REX-PN EXAM REAL EXAM 2026 | ALL QUESTIONS AND CORRECT ANSWERS WITH
DETAILED EXPLANATIONS| GRADED A+ | VERIFIED ANSWERS
The licensed practical/vocational nurse (LPN/VN) is assisting a registered nurse in triaging a
client with diabetes mellitus (type one) with diabetic ketoacidosis (DKA). Which assessment
finding requires immediate follow-up by the LPN/VN?
A. Pulse 112/minute
B. Persistent nausea and vomiting
C. Respiratory rate 21/minute
D. Blood glucose 299 mg/dL - (CORRECT ANSWER)A. Pulse 112/minute
A complication associated with DKA is hypovolemic shock. The client having tachycardia is
demonstrating early signs of this type of shock. The treatment modalities of DKA include fluid
repletion and insulin administration. Considering the client's tachycardia, the nurse should
initially administer the prescribed isotonic fluids to treat the significant fluid volume deficit.
The nurse is creating assignments for the following shift. Which of the following assignments
would be appropriate for unlicensed assistive personnel (UAP)?
A. A 65-year-old requiring a sterile dressing changes.
B. A 26-year-old requiring a one-person assist in ambulating to the restroom.
C. An 80-year-old who is receiving enteral feedings continuously through an NG tube.
D. A 16-year-old who is 4 hours post-cardiac catheterization. - (CORRECT ANSWER)B. A 26-
year-old requiring a one-person assist in ambulating to the restroom.
You receive an order to administer 600 mg ibuprofen to your client as needed every 6 hours. You
retrieve the medication, which comes in 200 mg tablets. How many tablets do you administer to
your client?
A. 1 tablet
B. 5 tablets
, 2
C. 3 tablets
D. 2 tablets - (CORRECT ANSWER)C. 3 tablets
The nurse is providing discharge instructions to a client who speaks a language different from the
nurse's. The client's family members are present, and they speak English. Which action by the
nurse is the most appropriate to ensure effective communication during the discharge process?
A. Use a smartphone translation app to convey the instructions to the client.
B. Provide written material in the client's language and provide oral instructions in English.
C. Request an interpreter from the hospital's language services to assist with the discharge
instructions.
D. Summarize the instructions in basic English and have the family members relay the
information to the client. - (CORRECT ANSWER)C. Request an interpreter from the hospital's
language services to assist with the discharge instructions.
The client with a history of right mastectomy is receiving maintenance IV fluids via a
peripherally inserted intravenous line in the left cephalic vein. The client complains of pain at the
IV site. The nurse notes that the infusion has slowed and assesses swelling as well as erythema at
the IV site. Which action should the nurse take first?
A. Stop the infusion and remove the IV catheter.
B. Insert a new IV in the left intermediate basilic vein.
C. Prepare the client for PICC line placement.
D. Elevate the right arm to reduce swelling. - (CORRECT ANSWER)A. Stop the infusion and
remove the IV catheter.
The LPN is caring for an infant who will be going to the operating room the next day for surgical
repair of his total anomalous pulmonary venous return. She has finished signing the consent
paperwork for the operation. The mother states "I'm not so sure about this. What if my baby
dies?!" What is the appropriate action for the LPN?
, 3
A. Explain the procedure to the mother.
B. Notify the surgical team and have them come back to speak with the mother.
C. Reassure the mother that everything will go as planned.
D. Tell the mother that because she has already signed the consent paperwork she cannot change
her mind now - (CORRECT ANSWER)B. Notify the surgical team and have them come back to
speak with the mother.
Which of the following infection control activities should be delegated to an experienced nursing
assistant?
A. Asking clients about the duration of antibiotic therapy.
B. Demonstrating correct handwashing techniques to clients and their families.
C. Disinfecting blood pressure cuffs after clients are discharged.
D. Screening clients for upper respiratory tract symptoms. - (CORRECT ANSWER)C.
Disinfecting blood pressure cuffs after clients are discharged.
