REX-PN EXAM PREPARATION
350 ORIGINAL PRACTICE QUESTIONS, ANSWERS & DETAILED RATIONALES | COMPREHENSIVE
STUDY GUIDE
DOCUMENT OVERVIEW
This 350-question study bank is designed around the official REx-PN Client Needs framework and entry-level practical-
nursing reasoning. It covers Management of Care; Safety and Infection Control; Health Promotion and Maintenance;
Psychosocial Integrity; Basic Care and Comfort; Pharmacological and Parenteral Therapies; Reduction of Risk Potential;
and Physiological Adaptation.
Study note: The official REx-PN information states that the exam is computerized adaptive, can include multiple-choice,
multiple-response and calculation items, and has a four-hour overall time limit. This bank emphasizes clinical judgment
and safe entry-level practice.
MANAGEMENT OF CARE
1. A capable client has a documented advance directive refusing a treatment.
A) provide the treatment because it is recommended
B) ignore the directive until discharge
C) respect the client's informed decision and communicate it to the care team
D) ask the family to override the client
CORRECT ANSWER: C) respect the client's informed decision and communicate it to the care team
RATIONALE: The correct answer is respect the client's informed decision and communicate it to the care team because it reflects
the key entry-level nursing principle for advance directives. The alternative choices describe actions or findings that are less
appropriate, unsafe, or unrelated to the priority being tested.
2. A capable client has a documented advance directive refusing a treatment. What is the most appropriate priority
response?
A) ask the family to override the client
B) respect the client's informed decision and communicate it to the care team
C) provide the treatment because it is recommended
D) ignore the directive until discharge
CORRECT ANSWER: B) respect the client's informed decision and communicate it to the care team
RATIONALE: The correct answer is respect the client's informed decision and communicate it to the care team because it reflects
the key entry-level nursing principle for advance directives. The alternative choices describe actions or findings that are less
appropriate, unsafe, or unrelated to the priority being tested.
3. A capable client has a documented advance directive refusing a treatment. Which option best reflects the
expected assessment or interpretation?
A) respect the client's informed decision and communicate it to the care team
B) ask the family to override the client
C) provide the treatment because it is recommended
D) ignore the directive until discharge
CORRECT ANSWER: A) respect the client's informed decision and communicate it to the care team
REx-PN — Original Practice Question Bank Page 1
, RATIONALE: The correct answer is respect the client's informed decision and communicate it to the care team because it reflects
the key entry-level nursing principle for advance directives. The alternative choices describe actions or findings that are less
appropriate, unsafe, or unrelated to the priority being tested.
4. A capable client has a documented advance directive refusing a treatment. Which teaching statement is most
accurate?
A) ignore the directive until discharge
B) provide the treatment because it is recommended
C) ask the family to override the client
D) respect the client's informed decision and communicate it to the care team
CORRECT ANSWER: D) respect the client's informed decision and communicate it to the care team
RATIONALE: The correct answer is respect the client's informed decision and communicate it to the care team because it reflects
the key entry-level nursing principle for advance directives. The alternative choices describe actions or findings that are less
appropriate, unsafe, or unrelated to the priority being tested.
5. A capable client has a documented advance directive refusing a treatment. Which action best applies the
principle in practice?
A) respect the client's informed decision and communicate it to the care team
B) provide the treatment because it is recommended
C) ignore the directive until discharge
D) ask the family to override the client
CORRECT ANSWER: A) respect the client's informed decision and communicate it to the care team
RATIONALE: The correct answer is respect the client's informed decision and communicate it to the care team because it reflects
the key entry-level nursing principle for advance directives. The alternative choices describe actions or findings that are less
appropriate, unsafe, or unrelated to the priority being tested.
