REX-PN PRACTICE TEST EXAM LATEST 2026 UPDATED
QUESTIONS AND VERIFIED 100% SOLUTIONS (2026/2027)
GRADE: A+|STATUS: GUARANTEED PASS
The nurse is planning dietary changes for a client following an episode of pancreatitis. Which
diet is suitable for the client?
A. Low calorie, low carbohydrate
B. High fiber, low fat
C. High protein, high fat
D. Low protein, high carbohydrate - Answers -Option B: The pancreas produces digestive
enzymes during digestion wherein these enzymes help break down fats, protein, and
carbohydrates. A client recovering from pancreatitis (inflammation of the pancreas) needs a diet
that is low in fat so that it would give the organ time to rest. While a high diet will decrease the
risk of gallstone formation and elevated levels of triglycerides both of which are the common
causes of acute pancreatitis.
A client with hypothyroidism frequently complains of feeling cold. The nurse should tell the
client that she will be more comfortable if she:
A. Uses an electric blanket at night
B. Dresses in extra layers of clothing
C. Applies a heating pad to her feet
D. Takes a hot bath morning and evening - Answers -Option B: Cold intolerance is a symptom of
hypothyroidism. Dressing in layers and using extra covering will help decrease the feeling of
being cold that is experienced by the client.
1|Page
,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 - Answers -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.
The nurse is completing an assessment history of a client with pernicious anemia. Which
complaint differentiates pernicious anemia from other types of anemia?
A. Difficulty in breathing after exertion
B. Numbness and tingling in the extremities
C. A faster-than-usual heart rate
D. Feelings of lightheadedness - Answers -Option B: Pernicious anemia is a condition where
there is a vitamin B12 deficiency. A deficiency may lead to nerve damage. This can cause
numbness and tingling sensation in the extremities.
The chart of a client with schizophrenia states that the client has perseveration. The nurse can
expect the client to:
A. Speak using words that rhyme
B. Say the same thing over and over
2|Page
,C. Include irrelevant details in conversation
D. Make up new words with new meanings - Answers -Option B: A client with schizophrenia
often has disordered speech such as perseveration where there is an unintentional repetition of
a response (word, phrase, or gesture).
Which early morning activity helps to reduce the symptoms associated with rheumatoid
arthritis?
A. Cold shower
B. Plyometrics
C. Using wide-gripped utensils during breakfast
D. Running in the park - Answers -Option C: Adaptive devices such as wide-gripped utensils can
ease the strain on the painful hands during breakfast.
A newborn weighed 7 pounds at birth. At 6 months of age, the infant could be expected to
weigh:
A. 14 pounds
B. 18 pounds
C. 25 pounds
D. 30 pounds - Answers -Option A: The infant's birth weight should double by 6 months of age.
A client with nontropical sprue has an exacerbation of symptoms. Which meal selection is
responsible for the recurrence of the client's symptoms?
3|Page
, A. Mixed fruit and yogurt
B. Cream of tomato soup and crackers
C. Baked potato with sour cream and chives
D. Tossed salad with oil and vinegar dressing - Answers -Option B: The symptoms of nontropical
sprue and celiac are caused by the ingestion of gluten, which is found in wheat, oats, barley, and
rye. Creamed soup and crackers contain gluten.
A client with congestive heart failure has been receiving Digoxin (lanoxin). Which finding
indicates that the medication is having a desired effect?
A. Increased urinary output
B. Stabilized weight
C. Improved appetite
D. Increased pedal edema - Answers -Option A: Lanoxin slows and strengthens the contraction
of the heart. An increase in the urinary output shows that the medication is having the desired
effect by eliminating excess fluid from the body.
Which play activity is best suited to the gross motor skills of the toddler?
A. Ball
B. Coloring book and crayons
C. Building cubes
D. Swing set - Answers -Option A: The toddler has gross motor skills suited to playing with a ball,
which can be kicked forward or thrown overhand.