A nurse is discharging a client home. Which of these would be most important to include in
discharge teaching for a client with a platelet count of 40.000 mcL (40 x 10^9/L)?
A. Be sure to take your aspirin with meals daily.
B. You may continue to shave with a straight-edge razor.
C. Use a soft toothbrush and floss gently.
D. You should take a multivitamin daily. - (CORRECT ANSWER)C. Use a soft toothbrush and
floss gently.
The nurse plans care for a client admitted with Haemophilus influenzae, type b Meningitis.
When caring for this client, the nurse should gather which appropriate personnel protective
equipment (PPE)?
, 4
A. Boot (shoe) covers
B. Face shield
C. Surgical mask
D. Gown - (CORRECT ANSWER)C. Surgical mask
The nurse observes a newly hired nurse apply bilateral soft-wrist restraints to a client. Which
action by the newly hired nurse requires follow-up?
A. Secures the restraint to the frame of the bed
B. Repositions the client from semi-Fowlers to prone.
C. Provides easy access to the quick release buckle
D. Assesses the radial pulse every two hours - (CORRECT ANSWER)B. Repositions the client
from semi-Fowlers to prone.
The nurse is preparing to administer an intramuscular (IM) injection to a neonate. Which gauge
and size needle should the nurse use to administer the medication?
A. 19 gauge, 1 1/2" (3.8 cm) needle
B. 18 gauge, 1" (2.5 cm) needle
C. 20 gauge, 1" (2.5 cm) needle
D. 25 gauge, 5/8" (1.6 cm) needle - (CORRECT ANSWER)D. 25 gauge, 5/8" (1.6 cm) needle
The nurse has received a report on the following clients on a medical-surgical floor. Which of
these clients should the nurse see first? A client with
A. with a respiratory rate of 24 and an oxygen saturation of 94%.
B. with diabetes mellitus who has a blood glucose of 134 mg/dL [70-110 mg/dL]
DETAILED EXPLANATIONS| GRADED A+ | VERIFIED ANSWERS
The licensed practical/vocational nurse (LPN/VN) is assisting a registered nurse in triaging a
client with diabetes mellitus (type one) with diabetic ketoacidosis (DKA). Which assessment
finding requires immediate follow-up by the LPN/VN?
A. Pulse 112/minute
B. Persistent nausea and vomiting
C. Respiratory rate 21/minute
D. Blood glucose 299 mg/dL - (CORRECT ANSWER)A. Pulse 112/minute
A complication associated with DKA is hypovolemic shock. The client having tachycardia is
demonstrating early signs of this type of shock. The treatment modalities of DKA include fluid
repletion and insulin administration. Considering the client's tachycardia, the nurse should
initially administer the prescribed isotonic fluids to treat the significant fluid volume deficit.
The nurse is creating assignments for the following shift. Which of the following assignments
would be appropriate for unlicensed assistive personnel (UAP)?
A. A 65-year-old requiring a sterile dressing changes.
B. A 26-year-old requiring a one-person assist in ambulating to the restroom.
C. An 80-year-old who is receiving enteral feedings continuously through an NG tube.
D. A 16-year-old who is 4 hours post-cardiac catheterization. - (CORRECT ANSWER)B. A 26-
year-old requiring a one-person assist in ambulating to the restroom.
You receive an order to administer 600 mg ibuprofen to your client as needed every 6 hours. You
retrieve the medication, which comes in 200 mg tablets. How many tablets do you administer to
your client?
A. 1 tablet
B. 5 tablets
, 2
C. 3 tablets
D. 2 tablets - (CORRECT ANSWER)C. 3 tablets
The nurse is providing discharge instructions to a client who speaks a language different from the
nurse's. The client's family members are present, and they speak English. Which action by the
nurse is the most appropriate to ensure effective communication during the discharge process?
