ReXPN COMPREHENSIVE EXAM 2026 QUESTIONS AND
SOLUTIONS RATED A+
✔✔Rubella - ✔✔a viral infection characterized by a low-grade fever, swollen glands,
inflamed eyes, and a fine, pink rash
can happen in pregnant women, so make sure to immunize as kids to prevent the
spread
✔✔Haemophilus influenzae type B - ✔✔reduces infant meningitis
✔✔iron - ✔✔helps red blood cells carry oxygen
sources: meat, poultry, seafood, fortified fibre, veggies&legumes
✔✔neutropenic - ✔✔low WBC count
✔✔stomatitis - ✔✔swelling around mouth
tr: foam tipped applicator during oral care
✔✔CKD chronic kidney disease - ✔✔mild to severe kidney failure
s/s= hyperkalemia (high pulse)
leading cause= diabetes (the high Bl. sugar damages the vessels in kidneys)
✔✔blood transfusion - ✔✔stay with patient 15 mins after
circulatory overload: dyspnea (difficulty breathing), cough, rapid HR
✔✔Hepatitis a - ✔✔inflammation of the liver, transmitted orally through fecal
contamination of food or water
s/s= nausea, RUQ pain, malaise
no cure but gets better on its own
✔✔hepatitis b - ✔✔inflammation of the liver, transmitted sexually or by contaminated
blood or body fluids
✔✔hepatitis c - ✔✔inflammation of the liver transmitted by infected blood and body
fluids/ IV drug use
s/s: pain, vomit, jaundice
, ✔✔glaucoma - ✔✔increased intraocular pressure
unlikely to lose vision with tr.
there are no s/s, so pt. must be compliant with routine meds
✔✔ECT - ✔✔electroconvulsive therapy; a biomedical therapy for severely depressed
patients in which a brief electric current is sent through the brain of an anesthetized
patient
- MUST use anesthesia. tell pt that it will help with pain
- must orient pt. after anesthesia
✔✔ulcerative colitis - ✔✔chronic inflammation of the colon with ulcers
s/s: bloody diarrhea, abdominal pain
adverse s/s: !!!! restless, pale skin, bad vitals. = too complex for RPN
✔✔type 1 diabetes - ✔✔body cannot produce enough insulin
- must carry concentrated glucose at all times
- exercise reduces body's need for insulin
✔✔postural hypotension - ✔✔sudden drop in blood pressure upon standing
eg. narcotics and ambulation can cause this. blood supply in brain will decrease
suddenly
✔✔Thrombophlebitis - ✔✔inflammation of a vein associated with a clot
- must immediately confine to bed if leg hurts eg. after surgery
✔✔Osteorarthritis - ✔✔rubbing of joints;
affects weight bearing joints and is not symmetrical
tr; turn to side, place pillow between legs to support and prevent dislocation, exercise
what is mobile, do not cross legs at ankle, post-op care is priority to regain strength
✔✔osteoporosis - ✔✔a condition in which the bones become fragile and break easily
- looks like compressed fractures
✔✔Candidiasis (Thrush) - ✔✔a fungal infection in the mouth and/or throat caused by
Candida albicans and manifesting as white patches and ulcers
- an HIV, vaginal yeast infection
- can also happen after prolonged antibiotic therapy
SOLUTIONS RATED A+
✔✔Rubella - ✔✔a viral infection characterized by a low-grade fever, swollen glands,
inflamed eyes, and a fine, pink rash
can happen in pregnant women, so make sure to immunize as kids to prevent the
spread
✔✔Haemophilus influenzae type B - ✔✔reduces infant meningitis
✔✔iron - ✔✔helps red blood cells carry oxygen
sources: meat, poultry, seafood, fortified fibre, veggies&legumes
✔✔neutropenic - ✔✔low WBC count
✔✔stomatitis - ✔✔swelling around mouth
tr: foam tipped applicator during oral care
✔✔CKD chronic kidney disease - ✔✔mild to severe kidney failure
s/s= hyperkalemia (high pulse)
leading cause= diabetes (the high Bl. sugar damages the vessels in kidneys)
✔✔blood transfusion - ✔✔stay with patient 15 mins after
circulatory overload: dyspnea (difficulty breathing), cough, rapid HR
✔✔Hepatitis a - ✔✔inflammation of the liver, transmitted orally through fecal
contamination of food or water
s/s= nausea, RUQ pain, malaise
no cure but gets better on its own
✔✔hepatitis b - ✔✔inflammation of the liver, transmitted sexually or by contaminated
blood or body fluids
✔✔hepatitis c - ✔✔inflammation of the liver transmitted by infected blood and body
fluids/ IV drug use
s/s: pain, vomit, jaundice
, ✔✔glaucoma - ✔✔increased intraocular pressure
unlikely to lose vision with tr.
there are no s/s, so pt. must be compliant with routine meds
✔✔ECT - ✔✔electroconvulsive therapy; a biomedical therapy for severely depressed
patients in which a brief electric current is sent through the brain of an anesthetized
patient
- MUST use anesthesia. tell pt that it will help with pain
- must orient pt. after anesthesia
✔✔ulcerative colitis - ✔✔chronic inflammation of the colon with ulcers
s/s: bloody diarrhea, abdominal pain
adverse s/s: !!!! restless, pale skin, bad vitals. = too complex for RPN
✔✔type 1 diabetes - ✔✔body cannot produce enough insulin
- must carry concentrated glucose at all times
- exercise reduces body's need for insulin
✔✔postural hypotension - ✔✔sudden drop in blood pressure upon standing
eg. narcotics and ambulation can cause this. blood supply in brain will decrease
suddenly
✔✔Thrombophlebitis - ✔✔inflammation of a vein associated with a clot
- must immediately confine to bed if leg hurts eg. after surgery
✔✔Osteorarthritis - ✔✔rubbing of joints;
affects weight bearing joints and is not symmetrical
tr; turn to side, place pillow between legs to support and prevent dislocation, exercise
what is mobile, do not cross legs at ankle, post-op care is priority to regain strength
✔✔osteoporosis - ✔✔a condition in which the bones become fragile and break easily
- looks like compressed fractures
✔✔Candidiasis (Thrush) - ✔✔a fungal infection in the mouth and/or throat caused by
Candida albicans and manifesting as white patches and ulcers
- an HIV, vaginal yeast infection
- can also happen after prolonged antibiotic therapy
