REx-PN Test Bank Practice
Exam 2026–2027| Complete
Test Prep Practice Questions
With Answers & Detailed
Rationales |clinical Judgment
&Safety |A+ Rated
1.
A practical nurse is assessing a client who reports sudden shortness
of breath. Which action should the nurse take first?
A. Obtain a complete health history
B. Ask about recent travel
C. Assess oxygen saturation and respiratory status
D. Notify the primary healthcare provider
Answer: C. Assess oxygen saturation and respiratory status
Rationale: Airway and breathing take priority. The nurse should
rapidly assess respiratory status and oxygenation before pursuing
additional history or notification.
2.
Which finding requires immediate nursing intervention?
,A. Temperature of 37.4°C
B. Heart rate of 82/min
C. Respiratory rate of 8/min
D. Blood pressure of 124/76 mm Hg
Answer: C. Respiratory rate of 8/min
Rationale: Bradypnea can indicate respiratory depression and
inadequate ventilation. Airway and breathing require immediate
attention.
3.
A client has been placed on fall precautions. Which intervention is
most appropriate?
A. Keep all four side rails raised
B. Keep the bed in the lowest position
C. Encourage the client to walk independently
D. Place the call bell outside the client's reach
Answer: B. Keep the bed in the lowest position
Rationale: A low bed reduces injury risk if the client attempts to get
up or falls. The call bell should remain accessible.
4.
A nurse is preparing to administer oral medication. Which action is
essential before administration?
A. Ask another client to identify the medication
B. Compare the medication with the prescription
C. Crush every tablet before administration
D. Leave medications at the bedside
Answer: B. Compare the medication with the prescription
,Rationale: Medication administration requires verification of the
medication against the authorized prescription and appropriate
medication rights.
5.
Which assessment finding is most concerning in a client receiving
opioid analgesia?
A. Pain rating of 3/10
B. Respiratory rate of 8/min
C. Blood pressure of 128/74 mm Hg
D. Mild nausea
Answer: B. Respiratory rate of 8/min
Rationale: Opioids can cause respiratory depression. A respiratory
rate of 8/min requires prompt assessment and intervention.
6.
A client is unable to reposition independently. Which intervention
helps prevent pressure injuries?
A. Massage reddened bony prominences
B. Reposition the client regularly
C. Restrict fluid intake
D. Keep the skin moist
Answer: B. Reposition the client regularly
Rationale: Regular repositioning reduces prolonged pressure and
helps maintain tissue perfusion.
7.
, Which finding is characteristic of dehydration?
A. Bounding pulse
B. Moist mucous membranes
C. Poor skin turgor
D. Increased urine output
Answer: C. Poor skin turgor
Rationale: Dehydration may cause decreased skin turgor, dry mucous
membranes, concentrated urine, and tachycardia.
8.
A client reports dizziness when standing. What should the nurse do
first?
A. Encourage rapid ambulation
B. Assist the client back to a safe position
C. Give a sedative
D. Restrict oral fluids
Answer: B. Assist the client back to a safe position
Rationale: Safety is the immediate priority. The client should be
protected from falling before further assessment.
9.
Which action is appropriate when using a pulse oximeter?
A. Place it over artificial nails whenever possible
B. Verify the reading against the client's clinical condition
C. Apply it only after oxygen is administered
D. Assume a reading is accurate regardless of perfusion
Answer: B. Verify the reading against the client's clinical condition
Exam 2026–2027| Complete
Test Prep Practice Questions
With Answers & Detailed
Rationales |clinical Judgment
&Safety |A+ Rated
1.
A practical nurse is assessing a client who reports sudden shortness
of breath. Which action should the nurse take first?
A. Obtain a complete health history
B. Ask about recent travel
C. Assess oxygen saturation and respiratory status
D. Notify the primary healthcare provider
Answer: C. Assess oxygen saturation and respiratory status
Rationale: Airway and breathing take priority. The nurse should
rapidly assess respiratory status and oxygenation before pursuing
additional history or notification.
2.
Which finding requires immediate nursing intervention?
,A. Temperature of 37.4°C
B. Heart rate of 82/min
C. Respiratory rate of 8/min
D. Blood pressure of 124/76 mm Hg
Answer: C. Respiratory rate of 8/min
Rationale: Bradypnea can indicate respiratory depression and
inadequate ventilation. Airway and breathing require immediate
attention.
3.
A client has been placed on fall precautions. Which intervention is
most appropriate?
A. Keep all four side rails raised
B. Keep the bed in the lowest position
C. Encourage the client to walk independently
D. Place the call bell outside the client's reach
Answer: B. Keep the bed in the lowest position
Rationale: A low bed reduces injury risk if the client attempts to get
up or falls. The call bell should remain accessible.
4.
A nurse is preparing to administer oral medication. Which action is
essential before administration?
A. Ask another client to identify the medication
B. Compare the medication with the prescription
C. Crush every tablet before administration
D. Leave medications at the bedside
Answer: B. Compare the medication with the prescription
,Rationale: Medication administration requires verification of the
medication against the authorized prescription and appropriate
medication rights.
5.
Which assessment finding is most concerning in a client receiving
opioid analgesia?
A. Pain rating of 3/10
B. Respiratory rate of 8/min
C. Blood pressure of 128/74 mm Hg
D. Mild nausea
Answer: B. Respiratory rate of 8/min
Rationale: Opioids can cause respiratory depression. A respiratory
rate of 8/min requires prompt assessment and intervention.
6.
A client is unable to reposition independently. Which intervention
helps prevent pressure injuries?
A. Massage reddened bony prominences
B. Reposition the client regularly
C. Restrict fluid intake
D. Keep the skin moist
Answer: B. Reposition the client regularly
Rationale: Regular repositioning reduces prolonged pressure and
helps maintain tissue perfusion.
7.
, Which finding is characteristic of dehydration?
A. Bounding pulse
B. Moist mucous membranes
C. Poor skin turgor
D. Increased urine output
Answer: C. Poor skin turgor
Rationale: Dehydration may cause decreased skin turgor, dry mucous
membranes, concentrated urine, and tachycardia.
8.
A client reports dizziness when standing. What should the nurse do
first?
A. Encourage rapid ambulation
B. Assist the client back to a safe position
C. Give a sedative
D. Restrict oral fluids
Answer: B. Assist the client back to a safe position
Rationale: Safety is the immediate priority. The client should be
protected from falling before further assessment.
9.
Which action is appropriate when using a pulse oximeter?
A. Place it over artificial nails whenever possible
B. Verify the reading against the client's clinical condition
C. Apply it only after oxygen is administered
D. Assume a reading is accurate regardless of perfusion
Answer: B. Verify the reading against the client's clinical condition
