1
REX-PN EXAM AND PRACTICE EXAM NEWEST 2025/ 2026 TEST
BANK| COMPLETE 150 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+| REX-PN EXAM PREP (MOST RECENT!!)
REx-PN Certification Practice Exam – 150 Questions with Verified
Answers
Section 1: Professional, Ethical and Legal Practice (Questions 1–15)
1. A practical nurse observes a colleague documenting care that was
not provided. What is the nurse’s initial action according to the
Canadian Council for Practical Nurse Regulators (CCPNR) Code of
Ethics?
A. Report the colleague to the police
B. Discuss the concern directly with the colleague
C. Document the incident in the patient’s chart
D. Immediately report to the regulatory body
: Correct Answer : B
Rationale: The CCPNR Code of Ethics expects nurses to first address
practice concerns directly with the colleague in a respectful,
professional manner. If the issue is not resolved or the behavior
continues, the nurse should then escalate through appropriate channels
(manager, regulatory body).
2. A client refuses a prescribed medication. After the nurse explains
the risks of refusal, the client still declines. What should the nurse do?
A. Administer the medication covertly
pg. 1
,2
B. Document the refusal and notify the prescriber
C. Tell the client they must take it
D. Discharge the client against medical advice
: Correct Answer : B
Rationale: Competent clients have the right to refuse treatment. The
nurse must inform the client of the risks, document the refusal, and
notify the prescriber. The nurse should also continue to support the
client and explore the reasons for refusal.
3. A practical nurse is asked to perform a task that is beyond their
scope of practice. What is the most appropriate response?
A. Perform the task if supervised
B. Decline the task and explain it is outside the LPN scope
C. Ask a colleague to perform it
D. Document the request in the chart
: Correct Answer : B
Rationale: Practical nurses must practise within their scope as defined
by their provincial regulatory body. Performing tasks beyond the scope
could result in disciplinary action and compromise client safety. The
nurse should decline and suggest alternative resources if available.
4. A nurse discovers a medication error has occurred. Which action
should be taken first?
A. Notify the family
B. Complete an incident report
C. Assess the client’s condition and ensure safety
D. Call the physician to inform them of the error
pg. 2
,3
: Correct Answer : C
Rationale: The priority is always client safety. The nurse must first
assess the client, monitor for adverse effects, and implement any
necessary interventions. After the client is stable, the error should be
reported to the physician and an incident report completed.
5. A client asks the nurse not to share a diagnosis with their family.
The family arrives and demands information. What is the nurse’s best
response?
A. Share the information since the family is concerned
B. Explain that consent is required from the client to share information
C. Tell the family the client is fine
D. Ignore the family’s request
: Correct Answer : B
Rationale: Confidentiality is protected under privacy legislation (e.g.,
PIPEDA, provincial health privacy acts). The nurse cannot release
information without the client’s consent unless a legal exception applies
(e.g., duty to warn, mandatory reporting).
6. A practical nurse is providing care to a client who is legally blind.
The client needs to sign a consent form. What is the nurse’s
responsibility?
A. Read the form to the client and have them sign
B. Sign on behalf of the client
C. Ensure the form is explained and the client can indicate consent
through an acceptable method
D. Get a family member to sign
pg. 3
, 4
: Correct Answer : C
Rationale: Consent must be informed and voluntary. For clients with
visual impairment, the information must be communicated verbally,
and the client may sign or use an alternative method (e.g., verbal
consent witnessed). The nurse should not sign for the client unless
legally authorized.
7. Which situation requires mandatory reporting by the nurse?
A. A client admits to occasional marijuana use
B. A client discloses domestic abuse but refuses to report
C. A 16-year-old requests birth control
D. A client states they cheated on their taxes
: Correct Answer : B
Rationale: In many Canadian jurisdictions, nurses have a duty to report
suspected abuse or neglect of children, and in some provinces, of
vulnerable adults. When a client discloses domestic abuse, the nurse
should report according to provincial legislation, even if the client
declines to report.
8. A client who is Jehovah’s Witness refuses a blood transfusion that is
considered life-saving. The nurse’s ethical obligation is to:
A. Administer the blood anyway
B. Respect the client’s decision and provide alternative care
C. Seek a court order immediately
D. Convince the family to override the client
: Correct Answer : B
Rationale: A competent adult has the right to refuse any treatment,
including life-saving measures, based on religious beliefs. The nurse
pg. 4
REX-PN EXAM AND PRACTICE EXAM NEWEST 2025/ 2026 TEST
BANK| COMPLETE 150 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+| REX-PN EXAM PREP (MOST RECENT!!)
