REX-PN EXAM AND PRACTICE EXAM
NEWEST 2026/ 2027 TEST BANK|EXAM
PRACTICE 250 QUESTIONS |ORIGINAL
QUESTIONS & ANSWERS |DETAILED
RATIONALES |HINTED COMPLETE
EXAM PREP GRADED A+*INSTANT
DOWNLOAD PDF
1.
A practical nurse receives report on four clients. Which client should
the nurse assess first?
A. Client with chronic arthritis reporting pain of 5/10
B. Client awaiting discharge instructions
C. Client with pneumonia who has new confusion and an oxygen
saturation of 86%
D. Client requesting assistance with bathing
Answer: C. Client with pneumonia who has new confusion and an
oxygen saturation of 86%
An oxygen saturation of 86% with acute confusion indicates impaired
oxygenation and requires immediate assessment and intervention.
2.
Which task is most appropriate for the practical nurse to delegate to
an unregulated care provider (UCP), when permitted by
organizational policy?
,A. Initial assessment of a newly admitted client
B. Teaching insulin administration
C. Routine assistance with feeding a stable client
D. Evaluating the effectiveness of pain medication
Answer: C. Routine assistance with feeding a stable client
Routine, predictable care for a stable client may be delegated when
the task falls within the UCP's role and applicable policy.
3.
A client refuses a prescribed medication. What should the nurse do
first?
A. Document the refusal and leave
B. Ask the client why they do not want the medication
C. Tell the client the medication is mandatory
D. Notify the prescriber immediately
Answer: B. Ask the client why they do not want the medication
Understanding the reason for refusal helps the nurse identify
concerns, provide appropriate information, and support informed
decision-making.
4.
Which statement best demonstrates client advocacy?
A. “You should follow the treatment plan.”
B. “I will make the decision for you.”
C. “Let me make sure your concerns are communicated to the
health-care team.”
D. “The physician knows what is best.”
Answer: C. “Let me make sure your concerns are communicated to
the health-care team.”
,Advocacy involves supporting the client's rights, preferences,
concerns, and informed choices.
5.
A nurse discovers that a medication error occurred. What is the
priority action?
A. Complete the incident report
B. Assess the client
C. Notify another nurse
D. Document the error at the end of the shift
Answer: B. Assess the client
The client's immediate safety takes priority after a medication error.
Further reporting and documentation follow assessment and
necessary interventions.
6.
Which documentation entry is most appropriate?
A. “Client seems better.”
B. “Client had a good day.”
C. “Client ambulated 20 metres with a walker and reported pain of
3/10.”
D. “Client tolerated treatment well.”
Answer: C. “Client ambulated 20 metres with a walker and reported
pain of 3/10.”
Objective, specific observations and measurable findings provide
useful clinical documentation.
7.
A client asks the nurse to explain a procedure before consenting.
What should the nurse do?
, A. Tell the client to sign first
B. Provide information within the nurse's scope and clarify
unanswered questions
C. Tell the client consent is unnecessary
D. Ask the family to consent
Answer: B. Provide information within the nurse's scope and clarify
unanswered questions
Clients require sufficient information to make informed decisions.
Questions requiring information outside the nurse's role should be
referred appropriately.
8.
Which client should be assigned to a nurse with the appropriate
competency rather than an inexperienced staff member?
A. Stable client requiring routine hygiene
B. Stable client needing assistance with meals
C. Client experiencing an acute change in neurological status
D. Client awaiting transportation home
Answer: C. Client experiencing an acute change in neurological
status
Acute deterioration requires appropriate assessment, clinical
judgment, and timely intervention.
9.
A nurse receives an order that appears unclear. What should the
nurse do?
A. Interpret the order independently
B. Ignore the order
C. Clarify the order with the prescriber before carrying it out
D. Ask the client what the prescriber intended
NEWEST 2026/ 2027 TEST BANK|EXAM
PRACTICE 250 QUESTIONS |ORIGINAL
QUESTIONS & ANSWERS |DETAILED
RATIONALES |HINTED COMPLETE
EXAM PREP GRADED A+*INSTANT
DOWNLOAD PDF
1.
A practical nurse receives report on four clients. Which client should
the nurse assess first?
A. Client with chronic arthritis reporting pain of 5/10
B. Client awaiting discharge instructions
C. Client with pneumonia who has new confusion and an oxygen
saturation of 86%
D. Client requesting assistance with bathing
Answer: C. Client with pneumonia who has new confusion and an
oxygen saturation of 86%
An oxygen saturation of 86% with acute confusion indicates impaired
oxygenation and requires immediate assessment and intervention.
2.
Which task is most appropriate for the practical nurse to delegate to
an unregulated care provider (UCP), when permitted by
organizational policy?
,A. Initial assessment of a newly admitted client
B. Teaching insulin administration
C. Routine assistance with feeding a stable client
D. Evaluating the effectiveness of pain medication
Answer: C. Routine assistance with feeding a stable client
Routine, predictable care for a stable client may be delegated when
the task falls within the UCP's role and applicable policy.
3.
A client refuses a prescribed medication. What should the nurse do
first?
A. Document the refusal and leave
B. Ask the client why they do not want the medication
C. Tell the client the medication is mandatory
D. Notify the prescriber immediately
Answer: B. Ask the client why they do not want the medication
Understanding the reason for refusal helps the nurse identify
concerns, provide appropriate information, and support informed
decision-making.
4.
Which statement best demonstrates client advocacy?
A. “You should follow the treatment plan.”
B. “I will make the decision for you.”
C. “Let me make sure your concerns are communicated to the
health-care team.”
D. “The physician knows what is best.”
Answer: C. “Let me make sure your concerns are communicated to
the health-care team.”
,Advocacy involves supporting the client's rights, preferences,
concerns, and informed choices.
5.
A nurse discovers that a medication error occurred. What is the
priority action?
A. Complete the incident report
B. Assess the client
C. Notify another nurse
D. Document the error at the end of the shift
Answer: B. Assess the client
The client's immediate safety takes priority after a medication error.
Further reporting and documentation follow assessment and
necessary interventions.
6.
Which documentation entry is most appropriate?
A. “Client seems better.”
B. “Client had a good day.”
C. “Client ambulated 20 metres with a walker and reported pain of
3/10.”
D. “Client tolerated treatment well.”
Answer: C. “Client ambulated 20 metres with a walker and reported
pain of 3/10.”
Objective, specific observations and measurable findings provide
useful clinical documentation.
7.
A client asks the nurse to explain a procedure before consenting.
What should the nurse do?
, A. Tell the client to sign first
B. Provide information within the nurse's scope and clarify
unanswered questions
C. Tell the client consent is unnecessary
D. Ask the family to consent
Answer: B. Provide information within the nurse's scope and clarify
unanswered questions
Clients require sufficient information to make informed decisions.
Questions requiring information outside the nurse's role should be
referred appropriately.
8.
Which client should be assigned to a nurse with the appropriate
competency rather than an inexperienced staff member?
A. Stable client requiring routine hygiene
B. Stable client needing assistance with meals
C. Client experiencing an acute change in neurological status
D. Client awaiting transportation home
Answer: C. Client experiencing an acute change in neurological
status
Acute deterioration requires appropriate assessment, clinical
judgment, and timely intervention.
9.
A nurse receives an order that appears unclear. What should the
nurse do?
A. Interpret the order independently
B. Ignore the order
C. Clarify the order with the prescriber before carrying it out
D. Ask the client what the prescriber intended