4|Page
QUESTIONS AND VERIFIED 100% SOLUTIONS (2026/2027)
GRADE: A+|STATUS: GUARANTEED PASS
The nurse is planning dietary changes for a client following an episode of pancreatitis. Which
diet is suitable for the client?
A. Low calorie, low carbohydrate
B. High fiber, low fat
C. High protein, high fat
D. Low protein, high carbohydrate - Answers -Option B: The pancreas produces digestive
enzymes during digestion wherein these enzymes help break down fats, protein, and
carbohydrates. A client recovering from pancreatitis (inflammation of the pancreas) needs a diet
that is low in fat so that it would give the organ time to rest. While a high diet will decrease the
risk of gallstone formation and elevated levels of triglycerides both of which are the common
causes of acute pancreatitis.
A client with hypothyroidism frequently complains of feeling cold. The nurse should tell the
client that she will be more comfortable if she:
A. Uses an electric blanket at night
B. Dresses in extra layers of clothing
C. Applies a heating pad to her feet
D. Takes a hot bath morning and evening - Answers -Option B: Cold intolerance is a symptom of
hypothyroidism. Dressing in layers and using extra covering will help decrease the feeling of
being cold that is experienced by the client.
1|Page
,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 - Answers -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.
The nurse is completing an assessment history of a client with pernicious anemia. Which
complaint differentiates pernicious anemia from other types of anemia?
A. Difficulty in breathing after exertion
B. Numbness and tingling in the extremities
C. A faster-than-usual heart rate
D. Feelings of lightheadedness - Answers -Option B: Pernicious anemia is a condition where
there is a vitamin B12 deficiency. A deficiency may lead to nerve damage. This can cause
numbness and tingling sensation in the extremities.
The chart of a client with schizophrenia states that the client has perseveration. The nurse can
expect the client to:
A. Speak using words that rhyme
B. Say the same thing over and over
2|Page
,C. Include irrelevant details in conversation
D. Make up new words with new meanings - Answers -Option B: A client with schizophrenia
often has disordered speech such as perseveration where there is an unintentional repetition of
a response (word, phrase, or gesture).
Which early morning activity helps to reduce the symptoms associated with rheumatoid
arthritis?
A. Cold shower
B. Plyometrics
C. Using wide-gripped utensils during breakfast
D. Running in the park - Answers -Option C: Adaptive devices such as wide-gripped utensils can
ease the strain on the painful hands during breakfast.
A newborn weighed 7 pounds at birth. At 6 months of age, the infant could be expected to
weigh:
A. 14 pounds
B. 18 pounds
C. 25 pounds
D. 30 pounds - Answers -Option A: The infant's birth weight should double by 6 months of age.
A client with nontropical sprue has an exacerbation of symptoms. Which meal selection is
responsible for the recurrence of the client's symptoms?
3|Page
, A. Mixed fruit and yogurt
B. Cream of tomato soup and crackers
C. Baked potato with sour cream and chives
D. Tossed salad with oil and vinegar dressing - Answers -Option B: The symptoms of nontropical
sprue and celiac are caused by the ingestion of gluten, which is found in wheat, oats, barley, and
rye. Creamed soup and crackers contain gluten.
A client with congestive heart failure has been receiving Digoxin (lanoxin). Which finding
indicates that the medication is having a desired effect?
A. Increased urinary output
B. Stabilized weight
C. Improved appetite
D. Increased pedal edema - Answers -Option A: Lanoxin slows and strengthens the contraction
of the heart. An increase in the urinary output shows that the medication is having the desired
effect by eliminating excess fluid from the body.
Which play activity is best suited to the gross motor skills of the toddler?
A. Ball
B. Coloring book and crayons
C. Building cubes
D. Swing set - Answers -Option A: The toddler has gross motor skills suited to playing with a ball,
which can be kicked forward or thrown overhand.
4|Page
