REx-PN® Bundled Exams With Actual
Exam Newest With Complete Questions And
Correct Detailed Answers| Brand New
Version!
The risk manager reviews an incident report completed by a nurse regarding a client's fall. Which
finding in the report demonstrates inappropriate documentation?
A. The client's explanation of the event.
B. Subjective factors preceding the fall.
C. Any injuries sustained as a result of the fall.
D. The names of all witnesses present. B. Subjective factors preceding the fall.
The nurse is caring for a client who is immediately postoperative. It would be appropriate for the
nurse to initially data collect on the client's
A. respiratory status.
B. level of consciousness.
C. level of pain.
D. ability to move extremities. A. respiratory status.
The LPN is taking vital signs on a pregnant client in active labor. When she inflates the blood
pressure cuff, she looks at the fetal monitor and notices that the fetal heart rate increases above
baseline and then returns to baseline about 15 seconds later. What is the priority nursing action?
A. Notify the healthcare provider
B. Document and continue to monitor
C. Place the mother on her left side
D. Administer 100% FiO2 via face mask B. Document and continue to monitor
How should the nurse assess for the presence of thrombophlebitis in a client who reports having
pain in the left lower leg?
A. By palpating the skin over the tibia and fibula.
1
,B. By documenting daily calf circumference measurements.
C. By recording vital signs obtained four times a day.
D. By noting difficulty with ambulation. B. By documenting daily calf circumference
measurements.
The nurse is visiting a client who is 82 years old, has impaired vision, and lives alone. It would
be necessary for the nurse to follow up if the client states which of the following? Select all that
apply.
A. "I secured my throw rugs to the floor with tape."
B. "I switched to using an electric shaver instead of a razor."
C. "I usually sit in a recliner while I listen to the television."
D. "I use different shaped containers with lids to organize my medications."
E. "I use the upstairs bathroom instead of the one downstairs." A&E
The nurse is performing follow-up phone calls for clients recently discharged from the medical-
surgical unit. Which client situation would require immediate follow-up? A client with
A. a new prescription for risperidone reporting muscle stiffness.
B. type II diabetes mellitus reporting loose stools while taking their prescribed metformin.
C. rheumatoid arthritis reporting an oral temperature of 99°F (37°C).
D. chronic renal failure stating they have not had a bowel movement in two days. A. a new
prescription for risperidone reporting muscle stiffness.
The nurse is caring for a client experiencing prolonged labor with hypotonic contractions. Which
of the following actions should the nurse take?
A. Encourage frequent voiding.
B. Maintain strict bedrest.
C. Prepare for a prescribed infusion of oxytocin.
D. Encourage frequent repositioning.
E. Prepare for an infusion of intravenous (IV) fluids A, C, D, & E
The nurse is teaching a client about newly prescribed isoniazid (INH) for pulmonary
tuberculosis. Which of the following statements by the client would require follow up?
2
,A. "I will have to take this medication for three months."
B. "I will need to have my blood drawn periodically to see if I am having an adverse effect to
this medication."
C. "I will not be considered infectious if I have three consecutive negative sputum samples."
D. "This medication may make my hands and feet have numbness and tingling sensations."
A. "I will have to take this medication for three months."
The licensed practical nurse has reinforced education at a conference on intramuscular (IM)
injections. Which of the following statements by the participant would indicate a correct
understanding of the teaching?
A. "1 mL is the maximum volume in a single site for small children and older infants."
B. "Depress the plunger as the needle is being inserted into the client's skin to minimize
discomfort."
C. "Insert the needle quickly using a dart-like motion at a 60-degree angle."
D. "Injecting in the ventrogluteal muscle is more painful than the vastus lateralis." A. "1 mL is
the maximum volume in a single site for small children and older infants."
The nurse cares for a pregnant client with a history of cholestasis who presents to the emergency
department complaining of severe itching, particularly on the palms of the hands and soles of the
feet. The nurse anticipates which of the following clinical manifestations associated with
cholestasis?
A. Jaundice
B. Hypotension
C. Hyperglycemia
D. Bradycardia A. Jaundice
The nurse is caring for a client in labor who is experiencing early decelerations. Which of the
following actions should the nurse take?
A. Reposition the client on her side
B. Document the findings
C. Discontinue oxytocin infusion
D. Prepare for an amnioinfusion B. Document the findings
3
, The licensed practica nurse cares for a client receiving 1300 units/hr of heparin. The bag is
labeled 25,000 units in 500 mL of dextrose 5% in water. How many mL should the nurse record
that the client received in eight hours? 208 mL
The license practical/vocational nurse (LPN/VN) is reinforcing teaching to a client prescribed
iron supplementation. The nurse should instruct the client to Select all that apply.
A. take the iron supplement with a meal rich in calcium.
B. drink a glass of orange juice with your iron supplement.
C. report any black stools to the physician.
D. drink iron suspension with a straw.
E. increase dietary fiber intake because of the potential for constipation. B, D, & E
The nurse is caring for a client who is receiving prescribed ketorolac. Which of the following
findings would indicate a therapeutic response? Select all that apply.
A. Decreased pain
B. Increased urinary output
C. Decreased blood pressure
D. Decreased temperature
E. Increased muscle coordination A&D
The nurse is caring for a client who was admitted with a myocardial infarction (MI). Which of
the following cardiac biomarkers is most specific for myocardial injury?
A. CPK-MB
B. Troponin
C. Creatinine kinase
D. Myoglobin B. Troponin
The licensed practical nurse is reinforcing teaching to a client about prescribed guaifensin.
Which of the following statements by the client would indicate a correct understanding of the
teaching?
