Regulatory Exam for Practical Nurses (REx-
PN) 2026 Latest Update || Verified Nursing
Practice Questions with Correct Answers &
Explanations (Complete Exam)
Question 1
A 4-year-old child is brought by her grandmother to 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: C
Explanation: Calling law enforcement is a priority action and a legal responsibility of
the nurse in cases of suspected child abuse. Signs of sexual abuse in children 0-5 years
of age include unexplained genital injury, avoidance to remove clothing, insist on
wearing multiple garments, difficulty walking or sitting due to genital or anal pain, and
signs of sexually transmitted infections.
Question 2
A client receiving hydrochlorothiazide is instructed to increase her dietary intake of
potassium. The best snack for the client requiring increased potassium is:
A. Pear
B. Apple
C. Orange
D. Avocado
Correct Answer: D
Explanation: The fruit which packs the most potassium among the choices is the
avocado which contains 487 mg per half serving of the fruit.
pg. 1
,Question 3
The nurse is caring for a client following the removal of the thyroid. Immediately post-
op, the nurse should:
A. Maintain the client in a semi-Fowler's position
B. Place the client in a supine position
C. Position the client in Trendelenburg
D. Keep the client flat with no pillow
Correct Answer: A
Explanation: Following a thyroidectomy, the client should be placed in semi-Fowler's
position to decrease swelling that would place pressure on the airway.
Question 4
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: D
Explanation: Luncheon meats contain preservatives such as nitrites that have been
linked to gastric cancer.
Question 5
A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson.
His tentative diagnosis is antisocial personality disorder. In reviewing the client's
record, the nurse would expect to find:
A. A history of consistent employment
B. A below-average intelligence
C. A history of cruelty to animals
D. An expression of remorse for his actions
Correct Answer: C
Explanation: A history of cruelty to people and animals, truancy, and setting fires with
a diagnosis of conduct disorder in children, which becomes a diagnosis of antisocial
personality disorder in adults.
pg. 2
,Question 6
The licensed vocational nurse may not assume the primary care for a client:
A. Who is receiving chemotherapy
B. Who has a new colostomy
C. Who has a venous access device
D. Who requires a blood transfusion
Correct Answer: C
Explanation: Only a trained nurse with experience and background in caring for a
venous access device can assume the primary care of the client.
Question 7
The physician has ordered dressings with Sulfamylon cream for a client with full-
thickness burns of the hands and arms. Before dressing changes, the nurse should give
priority to:
A. Administering pain medication
B. Checking the adequacy of urinary output
C. Requesting a daily complete blood count
D. Obtaining a blood glucose by finger stick
Correct Answer: A
Explanation: Sulfamylon produces a painful sensation when applied to the burn
wound; therefore, the client should receive pain medication before dressing changes.
Question 8
The nurse is teaching a group of parents about gross motor development of the toddler.
Which behavior is an example of the normal gross motor skill of a toddler?
A. She can pull a toy behind her
B. She can copy a horizontal line
C. She can build a tower of eight blocks
D. She can broad-jump
Correct Answer: A
Explanation: The Denver Development Screening Test (DDST) is a tool used to screen
for the development of gross motor, language, fine-motor, and personal-social in infants
and preschool children. According to the test, the child can pull a toy behind her by the
age of 2 years.
pg. 3
, Question 9
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. Tracheostomy set
D. Suction equipment
Correct Answer: A
Explanation: 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.
Question 10
The nurse is to administer digoxin elixir to a 6-month-old with a congenital heart defect.
The nurse auscultates an apical pulse rate of 100 beats per minute. The nurse should:
A. Record the heart rate and call the physician
B. Record the heart rate and administer the medication
C. Administer the medication and recheck the heart rate in 15 minutes
D. Hold the medication and recheck the heart rate in 30 minutes
Correct Answer: B
Explanation: The infant's apical heart rate is within the accepted range for
administering the medication.
Question 11
A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to explain the
treatment for her daughter. The nurse's explanation is based on the knowledge that lead
poisoning is treated with:
A. Gastric lavage
B. Chelating agents
C. Antiemetics
D. Activated charcoal
Correct Answer: B
Explanation: Chelating agents are used to treat the client with poisons from heavy
metals such as lead and iron.