6. A client is unsure about two treatment options and asks for help making a decision.
A) provide understandable information and support the client's stated preferences
B) tell the family to decide without the client
C) withhold information to reduce anxiety
D) choose the option the nurse personally prefers
CORRECT ANSWER: A) provide understandable information and support the client's stated preferences
RATIONALE: The correct answer is provide understandable information and support the client's stated preferences because it
reflects the key entry-level nursing principle for advocacy. The alternative choices describe actions or findings that are less
appropriate, unsafe, or unrelated to the priority being tested.
7. A client is unsure about two treatment options and asks for help making a decision. What is the most
appropriate priority response?
A) choose the option the nurse personally prefers
B) tell the family to decide without the client
C) withhold information to reduce anxiety
D) provide understandable information and support the client's stated preferences
CORRECT ANSWER: D) provide understandable information and support the client's stated preferences
RATIONALE: The correct answer is provide understandable information and support the client's stated preferences because it
reflects the key entry-level nursing principle for advocacy. The alternative choices describe actions or findings that are less
appropriate, unsafe, or unrelated to the priority being tested.
8. A client is unsure about two treatment options and asks for help making a decision. Which option best reflects
the expected assessment or interpretation?
A) withhold information to reduce anxiety
REx-PN — Original Practice Question Bank Page 2
, B) tell the family to decide without the client
C) provide understandable information and support the client's stated preferences
D) choose the option the nurse personally prefers
CORRECT ANSWER: C) provide understandable information and support the client's stated preferences
RATIONALE: The correct answer is provide understandable information and support the client's stated preferences because it
reflects the key entry-level nursing principle for advocacy. The alternative choices describe actions or findings that are less
appropriate, unsafe, or unrelated to the priority being tested.
9. A client is unsure about two treatment options and asks for help making a decision. Which teaching statement
is most accurate?
A) withhold information to reduce anxiety
B) choose the option the nurse personally prefers
C) provide understandable information and support the client's stated preferences
D) tell the family to decide without the client
CORRECT ANSWER: C) provide understandable information and support the client's stated preferences
RATIONALE: The correct answer is provide understandable information and support the client's stated preferences because it
reflects the key entry-level nursing principle for advocacy. The alternative choices describe actions or findings that are less
appropriate, unsafe, or unrelated to the priority being tested.
10. A client is unsure about two treatment options and asks for help making a decision. Which action best applies
the principle in practice?
A) choose the option the nurse personally prefers
B) provide understandable information and support the client's stated preferences
C) tell the family to decide without the client
D) withhold information to reduce anxiety
CORRECT ANSWER: B) provide understandable information and support the client's stated preferences
RATIONALE: The correct answer is provide understandable information and support the client's stated preferences because it
reflects the key entry-level nursing principle for advocacy. The alternative choices describe actions or findings that are less
appropriate, unsafe, or unrelated to the priority being tested.
11. Which task is generally appropriate to delegate for a stable client?
A) assistance with routine hygiene
B) evaluating a new change in mental status
C) initial assessment of a newly unstable client
D) teaching a complex medication technique
CORRECT ANSWER: A) assistance with routine hygiene
RATIONALE: The correct answer is assistance with routine hygiene because it reflects the key entry-level nursing principle for
delegation. The alternative choices describe actions or findings that are less appropriate, unsafe, or unrelated to the priority being
tested.
12. Which task is generally appropriate to delegate for a stable client? What is the most appropriate priority
response?
A) initial assessment of a newly unstable client
B) assistance with routine hygiene
C) teaching a complex medication technique
D) evaluating a new change in mental status
CORRECT ANSWER: B) assistance with routine hygiene
REx-PN — Original Practice Question Bank Page 3
, RATIONALE: The correct answer is assistance with routine hygiene because it reflects the key entry-level nursing principle for
delegation. The alternative choices describe actions or findings that are less appropriate, unsafe, or unrelated to the priority being
tested.
13. Which task is generally appropriate to delegate for a stable client? Which option best reflects the expected
assessment or interpretation?