A. "This medication will help reduce my fever."
B. "I'll take this medication to relieve my cough and loosen mucus."
4
Exam Newest With Complete Questions And
Correct Detailed Answers| Brand New
Version!
The risk manager reviews an incident report completed by a nurse regarding a client's fall. Which
finding in the report demonstrates inappropriate documentation?
A. The client's explanation of the event.
B. Subjective factors preceding the fall.
C. Any injuries sustained as a result of the fall.
D. The names of all witnesses present. B. Subjective factors preceding the fall.
The nurse is caring for a client who is immediately postoperative. It would be appropriate for the
nurse to initially data collect on the client's
A. respiratory status.
B. level of consciousness.
C. level of pain.
D. ability to move extremities. A. respiratory status.
The LPN is taking vital signs on a pregnant client in active labor. When she inflates the blood
pressure cuff, she looks at the fetal monitor and notices that the fetal heart rate increases above
baseline and then returns to baseline about 15 seconds later. What is the priority nursing action?
A. Notify the healthcare provider
B. Document and continue to monitor
C. Place the mother on her left side
D. Administer 100% FiO2 via face mask B. Document and continue to monitor
How should the nurse assess for the presence of thrombophlebitis in a client who reports having
pain in the left lower leg?
A. By palpating the skin over the tibia and fibula.
1
,B. By documenting daily calf circumference measurements.
C. By recording vital signs obtained four times a day.
D. By noting difficulty with ambulation. B. By documenting daily calf circumference
measurements.
The nurse is visiting a client who is 82 years old, has impaired vision, and lives alone. It would
be necessary for the nurse to follow up if the client states which of the following? Select all that
apply.
A. "I secured my throw rugs to the floor with tape."
B. "I switched to using an electric shaver instead of a razor."
C. "I usually sit in a recliner while I listen to the television."
D. "I use different shaped containers with lids to organize my medications."
E. "I use the upstairs bathroom instead of the one downstairs." A&E
The nurse is performing follow-up phone calls for clients recently discharged from the medical-
surgical unit. Which client situation would require immediate follow-up? A client with
A. a new prescription for risperidone reporting muscle stiffness.
B. type II diabetes mellitus reporting loose stools while taking their prescribed metformin.
C. rheumatoid arthritis reporting an oral temperature of 99°F (37°C).
D. chronic renal failure stating they have not had a bowel movement in two days. A. a new
prescription for risperidone reporting muscle stiffness.
The nurse is caring for a client experiencing prolonged labor with hypotonic contractions. Which
of the following actions should the nurse take?
A. Encourage frequent voiding.
B. Maintain strict bedrest.
C. Prepare for a prescribed infusion of oxytocin.
D. Encourage frequent repositioning.
E. Prepare for an infusion of intravenous (IV) fluids A, C, D, & E
The nurse is teaching a client about newly prescribed isoniazid (INH) for pulmonary
tuberculosis. Which of the following statements by the client would require follow up?
2
,A. "I will have to take this medication for three months."
B. "I will need to have my blood drawn periodically to see if I am having an adverse effect to
this medication."
C. "I will not be considered infectious if I have three consecutive negative sputum samples."
D. "This medication may make my hands and feet have numbness and tingling sensations."
A. "I will have to take this medication for three months."
The licensed practical nurse has reinforced education at a conference on intramuscular (IM)
injections. Which of the following statements by the participant would indicate a correct
understanding of the teaching?
A. "1 mL is the maximum volume in a single site for small children and older infants."
B. "Depress the plunger as the needle is being inserted into the client's skin to minimize
discomfort."
C. "Insert the needle quickly using a dart-like motion at a 60-degree angle."
D. "Injecting in the ventrogluteal muscle is more painful than the vastus lateralis." A. "1 mL is
the maximum volume in a single site for small children and older infants."
The nurse cares for a pregnant client with a history of cholestasis who presents to the emergency
department complaining of severe itching, particularly on the palms of the hands and soles of the
feet. The nurse anticipates which of the following clinical manifestations associated with
cholestasis?
A. Jaundice
B. Hypotension
C. Hyperglycemia
D. Bradycardia A. Jaundice
The nurse is caring for a client in labor who is experiencing early decelerations. Which of the
following actions should the nurse take?
A. Reposition the client on her side
B. Document the findings
C. Discontinue oxytocin infusion
D. Prepare for an amnioinfusion B. Document the findings
3
, The licensed practica nurse cares for a client receiving 1300 units/hr of heparin. The bag is
labeled 25,000 units in 500 mL of dextrose 5% in water. How many mL should the nurse record
that the client received in eight hours? 208 mL
The license practical/vocational nurse (LPN/VN) is reinforcing teaching to a client prescribed
iron supplementation. The nurse should instruct the client to Select all that apply.
A. take the iron supplement with a meal rich in calcium.
B. drink a glass of orange juice with your iron supplement.
C. report any black stools to the physician.
D. drink iron suspension with a straw.
E. increase dietary fiber intake because of the potential for constipation. B, D, & E
The nurse is caring for a client who is receiving prescribed ketorolac. Which of the following
findings would indicate a therapeutic response? Select all that apply.
A. Decreased pain
B. Increased urinary output
C. Decreased blood pressure
D. Decreased temperature
E. Increased muscle coordination A&D
The nurse is caring for a client who was admitted with a myocardial infarction (MI). Which of
the following cardiac biomarkers is most specific for myocardial injury?
A. CPK-MB
B. Troponin
C. Creatinine kinase
D. Myoglobin B. Troponin
The licensed practical nurse is reinforcing teaching to a client about prescribed guaifensin.
Which of the following statements by the client would indicate a correct understanding of the
teaching?
A. "This medication will help reduce my fever."
B. "I'll take this medication to relieve my cough and loosen mucus."
4
