REx-PN Exam Cram 2026–
2027: High-Yield Review &
Practice Exam 2026–2027|
Complete Test Prep Practice
Questions With Answers &
Detailed Rationales |clinical
Judgment &Safety |A+ Rated
Fundamentals, Safety & Clinical Judgment
1. A practical nurse enters a client's room and finds the client sitting
on the floor beside the bed. What should the nurse do first?
A. Help the client back into bed
B. Obtain the client's vital signs
C. Assess the client for injury
D. Notify the health-care provider
Answer: C. Assess the client for injury
The priority after a fall is to assess for injury before moving the client.
Moving an injured client could worsen an underlying fracture or
spinal injury.
,2. A client receiving oxygen by nasal cannula reports increasing
shortness of breath. What is the nurse's priority action?
A. Increase oxygen to 6 L/min
B. Assess oxygen saturation and respiratory status
C. Encourage the client to drink fluids
D. Place the client in a supine position
Answer: B. Assess oxygen saturation and respiratory status
The nurse should first assess the client's airway and breathing before
independently changing oxygen therapy. Positioning the client
upright may also support ventilation.
3. Which action is most effective for preventing health-care-
associated infections?
A. Wearing gloves for every client interaction
B. Performing hand hygiene consistently
C. Administering prophylactic antibiotics
D. Wearing a surgical mask during all procedures
Answer: B. Performing hand hygiene consistently
Hand hygiene is the most important routine measure for preventing
transmission of microorganisms in health-care settings.
4. A nurse is preparing to administer medication. Which identifier is
most appropriate?
A. Room number and diagnosis
B. Client's name and room number
C. Client's name and date of birth
D. Diagnosis and medication name
Answer: C. Client's name and date of birth
,Two reliable client identifiers should be used. Room number is not an
acceptable client identifier because clients may move rooms.
5. A client is identified as being at high risk for falls. Which
intervention is most appropriate?
A. Keep all four side rails raised
B. Place the call bell within reach
C. Keep the room completely dark at night
D. Encourage the client to walk independently
Answer: B. Place the call bell within reach
Easy access to the call bell allows the client to request assistance
before attempting to get up. Four side rails may constitute a restraint
in some circumstances.
6. A nurse notices that a client's intravenous site is cool, swollen,
and pale. Which complication should the nurse suspect?
A. Phlebitis
B. Infiltration
C. Infection
D. Hematoma
Answer: B. Infiltration
Infiltration occurs when nonvesicant IV fluid enters surrounding
tissue, commonly causing swelling, coolness, pallor, and discomfort.
7. Which finding requires the most immediate nursing
intervention?
A. Temperature of 37.8°C
B. Respiratory rate of 8/min
, C. Pulse of 88/min
D. Blood pressure of 128/76 mm Hg
Answer: B. Respiratory rate of 8/min
A respiratory rate of 8/min indicates significant bradypnea and
possible respiratory depression. Airway and breathing take priority.
8. A client with dysphagia is prescribed oral medication. What is the
nurse's priority?
A. Crush all medications
B. Give the medications with a large glass of water
C. Verify whether each medication can safely be altered
D. Give medications while the client is lying down
Answer: C. Verify whether each medication can safely be altered
Some tablets, such as extended-release or enteric-coated
formulations, should not be crushed. The nurse must verify
medication-specific instructions.
9. Which finding is most concerning in a client with a new cast?
A. Mild itching under the cast
B. Warm toes
C. Increasing pain unrelieved by medication
D. Mild swelling immediately after casting
Answer: C. Increasing pain unrelieved by medication
Severe or increasing pain can indicate neurovascular compromise or
compartment syndrome and requires prompt assessment.
2027: High-Yield Review &
Practice Exam 2026–2027|
Complete Test Prep Practice
Questions With Answers &
Detailed Rationales |clinical
Judgment &Safety |A+ Rated
Fundamentals, Safety & Clinical Judgment
1. A practical nurse enters a client's room and finds the client sitting
on the floor beside the bed. What should the nurse do first?
A. Help the client back into bed
B. Obtain the client's vital signs
C. Assess the client for injury
D. Notify the health-care provider
Answer: C. Assess the client for injury
The priority after a fall is to assess for injury before moving the client.
Moving an injured client could worsen an underlying fracture or
spinal injury.
,2. A client receiving oxygen by nasal cannula reports increasing
shortness of breath. What is the nurse's priority action?
A. Increase oxygen to 6 L/min
B. Assess oxygen saturation and respiratory status
C. Encourage the client to drink fluids
D. Place the client in a supine position
Answer: B. Assess oxygen saturation and respiratory status
The nurse should first assess the client's airway and breathing before
independently changing oxygen therapy. Positioning the client
upright may also support ventilation.
3. Which action is most effective for preventing health-care-
associated infections?
A. Wearing gloves for every client interaction
B. Performing hand hygiene consistently
C. Administering prophylactic antibiotics
D. Wearing a surgical mask during all procedures
Answer: B. Performing hand hygiene consistently
Hand hygiene is the most important routine measure for preventing
transmission of microorganisms in health-care settings.
4. A nurse is preparing to administer medication. Which identifier is
most appropriate?
A. Room number and diagnosis
B. Client's name and room number
C. Client's name and date of birth
D. Diagnosis and medication name
Answer: C. Client's name and date of birth
,Two reliable client identifiers should be used. Room number is not an
acceptable client identifier because clients may move rooms.
5. A client is identified as being at high risk for falls. Which
intervention is most appropriate?
A. Keep all four side rails raised
B. Place the call bell within reach
C. Keep the room completely dark at night
D. Encourage the client to walk independently
Answer: B. Place the call bell within reach
Easy access to the call bell allows the client to request assistance
before attempting to get up. Four side rails may constitute a restraint
in some circumstances.
6. A nurse notices that a client's intravenous site is cool, swollen,
and pale. Which complication should the nurse suspect?
A. Phlebitis
B. Infiltration
C. Infection
D. Hematoma
Answer: B. Infiltration
Infiltration occurs when nonvesicant IV fluid enters surrounding
tissue, commonly causing swelling, coolness, pallor, and discomfort.
7. Which finding requires the most immediate nursing
intervention?
A. Temperature of 37.8°C
B. Respiratory rate of 8/min
, C. Pulse of 88/min
D. Blood pressure of 128/76 mm Hg
Answer: B. Respiratory rate of 8/min
A respiratory rate of 8/min indicates significant bradypnea and
possible respiratory depression. Airway and breathing take priority.
8. A client with dysphagia is prescribed oral medication. What is the
nurse's priority?
A. Crush all medications
B. Give the medications with a large glass of water
C. Verify whether each medication can safely be altered
D. Give medications while the client is lying down
Answer: C. Verify whether each medication can safely be altered
Some tablets, such as extended-release or enteric-coated
formulations, should not be crushed. The nurse must verify
medication-specific instructions.
9. Which finding is most concerning in a client with a new cast?
A. Mild itching under the cast
B. Warm toes
C. Increasing pain unrelieved by medication
D. Mild swelling immediately after casting
Answer: C. Increasing pain unrelieved by medication
Severe or increasing pain can indicate neurovascular compromise or
compartment syndrome and requires prompt assessment.
