REX-PN PRACTICE EXAM PREP
REX-PN PRACTICE EXAM PREP NEWEST 2025/2026 ACTUAL EXAM
COMPLETE 125 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
A client is sent to the psychiatric unit for forensic evaluation after he is accused of
arson. His tentative diagnosis is antisocial personality disorder. In reviewing the
client's record, the nurse would expect to find:
A. A history of consistent employment
B. A below-average intelligence
C. A history of cruelty to animals
D. An expression of remorse for his actions
Option C: A history of cruelty to people and animals, truancy, and setting fires
with a diagnosis of conduct disorder in children, which becomes a diagnosis of
antisocial personality disorder in adults.
The licensed vocational nurse may not assume the primary care for a client:
A. In the fourth stage of labor
B. Two days post-appendectomy
C. With a venous access device
D. With bipolar disorder
Option C: Only a trained nurse with experience and background in caring for a
venous access device can assume the primary care of the client.
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, REX-PN PRACTICE EXAM PREP
The physician has ordered dressings with Sulfamylon cream for a client with full-
thickness burns of the hands and arms. Before dressing changes, the nurse should
give priority to:
A. Administering pain medication
B. Checking the adequacy of urinary output
C. Requesting a daily complete blood count
D. Obtaining a blood glucose by finger stick
Option A: Sulfamylon produces a painful sensation when applied to the burn
wound; therefore, the client should receive pain medication before dressing
changes.
The nurse is teaching a group of parents about gross motor development of the
toddler. Which behavior is an example of the normal gross motor skill of a
toddler?
A. She can pull a toy behind her
B. She can copy a horizontal line
C. She can build a tower of eight blocks
D. She can broad-jump
Option A: The Denver Developmental Screening Test (DDST) is a tool used to
screen for the development of gross motor, language, fine-motor, and personal-
social in infants and preschool children. According to the test, the child can pull a
toy behind her by the age of 2 years.
A client hospitalized with a fractured mandible is to be discharged. Which piece of
equipment should be kept on the client with a fractured mandible?
A. Wire cutters
B. Oral airway
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, REX-PN PRACTICE EXAM PREP
C. Pliers
D. Tracheostomy set
Option A: The client with a fractured mandible should keep a pair of wire cutters
with him at all times to release the device in case of choking or aspiration.
The nurse is to administer digoxin elixir to a 6-month-old with a congenital heart
defect. The nurse auscultates an apical pulse rate of 100 beats per minute. The
nurse should:
A. Record the heart rate and call the physician
B. Record the heart rate and administer the medication
C. Administer the medication and recheck the heart rate in 15 minutes
D. Hold the medication and recheck the heart rate in 30 minutes
Option B: The infant's apical heart rate is within the accepted range for
administering the medication.
A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to explain
the treatment for her daughter. The nurse's explanation is based on the
knowledge that lead poisoning is treated with:
A. Gastric lavage
B. Chelating agents
C. Antiemetics
D. Activated charcoal
Option B: Chelating agents are used to treat the client with poisonings from heavy
metals such as lead and iron.
An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints
for the child with a cleft palate repair are:
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, REX-PN PRACTICE EXAM PREP
A. Elbow restraints
B. Full arm restraints
C. Wrist restraints
D. Mummy restraints
Option A: The least restrictive restraint for the infant with cleft lip and cleft palate
repair is elbow restraints.
A client with glaucoma has been prescribed Timoptic (timolol) eye drops. Timolol
should be used with caution in the client with a history of:
A. Benign Prostatic Hyperplasia
B. Gastric Ulcers
C. Diabetes Mellitus
D. Pancreatitis
Option C: Beta-blockers such as timolol (Timoptic) may mimic the signs and
symptoms of hypoglycemia and therefore are used in caution with patients with
diabetes mellitus.
An elderly client who experiences nighttime confusion wanders from his room into
the room of another client. The nurse can best help decrease the client's
confusion by:
A. Assigning a nursing assistant to sit with him until he falls asleep
B. Allowing the client to room with another elderly client
C. Administering a bedtime sedative
D. Leaving a nightlight on during the evening and night shifts
Option D: Leaving a nightlight on during the evening and night shifts help the
client remain oriented to the environment and fosters independence.
