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REX-PN STUDY GUIDE|ACTUAL QUESTIONS AND DETAILED CORRECT SOLUTIONS|NEW 2026/2027 UPDATE|GRADED A+

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REX-PN STUDY GUIDE|ACTUAL QUESTIONS AND DETAILED CORRECT SOLUTIONS|NEW 2026/2027 UPDATE|GRADED A+

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TAILED CORRECT SOLUTIONS|NEW 2026/2027 UP-
DATE|GRADED A+

Question 1

What is the most accurate method for the practical nurse to determine she is administering
the correct medication to Mr.Rickhelm?

1. Compare the name of the drug on the medication prepackage with the prescribers order.

2. Ask Mr.Richkelm to confirm he is receiving the correct medication.

3. Contact the agency pharmacy to confirm Mr.Richkelm's medication profile.

4. Check the medication identified on the medication prepackage against information from a
drug reference text or agency intranet site..

ANSWER

1. In order to comply with the rights of medication administration, the practical nurse
must compare the medication prepackage with the prescriber's order to confirm that the
pharmacy has prepared the correct medication.




Question 2

Mr.Ogalino has been taking a brand name oral anti-infective medication at home for 6
months prior to being admitted to hospital. When the practical nurse brings his medications
to him for the first time, he states "What is this pink pill? I have never taken that one be-
fore." Which of the following responses by the practical nurse indicates safe medication ad-
ministration?

1. "This is a generic form of your regular anti-infective."

2. "I don't know, I'll check your medication record."

3. "This is what your doctor has prescribed for you."

4. "If you wish, you may refuse the medication."

ANSWER



1

,1. This response answers Mr.Ogalino's questions and indicates that the practical nurse is
aware of what drug is being administered and that it is an accepted generic form of the
drug.




Question 3

Ms.Jasmin is a newly admitted client to the unit. The practical nurse prepares to administer
long-acting insulin to her at 1800 hours. Ms.Jasmin tells the practical nurse that at home she
takes this insulin at bedtime, around 2300 hours. How should the practical nurse respond?

1. "I will test your blood sugar to make sure this is the best time to inject your insulin."

2. "What is the release you take your insulin at bedtime?"

3. "Generally the schedule for administering insulin is different when you are in hospital than
when you are at home."

4. "Bedtime is not the best time for administration of long-acting insulin."

ANSWER

2. This response validates Ms.Jasmin's comment and may provide important information
to the practical nurse for the dosing schedule.




Question 4

Ms.Corel is admitted to the unit with a diagnosis of deep vein thrombosis. Which of the fol-
lowing categories of drugs is likely to be ordered?

1. A statin

2. An antibiotic

3. An analgesic

4. An anticoagulant

ANSWER

4. Anticoagulants, or blood thinners, are used to treat and prevent deep vein thrombosis.




2

, Question 5

The pharmacy technician comes to the unit to add some narcotics to the narcotic draw on
the unit. The pharmacy technician asks the practical nurse to sign as a witness for the added
medication to the narcotic draw count. Who may legally sign the narcotic administration
count sheet?

1. A (RN)

2. An RN RPN

3. An RN or a physician

4. Any registered or regulated health care provider.

ANSWER

4. Regulated health care providers, such as nurses, physicians, dentists, chiropractors,
pharmacist/technicians, and so on, are legally able to sign narcotic count sheets.




Question 6

Mrs.Alina is ordered Digoxin (Lanoxin) 0.075mg. The pharmacy dispenses Digoxin, three tab-
lets of 0.25mg for the above order. The practical nurse administers the provided three tab-
lets of digoxin.

1. Correct, as the digoxin has been calculated by the pharmacy.

2. Correct, as the digoxin is the same dose that the physician has ordered.

3. Incorrect, as the ordered dose of digoxin is below the therapeutic level.

4. Incorrect, as the dose administered is too high.

ANSWER

4. The dose of digoxin is 10 times the ordered dose. It is a nursing responsibility to calcu-
late and ensure the correct dose of every drug administered.




Question 7

Mr.Smadu's mother and sister ask the practical nurse what the best way is to respond when
he is hearing voices. What should the practical nurse advise to them?


3

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