Question 12
An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints for
pg. 4
PN) 2026 Latest Update || Verified Nursing
Practice Questions with Correct Answers &
Explanations (Complete Exam)
Question 1
A 4-year-old child is brought by her grandmother to 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: C
Explanation: Calling law enforcement is a priority action and a legal responsibility of
the nurse in cases of suspected child abuse. Signs of sexual abuse in children 0-5 years
of age include unexplained genital injury, avoidance to remove clothing, insist on
wearing multiple garments, difficulty walking or sitting due to genital or anal pain, and
signs of sexually transmitted infections.
Question 2
A client receiving hydrochlorothiazide is instructed to increase her dietary intake of
potassium. The best snack for the client requiring increased potassium is:
A. Pear
B. Apple
C. Orange
D. Avocado
Correct Answer: D
Explanation: The fruit which packs the most potassium among the choices is the
avocado which contains 487 mg per half serving of the fruit.
pg. 1
,Question 3
The nurse is caring for a client following the removal of the thyroid. Immediately post-
op, the nurse should:
A. Maintain the client in a semi-Fowler's position
B. Place the client in a supine position
C. Position the client in Trendelenburg
D. Keep the client flat with no pillow
Correct Answer: A
Explanation: Following a thyroidectomy, the client should be placed in semi-Fowler's
position to decrease swelling that would place pressure on the airway.
Question 4
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: D
Explanation: Luncheon meats contain preservatives such as nitrites that have been
linked to gastric cancer.
Question 5
A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson.
His tentative diagnosis is antisocial personality disorder. In reviewing the client's
record, the nurse would expect to find:
A. A history of consistent employment
B. A below-average intelligence
C. A history of cruelty to animals
D. An expression of remorse for his actions
Correct Answer: C
Explanation: A history of cruelty to people and animals, truancy, and setting fires with
a diagnosis of conduct disorder in children, which becomes a diagnosis of antisocial
personality disorder in adults.
pg. 2
,Question 6
The licensed vocational nurse may not assume the primary care for a client:
A. Who is receiving chemotherapy
B. Who has a new colostomy
C. Who has a venous access device
D. Who requires a blood transfusion
Correct Answer: C
Explanation: Only a trained nurse with experience and background in caring for a
venous access device can assume the primary care of the client.
Question 7
The physician has ordered dressings with Sulfamylon cream for a client with full-
thickness burns of the hands and arms. Before dressing changes, the nurse should give
priority to:
A. Administering pain medication
B. Checking the adequacy of urinary output
C. Requesting a daily complete blood count
D. Obtaining a blood glucose by finger stick
Correct Answer: A
Explanation: Sulfamylon produces a painful sensation when applied to the burn
wound; therefore, the client should receive pain medication before dressing changes.
Question 8
The nurse is teaching a group of parents about gross motor development of the toddler.
Which behavior is an example of the normal gross motor skill of a toddler?
A. She can pull a toy behind her
B. She can copy a horizontal line
C. She can build a tower of eight blocks
D. She can broad-jump
Correct Answer: A
Explanation: The Denver Development Screening Test (DDST) is a tool used to screen
for the development of gross motor, language, fine-motor, and personal-social in infants
and preschool children. According to the test, the child can pull a toy behind her by the
age of 2 years.
pg. 3
, Question 9
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. Tracheostomy set
D. Suction equipment
Correct Answer: A
Explanation: 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.
Question 10
The nurse is to administer digoxin elixir to a 6-month-old with a congenital heart defect.
The nurse auscultates an apical pulse rate of 100 beats per minute. The nurse should:
A. Record the heart rate and call the physician
B. Record the heart rate and administer the medication
C. Administer the medication and recheck the heart rate in 15 minutes
D. Hold the medication and recheck the heart rate in 30 minutes
Correct Answer: B
Explanation: The infant's apical heart rate is within the accepted range for
administering the medication.
Question 11
A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to explain the
treatment for her daughter. The nurse's explanation is based on the knowledge that lead
poisoning is treated with:
A. Gastric lavage
B. Chelating agents
C. Antiemetics
D. Activated charcoal
Correct Answer: B
Explanation: Chelating agents are used to treat the client with poisons from heavy
metals such as lead and iron.
Question 12
An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints for
pg. 4
