REX-PN EXAM 270 QUESTIONS & CORRECT
ANSWERS LATEST 2026
The licensed practical/vocational nurse (LPN/VN) is assisting a registered nurse in
triaging a client with diabetes mellitus (type one) with diabetic ketoacidosis
(DKA). Which assessment finding requires immediate follow-up by the LPN/VN?
A. Pulse 112/minute
B. Persistent nausea and vomiting
C. Respiratory rate 21/minute
D. Blood glucose 299 mg/dL - ANSWER-A. Pulse 112/minute
A complication associated with DKA is hypovolemic shock. The client having
tachycardia is demonstrating early signs of this type of shock. The treatment
modalities of DKA include fluid repletion and insulin administration. Considering
the client's tachycardia, the nurse should initially administer the prescribed isotonic
fluids to treat the significant fluid volume deficit.
The nurse is creating assignments for the following shift. Which of the following
assignments would be appropriate for unlicensed assistive personnel (UAP)?
A. A 65-year-old requiring a sterile dressing changes.
B. A 26-year-old requiring a one-person assist in ambulating to the restroom.
C. An 80-year-old who is receiving enteral feedings continuously through an NG
tube.
,D. A 16-year-old who is 4 hours post-cardiac catheterization. - ANSWER-B. A 26-
year-old requiring a one-person assist in ambulating to the restroom.
You receive an order to administer 600 mg ibuprofen to your client as needed
every 6 hours. You retrieve the medication, which comes in 200 mg tablets. How
many tablets do you administer to your client?
A. 1 tablet
B. 5 tablets
C. 3 tablets
D. 2 tablets - ANSWER-C. 3 tablets
The nurse is providing discharge instructions to a client who speaks a language
different from the nurse's. The client's family members are present, and they speak
English. Which action by the nurse is the most appropriate to ensure effective
communication during the discharge process?
A. Use a smartphone translation app to convey the instructions to the client.
B. Provide written material in the client's language and provide oral instructions in
English.
C. Request an interpreter from the hospital's language services to assist with the
discharge instructions.
D. Summarize the instructions in basic English and have the family members relay
the information to the client. - ANSWER-C. Request an interpreter from the
hospital's language services to assist with the discharge instructions.
The client with a history of right mastectomy is receiving maintenance IV fluids
via a peripherally inserted intravenous line in the left cephalic vein. The client
complains of pain at the IV site. The nurse notes that the infusion has slowed and
,assesses swelling as well as erythema at the IV site. Which action should the nurse
take first?
A. Stop the infusion and remove the IV catheter.
B. Insert a new IV in the left intermediate basilic vein.
C. Prepare the client for PICC line placement.
D. Elevate the right arm to reduce swelling. - ANSWER-A. Stop the infusion and
remove the IV catheter.
The LPN is caring for an infant who will be going to the operating room the next
day for surgical repair of his total anomalous pulmonary venous return. She has
finished signing the consent paperwork for the operation. The mother states "I'm
not so sure about this. What if my baby dies?!" What is the appropriate action for
the LPN?
A. Explain the procedure to the mother.
B. Notify the surgical team and have them come back to speak with the mother.
C. Reassure the mother that everything will go as planned.
D. Tell the mother that because she has already signed the consent paperwork she
cannot change her mind now - ANSWER-B. Notify the surgical team and have
them come back to speak with the mother.
Which of the following infection control activities should be delegated to an
experienced nursing assistant?
A. Asking clients about the duration of antibiotic therapy.
B. Demonstrating correct handwashing techniques to clients and their families.
C. Disinfecting blood pressure cuffs after clients are discharged.
, D. Screening clients for upper respiratory tract symptoms. - ANSWER-C.
Disinfecting blood pressure cuffs after clients are discharged.
A nurse is discharging a client home. Which of these would be most important to
include in discharge teaching for a client with a platelet count of 40.000 mcL (40 x
10^9/L)?
A. Be sure to take your aspirin with meals daily.
B. You may continue to shave with a straight-edge razor.
C. Use a soft toothbrush and floss gently.
D. You should take a multivitamin daily. - ANSWER-C. Use a soft toothbrush and
floss gently.
The nurse plans care for a client admitted with Haemophilus influenzae, type b
Meningitis. When caring for this client, the nurse should gather which appropriate
personnel protective equipment (PPE)?
A. Boot (shoe) covers
B. Face shield
C. Surgical mask
D. Gown - ANSWER-C. Surgical mask
The nurse observes a newly hired nurse apply bilateral soft-wrist restraints to a
client. Which action by the newly hired nurse requires follow-up?
