REx-PN Clinical Judgment
Practice Exam 2026–2027|
Complete Test Prep Practice
Questions With Answers &
Detailed Rationales |clinical
Judgment &Safety |A+ Rated
1.
A practical nurse is caring for four clients. Which client should the
nurse assess first?
A. A client with chronic arthritis reporting pain of 6/10
B. A client with pneumonia whose oxygen saturation is 88%
C. A client awaiting discharge instructions
D. A client requesting assistance to the bathroom
Answer: B. A client with pneumonia whose oxygen saturation is
88%
Rationale: An oxygen saturation of 88% indicates impaired
oxygenation. Airway and breathing take priority over pain, routine
teaching, and comfort needs.
2.
,A client suddenly becomes confused and restless. Which assessment
is the nurse's priority?
A. Pain level
B. Oxygen saturation
C. Dietary intake
D. Sleep pattern
Answer: B. Oxygen saturation
Rationale: Acute confusion and restlessness may be early signs of
hypoxia. Oxygenation should be assessed promptly.
3.
A nurse enters a room and finds a client on the floor. What should
the nurse do first?
A. Help the client back into bed
B. Complete an incident report
C. Assess the client for injury
D. Notify the family
Answer: C. Assess the client for injury
Rationale: The immediate priority after a fall is assessment for injury
and stabilization before moving the client.
4.
Which finding requires immediate intervention in a postoperative
client?
A. Incisional pain rated 5/10
B. Temperature of 37.4°C
C. Respiratory rate of 8/min
D. Mild nausea after anesthesia
,Answer: C. Respiratory rate of 8/min
Rationale: Bradypnea may indicate respiratory depression,
particularly after anesthesia or opioid administration.
5.
A client receiving oxygen by nasal cannula reports increasing
shortness of breath. What should the nurse do first?
A. Increase the oxygen flow rate independently
B. Assess airway, breathing, and oxygen saturation
C. Call the family
D. Document the finding
Answer: B. Assess airway, breathing, and oxygen saturation
Rationale: The nurse should rapidly assess the client's respiratory
status before determining the appropriate intervention.
6.
Which client is at greatest risk for a pressure injury?
A. Ambulatory adult with hypertension
B. Young adult with a fractured finger
C. Immobile client with urinary incontinence
D. Client who walks three times daily
Answer: C. Immobile client with urinary incontinence
Rationale: Immobility and moisture from incontinence substantially
increase pressure-injury risk.
7.
, A client reports dizziness when standing. Which action is most
appropriate?
A. Encourage rapid position changes
B. Assist the client to sit or lie down
C. Restrict all fluids
D. Encourage independent ambulation
Answer: B. Assist the client to sit or lie down
Rationale: Sitting or lying down reduces the risk of falling and allows
the nurse to assess for orthostatic hypotension.
8.
A nurse is preparing to administer medication. Which action best
prevents medication errors?
A. Administer medications prepared by another nurse
B. Compare the medication with the MAR and prescription
C. Ask the client what medication they usually receive
D. Skip identification if the client is familiar
Answer: B. Compare the medication with the MAR and prescription
Rationale: Medication verification against the current prescription
and MAR is an essential safety measure.
9.
A client with dysphagia is eating lunch. Which intervention is
appropriate?
A. Position the client flat
B. Encourage large bites
C. Keep the client upright
D. Give thin liquids rapidly
Practice Exam 2026–2027|
Complete Test Prep Practice
Questions With Answers &
Detailed Rationales |clinical
Judgment &Safety |A+ Rated
1.
A practical nurse is caring for four clients. Which client should the
nurse assess first?
A. A client with chronic arthritis reporting pain of 6/10
B. A client with pneumonia whose oxygen saturation is 88%
C. A client awaiting discharge instructions
D. A client requesting assistance to the bathroom
Answer: B. A client with pneumonia whose oxygen saturation is
88%
Rationale: An oxygen saturation of 88% indicates impaired
oxygenation. Airway and breathing take priority over pain, routine
teaching, and comfort needs.
2.
,A client suddenly becomes confused and restless. Which assessment
is the nurse's priority?
A. Pain level
B. Oxygen saturation
C. Dietary intake
D. Sleep pattern
Answer: B. Oxygen saturation
Rationale: Acute confusion and restlessness may be early signs of
hypoxia. Oxygenation should be assessed promptly.
3.
A nurse enters a room and finds a client on the floor. What should
the nurse do first?
A. Help the client back into bed
B. Complete an incident report
C. Assess the client for injury
D. Notify the family
Answer: C. Assess the client for injury
Rationale: The immediate priority after a fall is assessment for injury
and stabilization before moving the client.
4.
Which finding requires immediate intervention in a postoperative
client?
A. Incisional pain rated 5/10
B. Temperature of 37.4°C
C. Respiratory rate of 8/min
D. Mild nausea after anesthesia
,Answer: C. Respiratory rate of 8/min
Rationale: Bradypnea may indicate respiratory depression,
particularly after anesthesia or opioid administration.
5.
A client receiving oxygen by nasal cannula reports increasing
shortness of breath. What should the nurse do first?
A. Increase the oxygen flow rate independently
B. Assess airway, breathing, and oxygen saturation
C. Call the family
D. Document the finding
Answer: B. Assess airway, breathing, and oxygen saturation
Rationale: The nurse should rapidly assess the client's respiratory
status before determining the appropriate intervention.
6.
Which client is at greatest risk for a pressure injury?
A. Ambulatory adult with hypertension
B. Young adult with a fractured finger
C. Immobile client with urinary incontinence
D. Client who walks three times daily
Answer: C. Immobile client with urinary incontinence
Rationale: Immobility and moisture from incontinence substantially
increase pressure-injury risk.
7.
, A client reports dizziness when standing. Which action is most
appropriate?
A. Encourage rapid position changes
B. Assist the client to sit or lie down
C. Restrict all fluids
D. Encourage independent ambulation
Answer: B. Assist the client to sit or lie down
Rationale: Sitting or lying down reduces the risk of falling and allows
the nurse to assess for orthostatic hypotension.
8.
A nurse is preparing to administer medication. Which action best
prevents medication errors?
A. Administer medications prepared by another nurse
B. Compare the medication with the MAR and prescription
C. Ask the client what medication they usually receive
D. Skip identification if the client is familiar
Answer: B. Compare the medication with the MAR and prescription
Rationale: Medication verification against the current prescription
and MAR is an essential safety measure.
9.
A client with dysphagia is eating lunch. Which intervention is
appropriate?
A. Position the client flat
B. Encourage large bites
C. Keep the client upright
D. Give thin liquids rapidly