REx-PN Certification Practice Exam – 150 Questions with Verified
Answers
Section 1: Professional, Ethical and Legal Practice (Questions 1–15)
1. A practical nurse observes a colleague documenting care that was
not provided. What is the nurse’s initial action according to the
Canadian Council for Practical Nurse Regulators (CCPNR) Code of
Ethics?
A. Report the colleague to the police
B. Discuss the concern directly with the colleague
C. Document the incident in the patient’s chart
D. Immediately report to the regulatory body
: Correct Answer : B
Rationale: The CCPNR Code of Ethics expects nurses to first address
practice concerns directly with the colleague in a respectful,
professional manner. If the issue is not resolved or the behavior
continues, the nurse should then escalate through appropriate channels
(manager, regulatory body).
2. A client refuses a prescribed medication. After the nurse explains
the risks of refusal, the client still declines. What should the nurse do?
A. Administer the medication covertly
pg. 1
,2
B. Document the refusal and notify the prescriber
C. Tell the client they must take it
D. Discharge the client against medical advice
: Correct Answer : B
Rationale: Competent clients have the right to refuse treatment. The
nurse must inform the client of the risks, document the refusal, and
notify the prescriber. The nurse should also continue to support the
client and explore the reasons for refusal.
3. A practical nurse is asked to perform a task that is beyond their
scope of practice. What is the most appropriate response?
A. Perform the task if supervised
B. Decline the task and explain it is outside the LPN scope
C. Ask a colleague to perform it
D. Document the request in the chart
: Correct Answer : B
Rationale: Practical nurses must practise within their scope as defined
by their provincial regulatory body. Performing tasks beyond the scope
could result in disciplinary action and compromise client safety. The
nurse should decline and suggest alternative resources if available.
4. A nurse discovers a medication error has occurred. Which action
should be taken first?
A. Notify the family
B. Complete an incident report
C. Assess the client’s condition and ensure safety
D. Call the physician to inform them of the error
pg. 2
,3
: Correct Answer : C
Rationale: The priority is always client safety. The nurse must first
assess the client, monitor for adverse effects, and implement any
necessary interventions. After the client is stable, the error should be
reported to the physician and an incident report completed.
5. A client asks the nurse not to share a diagnosis with their family.
The family arrives and demands information. What is the nurse’s best
response?
A. Share the information since the family is concerned
B. Explain that consent is required from the client to share information
C. Tell the family the client is fine
D. Ignore the family’s request
: Correct Answer : B
Rationale: Confidentiality is protected under privacy legislation (e.g.,
PIPEDA, provincial health privacy acts). The nurse cannot release
information without the client’s consent unless a legal exception applies
(e.g., duty to warn, mandatory reporting).
6. A practical nurse is providing care to a client who is legally blind.
The client needs to sign a consent form. What is the nurse’s
responsibility?
A. Read the form to the client and have them sign
B. Sign on behalf of the client
C. Ensure the form is explained and the client can indicate consent
through an acceptable method
D. Get a family member to sign
pg. 3
, 4
: Correct Answer : C
Rationale: Consent must be informed and voluntary. For clients with
visual impairment, the information must be communicated verbally,
and the client may sign or use an alternative method (e.g., verbal
consent witnessed). The nurse should not sign for the client unless
legally authorized.
7. Which situation requires mandatory reporting by the nurse?
A. A client admits to occasional marijuana use
B. A client discloses domestic abuse but refuses to report
C. A 16-year-old requests birth control
D. A client states they cheated on their taxes
: Correct Answer : B
Rationale: In many Canadian jurisdictions, nurses have a duty to report
suspected abuse or neglect of children, and in some provinces, of
vulnerable adults. When a client discloses domestic abuse, the nurse
should report according to provincial legislation, even if the client
declines to report.
8. A client who is Jehovah’s Witness refuses a blood transfusion that is
considered life-saving. The nurse’s ethical obligation is to:
A. Administer the blood anyway
B. Respect the client’s decision and provide alternative care
C. Seek a court order immediately
D. Convince the family to override the client
: Correct Answer : B
Rationale: A competent adult has the right to refuse any treatment,
including life-saving measures, based on religious beliefs. The nurse
pg. 4
