REx-PN: Mock Exam PRACTICE QUESTIONS AND
STUDY GUIDE COMPLETE ACCURATE MOCK EXAM
ACTUAL QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (100% CORRECT
VERIFIED SOLUTIONS) CURRENTLY UPDATED
VERSION 2026 EDITION |GUARANTEED PASS
The practical nurse (PN) receives shift report on four clients. Which
client should the PN assess first?
A client who is one day post-operative thyroidectomy and is making a
high-pitched, harsh voice when speaking.
3 multiple choice options
The nurse is caring for a client who has a cast on the right forearm
following an injury 3 weeks prior. Which statement indicates the need
for further education?
"Since my arm is heavy I am wearing an arm sling whenever I am not in
bed."
3 multiple choice options
A client with acute respiratory distress syndrome (ARDS) is receiving
mechanical ventilation. The ventilator settings are adjusted to include High
Positive End-Expiratory Pressure (PEEP). Which complication
should the nurse monitor for as a direct result of high PEEP?
A sudden decrease in cardiac output caused by increased intrathoracic pressure
reducing venous return.
3 multiple choice options
, The nurse is caring for a group of clients who are experiencing
symptoms of withdrawal from heavy alcohol use. Which finding
requires immediate follow-up?
Hematemesis.
3 multiple choice options
The practical nurse (PN) is preparing to administer 10 units of regular
insulin and 25 units of NPH insulin to a client. What is the correct
sequence of actions for drawing up these medications in one syringe?
Inject 25 units of air into the NPH vial, inject 10 units of air into the regular
insulin vial, withdraw 10 units of regular insulin, then withdraw 25 units of
NPH insulin.
3 multiple choice options
The nurse works for the suicide prevention hotline. Which of the
following callers should be considered the highest risk for committing
suicide?
A client who says that they are holding a gun and want to shoot themself.
3 multiple choice options
,An elderly client was playing golf with their friends
when they suddenly complained of severe chest pain and
dyspnea. The client was rushed to the hospital, and it was determined
that they have unstable angina. Which of the following is a first-line
medication for the client's condition?
Nitroglycerin.
3 multiple choice options
The nurse received shift report on four assigned clients. Which of the
following clients should the nurse see first?
A client having an asthma exacerbation whose breath sounds are very
quiet.
3 multiple choice options
A client is receiving digoxin 0.25 mg daily. Which assessment finding
requires the practical nurse's (PN) immediate action?
Apical pulse of 52 beats per minute.
3 multiple choice options
, The nurse is assessing a smoker diagnosed with chronic obstructive
lung disease (COPD) who stated that they felt a sudden sharp pain
in their right chest. The nurse observed the
client becoming cyanotic, and the client's trachea had deviated. Which
of the following lung sounds will the nurse most likely auscultate?
Diminished breath sounds to the affected side.
3 multiple choice options
A nurse on a medical-surgical unit receives a change-of-shift report
for four clients. Which client should the nurse assess first?
A client with a subarachnoid hemorrhage who has a blood pressure of
168/94 mmHg.
3 multiple choice options
The medical-surgical nurse is receiving report on four assigned clients.
Which client should the nurse assess first?
A 55-year-old with heart failure who has developed new-onset confusion
and has a respiratory rate of 28 breaths/min.
3 multiple choice options
STUDY GUIDE COMPLETE ACCURATE MOCK EXAM
ACTUAL QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (100% CORRECT
VERIFIED SOLUTIONS) CURRENTLY UPDATED
VERSION 2026 EDITION |GUARANTEED PASS
The practical nurse (PN) receives shift report on four clients. Which
client should the PN assess first?
A client who is one day post-operative thyroidectomy and is making a
high-pitched, harsh voice when speaking.
3 multiple choice options
The nurse is caring for a client who has a cast on the right forearm
following an injury 3 weeks prior. Which statement indicates the need
for further education?
"Since my arm is heavy I am wearing an arm sling whenever I am not in
bed."
3 multiple choice options
A client with acute respiratory distress syndrome (ARDS) is receiving
mechanical ventilation. The ventilator settings are adjusted to include High
Positive End-Expiratory Pressure (PEEP). Which complication
should the nurse monitor for as a direct result of high PEEP?
A sudden decrease in cardiac output caused by increased intrathoracic pressure
reducing venous return.
3 multiple choice options
, The nurse is caring for a group of clients who are experiencing
symptoms of withdrawal from heavy alcohol use. Which finding
requires immediate follow-up?
Hematemesis.
3 multiple choice options
The practical nurse (PN) is preparing to administer 10 units of regular
insulin and 25 units of NPH insulin to a client. What is the correct
sequence of actions for drawing up these medications in one syringe?
Inject 25 units of air into the NPH vial, inject 10 units of air into the regular
insulin vial, withdraw 10 units of regular insulin, then withdraw 25 units of
NPH insulin.
3 multiple choice options
The nurse works for the suicide prevention hotline. Which of the
following callers should be considered the highest risk for committing
suicide?
A client who says that they are holding a gun and want to shoot themself.
3 multiple choice options
,An elderly client was playing golf with their friends
when they suddenly complained of severe chest pain and
dyspnea. The client was rushed to the hospital, and it was determined
that they have unstable angina. Which of the following is a first-line
medication for the client's condition?
Nitroglycerin.
3 multiple choice options
The nurse received shift report on four assigned clients. Which of the
following clients should the nurse see first?
A client having an asthma exacerbation whose breath sounds are very
quiet.
3 multiple choice options
A client is receiving digoxin 0.25 mg daily. Which assessment finding
requires the practical nurse's (PN) immediate action?
Apical pulse of 52 beats per minute.
3 multiple choice options
, The nurse is assessing a smoker diagnosed with chronic obstructive
lung disease (COPD) who stated that they felt a sudden sharp pain
in their right chest. The nurse observed the
client becoming cyanotic, and the client's trachea had deviated. Which
of the following lung sounds will the nurse most likely auscultate?
Diminished breath sounds to the affected side.
3 multiple choice options
A nurse on a medical-surgical unit receives a change-of-shift report
for four clients. Which client should the nurse assess first?
A client with a subarachnoid hemorrhage who has a blood pressure of
168/94 mmHg.
3 multiple choice options
The medical-surgical nurse is receiving report on four assigned clients.
Which client should the nurse assess first?
A 55-year-old with heart failure who has developed new-onset confusion
and has a respiratory rate of 28 breaths/min.
3 multiple choice options