4|Page
REX-PN PRACTICE EXAM PREP NEWEST 2025/2026 ACTUAL EXAM
COMPLETE 125 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
A client is sent to the psychiatric unit for forensic evaluation after he is accused of
arson. His tentative diagnosis is antisocial personality disorder. In reviewing the
client's record, the nurse would expect to find:
A. A history of consistent employment
B. A below-average intelligence
C. A history of cruelty to animals
D. An expression of remorse for his actions
Option C: A history of cruelty to people and animals, truancy, and setting fires
with a diagnosis of conduct disorder in children, which becomes a diagnosis of
antisocial personality disorder in adults.
The licensed vocational nurse may not assume the primary care for a client:
A. In the fourth stage of labor
B. Two days post-appendectomy
C. With a venous access device
D. With bipolar disorder
Option C: Only a trained nurse with experience and background in caring for a
venous access device can assume the primary care of the client.
1|Page
, REX-PN PRACTICE EXAM PREP
The physician has ordered dressings with Sulfamylon cream for a client with full-
thickness burns of the hands and arms. Before dressing changes, the nurse should
give priority to:
A. Administering pain medication
B. Checking the adequacy of urinary output
C. Requesting a daily complete blood count
D. Obtaining a blood glucose by finger stick
Option A: Sulfamylon produces a painful sensation when applied to the burn
wound; therefore, the client should receive pain medication before dressing
changes.
The nurse is teaching a group of parents about gross motor development of the
toddler. Which behavior is an example of the normal gross motor skill of a
toddler?
A. She can pull a toy behind her
B. She can copy a horizontal line
C. She can build a tower of eight blocks
D. She can broad-jump
Option A: The Denver Developmental Screening Test (DDST) is a tool used to
screen for the development of gross motor, language, fine-motor, and personal-
social in infants and preschool children. According to the test, the child can pull a
toy behind her by the age of 2 years.
A client hospitalized with a fractured mandible is to be discharged. Which piece of
equipment should be kept on the client with a fractured mandible?
A. Wire cutters
B. Oral airway
2|Page
, REX-PN PRACTICE EXAM PREP
C. Pliers
D. Tracheostomy set
Option A: The client with a fractured mandible should keep a pair of wire cutters
with him at all times to release the device in case of choking or aspiration.
The nurse is to administer digoxin elixir to a 6-month-old with a congenital heart
defect. The nurse auscultates an apical pulse rate of 100 beats per minute. The
nurse should:
A. Record the heart rate and call the physician
B. Record the heart rate and administer the medication
C. Administer the medication and recheck the heart rate in 15 minutes
D. Hold the medication and recheck the heart rate in 30 minutes
Option B: The infant's apical heart rate is within the accepted range for
administering the medication.
A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to explain
the treatment for her daughter. The nurse's explanation is based on the
knowledge that lead poisoning is treated with:
A. Gastric lavage
B. Chelating agents
C. Antiemetics
D. Activated charcoal
Option B: Chelating agents are used to treat the client with poisonings from heavy
metals such as lead and iron.
An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints
for the child with a cleft palate repair are:
3|Page
, REX-PN PRACTICE EXAM PREP
A. Elbow restraints
B. Full arm restraints
C. Wrist restraints
D. Mummy restraints
Option A: The least restrictive restraint for the infant with cleft lip and cleft palate
repair is elbow restraints.
A client with glaucoma has been prescribed Timoptic (timolol) eye drops. Timolol
should be used with caution in the client with a history of:
A. Benign Prostatic Hyperplasia
B. Gastric Ulcers
C. Diabetes Mellitus
D. Pancreatitis
Option C: Beta-blockers such as timolol (Timoptic) may mimic the signs and
symptoms of hypoglycemia and therefore are used in caution with patients with
diabetes mellitus.
An elderly client who experiences nighttime confusion wanders from his room into
the room of another client. The nurse can best help decrease the client's
confusion by:
A. Assigning a nursing assistant to sit with him until he falls asleep
B. Allowing the client to room with another elderly client
C. Administering a bedtime sedative
D. Leaving a nightlight on during the evening and night shifts
Option D: Leaving a nightlight on during the evening and night shifts help the
client remain oriented to the environment and fosters independence.
4|Page
