REX-PN® TEST BANK 2 EXAM 2026/2027
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST|GUARANTEED
PASS|BRAND NEW VERSION!!
A client who has been diagnosed with Raynaud's disease and hypertension is prescribed
nifedipine. For which side effect should the nurse monitor the client?
A. Decreased urine output
B. Cyanosis of the lips
C. Increased pain in fingers
D. Facial flushing
Answer: D. Facial flushing
Nifedipine is a calcium channel blocker (CCB) used to treat Raynaud's disease and
hypertension by producing vasodilation. As a result of this vasodilating effect, facial flushing
can occur. Cyanosis of the lips and decreased urinary output are not expected findings with
nifedipine. Raynaud's disease causes vasoconstriction, resulting in pain in the fingers that
should decrease when nifedipine is taken.
The hospice nurse is visiting a client diagnosed with end-stage lung cancer and metastases to
the bone. What should the nurse keep in mind when planning for effective pain management?
A. Relief of pain will be achieved quickly.
B. The client will most likely become addicted.
1|Page
,C. Pain therapy is based on the client's report of pain.
D. High doses of opioid analgesics will be required.
Answer: C. Pain therapy is based on the client's report of pain.
Every person's pain experience is unique and should be treated based on the individual's
goals for pain management. Therefore, the amount of medication needed is dependent on
the client's needs and reports of pain relief. The nurse should not assume that high doses of
analgesics will be needed to alleviate the client's pain. Immediate or quick pain relief might
be difficult to achieve, especially considering the client's type of cancer and bone metastases.
Addiction is a psychological condition and not a concern for this client. However, the client
may develop a physical dependence and tolerance to pain medications that may require an
increase in dosage to manage pain effectively.
The nurse is evaluating the effectiveness of therapy for a client who received albuterol via
nebulizer during an acute episode of shortness of breath due to asthma. Which finding is the
best indicator that the therapy was effective?
A. No wheezes are audible.
B. The respiratory rate is 16 breaths/minute.
C. Oxygen saturation is greater than 90%.
D. Accessory muscle use has decreased.
Answer: C. Oxygen saturation is greater than 90%.
The goal for treatment of an asthma attack is to relieve bronchospasms and keep the oxygen
saturation greater than 90%. Albuterol is a short-acting inhaled beta2-adrenergic agonist and
the treatment of choice for an acute asthma attack. Pulse oximetry is an objective data point
that the nurse should use to determine oxygenation status of the client. The other client data
may occur when the client is too fatigued to continue with the increased work of breathing
2|Page
,required in an asthma attack and, therefore, should not be used to evaluate effectiveness of
treatment.
A nurse administers cimetidine to an elderly client diagnosed with a gastric ulcer. The nurse
should monitor the client for which adverse reaction?
A. Hearing loss
B. Increased liver enzymes
C. Constipation
D. Mental status change
Answer: D. Mental status change
Cimetidine is a histamine H2-receptor antagonist used to treat gastric ulcers. It has been
found to cause confusion in susceptible clients, such as the elderly and debilitated clients.
Clients over the age of 50 or clients who are severely ill may become temporarily confused
while taking H2 blockers, especially cimetidine.
The nurse in an ambulatory clinic is speaking with the parents of a 2-year-old child diagnosed
with acute otitis media. Which information is most important for the nurse to include in the
instructions to the parents?
A. The child should return to the clinic to evaluate effectiveness of the treatment.
B. The child may be given a decongestant to relieve pressure on the tympanic membrane.
C. The child may be given acetaminophen or ibuprofen drops for pain.
D. The child must complete the entire course of the prescribed antibiotic.
Answer: D. The child must complete the entire course of the prescribed antibiotic.
Acute otitis media (AOM) is an inflammation of the middle ear space with a rapid onset of the
signs and symptoms of acute infection, namely, fever and otalgia (ear pain). It is one of the
most prevalent early childhood illnesses. Treatment for AOM is one of the most common
3|Page
, reasons for antibiotic use in the ambulatory setting. When antibiotics are necessary, it is most
important to complete the entire course to prevent antibiotic resistance. The child should be
seen after antibiotic therapy is complete to ensure that the infection has resolved. Supportive
care of AOM includes treating the fever and pain. Decongestants or antihistamines are not
recommended for children with ear infections.
The nurse is taking care of a client receiving nitroglycerin by transdermal patch. Which
information is correct about the administration of this medication? Select all that apply.
A. Avoid touching the area of the patch containing the medication.
B. Apply the new patch to the anterior calf area.
C. Make sure the skin is clean and dry.
D. Use a piece of adhesive tape around the edges if it is not adhered to the skin.
E. Apply the patch every day at the same time.
F. Remove the patch after 12 to 14 hours.
Answer: A. Avoid touching the area of the patch containing the medication, C. Make sure the
skin is clean and dry, E. Change the patch every day at the same time. F. Remove the patch
after 12 to 14 hours
Rationale:
The nurse should avoid touching the patch impregnated with nitroglycerin and make sure the
skin is dry and clean prior to application. The patch is changed every day at the same time and
removed after 12 to 14 hours. The patch is typically applied to the upper arm or chest area;
however, it can be applied anywhere on the body below the neck and above the knees or
elbows. The impregnated patch has its own adhesive surface.
The nurse is administering heparin via the subcutaneous route. Which intervention should the
nurse implement?
