REX-PN EXAMINATION | COMPLETE QUESTIONS
AND COMPLETE SOLUTIONS | 2026 UPDATE
• The nurse is creating assignments for the following shift. Which of the following
assignments would be appropriate for unlicensed assistive personnel (UAP)?
A. A 65-year-old requiring a sterile dressing changes.
B. A 26-year-old requiring a one-person assist in ambulating to the restroom.
C. An 80-year-old who is receiving enteral feedings continuously through an NG
tube.
D. A 16-year-old who is 4 hours post-cardiac catheterization. . CORRECT
ANSWER: B. A 26-year-old requiring a one-person assist in ambulating to the
restroom.
• You receive an order to administer 600 mg ibuprofen to your client as needed
every 6 hours. You retrieve the medication, which comes in 200 mg tablets. How
many tablets do you administer to your client?
A. 1 tablet
B. 5 tablets
C. 3 tablets
D. 2 tablets . CORRECT ANSWER: C. 3 tablets
• The nurse is providing discharge instructions to a client who speaks a language
different from the nurse's. The client's family members are present, and they speak
English. Which action by the nurse is the most appropriate to ensure effective
communication during the discharge process?
A. Use a smartphone translation app to convey the instructions to the client.
,B. Provide written material in the client's language and provide oral instructions in
English.
C. Request an interpreter from the hospital's language services to assist with the
discharge instructions.
D. Summarize the instructions in basic English and have the family members relay
the information to the client. . CORRECT ANSWER: C. Request an interpreter
from the hospital's language services to assist with the discharge instructions.
• The client with a history of right mastectomy is receiving maintenance IV fluids
via a peripherally inserted intravenous line in the left cephalic vein. The client
complains of pain at the IV site. The nurse notes that the infusion has slowed and
assesses swelling as well as erythema at the IV site. Which action should the nurse
take first?
A. Stop the infusion and remove the IV catheter.
B. Insert a new IV in the left intermediate basilic vein.
C. Prepare the client for PICC line placement.
D. Elevate the right arm to reduce swelling. . CORRECT ANSWER: A. Stop the
infusion and remove the IV catheter.
• The LPN is caring for an infant who will be going to the operating room the next
day for surgical repair of his total anomalous pulmonary venous return. She has
finished signing the consent paperwork for the operation. The mother states "I'm
not so sure about this. What if my baby dies?!" What is the appropriate action for
the LPN?
A. Explain the procedure to the mother.
B. Notify the surgical team and have them come back to speak with the mother.
C. Reassure the mother that everything will go as planned.
,D. Tell the mother that because she has already signed the consent paperwork she
cannot change her mind now . CORRECT ANSWER: B. Notify the surgical team
and have them come back to speak with the mother.
• Which of the following infection control activities should be delegated to an
experienced nursing assistant?
A. Asking clients about the duration of antibiotic therapy.
B. Demonstrating correct handwashing techniques to clients and their families.
C. Disinfecting blood pressure cuffs after clients are discharged.
D. Screening clients for upper respiratory tract symptoms. . CORRECT
ANSWER: C. Disinfecting blood pressure cuffs after clients are discharged.
• A nurse is discharging a client home. Which of these would be most important to
include in discharge teaching for a client with a platelet count of 40.000 mcL (40 x
10^9/L)?
A. Be sure to take your aspirin with meals daily.
B. You may continue to shave with a straight-edge razor.
C. Use a soft toothbrush and floss gently.
D. You should take a multivitamin daily. . CORRECT ANSWER: C. Use a soft
toothbrush and floss gently.
• The nurse plans care for a client admitted with Haemophilus influenzae, type b
Meningitis. When caring for this client, the nurse should gather which appropriate
personnel protective equipment (PPE)?
A. Boot (shoe) covers
, B. Face shield
C. Surgical mask
D. Gown . CORRECT ANSWER: C. Surgical mask
• The nurse observes a newly hired nurse apply bilateral soft-wrist restraints to a
client. Which action by the newly hired nurse requires follow-up?
A. Secures the restraint to the frame of the bed
B. Repositions the client from semi-Fowlers to prone.
C. Provides easy access to the quick release buckle
D. Assesses the radial pulse every two hours . CORRECT ANSWER: B.
Repositions the client from semi-Fowlers to prone.
• The nurse is preparing to administer an intramuscular (IM) injection to a neonate.
Which gauge and size needle should the nurse use to administer the medication?
A. 19 gauge, 1 1/2" (3.8 cm) needle
B. 18 gauge, 1" (2.5 cm) needle
C. 20 gauge, 1" (2.5 cm) needle
D. 25 gauge, 5/8" (1.6 cm) needle . CORRECT ANSWER: D. 25 gauge, 5/8" (1.6
cm) needle
• The nurse has received a report on the following clients on a medical-surgical
floor. Which of these clients should the nurse see first? A client with
A. with a respiratory rate of 24 and an oxygen saturation of 94%.
B. with diabetes mellitus who has a blood glucose of 134 mg/dL [70-110 mg/dL]
AND COMPLETE SOLUTIONS | 2026 UPDATE
• The nurse is creating assignments for the following shift. Which of the following
assignments would be appropriate for unlicensed assistive personnel (UAP)?
