REx-PN Canada Exam Questions and
Answers (Verified Answers) ||ACTUAL
EXAM 2026 TEST!! Graded A+ |
2025|2026 EXAM UPDATE
🩺 Management of Care (Prioritisation, Delegation, Ethics)
1. A nurse is assigned to care for four clients. After receiving
morning report, which client should the nurse assess first?
A. A 55-year-old with diabetes whose blood glucose level is 110
mg/dL.
B. A 70-year-old with pneumonia who is febrile with a new onset
of confusion.
C. A 45-year-old with a colostomy who needs assistance with a
pouch change.
D. A 60-year-old with hypertension scheduled for discharge in two
hours.
✅ Correct answer: B
📖 Rationale: The nurse must apply the ABCs (Airway, Breathing,
Circulation) and recognise acute vs. chronic conditions. A new
onset of confusion in an elderly client with pneumonia is a sign of
decreased cerebral oxygenation and possible sepsis, making this
the most unstable condition in the list.
2. A newly licensed practical nurse delegates ambulating a
stable post-operative client to an unregulated care provider
(UCP). Which action by the LPN demonstrates appropriate
delegation?
,A. Telling the UCP to ambulate the client when they have time.
B. Asking the UCP if they are comfortable before giving the task.
C. Informing the UCP about the client’s fall risk and verifying the
UCP’s understanding.
D. Documenting the task before it is completed.
✅ Correct answer: C
📖 Rationale: Effective delegation includes providing clear
instructions, identifying potential risks, and verifying
comprehension. A vague or incomplete instruction does not meet
the standard of safe delegation.
3. A client refuses a prescribed medication because of
religious beliefs. What is the nurse’s best initial action?
A. Explain the risks of refusing the medication.
B. Document the refusal and notify the healthcare provider.
C. Administer the medication by another route.
D. Ask a family member to persuade the client.
✅ Correct answer: B
📖 Rationale: Respect for client autonomy and informed refusal is
a core ethical principle. After a competent client refuses
treatment, the nurse should document the refusal and inform the
provider.
4. The nurse notices a colleague preparing to administer a
medication without scanning the client’s wristband. What
should the nurse do first?
A. Ignore the situation to avoid conflict.
B. Remind the colleague to scan the wristband.
C. Report the colleague to the manager immediately.
D. Wait to see if the colleague gives the wrong medication.
✅ Correct answer: B
,📖 Rationale: Client safety is the priority. A direct, professional
reminder to follow safety protocols (e.g., scanning wristbands) is
the most immediate and collegial intervention.
5. Which client should receive the highest priority when the
nurse is determining the order of assessments?
A. A client requesting pain medication for a headache.
B. A client with a newly elevated temperature of 38.5°C.
C. A client with a respiratory rate of 10 breaths/minute.
D. A client who needs assistance with toileting.
✅ Correct answer: C
📖 Rationale: Using the ABC prioritisation framework, a
respiratory rate of 10 (abnormal) takes precedence over pain,
temperature, or comfort measures.
6. The nurse overhears a colleague telling a client, “If you
don’t take your medication, we will have to restrain you.”
Which action should the nurse take?
A. Ignore the comment because the client needs the medication.
B. Report the comment to the nurse manager.
C. Confront the colleague at the nurses’ station in front of others.
D. Document the comment in the client’s chart.
✅ Correct answer: B
📖 Rationale: Threatening a client constitutes verbal abuse and
violates ethical practice. The incident should be reported to the
manager for proper follow-up.
7. A client with a terminal illness requests information about
medical assistance in dying (MAID). The nurse’s personal
beliefs conflict with MAID. What should the nurse do?
A. Refuse to answer any questions and walk away.
, B. Provide factual information about available resources.
C. Tell the client they are wrong to consider MAID.
D. Change the subject to the client’s physical comfort.
✅ Correct answer: B
📖 Rationale: The nurse has a duty to provide unbiased, factual
information even when personal beliefs differ. The nurse may
arrange for another provider to continue the discussion if
necessary.
8. The nurse receives a telephone order from a physician for a
medication that is not on the facility’s formulary. What
should the nurse do?
A. Administer the medication as ordered.
B. Decline to administer the medication.
C. Clarify the order with the pharmacist before administration.
D. Ask the physician to write a new order for a formulary
medication.
✅ Correct answer: D
📖 Rationale: The nurse must follow facility policy; administering
a non-formulary medication without approval is unsafe.
Requesting an alternative that is available in the pharmacy is the
correct action.
9. Which of the following tasks can the LPN assign to an
unregulated care provider (UCP)?
