REx-PN Practice Exam – Nursing Exam Prep
Material with Verified Solutions (Canada 2025)
Introduction:
This document contains a complete set of REx-PN (Registered
Examination for Practical Nurses) practice exam questions with
verified, detailed solutions. It covers major nursing topics including
pharmacology, medication administration, patient safety, mental
health, pediatrics, geriatrics, and emergency care. Each question
includes the correct answer and rationale, helping students
understand both practical and theoretical applications in the REx-PN
context. The material aligns with the current Canadian nursing
competencies and provides extensive exam-style practice for effective
test preparation.
Exam Questions and Answers
The nurse on the morning shift is newly employed. Shortly after
administering the client's medication, the nurse realized that the
client received two doses of the prescribed drug. Which of the
following is the first action the nurse must do after the incident?
A. The nurse must inform the prescriber immediately
B. The nurse must write an incident report
C. The nurse must tell the nursing supervisor immediately about the
mistake
D. The nurse must monitor the client in case the client exhibits
signs of an adverse reaction. --- correct answer ---Answer: D. The
,nurse must monitor the client in case they exhibit signs of an
adverse reaction.
While the three incorrect answers must also be completed following
the incident, they should not be completed first. Drug overdose can
have adverse effects on a client, particularly older adults; thus, the
first thing that the nurse must do is monitor the client.
A terminally ill client appears to be very dehydrated. Which of the
following interventions will best assist the terminally ill client?
A. Give the client fluids through a nasogastric tube
B. Ask the client's doctor to prescribe an order for fluids for
hypodermoclysis
C. Prepare to give the client fluids intravenously
D. Gently apply a lubricant on the patient's lips and oral mucous
membranes --- correct answer ---Answer: D. Gently apply a
lubricant on the client's lips and oral mucous membranes
Terminally ill clients often exhibit changes in their eating and
drinking habits. In most cases, they may refuse to eat or drink
anything. This is common in clients at the end of life, resulting in
dehydration.
Even though terminal clients may be dehydrated, they must not be
forced to receive fluids in any way since this may do more harm
than good. However, caretakers and nurses can administer oral
,care, such as the application of lubricants on the client's lips and
oral mucous membranes.
A healthy baby has just been born to a 25-year-old mother. The
nurse is about to administer Vitamin K to the newborn
intramuscularly. Which specific site should the dose be
administered?
A. Deltoid muscle
B. Ventrogluteal muscle
C. Vastus lateralis
D. Dorsogluteal --- correct answer ---Answer: C. Vastus lateralis
Vitamin K is administered to newborns shortly after birth to
prevent hemorrhagic disease. It is given intramuscularly, in the
vastus lateralis muscle of the thigh since it has a large muscle mass,
and it reduces the risk of disrupting the sciatic nerve. This is the
site of choice for infants 1 year and younger as their gluteal muscles
are poorly developed.
A nurse has been assigned to a nursing home. Today is their first
day at the home, and the nurse is to administer medications to the
clients after dinner. The nurse notices that the clients do not have
identification armbands. The photos on the charts of the clients are
of poor quality. Which of the following should the nurse do to
, ensure that the right medications are administered to the right
client?
A. The nurse must refuse to be given the task since the nurse might
make an error
B. The nurse must approach each client and ask for their names
C. The nurse must improve the photos using a software and shows
the photos to the clients so they can identify themselves
D. The nurse must report to the nursing home's director of care for
instructions and a resolution for safe practice. --- correct answer --
-Answer: D. The nurse must report to the nursing home's director
of care for instructions and a resolution for safe practice.
The director of care in a nursing facility manages the activities of
the nursing staff and ensures that all clients are well taken care of.
Thus, if there is a procedure or task that the newly employed nurse
finds confusing or a safety risk, the nurse must first reach out to
the director of care in this setting.
A client was referred to a pulmonologist. The client has been a
smoker for more than five decades and the last doctor he saw
diagnosed the client with chronic obstructive pulmonary disease
and asthma. The client's symptoms have been getting worse during
the last 3 months. A nurse reviewed the client's health history and
questioned the over-the-counter medications the client has been
using. Which of the following medications should the nurse be most
concerned about?
