REX-PN COMPREHENSIVE TEST BANK FINAL EXAM
2026ACCURATE EXAM APPROVED QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(CORRECT VERIFIED SOLUTIONS) CURRENTLY
UPDATED 2026-2027 |St. Lawrence College
The licensed practical/vocational nurse (LPN/VN) is reinforcing teaching
for a client who has been prescribed metformin. Which of the following
statements, if made by the client, would indicate a correct
understanding of the teaching?
A. "This medication may cause me to have bloating or loose stools."
B. "I will need to check my blood glucose prior to taking this
medication."
C. "If I eat fewer carbohydrates in a day, I should skip a dose."
D. "The goal of this medication is to increase my hemoglobin A1C."
A. "This medication may cause me to have bloating or loose stools."
The nurse is collecting data on a male client taking prescribed
risperidone. Which of the following findings would indicate the client is
having an adverse effect?
A. ptosis
B. gingival hyperplasia
C. polycythemia
D. gynecomastia
D. gynecomastia
Risperidone is notorious for causing increased prolactin levels.
Increased prolactin levels may cause a client to develop gynecomastia
and/or
galactorrhea.
,The licensed practical/vocational nurse (LPN/VN) is assisting a registered
nurse in triaging a client with diabetes mellitus (type one) with diabetic
ketoacidosis (DKA). Which assessment finding requires immediate follow-
up by the LPN/VN?
A. Pulse 112/minute
B. Persistent nausea and vomiting
C. Respiratory rate 21/minute
D. Blood glucose 299 mg/dL
A. Pulse 112/minute
A complication associated with DKA is hypovolemic shock. The client
having tachycardia is demonstrating early signs of this type of shock. The
treatment modalities of DKA include fluid repletion and insulin
administration. Considering the client's tachycardia, the nurse should
initially administer the prescribed isotonic fluids to treat the significant
fluid volume deficit.
The nurse is creating assignments for the following shift. Which of the
following assignments would be appropriate for unlicensed assistive
personnel (UAP)?
A. A 65-year-old requiring a sterile dressing changes.
B. A 26-year-old requiring a one-person assist in ambulating to the
restroom.
C. An 80-year-old who is receiving enteral feedings continuously through
an NG tube.
D. A 16-year-old who is 4 hours post-cardiac catheterization.
B. A 26-year-old requiring a one-person assist in ambulating to the
restroom.
,You receive an order to administer 600 mg ibuprofen to your client as
needed every 6 hours. You retrieve the medication, which comes in 200
mg tablets. How many tablets do you administer to your client?
A. 1 tablet
B. 5 tablets
C. 3 tablets
D. 2 tablets
C. 3 tablets
The LPN is caring for an infant who will be going to the operating room
the next day for surgical repair of his total anomalous pulmonary venous
return. She has finished signing the consent paperwork for the operation.
The mother states "I'm not so sure about this. What if my baby dies?!"
What is the appropriate action for the LPN?
A. Explain the procedure to the mother.
B. Notify the surgical team and have them come back to speak with the
mother.
C. Reassure the mother that everything will go as planned.
D. Tell the mother that because she has already signed the consent
paperwork she cannot change her mind now
B. Notify the surgical team and have them come back to speak with the
mother.
, Which of the following infection control activities should be delegated to
an experienced nursing assistant?
A. Asking clients about the duration of antibiotic therapy.
B. Demonstrating correct handwashing techniques to clients and their
families.
C. Disinfecting blood pressure cuffs after clients are discharged.
D. Screening clients for upper respiratory tract symptoms.
C. Disinfecting blood pressure cuffs after clients are discharged.
The nurse is preparing to administer an intramuscular (IM) injection to a
neonate. Which gauge and size needle should the nurse use to
administer the medication?