A. Administering oral medications.
B. Evaluating the effectiveness of pain relief.
C. Assisting a stable client with feeding.
D. Performing a sterile dressing change.
✅ Correct answer: C
📖 Rationale: UCPs may assist with activities of daily living (e.g.,
Answers (Verified Answers) ||ACTUAL
EXAM 2026 TEST!! Graded A+ |
2025|2026 EXAM UPDATE
🩺 Management of Care (Prioritisation, Delegation, Ethics)
1. A nurse is assigned to care for four clients. After receiving
morning report, which client should the nurse assess first?
A. A 55-year-old with diabetes whose blood glucose level is 110
mg/dL.
B. A 70-year-old with pneumonia who is febrile with a new onset
of confusion.
C. A 45-year-old with a colostomy who needs assistance with a
pouch change.
D. A 60-year-old with hypertension scheduled for discharge in two
hours.
✅ Correct answer: B
📖 Rationale: The nurse must apply the ABCs (Airway, Breathing,
Circulation) and recognise acute vs. chronic conditions. A new
onset of confusion in an elderly client with pneumonia is a sign of
decreased cerebral oxygenation and possible sepsis, making this
the most unstable condition in the list.
2. A newly licensed practical nurse delegates ambulating a
stable post-operative client to an unregulated care provider
(UCP). Which action by the LPN demonstrates appropriate
delegation?
,A. Telling the UCP to ambulate the client when they have time.
B. Asking the UCP if they are comfortable before giving the task.
C. Informing the UCP about the client’s fall risk and verifying the
UCP’s understanding.
D. Documenting the task before it is completed.
✅ Correct answer: C
📖 Rationale: Effective delegation includes providing clear
instructions, identifying potential risks, and verifying
comprehension. A vague or incomplete instruction does not meet
the standard of safe delegation.
3. A client refuses a prescribed medication because of
religious beliefs. What is the nurse’s best initial action?
A. Explain the risks of refusing the medication.
B. Document the refusal and notify the healthcare provider.
C. Administer the medication by another route.
D. Ask a family member to persuade the client.
✅ Correct answer: B
📖 Rationale: Respect for client autonomy and informed refusal is
a core ethical principle. After a competent client refuses
treatment, the nurse should document the refusal and inform the
provider.
4. The nurse notices a colleague preparing to administer a
medication without scanning the client’s wristband. What
should the nurse do first?
A. Ignore the situation to avoid conflict.
B. Remind the colleague to scan the wristband.
C. Report the colleague to the manager immediately.
D. Wait to see if the colleague gives the wrong medication.
✅ Correct answer: B
,📖 Rationale: Client safety is the priority. A direct, professional
reminder to follow safety protocols (e.g., scanning wristbands) is
the most immediate and collegial intervention.
5. Which client should receive the highest priority when the
nurse is determining the order of assessments?
A. A client requesting pain medication for a headache.
B. A client with a newly elevated temperature of 38.5°C.
C. A client with a respiratory rate of 10 breaths/minute.
D. A client who needs assistance with toileting.
✅ Correct answer: C
📖 Rationale: Using the ABC prioritisation framework, a
respiratory rate of 10 (abnormal) takes precedence over pain,
temperature, or comfort measures.
6. The nurse overhears a colleague telling a client, “If you
don’t take your medication, we will have to restrain you.”
Which action should the nurse take?
A. Ignore the comment because the client needs the medication.
B. Report the comment to the nurse manager.
C. Confront the colleague at the nurses’ station in front of others.
D. Document the comment in the client’s chart.
✅ Correct answer: B
📖 Rationale: Threatening a client constitutes verbal abuse and
violates ethical practice. The incident should be reported to the
manager for proper follow-up.
7. A client with a terminal illness requests information about
medical assistance in dying (MAID). The nurse’s personal
beliefs conflict with MAID. What should the nurse do?
A. Refuse to answer any questions and walk away.
, B. Provide factual information about available resources.
C. Tell the client they are wrong to consider MAID.
D. Change the subject to the client’s physical comfort.
✅ Correct answer: B
📖 Rationale: The nurse has a duty to provide unbiased, factual
information even when personal beliefs differ. The nurse may
arrange for another provider to continue the discussion if
necessary.
8. The nurse receives a telephone order from a physician for a
medication that is not on the facility’s formulary. What
should the nurse do?
A. Administer the medication as ordered.
B. Decline to administer the medication.
C. Clarify the order with the pharmacist before administration.
D. Ask the physician to write a new order for a formulary
medication.
✅ Correct answer: D
📖 Rationale: The nurse must follow facility policy; administering
a non-formulary medication without approval is unsafe.
Requesting an alternative that is available in the pharmacy is the
correct action.
9. Which of the following tasks can the LPN assign to an
unregulated care provider (UCP)?
A. Administering oral medications.
B. Evaluating the effectiveness of pain relief.
C. Assisting a stable client with feeding.
D. Performing a sterile dressing change.
✅ Correct answer: C
📖 Rationale: UCPs may assist with activities of daily living (e.g.,
