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

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

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Question 1




|ACTUAL QUESTIONS AND
DETAILED CORRECT
SOLUTIONS|NEW 2026/2027
UPDATE|GRADED A+

, AND DETAILED CORRECT SOLUTIONS|NEW
2026/2027 UPDATE|GRADED A+

A child has been diagnosed with Type I diabetes mellitus. The nurse is reading this child's
endocrinologist prescription, indicating the appropriate administration of insulin. Which of
the following insulin regimen is best for children with diabetes mellitus?

A. The dose is dependent solely on age

B. Rapid-acting insulin must be injected intramuscularly two times a day

C. The dose is administered in the vastus lateralis muscle

D. The dose is determined individually

ANSWER

Answer: D. The dose is determined individually



Currently, there is a recommendation for the individual treatment of diabetes mellitus.
Each client has a unique genetic makeup, meaning different people are likely to respond
differently to the same drug regimen. For some, it may be effective, while for others, it
may not be as beneficial.

Although age does play a factor in insulin dosing, it is not the sole factor—other factors
include weight, blood glucose levels, activity levels, lifestyle, diet, etc.

It is also common to mix different types of insulins to get the best results. Short-acting
insulin has a quick onset of action, a duration of only a couple of hours, and can be
administered multiple times per day.

Long-acting insulin has a slower onset of action, a duration of up to 24 hours, and is
usually administered once daily. The regime, including the type and frequency of insulin
administration, depends on the client's blood glucose levels.




Question 2

1

,A client arrives to the ER with a blood glucose of 32 mmol/L. What are the 3 polys of Type
diabetes mellitus?

A. Polyuria, polyopia, polycystic

B. Polydipsia, polyphagia, polyarthritis

C. Polyphagia, polyuria, polydipsia

D. Polyuria, polycythemia, polyarthritis

ANSWER

Polyphagia, polyuria, polydipsia



Type I diabetes mellitus (DM) develops when the body can no longer produce insulin due
to the destruction of beta cells of the pancreas responsible for insulin production. Lack of
insulin production leads to poor control of blood glucose levels. Polyphagia, polyuria, and
polydipsia are known as the cardinal signs of diabetes. They develop faster in clients with
type I DM.

Polydipsia refers to increased thirst caused by high blood sugar levels that make the blood
more concentrated.

Polyuria is the medical term for increased frequency of urination and passage of high
volumes of urine, followed by the excess intake of fluids.

Polyphagia refers to increased appetite which occurs because of excess loss of glucose in
the urine, making the body crave food.




Question 3

Which of the following drugs is the most effective when it comes to easing the symptoms of
osteoarthritis?

A. Acyclovir

B. Baclofen

C. Acetaminophen

D. Diclofenac

ANSWER



2

, Answer: D. Diclofenac



Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) used to treat generalized pain,
rheumatoid arthritis, dysmenorrhea, and osteoarthritis. It works by inhibiting the activity
of COX-1 and COX-2, which are responsible for the production of lipid compounds that are
essential in pain response and inflammation.

Acyclovir is an antiviral drug. Baclofen is a skeletal muscle relaxant drug. Acetaminophen is
an analgesic and antipyretic drug.




Question 4

Which statement about the treatment of human immunodeficiency virus (HIV) infection is
true?

A. Treatment is difficult because antivirals are unsafe for the population

B. Asymptomatic individuals do not need to be treated

C. Treatment for HIV varies for each client

D. Only one drug is required to treat all clients with HIV

ANSWER

Answer: C. Treatment for HIV varies for each client



HIV is also known as the human immunodeficiency virus. Failure to treat infection due to
this virus can develop autoimmune deficiency syndrome (AIDS) which is a life-threatening
condition. Symptoms include fever, swollen lymph nodes, fatigue, and weight loss. The
treatment for HIV is called antiretroviral (ARV) therapy. It involves the use of a
combination of antiviral drugs. The specifications of the drug therapy for HIV are different
for each individual because the treatment is supposed to blend in with other medications
that the client must take, which depends on many factors such as comorbidities, nutrition,
and immune status.

The answer option A is incorrect because many antiviral drugs work well. The answer option
B is also wrong because even asymptomatic clients with HIV require treatment. Treating HIV
starting from the early stages is better since it may help reduce the mortality rate. The
answer option D is also incorrect because the treatment usually involves a combination of
antiviral drugs

3

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