REX-PN / GUARANTEED SUCCES FINAL
TEST 2026 QUESTIONS WITH CORRECT
ANSWERS GRADED A+
◍ At the first dressing change, the practical nurse (PN) tells the client that her
mastectomy incision is healing well, but the client refuses to look at the
incision and refuses to talk about it. Which response by the PN to the client's
silence is best?
A. It's OK if you don't want to look or talk about the mastectomy. I will be
available when you're ready.
B. You will feel better when you see that the incision is not as bad as you
may think.
C. Would you like me to call another nurse to be here while I show you the
wound?.
D. Part of recovery is accepting your new body image, and you will need to
look at your incision..
Answer: A.It's OK if you don't want to look or talk about the mastectomy. I
will be available when you're ready.
◍ The practical nurse (PN) determines that a client's pupils constrict as they
change focus from a far object to a near object. How should the PN
document this finding?
A. Peripheral vision intact.
B. Nystagmus present with pupillary focus.
C. Consensual pupillary constriction present
D. Pupils reactive to accommodation.
Answer: D.Pupils reactive to accommodation
◍ When caring for postoperative clients, which situation requires the most
immediate intervention by the practical nurse (PN)?
, A. A client with diabetes mellitus (DM) develops cellulitis around a foot
wound.
B. Following suture removal from a client's stab wound, the wound
dehisces.
C. Following abdominal surgery, a client experiences wound evisceration.
D. A client with a stage 4 sacral pressure ulcer develops purulent drainage..
Answer: C.Following abdominal surgery, a client experiences wound
evisceration.
◍ The practical nurse (PN) palpates a client's radial pulse and notes that the
pulse disappears when light pressure is applied.How should the PN
document this finding?
A. Thready pulse volume
B. Missing pulse.
C. Light pressure applied to pulse
D. Pulse skips beats.
Answer: A.Thready pulse volume
◍ For the past six hours, a postoperative male client has refused pain
medication because he believed that he could "tough it out." When an opioid
analgesic is administered, the client has difficulty obtaining a satisfactory
level of comfort.Which action is best for the practical nurse (PN) to use in
assisting this client to deal with his pain?
A. Dim the lights in the room and close the door.
B. Guide the client through slow, rhythmic breathing.
C. Turn the television on to the client's favorite show.
D. Obtain a prescription for a higher dose of pain medication..
Answer: B.Guide the client through slow, rhythmic breathing.
◍ A 15-year-old adolescent male with a mild mental disability is hospitalized
for minor surgery and tells the practical nurse (PN), "Wow! You have big
breasts."Which response is best for the PN to provide?
A. The size of my breasts is of no concern to you.
B. That language is not allowed.
, C. Do you really think so?
D. If you talk like that again, I will tell your parents..
Answer: B.That language is not allowed.
◍ The practical nurse (PN) is caring for a client with a new prescription for
fluticasone furoate nasal spray, a glucocorticoid prescribed for the client's
nasal allergy symptoms.In reinforcing instructions about self-administration
of the nasal spray, the PN should emphasize the need for the client to take
which action before self-administration?
A. Exhale through the mouth.
B. Gently blow the nose.
C. Check glucose level before and after administration.
D. Deep breathe and cough..
Answer: B. Gently blow the nose.
◍ The practical nurse (PN) is assisting with the admission of a client with
complications of left- sided heart failure. Which focused assessment should
the PN implement first?
A. Heart sounds
B. Mood and affect
C. Chest pain
D. Bilateral lung sounds.
Answer: D.Bilateral lung sounds
◍ Douching before Pap test.
Answer: I should not douche for 24 hours prior to having a Pap test
performed.
◍ Post-colon resection care.
Answer: You should avoid placing a pillow over your incision to cough and
deep-breathe.
◍ The practical nurse (PN) is caring for a client whose urine drug screen is
positive for cocaine. Which behavior is this client likely to exhibit during
cocaine withdrawal?
A. Elevated energy level.
, B. High self-esteem.
C. Euphoria.
D. Powerful craving for more..
Answer: D.Powerful craving for more.
◍ A 16-year-old client is asking the practical nurse (PN) what can be done
about acne. Which recommendation should the PN provide?
A. Omit chocolate, carbonated drinks, and fried foods from the diet.
B. Refer to the dermatologist for prescribed long-term therapy.
C. Express blackheads and follow with an exfoliating scrub.
D. Express blackheads and follow with an exfoliating scrub..
Answer: B.Refer to the dermatologist for prescribed long-term therapy.
◍ Reassurance for amputee client.
Answer: Reassure the client that everything will be all right.
◍ Quality Improvement Program Action.
Answer: Appoint a staff member as the client safety officer for the unit.
◍ A client is scheduled for a thoracentesis that will be done at the bedside.
What should the practical nurse (PN) prepare before the healthcare provider
arrives on the unit to perform the procedure?
A. Place the client in an orthopneic position
B. Keep the client NPO and encourage to void.
C. Gather the procedure tray and equipment.
D. Cleanse the site and cover with a sterile towel..
Answer: C.Gather the procedure tray and equipment.
◍ Time management advice.
Answer: Evaluate your assigned tasks to determine which tasks can be
assigned to other staff members.
◍ Appropriate response to major depression.
Answer: The client tells the nurse, 'Things are beginning to fall into place.'
An appropriate response for the nurse to make would be, 'What has been the
most helpful for you?'