A. Prepare the medication using a 23-gauge, 1- inch needle
4|Page
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST|GUARANTEED
PASS|BRAND NEW VERSION!!
A client who has been diagnosed with Raynaud's disease and hypertension is prescribed
nifedipine. For which side effect should the nurse monitor the client?
A. Decreased urine output
B. Cyanosis of the lips
C. Increased pain in fingers
D. Facial flushing
Answer: D. Facial flushing
Nifedipine is a calcium channel blocker (CCB) used to treat Raynaud's disease and
hypertension by producing vasodilation. As a result of this vasodilating effect, facial flushing
can occur. Cyanosis of the lips and decreased urinary output are not expected findings with
nifedipine. Raynaud's disease causes vasoconstriction, resulting in pain in the fingers that
should decrease when nifedipine is taken.
The hospice nurse is visiting a client diagnosed with end-stage lung cancer and metastases to
the bone. What should the nurse keep in mind when planning for effective pain management?
A. Relief of pain will be achieved quickly.
B. The client will most likely become addicted.
1|Page
,C. Pain therapy is based on the client's report of pain.
D. High doses of opioid analgesics will be required.
Answer: C. Pain therapy is based on the client's report of pain.
Every person's pain experience is unique and should be treated based on the individual's
goals for pain management. Therefore, the amount of medication needed is dependent on
the client's needs and reports of pain relief. The nurse should not assume that high doses of
analgesics will be needed to alleviate the client's pain. Immediate or quick pain relief might
be difficult to achieve, especially considering the client's type of cancer and bone metastases.
Addiction is a psychological condition and not a concern for this client. However, the client
may develop a physical dependence and tolerance to pain medications that may require an
increase in dosage to manage pain effectively.
The nurse is evaluating the effectiveness of therapy for a client who received albuterol via
nebulizer during an acute episode of shortness of breath due to asthma. Which finding is the
best indicator that the therapy was effective?
A. No wheezes are audible.
B. The respiratory rate is 16 breaths/minute.
C. Oxygen saturation is greater than 90%.
D. Accessory muscle use has decreased.
Answer: C. Oxygen saturation is greater than 90%.
The goal for treatment of an asthma attack is to relieve bronchospasms and keep the oxygen
saturation greater than 90%. Albuterol is a short-acting inhaled beta2-adrenergic agonist and
the treatment of choice for an acute asthma attack. Pulse oximetry is an objective data point
that the nurse should use to determine oxygenation status of the client. The other client data
may occur when the client is too fatigued to continue with the increased work of breathing
2|Page
,required in an asthma attack and, therefore, should not be used to evaluate effectiveness of
treatment.
A nurse administers cimetidine to an elderly client diagnosed with a gastric ulcer. The nurse
should monitor the client for which adverse reaction?
A. Hearing loss
B. Increased liver enzymes
C. Constipation
D. Mental status change
Answer: D. Mental status change
Cimetidine is a histamine H2-receptor antagonist used to treat gastric ulcers. It has been
found to cause confusion in susceptible clients, such as the elderly and debilitated clients.
Clients over the age of 50 or clients who are severely ill may become temporarily confused
while taking H2 blockers, especially cimetidine.
The nurse in an ambulatory clinic is speaking with the parents of a 2-year-old child diagnosed
with acute otitis media. Which information is most important for the nurse to include in the
instructions to the parents?
A. The child should return to the clinic to evaluate effectiveness of the treatment.
B. The child may be given a decongestant to relieve pressure on the tympanic membrane.
C. The child may be given acetaminophen or ibuprofen drops for pain.
D. The child must complete the entire course of the prescribed antibiotic.
Answer: D. The child must complete the entire course of the prescribed antibiotic.
Acute otitis media (AOM) is an inflammation of the middle ear space with a rapid onset of the
signs and symptoms of acute infection, namely, fever and otalgia (ear pain). It is one of the
most prevalent early childhood illnesses. Treatment for AOM is one of the most common
3|Page
, reasons for antibiotic use in the ambulatory setting. When antibiotics are necessary, it is most
important to complete the entire course to prevent antibiotic resistance. The child should be
seen after antibiotic therapy is complete to ensure that the infection has resolved. Supportive
care of AOM includes treating the fever and pain. Decongestants or antihistamines are not
recommended for children with ear infections.
The nurse is taking care of a client receiving nitroglycerin by transdermal patch. Which
information is correct about the administration of this medication? Select all that apply.
A. Avoid touching the area of the patch containing the medication.
B. Apply the new patch to the anterior calf area.
C. Make sure the skin is clean and dry.
D. Use a piece of adhesive tape around the edges if it is not adhered to the skin.
E. Apply the patch every day at the same time.
F. Remove the patch after 12 to 14 hours.
Answer: A. Avoid touching the area of the patch containing the medication, C. Make sure the
skin is clean and dry, E. Change the patch every day at the same time. F. Remove the patch
after 12 to 14 hours
Rationale:
The nurse should avoid touching the patch impregnated with nitroglycerin and make sure the
skin is dry and clean prior to application. The patch is changed every day at the same time and
removed after 12 to 14 hours. The patch is typically applied to the upper arm or chest area;
however, it can be applied anywhere on the body below the neck and above the knees or
elbows. The impregnated patch has its own adhesive surface.
The nurse is administering heparin via the subcutaneous route. Which intervention should the
nurse implement?
A. Prepare the medication using a 23-gauge, 1- inch needle
4|Page
