REX-PN EXAM AND PRACTICE EXAM NEWEST 2026
TEST BANK| COMPLETE REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| REX-PN EXAM
PREP (MOST RECENT!!) 2026-2027
Vancouver Island University - Practical Nursing
Diploma
the nurse is caring for a client who has an adrenocortical adenoma
and hyperaldosteronism. which of the following actions should
the nurse
implement?
a. evaluate blood glucose level every 4 hours
b. monitor the blood pressure every 4 hours
c. maintain extremities in an elevated position
d. provide a potassium-restricted diet
b. monitor the blood pressure every 4 hours
hypertension caused by sodium retention is a common
complication of hyperaldosteronism. hyperaldosteronism does not
cause an elevation in blood glucose. the client will be hypokalemic
and require potassium
supplementation before surgery. edema does not usually occur
hyperaldosteronism.
,the nurse is caring for an older-adult client who is diagnosed with
hypothyroidism and has a prescription for levothyroxine. which
of the following assessments is most important for the nurse to
make during initiation of thyroid replacement?
a. nutritional intake
b. apical pulse
c. orientation and alertness
d. intake and output
b. apical pulse rate
in older clients. initiation of levothyroxine therapy can increase
myocardial oxygen demand and cause angina or dysrhythmias. the
medication is also expected to improve mental status and fluid balance
and will increase metabolic rate and nutritional needs, but these
changes will not result in potentially life-threatening
complications.
,which of the following actions should be included in the plan of
care for a male client with bowel irregularity and a new diagnosis
of irritable bowel syndrome (IBS)?
a. encourage the client to express feelings and ask questions about
IBS
b. teach the client to avoid using nonsteroidal anti-inflammatory
drugs (NSAIDs)
c. suggest that the client increase the intake of milk and other
dairy products
d. educate the client about the use of tegaserod to reduce symptoms
a. encourage the client to express feelings and ask questions about
IBS
because psychological and emotional can affect the symptoms for
IBS, encouraging the client to discuss emotions and ask questions
is an
important intervention. Tegaserod (zelnorm) has been recently used
to treat women with IBS whose primary bowel symptom is
constipation however, this question is making about a male client.
although yogurt may be beneficial, milk is avoided because
lactose intolerance can
contribute to symptoms in some clients NSAIDs can be used by
clients with IBS.
, which of the following nursing actions is important to include in the
plan of care for a client who had an abdominal-perineal resection
the
previous day?
a. assess the perineal drainage and incision
b. encourage acceptance of the colostomy stoma
c. teach about low-residue diet
d. monitor output from the stoma
a. assess the perineal drainage incision
rationale: because the perineal wound is at high risk for infection,
the initial care is focused on assessment and care of this wound.
teaching
about diet is best done closer to discharge from the hospital.
there will be very little drainage into the colostomy until
peristalsis returns. the
client will be encouraged to assist with the colostomy, but this is not
the highest priority in the immediate postoperative period
TEST BANK| COMPLETE REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| REX-PN EXAM
PREP (MOST RECENT!!) 2026-2027
Vancouver Island University - Practical Nursing
Diploma
the nurse is caring for a client who has an adrenocortical adenoma
and hyperaldosteronism. which of the following actions should
the nurse
implement?
a. evaluate blood glucose level every 4 hours
b. monitor the blood pressure every 4 hours
c. maintain extremities in an elevated position
d. provide a potassium-restricted diet
b. monitor the blood pressure every 4 hours
hypertension caused by sodium retention is a common
complication of hyperaldosteronism. hyperaldosteronism does not
cause an elevation in blood glucose. the client will be hypokalemic
and require potassium
supplementation before surgery. edema does not usually occur
hyperaldosteronism.
,the nurse is caring for an older-adult client who is diagnosed with
hypothyroidism and has a prescription for levothyroxine. which
of the following assessments is most important for the nurse to
make during initiation of thyroid replacement?
a. nutritional intake
b. apical pulse
c. orientation and alertness
d. intake and output
b. apical pulse rate
in older clients. initiation of levothyroxine therapy can increase
myocardial oxygen demand and cause angina or dysrhythmias. the
medication is also expected to improve mental status and fluid balance
and will increase metabolic rate and nutritional needs, but these
changes will not result in potentially life-threatening
complications.
,which of the following actions should be included in the plan of
care for a male client with bowel irregularity and a new diagnosis
of irritable bowel syndrome (IBS)?
a. encourage the client to express feelings and ask questions about
IBS
b. teach the client to avoid using nonsteroidal anti-inflammatory
drugs (NSAIDs)
c. suggest that the client increase the intake of milk and other
dairy products
d. educate the client about the use of tegaserod to reduce symptoms
a. encourage the client to express feelings and ask questions about
IBS
because psychological and emotional can affect the symptoms for
IBS, encouraging the client to discuss emotions and ask questions
is an
important intervention. Tegaserod (zelnorm) has been recently used
to treat women with IBS whose primary bowel symptom is
constipation however, this question is making about a male client.
although yogurt may be beneficial, milk is avoided because
lactose intolerance can
contribute to symptoms in some clients NSAIDs can be used by
clients with IBS.
, which of the following nursing actions is important to include in the
plan of care for a client who had an abdominal-perineal resection
the
previous day?
a. assess the perineal drainage and incision
b. encourage acceptance of the colostomy stoma
c. teach about low-residue diet
d. monitor output from the stoma
a. assess the perineal drainage incision
rationale: because the perineal wound is at high risk for infection,
the initial care is focused on assessment and care of this wound.
teaching
about diet is best done closer to discharge from the hospital.
there will be very little drainage into the colostomy until
peristalsis returns. the
client will be encouraged to assist with the colostomy, but this is not
the highest priority in the immediate postoperative period
