1|Page
REX-PN® TEST BANK 3 EXAM LATEST 2026-2027 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
Which of the following findings in a client with a hiatal hernia who
returned from a laparoscopic Nissen fundoplication 4 hours ago is
most important for the nurse to address immediately?
a. The client is experiencing intermittent waves of nausea.
b. The client has absent breath sounds throughout the left lung.
c. The client complains of 6/10 (0-10 scale) abdominal pain.
d. The client has decreased bowel sounds in all four quadrants. -
ANSWER-Answer: B
Decreased breath sounds on one side may indicate a
pneumothorax, which requires rapid diagnosis and
treatment. The abdominal pain and nausea also should be
addressed but they are not as high priority as the client's
respiratory status. The client's decreased bowel sounds are
expected after surgery and require ongoing monitoring but
no other action.
,2|Page
The nurse is caring for a client in the outpatient clinic who has a
decreased serum magnesium level. Which of the following
assessment areas should the nurse include in the health history?
a. Use of over-the-counter (OTC) laxatives
b. Daily alcohol intake
c. Intake of dietary protein
d. Multivitamin/mineral use - ANSWER-Answer: B
Hypomagnesemia is associated with alcoholism. Protein
intake would not have a significant
effect on magnesium level. OTC laxatives (such as milk of
magnesia) and use of multivitamin
or mineral supplements would tend to increase magnesium
level.
Which of the following information about a client who has just
been admitted to the hospital with nausea and vomiting requires
the most rapid intervention by the nurse?
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a. The client has been vomiting several times a day for the last 4
days.
b. The client has taken only sips of water.
c. The client's chart indicates a recent resection of the small
intestine.
d. The client is lethargic and difficult to arouse. - ANSWER-
Answer: D
A lethargic client is at risk for aspiration, and the nurse will
need to position the client to decrease aspiration risk. The
other information also is important to collect, but it does not
require as quick action as the risk for aspiration.
A client is admitted to the emergency department with severe
abdominal pain with rebound tenderness. The vital signs include
temperature 38.3°C (100.9°F), pulse 130, respirations 34, and
blood pressure (BP) 84/50. Which of the following interventions
should the nurse implement first?
, 4|Page
a. Administer IV ketorolac 5 mg.
b. Infuse 1,000 mL of lactated Ringer's solution over 30 minutes.
c. Draw blood for a complete blood count (CBC).
d. Obtain a computed tomography (CT) scan of the abdomen. -
ANSWER-Answer: B
The priority for this client is to treat the client's hypovolemic
shock with fluid infusion. The other actions should be
implemented after starting the fluid infusion.
The nurse is caring for a client who has been receiving diuretic
therapy and is admitted to the emergency department with a
serum potassium level of 3.1 mmol/L. Of the following
medications that the client has been taking at home, which of the
following would be of most concern to the nurse?
a. Ibuprofen 400 mg every 6 hours
b. Metoprolol 12.5 mg orally daily
c. Lantus insulin 24 U subcutaneously every evening
d. Oral digoxin 0.25 mg daily - ANSWER-Answer: d
REX-PN® TEST BANK 3 EXAM LATEST 2026-2027 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
Which of the following findings in a client with a hiatal hernia who
returned from a laparoscopic Nissen fundoplication 4 hours ago is
most important for the nurse to address immediately?
a. The client is experiencing intermittent waves of nausea.
b. The client has absent breath sounds throughout the left lung.
c. The client complains of 6/10 (0-10 scale) abdominal pain.
d. The client has decreased bowel sounds in all four quadrants. -
ANSWER-Answer: B
Decreased breath sounds on one side may indicate a
pneumothorax, which requires rapid diagnosis and
treatment. The abdominal pain and nausea also should be
addressed but they are not as high priority as the client's
respiratory status. The client's decreased bowel sounds are
expected after surgery and require ongoing monitoring but
no other action.
,2|Page
The nurse is caring for a client in the outpatient clinic who has a
decreased serum magnesium level. Which of the following
assessment areas should the nurse include in the health history?
a. Use of over-the-counter (OTC) laxatives
b. Daily alcohol intake
c. Intake of dietary protein
d. Multivitamin/mineral use - ANSWER-Answer: B
Hypomagnesemia is associated with alcoholism. Protein
intake would not have a significant
effect on magnesium level. OTC laxatives (such as milk of
magnesia) and use of multivitamin
or mineral supplements would tend to increase magnesium
level.
Which of the following information about a client who has just
been admitted to the hospital with nausea and vomiting requires
the most rapid intervention by the nurse?
,3|Page
a. The client has been vomiting several times a day for the last 4
days.
b. The client has taken only sips of water.
c. The client's chart indicates a recent resection of the small
intestine.
d. The client is lethargic and difficult to arouse. - ANSWER-
Answer: D
A lethargic client is at risk for aspiration, and the nurse will
need to position the client to decrease aspiration risk. The
other information also is important to collect, but it does not
require as quick action as the risk for aspiration.
A client is admitted to the emergency department with severe
abdominal pain with rebound tenderness. The vital signs include
temperature 38.3°C (100.9°F), pulse 130, respirations 34, and
blood pressure (BP) 84/50. Which of the following interventions
should the nurse implement first?
, 4|Page
a. Administer IV ketorolac 5 mg.
b. Infuse 1,000 mL of lactated Ringer's solution over 30 minutes.
c. Draw blood for a complete blood count (CBC).
d. Obtain a computed tomography (CT) scan of the abdomen. -
ANSWER-Answer: B
The priority for this client is to treat the client's hypovolemic
shock with fluid infusion. The other actions should be
implemented after starting the fluid infusion.
The nurse is caring for a client who has been receiving diuretic
therapy and is admitted to the emergency department with a
serum potassium level of 3.1 mmol/L. Of the following
medications that the client has been taking at home, which of the
following would be of most concern to the nurse?
a. Ibuprofen 400 mg every 6 hours
b. Metoprolol 12.5 mg orally daily
c. Lantus insulin 24 U subcutaneously every evening
d. Oral digoxin 0.25 mg daily - ANSWER-Answer: d
