REX-PN Practice Test Exam Questions and
Answers (Verified Answers) Updated (Actual
Exam) 2025\2026 LATEST VERSION!!
A 4-year old child is brought by her grandmother in the emergency room due to fever, chills, and
difficulty walking. The nurse tries to remove the excessive clothing of the child but is reluctant. After a
thorough assessment, the nurse also noted bruises around the genital area. Which of the following
interventions should the nurse do first?
A. Collect the clothing and underwear of the child
B. Provide privacy and disregard the behavior of the child
C. Inform the law enforcement for a possible child abuse
D. Record all the findings - -------CORRECT ANSWER----Option C: Calling law enforcement is a priority
action and a legal responsibility of6 the nurse in c&&
A 5-month-old infant is admitted to the ER with a temperature of 106°F and irritability. The mother
states that the child has been listless for the past several hours and that he had a seizure on the way to
the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the
infant for:
A. Negative scarf sign
B. Positive Babinski reflex
C. Tenseness of the anterior fontanel
D. Periorbital edema - -------CORRECT ANSWER----Option C: Bacterial meningitis is the inflammation of
the meninges (membranes that cover the brain and spinal cord) caused by bacteria. The nurse should
assess the infant with this condition for the tenseness of the anterior fontanel which may indicate an
increase in intracranial pressure.
A 6-year-old is diagnosed with Legg-Calve Perthes disease. An important part of the child's care includes
instructing the parents:
A. To increase the amount of dietary protein
,B. To prevent weight bearing on the affected leg
C. About relaxation exercises to minimize pain in the shoulder
D. About exercises to strengthen affected muscles - -------CORRECT ANSWER----Option B: The child with
Legg-Calve Perthes disease should be prevented from bearing weight on the affected extremity until
revascularization has occurred.
A 9-year-old is admitted with suspected rheumatic fever. Which finding is suggestive of polymigratory
arthritis?
A. Swelling, inflammation, and effusion of the joints
B. Faint areas of red demarcation over the back and abdomen
C. Irregular movements of the extremities and facial grimacing
D. Painless swelling over the extensor surfaces of the joints - -------CORRECT ANSWER----Option A:
Polymigratory arthritis occurs when arthritis symptoms such as swollen, painful joints appear from one
joint to another.
A child is hospitalized with a fractured femur involving the epiphysis. Epiphyseal fractures are serious
because:
A. Normal bone growth is affected
B. Callus formation prevents bone healing
C. Bone marrow is lost through the fracture site
D. Blood supply to the bone is obliterated - -------CORRECT ANSWER----Option A: Growth plates located
in the epiphysis can be damaged by epiphyseal fractures. A serious complication is the complete closure
of the growth plate which means that the affected bone will not grow as long compared to the
unaffected side or the possibility of an infection if the bone is sticking out of the skin.
A child with a croup is placed in a cool, high-humidity tent connected to room air. The primary purpose
of the tent is to:
A. Provide a moist environment with oxygen at 50%
B. Moisten secretions and relieve laryngospasm
,C. Prevent insensible water loss
D. Prevent dehydration and reduce fever - -------CORRECT ANSWER----Option B: Croup is a group of
respiratory illnesses seen in children caused by influenza viruses type 1, 2, and 3 that results in the
inflammation of the larynx, trachea, and bronchi. The child with a croup develops breathing problems
hence oxygen tents may be used to moisten airway secretions and relieve laryngeal spasms.
A client admitted to the psychiatric unit claims to be the Son of God and insists that he will not be kept
away from his followers. The most likely explanation for the client's delusion is:
A. A religious experience
B. A stressful event
C. Overwhelming anxiety
D. High self-esteem - -------CORRECT ANSWER----Option D: Delusions of grandeur is a person's belief that
they are someone other than who they are. Individuals experiencing this have a high self-esteem.
A client develops tremors while withdrawing from alcohol. Which medication is routinely administered
to lessen physiological effects of alcohol withdrawal?
A. Dolophine (methadone)
B. Ativan (lorazepam)
C. Narcan (Naloxone)
D. Antabuse (disulfiram) - -------CORRECT ANSWER----Option B: Benzodiazepines such as clonazepam and
lorazepam are given to the client withdrawing from alcohol.
A client has been hospitalized with a diagnosis of laryngeal cancer. Which factor is most significant in the
development of laryngeal cancer?
A. A family history of laryngeal cancer
B. Chronic inhalation of noxious fumes
C. Frequent straining of the vocal cords
, D. A history of alcohol and tobacco use - -------CORRECT ANSWER----Option D: Alcohol may help harmful
chemicals such as those found in tobacco to penetrate inside the cells that line the throat, mouth, and
esophagus causing an increased risk for laryngeal cancer.
A client has returned to his room following an esophagoscopy. Before offering fluids, the nurse should
give priority to assessing the client's:
A. Level of consciousness
B. Movement of extremities
C. Urinary output
D. Gag reflex - -------CORRECT ANSWER----Option D: The client's gag reflex is depressed before having an
EGD. The nurse should give priority to checking for the return of the gag reflex before offering the client
oral fluids.
A client hospitalized with a fractured mandible is to be discharged. Which piece of equipment should be
kept on the client with a fractured mandible?
A. Wire cutters
B. Oral airway
C. Pliers
D. Tracheostomy set - -------CORRECT ANSWER----Option A: The client with a fractured mandible should
keep a pair of wire cutters with him at all times to release the device in case of choking or aspiration.
A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following is
associated with an increased incidence of gastric cancer?
A. Dairy products
B. Carbonated beverages
C. Refined sugars
D. Luncheon meats - -------CORRECT ANSWER----Option D: Luncheon meats contain preservatives such as
nitrites that have been linked to gastric cancer.
