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REx-PN Exam Preview & Practice Items | Advanced Practical Nursing Exam Prep, Competency Review, and High-Yield Question Bank

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Achieve superior readiness for the Regulatory Exam – Practical Nurse (REx-PN) with this academically structured, exam-focused REx-PN Preview & Practice Items Guide. Built for practical nursing candidates in Ontario and British Columbia, this resource delivers an advanced, competency-based approach to mastering the exam’s clinical judgment model, entry-to-practice competencies, and high-stakes test format. This guide includes: REx-PN Exam Overview – structure, adaptive scoring model, competency domains High-Yield Practice Items – pharmacology, medical-surgical nursing, maternity, pediatrics, mental health, gerontology, ethical & legal nursing practice Clinical Decision-Making Scenarios – prioritization, delegation, safety, infection control, and evidence-based interventions REx-PN-Style Question Banks – multiple response, case-based items, priority sequencing, and clinical vignettes Focused Content Review – anatomy & physiology refreshers, medication calculations, communication skills, and nursing fundamentals Exam Strategy Frameworks – elimination techniques, nursing process application, client safety prioritization strategies, and time-efficient reasoning patterns Designed for practical nursing students, refresher program learners, and internationally educated nurses, this resource increases exam confidence, improves clinical reasoning, and ensures comprehensive readiness for computerized adaptive testing.

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REx-PN Exam Preview and Practice Items

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Terms in this set (365)


I will use a 3-point alternating gait so that my affected
3-point alternating gait
leg does not touch the ground.

15-year-old client Essential to follow up: 'I eat lunch at a fast-food
statement restaurant with my friends every day.'

Notify your primary health care provider if you
Achilles tendon pain
experience Achilles tendon pain.

Activated partial A laboratory test used to evaluate the intrinsic
thromboplastin time pathway of coagulation and monitor heparin therapy.
(APTT)

Activated partial A blood test that measures the time it takes for blood
thromboplastin time to clot, used to monitor patients on anticoagulant
(APTT) therapy.

An inflammation of the pancreas that can cause
Acute pancreatitis
absent bowel sounds and vomiting.

Acute pancreatitis follow- Nurse states: 'Hypercalcemia is a common
up statement manifestation.'

A disorder that occurs when the adrenal glands do
not produce enough hormones, characterized by
Addison's disease
symptoms like fatigue, low blood pressure, and
darkening of the skin.

Addressing client fears "Why are you afraid to go to physical therapy?"
about therapy

,Administer glucose Administer glucose tablets prescribed p.r.n.

advantages of breast- Helps reduce incidence of allergies in the newborn.
feeding

advantages of breast- Lowers the mother's risk of developing breast and
feeding ovarian cancer.

advantages of breast- Stimulates production of erythropoietin to replace
feeding red blood cells (RBCs) lost during delivery.

advantages of breast- Stimulates production of hormones that help to
feeding contract and shrink the uterus after birth.

advantages of breast- Acts as birth control by preventing ovulation as long
feeding as breast-feeding occurs at least once daily.

An enzyme found in the liver that helps convert
Alanine aminotransferase
proteins into energy for the liver cells; elevated levels
(ALT)
can indicate liver damage.

Alcoholic beverages as Consuming 2 or 3 alcoholic beverages before sexual
stimulant intercourse can act as a sexual stimulant.

The client might be experiencing a deficiency of
alcohol misuse deficiency
thiamine.

Clinical manifestations of alcohol withdrawal can be
Alcohol withdrawal
life threatening and include elevated blood pressure
symptoms
and pulse, hand tremors, and sweating.

Alcohol withdrawal Thiamine and folic acid are used to treat alcohol
treatment withdrawal during the early stages.

Alerting rapid response Alert the rapid response team.
team

A progressive neurological disorder that impairs
Alzheimer's disease (AD) memory and cognitive function, potentially affecting a
patient's ability to give consent.

Alzheimer's disease Initiate a referral to a social worker.
discharge planning

, Amikacin available The nurse has amikacin 500 mg/100 ml available.
concentration

Amikacin dosage The nurse is caring for a client who has an order for
calculation amikacin 15 mg/kg/day, IV, in 3 divided doses.

A type of medication used to treat infections caused
Anthelmintic medication
by parasitic worms.

The client tells the nurse, 'Things are beginning to fall
Appropriate response to into place.' An appropriate response for the nurse to
major depression make would be, 'What has been the most helpful for
you?'

The nurse should first assess the client with an
Assessment of intestinal intestinal obstruction who has a nasogastric (NG)
obstruction tube attached to intermittent suction and is reporting
abdominal pain.

Assessment priority for Assess the client with peripheral arterial disease
PAD (PAD) who is reporting leg pain while ambulating.

Assessment priority for Assess the client who has sinusitis and is reporting
sinusitis facial fullness and tenderness.

Assess the client with systemic lupus erythematosus
Assessment priority for
(SLE) who is reporting a raised rash on the face and
SLE
muscle pain.

Assess the client who had an endoscopic retrograde
Assessment priority post-
cholangiopancreatography (ERCP) and is reporting
ERCP
abdominal pain and vomiting.

Flashing lights and sleep deprivation, food additives
Asthma trigger examples and exercise, caffeine intake and hunger, fragrances
and smoke, stress and emotions.

The nurse is teaching the parents of a 14-year-old
Asthma triggers client newly diagnosed with asthma about possible
asthma triggers.

A condition characterized by the collapse of part or
Atelectasis
all of a lung, often occurring post-surgery.

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