REx-PN Readiness Practice
Exam 2026–2027| Complete
Test Prep Practice Questions
With Answers & Detailed
Rationales |clinical Judgment
&Safety |A+ Rated
1. A nurse enters a client's room and finds the client lying on the
floor. What should the nurse do first?
A. Complete an incident report
B. Notify the health-care provider
C. Assess the client for injury
D. Return the client to bed
Answer: C. Assess the client for injury
The client's immediate condition must be assessed before moving the
client or completing documentation.
2. Which finding requires the nurse's immediate attention?
A. Temperature of 37.8°C
B. Respiratory rate of 8/min
C. Blood pressure of 138/84 mm Hg
D. Heart rate of 88/min
,Answer: B. Respiratory rate of 8/min
Bradypnea can indicate respiratory depression and inadequate
ventilation, making airway and breathing the immediate priority.
3. Which intervention is most effective for preventing health-care-
associated infections?
A. Wearing gloves for every client interaction
B. Hand hygiene
C. Using sterile equipment for all procedures
D. Wearing a mask when entering every room
Answer: B. Hand hygiene
Proper hand hygiene is the primary measure for reducing
transmission of microorganisms.
4. A client is at high risk for falls. Which intervention is appropriate?
A. Keep all four side rails raised
B. Keep the bed in the lowest position
C. Encourage the client to ambulate independently
D. Keep the room dark at night
Answer: B. Keep the bed in the lowest position
Low bed positioning reduces the distance a client can fall and
supports safer transfers.
5. A nurse is preparing to administer medication. Which action is
most important before administration?
A. Ask another client to identify the medication
B. Verify the medication against the prescription
,C. Document administration before giving it
D. Leave the medication at the bedside
Answer: B. Verify the medication against the prescription
Medication administration requires verification of the prescription
and appropriate medication rights before administration.
6. A client reports sudden crushing chest pain. Which action should
the nurse take first?
A. Obtain a dietary history
B. Assess vital signs and overall condition
C. Encourage oral fluids
D. Assist the client to ambulate
Answer: B. Assess vital signs and overall condition
Acute chest pain may indicate a life-threatening cardiac event.
Immediate assessment establishes the client's stability and guides
emergency intervention.
7. Which client should the nurse assess first?
A. Client requesting a sleeping medication
B. Client with oxygen saturation of 86%
C. Client reporting mild constipation
D. Client requesting discharge instructions
Answer: B. Client with oxygen saturation of 86%
Hypoxemia threatens oxygenation and requires prompt assessment
and intervention.
, 8. Which action demonstrates appropriate body mechanics when
lifting?
A. Bend at the waist
B. Keep the load away from the body
C. Bend the knees and keep the back aligned
D. Twist while lifting
Answer: C. Bend the knees and keep the back aligned
Using the legs while maintaining spinal alignment decreases the risk
of musculoskeletal injury.
9. A client receiving oxygen by nasal cannula reports nasal dryness.
Which intervention is appropriate?
A. Apply petroleum jelly inside the nostrils
B. Use a water-soluble lubricant
C. Discontinue oxygen
D. Increase the oxygen flow rate
Answer: B. Use a water-soluble lubricant
Water-soluble products can reduce mucosal dryness. Petroleum-
based products are avoided because of fire risk with oxygen.
10. Which finding is most concerning in a client receiving opioid
analgesia?
A. Pain rating of 3/10
B. Respiratory rate of 7/min
C. Mild nausea
D. Drowsiness after administration
Answer: B. Respiratory rate of 7/min
Exam 2026–2027| Complete
Test Prep Practice Questions
With Answers & Detailed
Rationales |clinical Judgment
&Safety |A+ Rated
1. A nurse enters a client's room and finds the client lying on the
floor. What should the nurse do first?
A. Complete an incident report
B. Notify the health-care provider
C. Assess the client for injury
D. Return the client to bed
Answer: C. Assess the client for injury
The client's immediate condition must be assessed before moving the
client or completing documentation.
2. Which finding requires the nurse's immediate attention?
A. Temperature of 37.8°C
B. Respiratory rate of 8/min
C. Blood pressure of 138/84 mm Hg
D. Heart rate of 88/min
,Answer: B. Respiratory rate of 8/min
Bradypnea can indicate respiratory depression and inadequate
ventilation, making airway and breathing the immediate priority.
3. Which intervention is most effective for preventing health-care-
associated infections?
A. Wearing gloves for every client interaction
B. Hand hygiene
C. Using sterile equipment for all procedures
D. Wearing a mask when entering every room
Answer: B. Hand hygiene
Proper hand hygiene is the primary measure for reducing
transmission of microorganisms.
4. A client is at high risk for falls. Which intervention is appropriate?
A. Keep all four side rails raised
B. Keep the bed in the lowest position
C. Encourage the client to ambulate independently
D. Keep the room dark at night
Answer: B. Keep the bed in the lowest position
Low bed positioning reduces the distance a client can fall and
supports safer transfers.
5. A nurse is preparing to administer medication. Which action is
most important before administration?
A. Ask another client to identify the medication
B. Verify the medication against the prescription
,C. Document administration before giving it
D. Leave the medication at the bedside
Answer: B. Verify the medication against the prescription
Medication administration requires verification of the prescription
and appropriate medication rights before administration.
6. A client reports sudden crushing chest pain. Which action should
the nurse take first?
A. Obtain a dietary history
B. Assess vital signs and overall condition
C. Encourage oral fluids
D. Assist the client to ambulate
Answer: B. Assess vital signs and overall condition
Acute chest pain may indicate a life-threatening cardiac event.
Immediate assessment establishes the client's stability and guides
emergency intervention.
7. Which client should the nurse assess first?
A. Client requesting a sleeping medication
B. Client with oxygen saturation of 86%
C. Client reporting mild constipation
D. Client requesting discharge instructions
Answer: B. Client with oxygen saturation of 86%
Hypoxemia threatens oxygenation and requires prompt assessment
and intervention.
, 8. Which action demonstrates appropriate body mechanics when
lifting?
A. Bend at the waist
B. Keep the load away from the body
C. Bend the knees and keep the back aligned
D. Twist while lifting
Answer: C. Bend the knees and keep the back aligned
Using the legs while maintaining spinal alignment decreases the risk
of musculoskeletal injury.
9. A client receiving oxygen by nasal cannula reports nasal dryness.
Which intervention is appropriate?
A. Apply petroleum jelly inside the nostrils
B. Use a water-soluble lubricant
C. Discontinue oxygen
D. Increase the oxygen flow rate
Answer: B. Use a water-soluble lubricant
Water-soluble products can reduce mucosal dryness. Petroleum-
based products are avoided because of fire risk with oxygen.
10. Which finding is most concerning in a client receiving opioid
analgesia?
A. Pain rating of 3/10
B. Respiratory rate of 7/min
C. Mild nausea
D. Drowsiness after administration
Answer: B. Respiratory rate of 7/min
