REx-PN Comprehensive Review
Practice Exam 2026–2027| Complete
Test Prep Practice Questions With
Answers & Detailed Rationales
|clinical Judgment &Safety |A+ Rated
1. A nurse is assessing a client who reports dizziness when standing.
Which finding most strongly suggests orthostatic hypotension?
A. Heart rate decreases by 10 beats/min
B. Blood pressure increases when standing
C. Systolic blood pressure decreases significantly when standing
D. Respiratory rate increases after standing
Orthostatic hypotension occurs when blood pressure falls after
changing position, commonly causing dizziness or lightheadedness.
2. Which action is most important before administering any
medication?
A. Ask the client about allergies after administration
B. Verify the medication order and client identity
C. Document the medication before giving it
D. Place the medication at the bedside
Medication safety begins with verifying the order and using
appropriate client-identification procedures.
3. A client is at high risk for falls. Which intervention is most
appropriate?
A. Keep all four side rails raised
B. Place the call bell out of reach
,C. Keep the bed low and the call bell within reach
D. Encourage the client to walk independently
Keeping the bed low and call bell accessible reduces fall risk while
promoting appropriate independence.
4. Which client should the nurse assess first?
A. Client requesting a blanket
B. Client reporting mild chronic back pain
C. Client waiting for discharge instructions
D. Client with new-onset difficulty breathing
Airway and breathing problems take priority because impaired
oxygenation can rapidly become life-threatening.
5. What is the primary purpose of hand hygiene?
A. Prevent skin irritation
B. Reduce transmission of microorganisms
C. Improve circulation
D. Prevent all infections
Hand hygiene is a major measure for reducing transmission of
microorganisms between clients, staff, and the environment.
6. A nurse discovers a medication error immediately after
administration. What should the nurse do first?
A. Alter the medication record
B. Hide the error if no symptoms occur
C. Assess the client
D. Wait until the end of the shift
The client's immediate safety is the priority. The client should be
assessed promptly, followed by appropriate notification and
documentation.
7. Which assessment finding requires immediate intervention?
,A. Temperature 37.2°C
B. Pulse 78/min
C. Oxygen saturation 84%
D. Respiratory rate 16/min
An oxygen saturation of 84% indicates significant hypoxemia and
requires prompt assessment and intervention.
8. A client begins to fall while ambulating. What should the nurse
do?
A. Try to hold the client upright
B. Leave to get help
C. Guide the client safely to the floor
D. Pull the client backward by the arms
Guiding the client to the floor reduces the risk of injury to both the
client and nurse.
9. Which position is generally appropriate for a client experiencing
shortness of breath?
A. Supine
B. Prone
C. High-Fowler's
D. Trendelenburg
High-Fowler's positioning promotes lung expansion and can improve
ventilation.
10. Which action contaminates a sterile field?
A. Opening a sterile package away from the body
B. Keeping sterile supplies above waist level
C. Reaching over the sterile field
D. Using sterile gloves
Reaching over a sterile field risks dropping microorganisms onto the
field.
, Infection Prevention and Control
11. Which precaution is generally required for a client with
suspected tuberculosis?
A. Contact precautions only
B. Droplet precautions only
C. Airborne precautions
D. Protective isolation
Tuberculosis is transmitted through airborne particles and requires
airborne precautions.
12. Which personal protective equipment is most appropriate when
caring for a client on contact precautions?
A. Surgical mask only
B. N95 respirator only
C. Gown and gloves
D. Shoe covers only
Contact precautions generally require gown and gloves when
entering the client's care environment, according to facility policy.
13. Which disease commonly requires droplet precautions?
A. Tuberculosis
B. Influenza
C. Clostridioides difficile infection
D. Scabies
Influenza spreads primarily through respiratory droplets and requires
droplet precautions.
14. A client has Clostridioides difficile infection. Which hand
hygiene practice is particularly important?
Practice Exam 2026–2027| Complete
Test Prep Practice Questions With
Answers & Detailed Rationales
|clinical Judgment &Safety |A+ Rated
1. A nurse is assessing a client who reports dizziness when standing.
Which finding most strongly suggests orthostatic hypotension?
A. Heart rate decreases by 10 beats/min
B. Blood pressure increases when standing
C. Systolic blood pressure decreases significantly when standing
D. Respiratory rate increases after standing
Orthostatic hypotension occurs when blood pressure falls after
changing position, commonly causing dizziness or lightheadedness.
2. Which action is most important before administering any
medication?
A. Ask the client about allergies after administration
B. Verify the medication order and client identity
C. Document the medication before giving it
D. Place the medication at the bedside
Medication safety begins with verifying the order and using
appropriate client-identification procedures.
3. A client is at high risk for falls. Which intervention is most
appropriate?
A. Keep all four side rails raised
B. Place the call bell out of reach
,C. Keep the bed low and the call bell within reach
D. Encourage the client to walk independently
Keeping the bed low and call bell accessible reduces fall risk while
promoting appropriate independence.
4. Which client should the nurse assess first?
A. Client requesting a blanket
B. Client reporting mild chronic back pain
C. Client waiting for discharge instructions
D. Client with new-onset difficulty breathing
Airway and breathing problems take priority because impaired
oxygenation can rapidly become life-threatening.
5. What is the primary purpose of hand hygiene?
A. Prevent skin irritation
B. Reduce transmission of microorganisms
C. Improve circulation
D. Prevent all infections
Hand hygiene is a major measure for reducing transmission of
microorganisms between clients, staff, and the environment.
6. A nurse discovers a medication error immediately after
administration. What should the nurse do first?
A. Alter the medication record
B. Hide the error if no symptoms occur
C. Assess the client
D. Wait until the end of the shift
The client's immediate safety is the priority. The client should be
assessed promptly, followed by appropriate notification and
documentation.
7. Which assessment finding requires immediate intervention?
,A. Temperature 37.2°C
B. Pulse 78/min
C. Oxygen saturation 84%
D. Respiratory rate 16/min
An oxygen saturation of 84% indicates significant hypoxemia and
requires prompt assessment and intervention.
8. A client begins to fall while ambulating. What should the nurse
do?
A. Try to hold the client upright
B. Leave to get help
C. Guide the client safely to the floor
D. Pull the client backward by the arms
Guiding the client to the floor reduces the risk of injury to both the
client and nurse.
9. Which position is generally appropriate for a client experiencing
shortness of breath?
A. Supine
B. Prone
C. High-Fowler's
D. Trendelenburg
High-Fowler's positioning promotes lung expansion and can improve
ventilation.
10. Which action contaminates a sterile field?
A. Opening a sterile package away from the body
B. Keeping sterile supplies above waist level
C. Reaching over the sterile field
D. Using sterile gloves
Reaching over a sterile field risks dropping microorganisms onto the
field.
, Infection Prevention and Control
11. Which precaution is generally required for a client with
suspected tuberculosis?
A. Contact precautions only
B. Droplet precautions only
C. Airborne precautions
D. Protective isolation
Tuberculosis is transmitted through airborne particles and requires
airborne precautions.
12. Which personal protective equipment is most appropriate when
caring for a client on contact precautions?
A. Surgical mask only
B. N95 respirator only
C. Gown and gloves
D. Shoe covers only
Contact precautions generally require gown and gloves when
entering the client's care environment, according to facility policy.
13. Which disease commonly requires droplet precautions?
A. Tuberculosis
B. Influenza
C. Clostridioides difficile infection
D. Scabies
Influenza spreads primarily through respiratory droplets and requires
droplet precautions.
14. A client has Clostridioides difficile infection. Which hand
hygiene practice is particularly important?