Answers (Verified Answers) Updated (Actual
Exam) 2025\2026 LATEST VERSION!!
A 4-year old child is brought by her grandmother in the emergency room due to fever, chills, and
difficulty walking. The nurse tries to remove the excessive clothing of the child but is reluctant. After a
thorough assessment, the nurse also noted bruises around the genital area. Which of the following
interventions should the nurse do first?
A. Collect the clothing and underwear of the child
B. Provide privacy and disregard the behavior of the child
C. Inform the law enforcement for a possible child abuse
D. Record all the findings - -------CORRECT ANSWER----Option C: Calling law enforcement is a priority
action and a legal responsibility of6 the nurse in c&&
A 5-month-old infant is admitted to the ER with a temperature of 106°F and irritability. The mother
states that the child has been listless for the past several hours and that he had a seizure on the way to
the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the
infant for:
A. Negative scarf sign
B. Positive Babinski reflex
C. Tenseness of the anterior fontanel
D. Periorbital edema - -------CORRECT ANSWER----Option C: Bacterial meningitis is the inflammation of
the meninges (membranes that cover the brain and spinal cord) caused by bacteria. The nurse should
assess the infant with this condition for the tenseness of the anterior fontanel which may indicate an
increase in intracranial pressure.
A 6-year-old is diagnosed with Legg-Calve Perthes disease. An important part of the child's care includes
instructing the parents:
A. To increase the amount of dietary protein
,B. To prevent weight bearing on the affected leg
C. About relaxation exercises to minimize pain in the shoulder
D. About exercises to strengthen affected muscles - -------CORRECT ANSWER----Option B: The child with
Legg-Calve Perthes disease should be prevented from bearing weight on the affected extremity until
revascularization has occurred.
A 9-year-old is admitted with suspected rheumatic fever. Which finding is suggestive of polymigratory
arthritis?
A. Swelling, inflammation, and effusion of the joints
B. Faint areas of red demarcation over the back and abdomen
C. Irregular movements of the extremities and facial grimacing
D. Painless swelling over the extensor surfaces of the joints - -------CORRECT ANSWER----Option A:
Polymigratory arthritis occurs when arthritis symptoms such as swollen, painful joints appear from one
joint to another.
A child is hospitalized with a fractured femur involving the epiphysis. Epiphyseal fractures are serious
because:
A. Normal bone growth is affected
B. Callus formation prevents bone healing
C. Bone marrow is lost through the fracture site
D. Blood supply to the bone is obliterated - -------CORRECT ANSWER----Option A: Growth plates located
in the epiphysis can be damaged by epiphyseal fractures. A serious complication is the complete closure
of the growth plate which means that the affected bone will not grow as long compared to the
unaffected side or the possibility of an infection if the bone is sticking out of the skin.
A child with a croup is placed in a cool, high-humidity tent connected to room air. The primary purpose
of the tent is to:
A. Provide a moist environment with oxygen at 50%
B. Moisten secretions and relieve laryngospasm
,C. Prevent insensible water loss
D. Prevent dehydration and reduce fever - -------CORRECT ANSWER----Option B: Croup is a group of
respiratory illnesses seen in children caused by influenza viruses type 1, 2, and 3 that results in the
inflammation of the larynx, trachea, and bronchi. The child with a croup develops breathing problems
hence oxygen tents may be used to moisten airway secretions and relieve laryngeal spasms.
A client admitted to the psychiatric unit claims to be the Son of God and insists that he will not be kept
away from his followers. The most likely explanation for the client's delusion is:
A. A religious experience
B. A stressful event
C. Overwhelming anxiety
D. High self-esteem - -------CORRECT ANSWER----Option D: Delusions of grandeur is a person's belief that
they are someone other than who they are. Individuals experiencing this have a high self-esteem.
A client develops tremors while withdrawing from alcohol. Which medication is routinely administered
to lessen physiological effects of alcohol withdrawal?
A. Dolophine (methadone)
B. Ativan (lorazepam)
C. Narcan (Naloxone)
D. Antabuse (disulfiram) - -------CORRECT ANSWER----Option B: Benzodiazepines such as clonazepam and
lorazepam are given to the client withdrawing from alcohol.
A client has been hospitalized with a diagnosis of laryngeal cancer. Which factor is most significant in the
development of laryngeal cancer?
A. A family history of laryngeal cancer
B. Chronic inhalation of noxious fumes
C. Frequent straining of the vocal cords
, D. A history of alcohol and tobacco use - -------CORRECT ANSWER----Option D: Alcohol may help harmful
chemicals such as those found in tobacco to penetrate inside the cells that line the throat, mouth, and
esophagus causing an increased risk for laryngeal cancer.
A client has returned to his room following an esophagoscopy. Before offering fluids, the nurse should
give priority to assessing the client's:
A. Level of consciousness
B. Movement of extremities
C. Urinary output
D. Gag reflex - -------CORRECT ANSWER----Option D: The client's gag reflex is depressed before having an
EGD. The nurse should give priority to checking for the return of the gag reflex before offering the client
oral fluids.
A client hospitalized with a fractured mandible is to be discharged. Which piece of equipment should be
kept on the client with a fractured mandible?
A. Wire cutters
B. Oral airway
C. Pliers
D. Tracheostomy set - -------CORRECT ANSWER----Option A: The client with a fractured mandible should
keep a pair of wire cutters with him at all times to release the device in case of choking or aspiration.
A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following is
associated with an increased incidence of gastric cancer?
A. Dairy products
B. Carbonated beverages
C. Refined sugars
D. Luncheon meats - -------CORRECT ANSWER----Option D: Luncheon meats contain preservatives such as
nitrites that have been linked to gastric cancer.