A) assistance with routine hygiene
B) teaching a complex medication technique
C) initial assessment of a newly unstable client
D) evaluating a new change in mental status
CORRECT ANSWER: A) assistance with routine hygiene
RATIONALE: The correct answer is assistance with routine hygiene because it reflects the key entry-level nursing principle for
delegation. The alternative choices describe actions or findings that are less appropriate, unsafe, or unrelated to the priority being
tested.
14. Which task is generally appropriate to delegate for a stable client? Which teaching statement is most
accurate?
A) evaluating a new change in mental status
B) initial assessment of a newly unstable client
C) assistance with routine hygiene
D) teaching a complex medication technique
CORRECT ANSWER: C) assistance with routine hygiene
RATIONALE: The correct answer is assistance with routine hygiene because it reflects the key entry-level nursing principle for
delegation. The alternative choices describe actions or findings that are less appropriate, unsafe, or unrelated to the priority being
tested.
15. Which task is generally appropriate to delegate for a stable client? Which action best applies the principle in
practice?
A) initial assessment of a newly unstable client
B) evaluating a new change in mental status
C) assistance with routine hygiene
D) teaching a complex medication technique
CORRECT ANSWER: C) assistance with routine hygiene
RATIONALE: The correct answer is assistance with routine hygiene because it reflects the key entry-level nursing principle for
delegation. The alternative choices describe actions or findings that are less appropriate, unsafe, or unrelated to the priority being
tested.
16. After delegating a task, what responsibility remains with the nurse?
A) evaluate completion and the client's response
B) allow the delegatee to rewrite the care plan independently
C) transfer all accountability to the delegatee
D) avoid checking the result
CORRECT ANSWER: A) evaluate completion and the client's response
RATIONALE: The correct answer is evaluate completion and the client's response because it reflects the key entry-level nursing
principle for supervision. The alternative choices describe actions or findings that are less appropriate, unsafe, or unrelated to the
priority being tested.
17. After delegating a task, what responsibility remains with the nurse? What is the most appropriate priority
response?
A) avoid checking the result
REx-PN — Original Practice Question Bank Page 4
350 ORIGINAL PRACTICE QUESTIONS, ANSWERS & DETAILED RATIONALES | COMPREHENSIVE
STUDY GUIDE
DOCUMENT OVERVIEW
This 350-question study bank is designed around the official REx-PN Client Needs framework and entry-level practical-
nursing reasoning. It covers Management of Care; Safety and Infection Control; Health Promotion and Maintenance;
Psychosocial Integrity; Basic Care and Comfort; Pharmacological and Parenteral Therapies; Reduction of Risk Potential;
and Physiological Adaptation.
Study note: The official REx-PN information states that the exam is computerized adaptive, can include multiple-choice,
multiple-response and calculation items, and has a four-hour overall time limit. This bank emphasizes clinical judgment
and safe entry-level practice.
MANAGEMENT OF CARE
1. A capable client has a documented advance directive refusing a treatment.
A) provide the treatment because it is recommended
B) ignore the directive until discharge
C) respect the client's informed decision and communicate it to the care team
D) ask the family to override the client
CORRECT ANSWER: C) respect the client's informed decision and communicate it to the care team
RATIONALE: The correct answer is respect the client's informed decision and communicate it to the care team because it reflects
the key entry-level nursing principle for advance directives. The alternative choices describe actions or findings that are less
appropriate, unsafe, or unrelated to the priority being tested.
2. A capable client has a documented advance directive refusing a treatment. What is the most appropriate priority
response?
A) ask the family to override the client
B) respect the client's informed decision and communicate it to the care team
C) provide the treatment because it is recommended
D) ignore the directive until discharge
CORRECT ANSWER: B) respect the client's informed decision and communicate it to the care team
RATIONALE: The correct answer is respect the client's informed decision and communicate it to the care team because it reflects
the key entry-level nursing principle for advance directives. The alternative choices describe actions or findings that are less
appropriate, unsafe, or unrelated to the priority being tested.
