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Introduction:
This document contains a complete and up-to-date collection of
Registered Examination for Practical Nurses (RExPN) study
questions with verified answers. It covers a wide range of nursing
topics, including pharmacology, maternal and child health, mental
health, medical-surgical nursing, infection control, and professional
practice. Each question includes the correct answer and is designed
to reflect current RExPN exam standards. Ideal for practical nursing
students preparing for licensure exams in Canada, this study guide
supports mastery of key concepts, clinical reasoning, and ethical
decision-making.
Exam Questions and Answers
A 9-year-old child has received high doses of antibodies. His mother
asks the practical nurse to explain the term "ototoxicity." The
practical nurse is aware that ototoxicity describes a potential
consequence of medications having an adverse effect on A. The
organs of hearing (---correct answer ---)
B. The organs of urination
C. Bone formation
D. The organs of vision
A practical nurse is caring for a client 48 hours after a
pancreatectomy for cancer of the pancreas. Upon entering the
,room, the nurse immediately observes minimal drainage from the
nasogastric (NG) tube. Which of the following actions is most
important for the nurse to take? A. Notify primary health care
provider immediately
B. Monitor vital signs every 15 minutes
C. Check the NG tube for kinking (---correct answer ---)
D. Replace the NG tube immediately
A 4-year-old boy has been recently diagnosed with attention-
deficit/hyperactivity disorder (ADHD). His parents have attempted
to resist any drug therapy for their son, however, his behavioural
problems have only been getting more frequent. The parents bring
their son to the clinic to ask the practical nurse about the drug they
prescribe for ADHD children. Which of the following medications is
commonly used to treat ADHD? A. Chlordiazepoxide (Librium)
B. Methylphenidate (Ritalin) (---correct answer ---)
C. Lithium (Carbolith)
D. Phenobarbital (Luminal)
Sara is a 6-month-old infant who was born with a large ventricular
septal defect (VSD). She has a co-diagnosis of failure to thrive
related to the heart defect. She is admitted to hospital for
evaluation and treatment of his symptoms. Sara has a cardiac
catheterization to help determine the extent of her VSD. During the
, procedure, cardiac output is determined. What is cardiac output? A.
The peak pressure in the left ventricle during systole
B. The amount of blood present in the left ventricle at the end of
diastole
C. The amount of blood ejected by the heart in one minute (---
correct answer ---)
D. The amount of blood ejected from the heart in one contraction
Which of the following should not be done by the practical nurse for
a client who has an unsteady gait? A. Apply a chest restraint at
night (---correct answer ---)
B. Remove any room obstacles that could get in the way
C. Keep the call light within the client's reach
D. Provide sufficient lighting in room and bathroom
A 28-year-old female is 10 weeks' gestation with her third
pregnancy. The client mentions to the practical nurse that her
previous two pregnancies her babies were both over 10 pounds
when they were born. Which screening test would be most
appropriate for this client? A. Amniocentesis
B. Fasting blood glucose (---correct answer ---)
C. Maternal nutrition analysis
D. Pelvimetry