A. 19 gauge, 1 1/2" (3.8 cm) needle
B. 18 gauge, 1" (2.5 cm) needle
C. 20 gauge, 1" (2.5 cm) needle
D. 25 gauge, 5/8" (1.6 cm) needle
D. 25 gauge, 5/8" (1.6 cm) needle
2026ACCURATE EXAM APPROVED QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(CORRECT VERIFIED SOLUTIONS) CURRENTLY
UPDATED 2026-2027 |St. Lawrence College
The licensed practical/vocational nurse (LPN/VN) is reinforcing teaching
for a client who has been prescribed metformin. Which of the following
statements, if made by the client, would indicate a correct
understanding of the teaching?
A. "This medication may cause me to have bloating or loose stools."
B. "I will need to check my blood glucose prior to taking this
medication."
C. "If I eat fewer carbohydrates in a day, I should skip a dose."
D. "The goal of this medication is to increase my hemoglobin A1C."
A. "This medication may cause me to have bloating or loose stools."
The nurse is collecting data on a male client taking prescribed
risperidone. Which of the following findings would indicate the client is
having an adverse effect?
A. ptosis
B. gingival hyperplasia
C. polycythemia
D. gynecomastia
D. gynecomastia
Risperidone is notorious for causing increased prolactin levels.
Increased prolactin levels may cause a client to develop gynecomastia
and/or
galactorrhea.
,The licensed practical/vocational nurse (LPN/VN) is assisting a registered
nurse in triaging a client with diabetes mellitus (type one) with diabetic
ketoacidosis (DKA). Which assessment finding requires immediate follow-
up by the LPN/VN?
A. Pulse 112/minute
B. Persistent nausea and vomiting
C. Respiratory rate 21/minute
D. Blood glucose 299 mg/dL
A. Pulse 112/minute
A complication associated with DKA is hypovolemic shock. The client
having tachycardia is demonstrating early signs of this type of shock. The
treatment modalities of DKA include fluid repletion and insulin
administration. Considering the client's tachycardia, the nurse should
initially administer the prescribed isotonic fluids to treat the significant
fluid volume deficit.
The nurse is creating assignments for the following shift. Which of the
following assignments would be appropriate for unlicensed assistive
personnel (UAP)?
A. A 65-year-old requiring a sterile dressing changes.
B. A 26-year-old requiring a one-person assist in ambulating to the
restroom.
C. An 80-year-old who is receiving enteral feedings continuously through
an NG tube.
D. A 16-year-old who is 4 hours post-cardiac catheterization.
B. A 26-year-old requiring a one-person assist in ambulating to the
restroom.
,You receive an order to administer 600 mg ibuprofen to your client as
needed every 6 hours. You retrieve the medication, which comes in 200
mg tablets. How many tablets do you administer to your client?
A. 1 tablet
B. 5 tablets
C. 3 tablets
D. 2 tablets
C. 3 tablets
The LPN is caring for an infant who will be going to the operating room
the next day for surgical repair of his total anomalous pulmonary venous
return. She has finished signing the consent paperwork for the operation.
The mother states "I'm not so sure about this. What if my baby dies?!"
What is the appropriate action for the LPN?
A. Explain the procedure to the mother.
B. Notify the surgical team and have them come back to speak with the
mother.
C. Reassure the mother that everything will go as planned.
D. Tell the mother that because she has already signed the consent
paperwork she cannot change her mind now
B. Notify the surgical team and have them come back to speak with the
mother.
, Which of the following infection control activities should be delegated to
an experienced nursing assistant?
A. Asking clients about the duration of antibiotic therapy.
B. Demonstrating correct handwashing techniques to clients and their
families.
C. Disinfecting blood pressure cuffs after clients are discharged.
D. Screening clients for upper respiratory tract symptoms.
C. Disinfecting blood pressure cuffs after clients are discharged.
The nurse is preparing to administer an intramuscular (IM) injection to a
neonate. Which gauge and size needle should the nurse use to
administer the medication?
A. 19 gauge, 1 1/2" (3.8 cm) needle
B. 18 gauge, 1" (2.5 cm) needle
C. 20 gauge, 1" (2.5 cm) needle
D. 25 gauge, 5/8" (1.6 cm) needle
D. 25 gauge, 5/8" (1.6 cm) needle
