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REx-PN Exam 2026 Preview Questions with Verified Answers | 58 Q&A High-Yield Nursing Review | Graded A+

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REx-PN Exam Preview Questions & Answers 2026 | High-Yield Nursing Review | Graded A+ Fully updated 2026 study set containing 58 REx-PN style multiple-choice questions with the correct answer clearly marked on every item. Built for candidates preparing for the Regulatory Exam – Practical Nurse (REx-PN) in Ontario and British Columbia, and equally useful for NCLEX-PN and LPN/LVN course exams. Topics covered in this document: - Pharmacology – metformin, glyburide, acarbose, omeprazole: mechanisms of action, timing, and patient teaching - Metformin and contrast media – lactic acidosis risk and pre-CT scan withholding rationale - Medication safety – medication reconciliation at admission, transfer and discharge; MAR checks; handling discrepancies; drug allergy screening - Respiratory – atelectasis definition, causes, postoperative interventions, incentive spirometry, deep breathing and coughing - Hematology – fresh frozen plasma administration and aPTT monitoring - Mental health – bipolar I manic episode management, rest periods, schizophrenia medication adherence and family psychoeducation - Maternal and family health – intimate partner violence in pregnancy, post-cesarean social work referral - Musculoskeletal – post knee arthroscopy discharge teaching and crutch-walking safety - Documentation – recording pain quality, intensity and client statements Format: Clean PDF, question-and-answer layout, correct responses highlighted for fast self-testing and review. Print-friendly and phone-friendly. Use it to: drill high-yield content in the final weeks before your exam, identify weak areas quickly, and reinforce rationales for safe nursing practice. Instant download after purchase. No waiting, no shipping.

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REx-PN Exam Preview Questions & Answers 2026 | High-
Yield Review | Graded A+
1. Which of the following nursing interventions would be appropriate for the
nurse to include in the plan of care for a post-cardiac surgery client who has
developed atelectasis?

Prolonged mechanical ventilation

Anticipation of chest tube placement

Administering prescribed antibiotics

Coughing and deep breathing every 1-2 hours

2. Why is it important for clients with bipolar I disorder to take frequent rest
periods during a manic episode?

To prevent exhaustion and manage symptoms effectively.

To allow for more social interaction with peers.

To minimize the need for medication adjustments.

To encourage the client to engage in more physical activity.

3. A perinatal nurse is caring for a pregnant woman who is a victim of intimate
partner violence. How does this factor significantly impact family health
during pregnancy?

It improves family communication and bonding.

It may lead to adverse maternal and fetal outcomes and disrupt
family dynamics.

It has no impact on family health during pregnancy.

It can result in physical harm to the newborn.

,4. Why is metformin considered the first-line oral medication for type 2
diabetes mellitus?

It decreases intestinal glucose absorption

It is used to improve glycemic control in conjunction with diet and
exercise

It stimulates pancreatic beta cells to release insulin

It increases insulin sensitivity in peripheral tissues

5. Why is it important to document the client's statement about their pain and its
cause in nursing records?

It helps in billing and insurance claims.

It allows for better communication with the primary health care
provider.

It provides a clear understanding of the client's condition and
informs treatment decisions.

It ensures that the client receives medication immediately.

6. What is the first step a nurse should take before administering medications
received from a coworker?

Check the medications against the client's MAR before
administering the medications.

Check the client's medication administration record for allergies.

Leave the medication cup on the bedside table.

Respond to another client's call light.

7. Describe how glyburide functions in the management of diabetes.

, Glyburide reduces the production of glucose in the liver.

Glyburide increases the sensitivity of cells to insulin.

Glyburide blocks glucose absorption in the intestines.

Glyburide stimulates the pancreas to release more insulin, which
helps lower blood sugar levels.

8. What is the definition of atelectasis in a medical context?

Atelectasis is an inflammation of the lung tissue.

Atelectasis is the partial or complete collapse of a lung or lobe of a
lung.

Atelectasis is a condition characterized by excessive fluid in the lungs.

Atelectasis is a type of lung cancer.

9. Describe how Acarbose contributes to the management of blood glucose
levels in diabetic patients.

Acarbose directly stimulates glucose uptake in muscle cells.

Acarbose promotes the conversion of glucose to glycogen in the
liver.

Acarbose helps manage blood glucose levels by inhibiting enzymes
that digest carbohydrates, leading to a slower release of glucose
into the bloodstream.

Acarbose increases insulin production, which lowers blood glucose
levels.

10. What are three interventions a nurse should include in the care plan for a
client with atelectasis?

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