REX-PN 3 part 1 exam with verified answers
1. A 19-year-old male speaks with a male practical nurse in the clinic concern- ing a
| | | | | | | | | | | | | |
| "humiliating |personal |issue" |he |would |like |to |have |fixed.|The |practical |nurse
explains |to |the |teenager |that |he |has |hypospadias.|How |would |the |prac- |tical |nurse
|
| explain |this |to |him?: |"I |will |refer |you |to |a |urologist |who |will |surgically |repair |the
| abnormal opening on the underside of your penis."
| | | | | | |
2. An 83-year-old female client asks her long-time nurse to become her power
| | | | | | | | | | | | of
attorney. |What |should |the |nurse |say |in |response |to |this |request?: |"I |cannot |do |this,
|
| but I can help you get in contact with a lawyer."
| | | | | | | | | |
3. A | practical |nurse |accompanies |an |inpatient |at |a |psychiatric |facility |to |a
| nearby |coffee |shop |for |tea. |How |would |you |describe |the |practical |nurse's
| decision |here?: |It |is |appropriate |if |it |is |part |of |the |care |plan
4. A 71-year-old client has refused to eat more than a few spoonfuls of break-
| | | | | | | | | | | | |
| fast.|The |health |care |provider |has |prescribed |that |tube |feedings |be |initiated | if |the
| client |fails |to |eat |at |least |half |of |a |meal |because |the |client |has |lost |a |significant
| amount |of |weight |during |the |last |10 |weeks.|The |nurse |enters |the |room, |looks |at |the
| un-eaten |food |and |states, |"If |you |don't |eat |at |least |have |of |your|meal,|I'm |going |to
have |to |put |a |tube |down |your |throat |and |have |you |feed |that |way."|The |client |begins
|
1 |/
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,| crying |and |tries |to |eat.|Which |violation |may |the |nurse |be |accused |of |based |on |her
| actions?: |Assault
5. A 79-year-old male completed his hip-replacement surgery. After surgery, the
| | | | | | | | |
| client |has |become |very |confused |and |attempts |to |get |out |of |bed |anytime |his|family|is
not|present.|His |son|and |daughter|both|want|him |restrained|so|he |does |not |injure
|
himself.|What |should |the |practical |nurse |explain |to |the |client's |son |and |daughter?:
|
"Would it be possible to have a family member stay with him until he is less
| | | | | | | | | | | | | | | |
| confused"
6. A practical nurse visits her close friend who is at 20 weeks gestation. Her friend
| | | | | | | | | | | | | |
reports |headache,|nausea,|and |blurred |vision.|The |nurse |notes |that |her |friend |appears
|
nervous,|diaphoretic,|and |is |experiencing |tremors.|Which |of |the |following |questions
|
would |be |most |important |for |the |nurse |to |ask?: |"When |did |you |last |drink |or |eat?"
|
7. Hypoglycemia signs: |
Headache Nausea
| |
Blurr
ed
Viso
|
2 |/
|19
, n
Nerv
|
ousn
ess
Diap
|
hore
sis
Tre
|
mors
8. Laura, a |practical |nurse, |is |asked |to |create |a |teaching |tool |that |focuses |on
|
| diabetes |management |for |clients |who |often |eat |meals |outside |of |the |home |in
| restaurants. |She |understands |that |before |clients |can |learn, |they |must |believe
3 |/
|19
1. A 19-year-old male speaks with a male practical nurse in the clinic concern- ing a
| | | | | | | | | | | | | |
| "humiliating |personal |issue" |he |would |like |to |have |fixed.|The |practical |nurse
explains |to |the |teenager |that |he |has |hypospadias.|How |would |the |prac- |tical |nurse
|
| explain |this |to |him?: |"I |will |refer |you |to |a |urologist |who |will |surgically |repair |the
| abnormal opening on the underside of your penis."
| | | | | | |
2. An 83-year-old female client asks her long-time nurse to become her power
| | | | | | | | | | | | of
attorney. |What |should |the |nurse |say |in |response |to |this |request?: |"I |cannot |do |this,
|
| but I can help you get in contact with a lawyer."
| | | | | | | | | |
3. A | practical |nurse |accompanies |an |inpatient |at |a |psychiatric |facility |to |a
| nearby |coffee |shop |for |tea. |How |would |you |describe |the |practical |nurse's
| decision |here?: |It |is |appropriate |if |it |is |part |of |the |care |plan
4. A 71-year-old client has refused to eat more than a few spoonfuls of break-
| | | | | | | | | | | | |
| fast.|The |health |care |provider |has |prescribed |that |tube |feedings |be |initiated | if |the
| client |fails |to |eat |at |least |half |of |a |meal |because |the |client |has |lost |a |significant
| amount |of |weight |during |the |last |10 |weeks.|The |nurse |enters |the |room, |looks |at |the
| un-eaten |food |and |states, |"If |you |don't |eat |at |least |have |of |your|meal,|I'm |going |to
have |to |put |a |tube |down |your |throat |and |have |you |feed |that |way."|The |client |begins
|
1 |/
|19
,| crying |and |tries |to |eat.|Which |violation |may |the |nurse |be |accused |of |based |on |her
| actions?: |Assault
5. A 79-year-old male completed his hip-replacement surgery. After surgery, the
| | | | | | | | |
| client |has |become |very |confused |and |attempts |to |get |out |of |bed |anytime |his|family|is
not|present.|His |son|and |daughter|both|want|him |restrained|so|he |does |not |injure
|
himself.|What |should |the |practical |nurse |explain |to |the |client's |son |and |daughter?:
|
"Would it be possible to have a family member stay with him until he is less
| | | | | | | | | | | | | | | |
| confused"
6. A practical nurse visits her close friend who is at 20 weeks gestation. Her friend
| | | | | | | | | | | | | |
reports |headache,|nausea,|and |blurred |vision.|The |nurse |notes |that |her |friend |appears
|
nervous,|diaphoretic,|and |is |experiencing |tremors.|Which |of |the |following |questions
|
would |be |most |important |for |the |nurse |to |ask?: |"When |did |you |last |drink |or |eat?"
|
7. Hypoglycemia signs: |
Headache Nausea
| |
Blurr
ed
Viso
|
2 |/
|19
, n
Nerv
|
ousn
ess
Diap
|
hore
sis
Tre
|
mors
8. Laura, a |practical |nurse, |is |asked |to |create |a |teaching |tool |that |focuses |on
|
| diabetes |management |for |clients |who |often |eat |meals |outside |of |the |home |in
| restaurants. |She |understands |that |before |clients |can |learn, |they |must |believe
3 |/
|19
