REX-PN Practice Test Questions and
Complete Solutions Graded A+
A 4-year old child is brought by her grandmother in the emergency room due to fever, chills, and
difficulty walking. The nurse tries to remove the excessive clothing of the child but is reluctant. After a
thorough assessment, the nurse also noted bruises around the genital area. Which of the following
interventions should the nurse do first?
A. Collect the clothing and underwear of the child
B. Provide privacy and disregard the behavior of the child
C. Inform the law enforcement for a possible child abuse
D. Record all the findings - Answer: Option C: Calling law enforcement is a priority action and a legal
responsibility of the nurse in cases of suspected child abuse. Signs of sexual abuse in children 0-5 years
of age include unexplained genital injury, avoidance to remove clothing, insist on wearing multiple
garments, difficulty walking or sitting due to genital or anal pain, and signs of sexually transmitted
infections.
A client receiving hydrochlorothiazide is instructed to increase her dietary intake of potassium. The best
snack for the client requiring increased potassium is:
A. Pear
B. Apple
C. Orange
D. Avocado - Answer: Option D: The fruit which packs the most potassium among the choices is the
avocado which contains 487 mg per half serving of the fruit.
The nurse is caring for a client following the removal of the thyroid. Immediately post-op, the nurse
should:
A. Maintain the client in a semi-Fowler's position with the head and neck supported by pillows
B. Encourage the client to turn her head side to side, to promote drainage of oral secretions
C. Maintain the client in a supine position with sandbags placed on either side of the head and neck
,D. Encourage the client to cough and breathe deeply every 2 hours, with the neck in a flexed position -
Answer: Option A: Following a thyroidectomy, the client should be placed in semi-Fowler's position to
decrease swelling that would place pressure on the airway.
A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following is
associated with an increased incidence of gastric cancer?
A. Dairy products
B. Carbonated beverages
C. Refined sugars
D. Luncheon meats - Answer: Option D: Luncheon meats contain preservatives such as nitrites that have
been linked to gastric cancer.
A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative
diagnosis is antisocial personality disorder. In reviewing the client's record, the nurse would expect to
find:
A. A history of consistent employment
B. A below-average intelligence
C. A history of cruelty to animals
D. An expression of remorse for his actions - Answer: Option C: A history of cruelty to people and
animals, truancy, and setting fires with a diagnosis of conduct disorder in children, which becomes a
diagnosis of antisocial personality disorder in adults.
The licensed vocational nurse may not assume the primary care for a client:
A. In the fourth stage of labor
B. Two days post-appendectomy
C. With a venous access device
D. With bipolar disorder - Answer: Option C: Only a trained nurse with experience and background in
caring for a venous access device can assume the primary care of the client.
,The physician has ordered dressings with Sulfamylon cream for a client with full-thickness burns of the
hands and arms. Before dressing changes, the nurse should give priority to:
A. Administering pain medication
B. Checking the adequacy of urinary output
C. Requesting a daily complete blood count
D. Obtaining a blood glucose by finger stick - Answer: Option A: Sulfamylon produces a painful sensation
when applied to the burn wound; therefore, the client should receive pain medication before dressing
changes.
The nurse is teaching a group of parents about gross motor development of the toddler. Which behavior
is an example of the normal gross motor skill of a toddler?
A. She can pull a toy behind her
B. She can copy a horizontal line
C. She can build a tower of eight blocks
D. She can broad-jump - Answer: Option A: The Denver Developmental Screening Test (DDST) is a tool
used to screen for the development of gross motor, language, fine-motor, and personal- social in infants
and preschool children. According to the test, the child can pull a toy behind her by the age of 2 years.
A client hospitalized with a fractured mandible is to be discharged. Which piece of equipment should be
kept on the client with a fractured mandible?
A. Wire cutters
B. Oral airway
C. Pliers
D. Tracheostomy set - Answer: Option A: The client with a fractured mandible should keep a pair of wire
cutters with him at all times to release the device in case of choking or aspiration.
The nurse is to administer digoxin elixir to a 6-month-old with a congenital heart defect. The nurse
auscultates an apical pulse rate of 100 beats per minute. The nurse should:
, A. Record the heart rate and call the physician
B. Record the heart rate and administer the medication
C. Administer the medication and recheck the heart rate in 15 minutes
D. Hold the medication and recheck the heart rate in 30 minutes - Answer: Option B: The infant's apical
heart rate is within the accepted range for administering the medication.
A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to explain the treatment for her
daughter. The nurse's explanation is based on the knowledge that lead poisoning is treated with:
A. Gastric lavage
B. Chelating agents
C. Antiemetics
D. Activated charcoal - Answer: Option B: Chelating agents are used to treat the client with poisonings
from heavy metals such as lead and iron.
An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints for the child with a
cleft palate repair are:
A. Elbow restraints
B. Full arm restraints
C. Wrist restraints
D. Mummy restraints - Answer: Option A: The least restrictive restraint for the infant with cleft lip and
cleft palate repair is elbow restraints.