3. A capable client has a documented advance directive refusing a treatment. Which option best reflects the
expected assessment or interpretation?
A) respect the client's informed decision and communicate it to the care team
B) ask the family to override the client
C) provide the treatment because it is recommended
D) ignore the directive until discharge
CORRECT ANSWER: A) respect the client's informed decision and communicate it to the care team
REx-PN — Original Practice Question Bank Page 1
, RATIONALE: The correct answer is respect the client's informed decision and communicate it to the care team because it reflects
the key entry-level nursing principle for advance directives. The alternative choices describe actions or findings that are less
appropriate, unsafe, or unrelated to the priority being tested.
4. A capable client has a documented advance directive refusing a treatment. Which teaching statement is most
accurate?
A) ignore the directive until discharge
B) provide the treatment because it is recommended
C) ask the family to override the client
D) respect the client's informed decision and communicate it to the care team
CORRECT ANSWER: D) respect the client's informed decision and communicate it to the care team
RATIONALE: The correct answer is respect the client's informed decision and communicate it to the care team because it reflects
the key entry-level nursing principle for advance directives. The alternative choices describe actions or findings that are less
appropriate, unsafe, or unrelated to the priority being tested.
5. A capable client has a documented advance directive refusing a treatment. Which action best applies the
principle in practice?
A) respect the client's informed decision and communicate it to the care team
B) provide the treatment because it is recommended
C) ignore the directive until discharge
D) ask the family to override the client
CORRECT ANSWER: A) respect the client's informed decision and communicate it to the care team
RATIONALE: The correct answer is respect the client's informed decision and communicate it to the care team because it reflects
the key entry-level nursing principle for advance directives. The alternative choices describe actions or findings that are less
appropriate, unsafe, or unrelated to the priority being tested.
6. A client is unsure about two treatment options and asks for help making a decision.
A) provide understandable information and support the client's stated preferences
B) tell the family to decide without the client
C) withhold information to reduce anxiety
D) choose the option the nurse personally prefers
CORRECT ANSWER: A) provide understandable information and support the client's stated preferences
RATIONALE: The correct answer is provide understandable information and support the client's stated preferences because it
reflects the key entry-level nursing principle for advocacy. The alternative choices describe actions or findings that are less
appropriate, unsafe, or unrelated to the priority being tested.
7. A client is unsure about two treatment options and asks for help making a decision. What is the most
appropriate priority response?
A) choose the option the nurse personally prefers
B) tell the family to decide without the client
C) withhold information to reduce anxiety
D) provide understandable information and support the client's stated preferences
CORRECT ANSWER: D) provide understandable information and support the client's stated preferences
RATIONALE: The correct answer is provide understandable information and support the client's stated preferences because it
reflects the key entry-level nursing principle for advocacy. The alternative choices describe actions or findings that are less
appropriate, unsafe, or unrelated to the priority being tested.
8. A client is unsure about two treatment options and asks for help making a decision. Which option best reflects
the expected assessment or interpretation?
A) withhold information to reduce anxiety
REx-PN — Original Practice Question Bank Page 2
, B) tell the family to decide without the client
C) provide understandable information and support the client's stated preferences
D) choose the option the nurse personally prefers
CORRECT ANSWER: C) provide understandable information and support the client's stated preferences
RATIONALE: The correct answer is provide understandable information and support the client's stated preferences because it
reflects the key entry-level nursing principle for advocacy. The alternative choices describe actions or findings that are less
appropriate, unsafe, or unrelated to the priority being tested.
9. A client is unsure about two treatment options and asks for help making a decision. Which teaching statement
is most accurate?
A) withhold information to reduce anxiety
B) choose the option the nurse personally prefers
C) provide understandable information and support the client's stated preferences
D) tell the family to decide without the client
CORRECT ANSWER: C) provide understandable information and support the client's stated preferences
RATIONALE: The correct answer is provide understandable information and support the client's stated preferences because it
reflects the key entry-level nursing principle for advocacy. The alternative choices describe actions or findings that are less
appropriate, unsafe, or unrelated to the priority being tested.
