obtained in 1 month to check serum calcium levels.
◉ Blood Pressure Monitoring. Answer: Check your blood pressure
once every month, and notify your primary health care provider of
significant changes.
◉ Human Sexuality Understanding. Answer: Physical strength is
reduced on the day following sexual intercourse.
,◉ Infection Control Guidelines. Answer: I should assign a client with
streptococcal pneumonia to a room with a client who has bacterial
meningitis.
◉ Papanicolaou (Pap) Test Understanding. Answer: The onset of my
menses will not interfere with having a Pap test performed.
◉ Spirituality in Nursing. Answer: Physical pain often causes
spiritual distress for clients.
◉ Moderate Sedation Follow-up. Answer: It would require
immediate follow-up if the client is reporting sanguineous drainage
from the puncture site.
◉ Mycoplasma Pneumonia Precautions. Answer: Place the client in a
private room.
◉ Occupational Therapy Referral. Answer: Recommend that a
referral to an occupational therapist be initiated for the client with
rheumatoid arthritis (RA).
◉ Pharyngeal Diphtheria Care. Answer: The nurse is caring for a
client who has pharyngeal diphtheria.
,◉ Pharyngeal diphtheria infection control. Answer: 1. Place a
surgical mask on the client during transport out of the assigned
room. 2. Wear a particulate respirator mask (N95) when entering
the client's room. 3. Put on a protective gown before administering
medications to the client. 4. Remove clean gloves after leaving the
client's room.
◉ Findings in hyperparathyroidism. Answer: 1. dry skin 2. hair loss
3. bone pain 4. brittle nails
◉ Cerebral angiography teaching. Answer: 1. 'You will feel a warm
flushing sensation when the dye is injected.' 2. 'You will remain on
bed rest for 12 hours after the procedure.' 3. 'You may wear your
dentures during the procedure.' 4. 'You may experience numbness or
tingling during the procedure.'
◉ Pernicious anemia deficiency. Answer: The nurse should
understand that the client's condition will most likely result in a
deficiency of vitamin B12.
◉ IV infusion calculation for pediatric client. Answer: The client
weighs 4.5 kg (10 lb). The order is for 5% dextrose in 0.2% sodium
chloride (quarter-strength saline), IV, 100 ml/kg/day. Calculate
ml/hr.
, ◉ COPD infection control precautions. Answer: 1. Place the client in
a room with monitored negative air pressure. 2. Wear a particulate
respirator mask (N95) when taking the client's vital signs. 3. Wear
clean gloves when assisting the client to remove the soiled gown. 4.
Remove the gloves before leaving the client's room. 5. Clean the
reusable blood pressure cuff before taking the client's blood
pressure.
◉ Medical records education. Answer: 1. 'The client's medical record
is the property of the client.' 2. 'The nurse is required to document
information in a timely manner.' 3. 'The client has the right to
request restrictions on the uses and disclosures of the medical
record.' 4. 'A family member may be given access to the client's
medical record after the client is discharged from a facility.' 5. 'A
researcher may study the client's medical record to identify
information that may be helpful in treating other clients.'
◉ Discharge planning for Alzheimer's disease. Answer: The best
action for the nurse to take is to initiate a referral to a social worker.
◉ Contact precautions for infections. Answer: The nurse should
implement contact precautions for the client who has respiratory
syncytial virus (RSV).
◉ Celiac disease dietary management. Answer: Correct menu
options include gluten-free foods.