A client with glaucoma has been prescribed Timoptic (timolol) eye drops. Timolol should be used with
caution in the client with a history of:
A. Benign Prostatic Hyperplasia
B. Gastric Ulcers
C. Diabetes Mellitus
Complete Solutions Graded A+
A 4-year old child is brought by her grandmother in the emergency room due to fever, chills, and
difficulty walking. The nurse tries to remove the excessive clothing of the child but is reluctant. After a
thorough assessment, the nurse also noted bruises around the genital area. Which of the following
interventions should the nurse do first?
A. Collect the clothing and underwear of the child
B. Provide privacy and disregard the behavior of the child
C. Inform the law enforcement for a possible child abuse
D. Record all the findings - Answer: Option C: Calling law enforcement is a priority action and a legal
responsibility of the nurse in cases of suspected child abuse. Signs of sexual abuse in children 0-5 years
of age include unexplained genital injury, avoidance to remove clothing, insist on wearing multiple
garments, difficulty walking or sitting due to genital or anal pain, and signs of sexually transmitted
infections.
A client receiving hydrochlorothiazide is instructed to increase her dietary intake of potassium. The best
snack for the client requiring increased potassium is:
A. Pear
B. Apple
C. Orange
D. Avocado - Answer: Option D: The fruit which packs the most potassium among the choices is the
avocado which contains 487 mg per half serving of the fruit.
The nurse is caring for a client following the removal of the thyroid. Immediately post-op, the nurse
should:
A. Maintain the client in a semi-Fowler's position with the head and neck supported by pillows
B. Encourage the client to turn her head side to side, to promote drainage of oral secretions
C. Maintain the client in a supine position with sandbags placed on either side of the head and neck
,D. Encourage the client to cough and breathe deeply every 2 hours, with the neck in a flexed position -
Answer: Option A: Following a thyroidectomy, the client should be placed in semi-Fowler's position to
decrease swelling that would place pressure on the airway.
A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following is
associated with an increased incidence of gastric cancer?
A. Dairy products
B. Carbonated beverages
C. Refined sugars
D. Luncheon meats - Answer: Option D: Luncheon meats contain preservatives such as nitrites that have
been linked to gastric cancer.
A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative
diagnosis is antisocial personality disorder. In reviewing the client's record, the nurse would expect to
find:
A. A history of consistent employment
B. A below-average intelligence
C. A history of cruelty to animals
D. An expression of remorse for his actions - Answer: Option C: A history of cruelty to people and
animals, truancy, and setting fires with a diagnosis of conduct disorder in children, which becomes a
diagnosis of antisocial personality disorder in adults.
The licensed vocational nurse may not assume the primary care for a client:
A. In the fourth stage of labor
B. Two days post-appendectomy
C. With a venous access device
D. With bipolar disorder - Answer: Option C: Only a trained nurse with experience and background in
caring for a venous access device can assume the primary care of the client.
,The physician has ordered dressings with Sulfamylon cream for a client with full-thickness burns of the
hands and arms. Before dressing changes, the nurse should give priority to:
A. Administering pain medication
B. Checking the adequacy of urinary output
C. Requesting a daily complete blood count
D. Obtaining a blood glucose by finger stick - Answer: Option A: Sulfamylon produces a painful sensation
when applied to the burn wound; therefore, the client should receive pain medication before dressing
changes.
The nurse is teaching a group of parents about gross motor development of the toddler. Which behavior
is an example of the normal gross motor skill of a toddler?
A. She can pull a toy behind her
B. She can copy a horizontal line
C. She can build a tower of eight blocks
D. She can broad-jump - Answer: Option A: The Denver Developmental Screening Test (DDST) is a tool
used to screen for the development of gross motor, language, fine-motor, and personal- social in infants
and preschool children. According to the test, the child can pull a toy behind her by the age of 2 years.
A client hospitalized with a fractured mandible is to be discharged. Which piece of equipment should be
kept on the client with a fractured mandible?
A. Wire cutters
B. Oral airway
C. Pliers
D. Tracheostomy set - Answer: Option A: The client with a fractured mandible should keep a pair of wire
cutters with him at all times to release the device in case of choking or aspiration.
The nurse is to administer digoxin elixir to a 6-month-old with a congenital heart defect. The nurse
auscultates an apical pulse rate of 100 beats per minute. The nurse should:
, A. Record the heart rate and call the physician
B. Record the heart rate and administer the medication
C. Administer the medication and recheck the heart rate in 15 minutes
D. Hold the medication and recheck the heart rate in 30 minutes - Answer: Option B: The infant's apical
heart rate is within the accepted range for administering the medication.
A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to explain the treatment for her
daughter. The nurse's explanation is based on the knowledge that lead poisoning is treated with:
A. Gastric lavage
B. Chelating agents
C. Antiemetics
D. Activated charcoal - Answer: Option B: Chelating agents are used to treat the client with poisonings
from heavy metals such as lead and iron.
An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints for the child with a
cleft palate repair are:
A. Elbow restraints
B. Full arm restraints
C. Wrist restraints
D. Mummy restraints - Answer: Option A: The least restrictive restraint for the infant with cleft lip and
cleft palate repair is elbow restraints.
A client with glaucoma has been prescribed Timoptic (timolol) eye drops. Timolol should be used with
caution in the client with a history of:
A. Benign Prostatic Hyperplasia
B. Gastric Ulcers
C. Diabetes Mellitus