A. Use a smartphone translation app to convey the instructions to the client.
B. Provide written material in the client's language and provide oral instructions in English.
C. Request an interpreter from the hospital's language services to assist with the discharge
instructions.
D. Summarize the instructions in basic English and have the family members relay the
information to the client. - (CORRECT ANSWER)C. Request an interpreter from the hospital's
language services to assist with the discharge instructions.
The client with a history of right mastectomy is receiving maintenance IV fluids via a
peripherally inserted intravenous line in the left cephalic vein. The client complains of pain at the
IV site. The nurse notes that the infusion has slowed and assesses swelling as well as erythema at
the IV site. Which action should the nurse take first?
A. Stop the infusion and remove the IV catheter.
B. Insert a new IV in the left intermediate basilic vein.
C. Prepare the client for PICC line placement.
D. Elevate the right arm to reduce swelling. - (CORRECT ANSWER)A. Stop the infusion and
remove the IV catheter.
The LPN is caring for an infant who will be going to the operating room the next day for surgical
repair of his total anomalous pulmonary venous return. She has finished signing the consent
paperwork for the operation. The mother states "I'm not so sure about this. What if my baby
dies?!" What is the appropriate action for the LPN?
, 3
A. Explain the procedure to the mother.
B. Notify the surgical team and have them come back to speak with the mother.
C. Reassure the mother that everything will go as planned.
D. Tell the mother that because she has already signed the consent paperwork she cannot change
her mind now - (CORRECT ANSWER)B. Notify the surgical team and have them come back to
speak with the mother.
Which of the following infection control activities should be delegated to an experienced nursing
assistant?
A. Asking clients about the duration of antibiotic therapy.
B. Demonstrating correct handwashing techniques to clients and their families.
C. Disinfecting blood pressure cuffs after clients are discharged.
D. Screening clients for upper respiratory tract symptoms. - (CORRECT ANSWER)C.
Disinfecting blood pressure cuffs after clients are discharged.
A nurse is discharging a client home. Which of these would be most important to include in
discharge teaching for a client with a platelet count of 40.000 mcL (40 x 10^9/L)?
A. Be sure to take your aspirin with meals daily.
B. You may continue to shave with a straight-edge razor.
C. Use a soft toothbrush and floss gently.
D. You should take a multivitamin daily. - (CORRECT ANSWER)C. Use a soft toothbrush and
floss gently.
The nurse plans care for a client admitted with Haemophilus influenzae, type b Meningitis.
When caring for this client, the nurse should gather which appropriate personnel protective
equipment (PPE)?
, 4
A. Boot (shoe) covers
B. Face shield
C. Surgical mask
D. Gown - (CORRECT ANSWER)C. Surgical mask
The nurse observes a newly hired nurse apply bilateral soft-wrist restraints to a client. Which
action by the newly hired nurse requires follow-up?
A. Secures the restraint to the frame of the bed
B. Repositions the client from semi-Fowlers to prone.
C. Provides easy access to the quick release buckle
D. Assesses the radial pulse every two hours - (CORRECT ANSWER)B. Repositions the client
from semi-Fowlers to prone.
The nurse is preparing to administer an intramuscular (IM) injection to a neonate. Which gauge
and size needle should the nurse use to administer the medication?
A. 19 gauge, 1 1/2" (3.8 cm) needle
B. 18 gauge, 1" (2.5 cm) needle
C. 20 gauge, 1" (2.5 cm) needle
D. 25 gauge, 5/8" (1.6 cm) needle - (CORRECT ANSWER)D. 25 gauge, 5/8" (1.6 cm) needle
The nurse has received a report on the following clients on a medical-surgical floor. Which of
these clients should the nurse see first? A client with
A. with a respiratory rate of 24 and an oxygen saturation of 94%.
B. with diabetes mellitus who has a blood glucose of 134 mg/dL [70-110 mg/dL]