A. A 65-year-old requiring a sterile dressing changes.
B. A 26-year-old requiring a one-person assist in ambulating to the restroom.
C. An 80-year-old who is receiving enteral feedings continuously through an NG
tube.
D. A 16-year-old who is 4 hours post-cardiac catheterization. . CORRECT
ANSWER: B. A 26-year-old requiring a one-person assist in ambulating to the
restroom.
• You receive an order to administer 600 mg ibuprofen to your client as needed
every 6 hours. You retrieve the medication, which comes in 200 mg tablets. How
many tablets do you administer to your client?
A. 1 tablet
B. 5 tablets
C. 3 tablets
D. 2 tablets . CORRECT ANSWER: C. 3 tablets
• The nurse is providing discharge instructions to a client who speaks a language
different from the nurse's. The client's family members are present, and they speak
English. Which action by the nurse is the most appropriate to ensure effective
communication during the discharge process?
A. Use a smartphone translation app to convey the instructions to the client.
,B. Provide written material in the client's language and provide oral instructions in
English.
C. Request an interpreter from the hospital's language services to assist with the
discharge instructions.
D. Summarize the instructions in basic English and have the family members relay
the information to the client. . CORRECT ANSWER: C. Request an interpreter
from the hospital's language services to assist with the discharge instructions.
• The client with a history of right mastectomy is receiving maintenance IV fluids
via a peripherally inserted intravenous line in the left cephalic vein. The client
complains of pain at the IV site. The nurse notes that the infusion has slowed and
assesses swelling as well as erythema at the IV site. Which action should the nurse
take first?
A. Stop the infusion and remove the IV catheter.
B. Insert a new IV in the left intermediate basilic vein.
C. Prepare the client for PICC line placement.
D. Elevate the right arm to reduce swelling. . CORRECT ANSWER: A. Stop the
infusion and remove the IV catheter.
• The LPN is caring for an infant who will be going to the operating room the next
day for surgical repair of his total anomalous pulmonary venous return. She has
finished signing the consent paperwork for the operation. The mother states "I'm
not so sure about this. What if my baby dies?!" What is the appropriate action for
the LPN?
A. Explain the procedure to the mother.
B. Notify the surgical team and have them come back to speak with the mother.
C. Reassure the mother that everything will go as planned.
,D. Tell the mother that because she has already signed the consent paperwork she
cannot change her mind now . CORRECT ANSWER: B. Notify the surgical team
and have them come back to speak with the mother.
• Which of the following infection control activities should be delegated to an
experienced nursing assistant?
A. Asking clients about the duration of antibiotic therapy.
B. Demonstrating correct handwashing techniques to clients and their families.
C. Disinfecting blood pressure cuffs after clients are discharged.
D. Screening clients for upper respiratory tract symptoms. . CORRECT
ANSWER: C. Disinfecting blood pressure cuffs after clients are discharged.
• A nurse is discharging a client home. Which of these would be most important to
include in discharge teaching for a client with a platelet count of 40.000 mcL (40 x
10^9/L)?
A. Be sure to take your aspirin with meals daily.
B. You may continue to shave with a straight-edge razor.
C. Use a soft toothbrush and floss gently.
D. You should take a multivitamin daily. . CORRECT ANSWER: C. Use a soft
toothbrush and floss gently.
• The nurse plans care for a client admitted with Haemophilus influenzae, type b
Meningitis. When caring for this client, the nurse should gather which appropriate
personnel protective equipment (PPE)?
A. Boot (shoe) covers
, B. Face shield
C. Surgical mask
D. Gown . CORRECT ANSWER: C. Surgical mask
• The nurse observes a newly hired nurse apply bilateral soft-wrist restraints to a
client. Which action by the newly hired nurse requires follow-up?
A. Secures the restraint to the frame of the bed
B. Repositions the client from semi-Fowlers to prone.
C. Provides easy access to the quick release buckle
D. Assesses the radial pulse every two hours . CORRECT ANSWER: B.
Repositions the client from semi-Fowlers to prone.
• The nurse is preparing to administer an intramuscular (IM) injection to a neonate.
Which gauge and size needle should the nurse use to administer the medication?
A. 19 gauge, 1 1/2" (3.8 cm) needle
B. 18 gauge, 1" (2.5 cm) needle
C. 20 gauge, 1" (2.5 cm) needle
D. 25 gauge, 5/8" (1.6 cm) needle . CORRECT ANSWER: D. 25 gauge, 5/8" (1.6
cm) needle
• The nurse has received a report on the following clients on a medical-surgical
floor. Which of these clients should the nurse see first? A client with
A. with a respiratory rate of 24 and an oxygen saturation of 94%.
B. with diabetes mellitus who has a blood glucose of 134 mg/dL [70-110 mg/dL]
