REx-PN Study Guide 2026–2027 For
2026 Canadian Exam.Includes 200+
Questions Covering All Categories -
Verified Answers With Rationales
1. A practical nurse is assessing a client who suddenly reports
shortness of breath and chest pressure. Which action should the
nurse take first?
A. Obtain the client's dietary history
B. Ask the client to rate their pain
C. Assess airway, breathing, and circulation
D. Document the client's statement
Answer: C. Assess airway, breathing, and circulation
Rationale: A sudden change in respiratory status and chest pressure
may indicate a life-threatening condition. ABC assessment takes
priority.
2. Which client should the nurse assess first?
A. Client with chronic arthritis reporting pain of 6/10
B. Client requesting assistance with bathing
C. Client with oxygen saturation of 86% and increasing dyspnea
D. Client awaiting discharge instructions
Answer: C. Client with oxygen saturation of 86% and increasing
dyspnea
Rationale: Hypoxemia and worsening respiratory distress require
immediate assessment and intervention.
,3. Which intervention is most effective for preventing falls in a
hospitalized client?
A. Keep all four side rails raised
B. Keep the bed in the lowest position
C. Keep the room completely dark at night
D. Encourage the client to remain in bed
Answer: B. Keep the bed in the lowest position
Rationale: A low bed decreases the distance a client could fall. Four
side rails may constitute a restraint and are not routinely
appropriate.
4. A nurse discovers that a client received an incorrect medication.
What is the nurse's priority action?
A. Complete an incident report
B. Notify the nurse manager
C. Assess the client
D. Document that the medication was incorrect
Answer: C. Assess the client
Rationale: The client's safety is the immediate priority. The nurse
should assess for adverse effects before completing reporting and
documentation requirements.
5. Which action is most important when using a transfer belt?
A. Place it over bare skin
B. Secure it snugly around the client's waist
C. Place it around the client's neck
D. Allow the belt to remain loose
,Answer: B. Secure it snugly around the client's waist
Rationale: A properly secured transfer belt provides a safe handhold
and reduces the risk of injury during transfers.
6. A client becomes dizzy when standing. Which intervention
should the nurse implement first?
A. Encourage the client to walk quickly
B. Assist the client back to a sitting or lying position
C. Obtain a urine specimen
D. Restrict oral fluids
Answer: B. Assist the client back to a sitting or lying position
Rationale: Returning the client to a safe position reduces the risk of a
fall and allows reassessment of the client's condition.
7. Which finding requires immediate intervention?
A. Temperature 37.1°C
B. Pulse 82/min
C. Respirations 8/min
D. Blood pressure 118/72 mm Hg
Answer: C. Respirations 8/min
Rationale: Bradypnea can indicate respiratory depression and
inadequate ventilation.
8. Which statement demonstrates correct understanding of
standard precautions?
A. Gloves are required for every client interaction
B. Hand hygiene is performed before and after client contact
, C. Masks are required for all procedures
D. Standard precautions apply only to clients with infections
Answer: B. Hand hygiene is performed before and after client
contact
Rationale: Hand hygiene is a fundamental component of standard
precautions for all clients.
9. Which client is at greatest risk for pressure injury?
A. Ambulatory young adult
B. Client who changes position independently
C. Immobile client with poor nutritional intake
D. Client who exercises daily
Answer: C. Immobile client with poor nutritional intake
Rationale: Immobility and inadequate nutrition significantly increase
the risk of skin breakdown.
10. Which intervention is appropriate for preventing pressure
injuries?
A. Massage reddened bony prominences
B. Reposition the client regularly
C. Keep the skin continuously moist
D. Use donut-shaped devices under the sacrum
Answer: B. Reposition the client regularly
Rationale: Regular repositioning relieves prolonged pressure and
supports tissue perfusion.
2026 Canadian Exam.Includes 200+
Questions Covering All Categories -
Verified Answers With Rationales
1. A practical nurse is assessing a client who suddenly reports
shortness of breath and chest pressure. Which action should the
nurse take first?
A. Obtain the client's dietary history
B. Ask the client to rate their pain
C. Assess airway, breathing, and circulation
D. Document the client's statement
Answer: C. Assess airway, breathing, and circulation
Rationale: A sudden change in respiratory status and chest pressure
may indicate a life-threatening condition. ABC assessment takes
priority.
2. Which client should the nurse assess first?
A. Client with chronic arthritis reporting pain of 6/10
B. Client requesting assistance with bathing
C. Client with oxygen saturation of 86% and increasing dyspnea
D. Client awaiting discharge instructions
Answer: C. Client with oxygen saturation of 86% and increasing
dyspnea
Rationale: Hypoxemia and worsening respiratory distress require
immediate assessment and intervention.
,3. Which intervention is most effective for preventing falls in a
hospitalized client?
A. Keep all four side rails raised
B. Keep the bed in the lowest position
C. Keep the room completely dark at night
D. Encourage the client to remain in bed
Answer: B. Keep the bed in the lowest position
Rationale: A low bed decreases the distance a client could fall. Four
side rails may constitute a restraint and are not routinely
appropriate.
4. A nurse discovers that a client received an incorrect medication.
What is the nurse's priority action?
A. Complete an incident report
B. Notify the nurse manager
C. Assess the client
D. Document that the medication was incorrect
Answer: C. Assess the client
Rationale: The client's safety is the immediate priority. The nurse
should assess for adverse effects before completing reporting and
documentation requirements.
5. Which action is most important when using a transfer belt?
A. Place it over bare skin
B. Secure it snugly around the client's waist
C. Place it around the client's neck
D. Allow the belt to remain loose
,Answer: B. Secure it snugly around the client's waist
Rationale: A properly secured transfer belt provides a safe handhold
and reduces the risk of injury during transfers.
6. A client becomes dizzy when standing. Which intervention
should the nurse implement first?
A. Encourage the client to walk quickly
B. Assist the client back to a sitting or lying position
C. Obtain a urine specimen
D. Restrict oral fluids
Answer: B. Assist the client back to a sitting or lying position
Rationale: Returning the client to a safe position reduces the risk of a
fall and allows reassessment of the client's condition.
7. Which finding requires immediate intervention?
A. Temperature 37.1°C
B. Pulse 82/min
C. Respirations 8/min
D. Blood pressure 118/72 mm Hg
Answer: C. Respirations 8/min
Rationale: Bradypnea can indicate respiratory depression and
inadequate ventilation.
8. Which statement demonstrates correct understanding of
standard precautions?
A. Gloves are required for every client interaction
B. Hand hygiene is performed before and after client contact
, C. Masks are required for all procedures
D. Standard precautions apply only to clients with infections
Answer: B. Hand hygiene is performed before and after client
contact
Rationale: Hand hygiene is a fundamental component of standard
precautions for all clients.
9. Which client is at greatest risk for pressure injury?
A. Ambulatory young adult
B. Client who changes position independently
C. Immobile client with poor nutritional intake
D. Client who exercises daily
Answer: C. Immobile client with poor nutritional intake
Rationale: Immobility and inadequate nutrition significantly increase
the risk of skin breakdown.
10. Which intervention is appropriate for preventing pressure
injuries?
A. Massage reddened bony prominences
B. Reposition the client regularly
C. Keep the skin continuously moist
D. Use donut-shaped devices under the sacrum
Answer: B. Reposition the client regularly
Rationale: Regular repositioning relieves prolonged pressure and
supports tissue perfusion.
