REx-PN Exam Mastery High-
Yield Practice Exam 2026–
2027| Complete Test Prep
Practice Questions With
Answers & Detailed
Rationales |clinical Judgment
&Safety |A+ Rated
Question 1
A nurse is caring for four clients. Which client should the nurse assess
first?
A. A client with chronic arthritis reporting pain of 6/10
B. A postoperative client with a respiratory rate of 8/min
C. A client requesting assistance to the bathroom
D. A client waiting for discharge instructions
Answer: B. A postoperative client with a respiratory rate of 8/min
Rationale: A respiratory rate of 8/min indicates potentially serious
respiratory depression and requires immediate assessment and
intervention.
Question 2
,A nurse enters a client's room and finds the client lying on the floor.
What should the nurse do first?
A. Move the client back to bed
B. Complete an incident report
C. Assess the client for injury
D. Notify the health-care provider
Answer: C. Assess the client for injury
Rationale: After a fall, the priority is to assess the client for injury
before moving the client or completing documentation.
Question 3
Which action best reduces the risk of health-care-associated
infection?
A. Wearing gloves for every client interaction
B. Performing hand hygiene before and after client contact
C. Using sterile technique for all procedures
D. Keeping client doors closed
Answer: B. Performing hand hygiene before and after client contact
Rationale: Hand hygiene is one of the most effective measures for
preventing transmission of microorganisms.
Question 4
A client receiving oxygen through a nasal cannula reports nasal
dryness. Which intervention is appropriate?
A. Apply petroleum jelly inside the nostrils
B. Increase the oxygen flow rate
C. Use a water-soluble lubricant
D. Discontinue oxygen therapy
,Answer: C. Use a water-soluble lubricant
Rationale: Water-soluble products may be used for nasal dryness.
Petroleum-based products should be avoided around oxygen because
of fire risk.
Question 5
A nurse is preparing to administer medication. Which action is most
important for preventing medication errors?
A. Asking the client whether the medication looks familiar
B. Checking the medication against the prescription and client
identification
C. Preparing medications for several clients at once
D. Leaving medications at the bedside
Answer: B. Checking the medication against the prescription and
client identification
Rationale: Verification of the medication order, medication, and
client identity is essential for medication safety.
Question 6
Which client should the nurse see first?
A. Client with a temperature of 38.1°C
B. Client with new-onset confusion
C. Client requesting a sleeping medication
D. Client reporting chronic back pain
Answer: B. Client with new-onset confusion
Rationale: Acute confusion may indicate hypoxia, infection, metabolic
disturbance, medication effects, or another potentially serious
condition.
, Question 7
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. Keep the room dark
D. Restrict oral fluids
Answer: B. Keep the bed in the lowest position
Rationale: A low bed reduces the distance a client could fall. Four
raised side rails can function as a restraint.
Question 8
A client who is weak and dizzy needs to ambulate. What should the
nurse do?
A. Encourage the client to walk independently
B. Have the client sit at the bedside before standing
C. Ask the client to move quickly
D. Keep the client's eyes closed while walking
Answer: B. Have the client sit at the bedside before standing
Rationale: Sitting before standing allows the nurse to assess for
orthostatic symptoms and reduces the risk of falls.
Question 9
A nurse discovers that the wrong dose of medication was
administered. What is the priority action?
Yield Practice Exam 2026–
2027| Complete Test Prep
Practice Questions With
Answers & Detailed
Rationales |clinical Judgment
&Safety |A+ Rated
Question 1
A nurse is caring for four clients. Which client should the nurse assess
first?
A. A client with chronic arthritis reporting pain of 6/10
B. A postoperative client with a respiratory rate of 8/min
C. A client requesting assistance to the bathroom
D. A client waiting for discharge instructions
Answer: B. A postoperative client with a respiratory rate of 8/min
Rationale: A respiratory rate of 8/min indicates potentially serious
respiratory depression and requires immediate assessment and
intervention.
Question 2
,A nurse enters a client's room and finds the client lying on the floor.
What should the nurse do first?
A. Move the client back to bed
B. Complete an incident report
C. Assess the client for injury
D. Notify the health-care provider
Answer: C. Assess the client for injury
Rationale: After a fall, the priority is to assess the client for injury
before moving the client or completing documentation.
Question 3
Which action best reduces the risk of health-care-associated
infection?
A. Wearing gloves for every client interaction
B. Performing hand hygiene before and after client contact
C. Using sterile technique for all procedures
D. Keeping client doors closed
Answer: B. Performing hand hygiene before and after client contact
Rationale: Hand hygiene is one of the most effective measures for
preventing transmission of microorganisms.
Question 4
A client receiving oxygen through a nasal cannula reports nasal
dryness. Which intervention is appropriate?
A. Apply petroleum jelly inside the nostrils
B. Increase the oxygen flow rate
C. Use a water-soluble lubricant
D. Discontinue oxygen therapy
,Answer: C. Use a water-soluble lubricant
Rationale: Water-soluble products may be used for nasal dryness.
Petroleum-based products should be avoided around oxygen because
of fire risk.
Question 5
A nurse is preparing to administer medication. Which action is most
important for preventing medication errors?
A. Asking the client whether the medication looks familiar
B. Checking the medication against the prescription and client
identification
C. Preparing medications for several clients at once
D. Leaving medications at the bedside
Answer: B. Checking the medication against the prescription and
client identification
Rationale: Verification of the medication order, medication, and
client identity is essential for medication safety.
Question 6
Which client should the nurse see first?
A. Client with a temperature of 38.1°C
B. Client with new-onset confusion
C. Client requesting a sleeping medication
D. Client reporting chronic back pain
Answer: B. Client with new-onset confusion
Rationale: Acute confusion may indicate hypoxia, infection, metabolic
disturbance, medication effects, or another potentially serious
condition.
, Question 7
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. Keep the room dark
D. Restrict oral fluids
Answer: B. Keep the bed in the lowest position
Rationale: A low bed reduces the distance a client could fall. Four
raised side rails can function as a restraint.
Question 8
A client who is weak and dizzy needs to ambulate. What should the
nurse do?
A. Encourage the client to walk independently
B. Have the client sit at the bedside before standing
C. Ask the client to move quickly
D. Keep the client's eyes closed while walking
Answer: B. Have the client sit at the bedside before standing
Rationale: Sitting before standing allows the nurse to assess for
orthostatic symptoms and reduces the risk of falls.
Question 9
A nurse discovers that the wrong dose of medication was
administered. What is the priority action?