TEST 2026 QUESTIONS WITH CORRECT
ANSWERS GRADED A+
◍ At the first dressing change, the practical nurse (PN) tells the client that her
mastectomy incision is healing well, but the client refuses to look at the
incision and refuses to talk about it. Which response by the PN to the client's
silence is best?
A. It's OK if you don't want to look or talk about the mastectomy. I will be
available when you're ready.
B. You will feel better when you see that the incision is not as bad as you
may think.
C. Would you like me to call another nurse to be here while I show you the
wound?.
D. Part of recovery is accepting your new body image, and you will need to
look at your incision..
Answer: A.It's OK if you don't want to look or talk about the mastectomy. I
will be available when you're ready.
◍ The practical nurse (PN) determines that a client's pupils constrict as they
change focus from a far object to a near object. How should the PN
document this finding?
A. Peripheral vision intact.
B. Nystagmus present with pupillary focus.
C. Consensual pupillary constriction present
D. Pupils reactive to accommodation.
Answer: D.Pupils reactive to accommodation
◍ When caring for postoperative clients, which situation requires the most
immediate intervention by the practical nurse (PN)?
, A. A client with diabetes mellitus (DM) develops cellulitis around a foot
wound.
B. Following suture removal from a client's stab wound, the wound
dehisces.
C. Following abdominal surgery, a client experiences wound evisceration.
D. A client with a stage 4 sacral pressure ulcer develops purulent drainage..
Answer: C.Following abdominal surgery, a client experiences wound
evisceration.
◍ The practical nurse (PN) palpates a client's radial pulse and notes that the
pulse disappears when light pressure is applied.How should the PN
document this finding?
A. Thready pulse volume
B. Missing pulse.
C. Light pressure applied to pulse
D. Pulse skips beats.
Answer: A.Thready pulse volume
◍ For the past six hours, a postoperative male client has refused pain
medication because he believed that he could "tough it out." When an opioid
analgesic is administered, the client has difficulty obtaining a satisfactory
level of comfort.Which action is best for the practical nurse (PN) to use in
assisting this client to deal with his pain?
A. Dim the lights in the room and close the door.
B. Guide the client through slow, rhythmic breathing.
C. Turn the television on to the client's favorite show.
D. Obtain a prescription for a higher dose of pain medication..
Answer: B.Guide the client through slow, rhythmic breathing.
◍ A 15-year-old adolescent male with a mild mental disability is hospitalized
for minor surgery and tells the practical nurse (PN), "Wow! You have big
breasts."Which response is best for the PN to provide?
A. The size of my breasts is of no concern to you.
B. That language is not allowed.
, C. Do you really think so?
D. If you talk like that again, I will tell your parents..
Answer: B.That language is not allowed.
◍ The practical nurse (PN) is caring for a client with a new prescription for
fluticasone furoate nasal spray, a glucocorticoid prescribed for the client's
nasal allergy symptoms.In reinforcing instructions about self-administration
of the nasal spray, the PN should emphasize the need for the client to take
which action before self-administration?
A. Exhale through the mouth.
B. Gently blow the nose.
C. Check glucose level before and after administration.
D. Deep breathe and cough..
Answer: B. Gently blow the nose.
◍ The practical nurse (PN) is assisting with the admission of a client with
complications of left- sided heart failure. Which focused assessment should
the PN implement first?
A. Heart sounds
B. Mood and affect
C. Chest pain
D. Bilateral lung sounds.
Answer: D.Bilateral lung sounds
◍ Douching before Pap test.
Answer: I should not douche for 24 hours prior to having a Pap test
performed.
◍ Post-colon resection care.
Answer: You should avoid placing a pillow over your incision to cough and
deep-breathe.
◍ The practical nurse (PN) is caring for a client whose urine drug screen is
positive for cocaine. Which behavior is this client likely to exhibit during
cocaine withdrawal?
A. Elevated energy level.
, B. High self-esteem.
C. Euphoria.
D. Powerful craving for more..
Answer: D.Powerful craving for more.
◍ A 16-year-old client is asking the practical nurse (PN) what can be done
about acne. Which recommendation should the PN provide?
A. Omit chocolate, carbonated drinks, and fried foods from the diet.
B. Refer to the dermatologist for prescribed long-term therapy.
C. Express blackheads and follow with an exfoliating scrub.
D. Express blackheads and follow with an exfoliating scrub..
Answer: B.Refer to the dermatologist for prescribed long-term therapy.
◍ Reassurance for amputee client.
Answer: Reassure the client that everything will be all right.
◍ Quality Improvement Program Action.
Answer: Appoint a staff member as the client safety officer for the unit.
◍ A client is scheduled for a thoracentesis that will be done at the bedside.
What should the practical nurse (PN) prepare before the healthcare provider
arrives on the unit to perform the procedure?
A. Place the client in an orthopneic position
B. Keep the client NPO and encourage to void.
C. Gather the procedure tray and equipment.
D. Cleanse the site and cover with a sterile towel..
Answer: C.Gather the procedure tray and equipment.
◍ Time management advice.
Answer: Evaluate your assigned tasks to determine which tasks can be
assigned to other staff members.
◍ Appropriate response to major depression.
Answer: The client tells the nurse, 'Things are beginning to fall into place.'
An appropriate response for the nurse to make would be, 'What has been the
most helpful for you?'