A. Secures the restraint to the frame of the bed
B. Repositions the client from semi-Fowlers to prone.
C. Provides easy access to the quick release buckle
ANSWERS LATEST 2026
The licensed practical/vocational nurse (LPN/VN) is assisting a registered nurse in
triaging a client with diabetes mellitus (type one) with diabetic ketoacidosis
(DKA). Which assessment finding requires immediate follow-up by the LPN/VN?
A. Pulse 112/minute
B. Persistent nausea and vomiting
C. Respiratory rate 21/minute
D. Blood glucose 299 mg/dL - ANSWER-A. Pulse 112/minute
A complication associated with DKA is hypovolemic shock. The client having
tachycardia is demonstrating early signs of this type of shock. The treatment
modalities of DKA include fluid repletion and insulin administration. Considering
the client's tachycardia, the nurse should initially administer the prescribed isotonic
fluids to treat the significant fluid volume deficit.
The nurse is creating assignments for the following shift. Which of the following
assignments would be appropriate for unlicensed assistive personnel (UAP)?
A. A 65-year-old requiring a sterile dressing changes.
B. A 26-year-old requiring a one-person assist in ambulating to the restroom.
C. An 80-year-old who is receiving enteral feedings continuously through an NG
tube.
,D. A 16-year-old who is 4 hours post-cardiac catheterization. - ANSWER-B. A 26-
year-old requiring a one-person assist in ambulating to the restroom.
You receive an order to administer 600 mg ibuprofen to your client as needed
every 6 hours. You retrieve the medication, which comes in 200 mg tablets. How
many tablets do you administer to your client?
A. 1 tablet
B. 5 tablets
C. 3 tablets
D. 2 tablets - ANSWER-C. 3 tablets
The nurse is providing discharge instructions to a client who speaks a language
different from the nurse's. The client's family members are present, and they speak
English. Which action by the nurse is the most appropriate to ensure effective
communication during the discharge process?
A. Use a smartphone translation app to convey the instructions to the client.
B. Provide written material in the client's language and provide oral instructions in
English.
C. Request an interpreter from the hospital's language services to assist with the
discharge instructions.
D. Summarize the instructions in basic English and have the family members relay
the information to the client. - ANSWER-C. Request an interpreter from the
hospital's language services to assist with the discharge instructions.
The client with a history of right mastectomy is receiving maintenance IV fluids
via a peripherally inserted intravenous line in the left cephalic vein. The client
complains of pain at the IV site. The nurse notes that the infusion has slowed and
,assesses swelling as well as erythema at the IV site. Which action should the nurse
take first?
A. Stop the infusion and remove the IV catheter.
B. Insert a new IV in the left intermediate basilic vein.
C. Prepare the client for PICC line placement.
D. Elevate the right arm to reduce swelling. - ANSWER-A. Stop the infusion and
remove the IV catheter.
The LPN is caring for an infant who will be going to the operating room the next
day for surgical repair of his total anomalous pulmonary venous return. She has
finished signing the consent paperwork for the operation. The mother states "I'm
not so sure about this. What if my baby dies?!" What is the appropriate action for
the LPN?
A. Explain the procedure to the mother.
B. Notify the surgical team and have them come back to speak with the mother.
C. Reassure the mother that everything will go as planned.
D. Tell the mother that because she has already signed the consent paperwork she
cannot change her mind now - ANSWER-B. Notify the surgical team and have
them come back to speak with the mother.
Which of the following infection control activities should be delegated to an
experienced nursing assistant?
A. Asking clients about the duration of antibiotic therapy.
B. Demonstrating correct handwashing techniques to clients and their families.
C. Disinfecting blood pressure cuffs after clients are discharged.
, D. Screening clients for upper respiratory tract symptoms. - ANSWER-C.
Disinfecting blood pressure cuffs after clients are discharged.
A nurse is discharging a client home. Which of these would be most important to
include in discharge teaching for a client with a platelet count of 40.000 mcL (40 x
10^9/L)?
A. Be sure to take your aspirin with meals daily.
B. You may continue to shave with a straight-edge razor.
C. Use a soft toothbrush and floss gently.
D. You should take a multivitamin daily. - ANSWER-C. Use a soft toothbrush and
floss gently.
The nurse plans care for a client admitted with Haemophilus influenzae, type b
Meningitis. When caring for this client, the nurse should gather which appropriate
personnel protective equipment (PPE)?
A. Boot (shoe) covers
B. Face shield
C. Surgical mask
D. Gown - ANSWER-C. Surgical mask
The nurse observes a newly hired nurse apply bilateral soft-wrist restraints to a
client. Which action by the newly hired nurse requires follow-up?
A. Secures the restraint to the frame of the bed
B. Repositions the client from semi-Fowlers to prone.
C. Provides easy access to the quick release buckle