Material with Verified Solutions (Canada 2025)
Introduction:
This document contains a complete set of REx-PN (Registered
Examination for Practical Nurses) practice exam questions with
verified, detailed solutions. It covers major nursing topics including
pharmacology, medication administration, patient safety, mental
health, pediatrics, geriatrics, and emergency care. Each question
includes the correct answer and rationale, helping students
understand both practical and theoretical applications in the REx-PN
context. The material aligns with the current Canadian nursing
competencies and provides extensive exam-style practice for effective
test preparation.
Exam Questions and Answers
The nurse on the morning shift is newly employed. Shortly after
administering the client's medication, the nurse realized that the
client received two doses of the prescribed drug. Which of the
following is the first action the nurse must do after the incident?
A. The nurse must inform the prescriber immediately
B. The nurse must write an incident report
C. The nurse must tell the nursing supervisor immediately about the
mistake
D. The nurse must monitor the client in case the client exhibits
signs of an adverse reaction. --- correct answer ---Answer: D. The
,nurse must monitor the client in case they exhibit signs of an
adverse reaction.
While the three incorrect answers must also be completed following
the incident, they should not be completed first. Drug overdose can
have adverse effects on a client, particularly older adults; thus, the
first thing that the nurse must do is monitor the client.
A terminally ill client appears to be very dehydrated. Which of the
following interventions will best assist the terminally ill client?
A. Give the client fluids through a nasogastric tube
B. Ask the client's doctor to prescribe an order for fluids for
hypodermoclysis
C. Prepare to give the client fluids intravenously
D. Gently apply a lubricant on the patient's lips and oral mucous
membranes --- correct answer ---Answer: D. Gently apply a
lubricant on the client's lips and oral mucous membranes
Terminally ill clients often exhibit changes in their eating and
drinking habits. In most cases, they may refuse to eat or drink
anything. This is common in clients at the end of life, resulting in
dehydration.
Even though terminal clients may be dehydrated, they must not be
forced to receive fluids in any way since this may do more harm
than good. However, caretakers and nurses can administer oral
,care, such as the application of lubricants on the client's lips and
oral mucous membranes.
A healthy baby has just been born to a 25-year-old mother. The
nurse is about to administer Vitamin K to the newborn
intramuscularly. Which specific site should the dose be
administered?
A. Deltoid muscle
B. Ventrogluteal muscle
C. Vastus lateralis
D. Dorsogluteal --- correct answer ---Answer: C. Vastus lateralis
Vitamin K is administered to newborns shortly after birth to
prevent hemorrhagic disease. It is given intramuscularly, in the
vastus lateralis muscle of the thigh since it has a large muscle mass,
and it reduces the risk of disrupting the sciatic nerve. This is the
site of choice for infants 1 year and younger as their gluteal muscles
are poorly developed.
A nurse has been assigned to a nursing home. Today is their first
day at the home, and the nurse is to administer medications to the
clients after dinner. The nurse notices that the clients do not have
identification armbands. The photos on the charts of the clients are
of poor quality. Which of the following should the nurse do to
, ensure that the right medications are administered to the right
client?
A. The nurse must refuse to be given the task since the nurse might
make an error
B. The nurse must approach each client and ask for their names
C. The nurse must improve the photos using a software and shows
the photos to the clients so they can identify themselves
D. The nurse must report to the nursing home's director of care for
instructions and a resolution for safe practice. --- correct answer --
-Answer: D. The nurse must report to the nursing home's director
of care for instructions and a resolution for safe practice.
The director of care in a nursing facility manages the activities of
the nursing staff and ensures that all clients are well taken care of.
Thus, if there is a procedure or task that the newly employed nurse
finds confusing or a safety risk, the nurse must first reach out to
the director of care in this setting.
A client was referred to a pulmonologist. The client has been a
smoker for more than five decades and the last doctor he saw
diagnosed the client with chronic obstructive pulmonary disease
and asthma. The client's symptoms have been getting worse during
the last 3 months. A nurse reviewed the client's health history and
questioned the over-the-counter medications the client has been
using. Which of the following medications should the nurse be most
concerned about?