10. A client is unsure about two treatment options and asks for help making a decision. Which action best applies
the principle in practice?
A) choose the option the nurse personally prefers
B) provide understandable information and support the client's stated preferences
C) tell the family to decide without the client
D) withhold information to reduce anxiety
CORRECT ANSWER: B) provide understandable information and support the client's stated preferences
RATIONALE: The correct answer is provide understandable information and support the client's stated preferences because it
reflects the key entry-level nursing principle for advocacy. The alternative choices describe actions or findings that are less
appropriate, unsafe, or unrelated to the priority being tested.
11. Which task is generally appropriate to delegate for a stable client?
A) assistance with routine hygiene
B) evaluating a new change in mental status
C) initial assessment of a newly unstable client
D) teaching a complex medication technique
CORRECT ANSWER: A) assistance with routine hygiene
RATIONALE: The correct answer is assistance with routine hygiene because it reflects the key entry-level nursing principle for
delegation. The alternative choices describe actions or findings that are less appropriate, unsafe, or unrelated to the priority being
tested.
12. Which task is generally appropriate to delegate for a stable client? What is the most appropriate priority
response?
A) initial assessment of a newly unstable client
B) assistance with routine hygiene
C) teaching a complex medication technique
D) evaluating a new change in mental status
CORRECT ANSWER: B) assistance with routine hygiene
REx-PN — Original Practice Question Bank Page 3
, RATIONALE: The correct answer is assistance with routine hygiene because it reflects the key entry-level nursing principle for
delegation. The alternative choices describe actions or findings that are less appropriate, unsafe, or unrelated to the priority being
tested.
13. Which task is generally appropriate to delegate for a stable client? Which option best reflects the expected
assessment or interpretation?
A) assistance with routine hygiene
B) teaching a complex medication technique
C) initial assessment of a newly unstable client
D) evaluating a new change in mental status
CORRECT ANSWER: A) assistance with routine hygiene
RATIONALE: The correct answer is assistance with routine hygiene because it reflects the key entry-level nursing principle for
delegation. The alternative choices describe actions or findings that are less appropriate, unsafe, or unrelated to the priority being
tested.
14. Which task is generally appropriate to delegate for a stable client? Which teaching statement is most
accurate?
A) evaluating a new change in mental status
B) initial assessment of a newly unstable client
C) assistance with routine hygiene
D) teaching a complex medication technique
CORRECT ANSWER: C) assistance with routine hygiene
RATIONALE: The correct answer is assistance with routine hygiene because it reflects the key entry-level nursing principle for
delegation. The alternative choices describe actions or findings that are less appropriate, unsafe, or unrelated to the priority being
tested.
15. Which task is generally appropriate to delegate for a stable client? Which action best applies the principle in
practice?
A) initial assessment of a newly unstable client
B) evaluating a new change in mental status
C) assistance with routine hygiene
D) teaching a complex medication technique
CORRECT ANSWER: C) assistance with routine hygiene
RATIONALE: The correct answer is assistance with routine hygiene because it reflects the key entry-level nursing principle for
delegation. The alternative choices describe actions or findings that are less appropriate, unsafe, or unrelated to the priority being
tested.
16. After delegating a task, what responsibility remains with the nurse?
A) evaluate completion and the client's response
B) allow the delegatee to rewrite the care plan independently
C) transfer all accountability to the delegatee
D) avoid checking the result
CORRECT ANSWER: A) evaluate completion and the client's response
RATIONALE: The correct answer is evaluate completion and the client's response because it reflects the key entry-level nursing
principle for supervision. The alternative choices describe actions or findings that are less appropriate, unsafe, or unrelated to the
priority being tested.
17. After delegating a task, what responsibility remains with the nurse? What is the most appropriate priority
response?
A) avoid checking the result
REx-PN — Original Practice Question Bank Page 4
