REx-PN 250-Question Practice
Exam Practice Exam 2026–
2027| Complete Test Prep
Practice Questions With
Answers & Detailed Rationales
|clinical Judgment &Safety
|A+ Rated
Fundamentals, Safety & Clinical Judgment
1.
A nurse is caring for a client who is at risk for falls. Which
intervention is most appropriate?
A. Keep all four side rails raised
B. Place the call bell within reach
C. Keep the room dark at night
D. Encourage the client to walk independently
Answer: B. Place the call bell within reach
Rationale: Keeping the call bell accessible allows the client to request
assistance and reduces the risk of attempting to get out of bed
without help.
2.
,A client reports dizziness when standing. Which action should the
nurse take first?
A. Encourage rapid ambulation
B. Assist the client back to a sitting position
C. Administer an antihypertensive
D. Restrict oral fluids
Answer: B. Assist the client back to a sitting position
Rationale: The priority is preventing a fall and injury. The nurse
should stabilize the client before further assessment.
3.
Which finding requires immediate nursing intervention?
A. Temperature of 37.1°C
B. Respiratory rate of 8/min
C. Pulse of 78/min
D. Blood pressure of 118/72 mm Hg
Answer: B. Respiratory rate of 8/min
Rationale: Significant respiratory depression can compromise
oxygenation and ventilation and requires prompt assessment and
intervention.
4.
A nurse enters a client's room and finds the client unresponsive.
What should the nurse do first?
A. Obtain a blood pressure
B. Check for responsiveness and breathing
C. Call the family
D. Document the event
Answer: B. Check for responsiveness and breathing
,Rationale: Initial assessment of responsiveness and breathing
determines whether emergency resuscitation measures are required.
5.
Which action best demonstrates proper hand hygiene?
A. Washing hands only when visibly soiled
B. Cleaning hands before and after client contact
C. Wearing gloves instead of performing hand hygiene
D. Using hand lotion after every client encounter
Answer: B. Cleaning hands before and after client contact
Rationale: Hand hygiene before and after client contact is a
fundamental measure for preventing healthcare-associated
infections.
6.
A client receiving oxygen through a nasal cannula reports nasal
dryness. Which intervention is appropriate?
A. Apply petroleum jelly inside the nostrils
B. Use a water-soluble lubricant
C. Increase oxygen flow independently
D. Discontinue oxygen
Answer: B. Use a water-soluble lubricant
Rationale: Water-soluble products can help relieve dryness without
creating the fire hazard associated with petroleum-based products.
7.
Which client should the nurse assess first?
A. Client requesting a snack
B. Client with new-onset chest pressure
C. Client awaiting discharge instructions
D. Client requesting assistance with bathing
, Answer: B. Client with new-onset chest pressure
Rationale: New chest pressure may indicate acute coronary syndrome
and represents a potentially life-threatening condition.
8.
A nurse is preparing to administer medication. Which action is most
important for preventing medication errors?
A. Ask another client to confirm the medication
B. Verify the client's identity using two identifiers
C. Prepare medications for several clients simultaneously
D. Leave prepared medications at the bedside
Answer: B. Verify the client's identity using two identifiers
Rationale: Two client identifiers help ensure that the medication is
administered to the correct person.
9.
A client is receiving a blood transfusion. Which finding requires
immediate attention?
A. Temperature increase of 0.2°C
B. Chills and low back pain
C. Mild hunger
D. Heart rate of 76/min
Answer: B. Chills and low back pain
Rationale: Chills and back pain may indicate an acute hemolytic
transfusion reaction. The transfusion should be stopped and
emergency measures initiated.
10.
Which intervention is appropriate when applying restraints?
Exam Practice Exam 2026–
2027| Complete Test Prep
Practice Questions With
Answers & Detailed Rationales
|clinical Judgment &Safety
|A+ Rated
Fundamentals, Safety & Clinical Judgment
1.
A nurse is caring for a client who is at risk for falls. Which
intervention is most appropriate?
A. Keep all four side rails raised
B. Place the call bell within reach
C. Keep the room dark at night
D. Encourage the client to walk independently
Answer: B. Place the call bell within reach
Rationale: Keeping the call bell accessible allows the client to request
assistance and reduces the risk of attempting to get out of bed
without help.
2.
,A client reports dizziness when standing. Which action should the
nurse take first?
A. Encourage rapid ambulation
B. Assist the client back to a sitting position
C. Administer an antihypertensive
D. Restrict oral fluids
Answer: B. Assist the client back to a sitting position
Rationale: The priority is preventing a fall and injury. The nurse
should stabilize the client before further assessment.
3.
Which finding requires immediate nursing intervention?
A. Temperature of 37.1°C
B. Respiratory rate of 8/min
C. Pulse of 78/min
D. Blood pressure of 118/72 mm Hg
Answer: B. Respiratory rate of 8/min
Rationale: Significant respiratory depression can compromise
oxygenation and ventilation and requires prompt assessment and
intervention.
4.
A nurse enters a client's room and finds the client unresponsive.
What should the nurse do first?
A. Obtain a blood pressure
B. Check for responsiveness and breathing
C. Call the family
D. Document the event
Answer: B. Check for responsiveness and breathing
,Rationale: Initial assessment of responsiveness and breathing
determines whether emergency resuscitation measures are required.
5.
Which action best demonstrates proper hand hygiene?
A. Washing hands only when visibly soiled
B. Cleaning hands before and after client contact
C. Wearing gloves instead of performing hand hygiene
D. Using hand lotion after every client encounter
Answer: B. Cleaning hands before and after client contact
Rationale: Hand hygiene before and after client contact is a
fundamental measure for preventing healthcare-associated
infections.
6.
A client receiving oxygen through a nasal cannula reports nasal
dryness. Which intervention is appropriate?
A. Apply petroleum jelly inside the nostrils
B. Use a water-soluble lubricant
C. Increase oxygen flow independently
D. Discontinue oxygen
Answer: B. Use a water-soluble lubricant
Rationale: Water-soluble products can help relieve dryness without
creating the fire hazard associated with petroleum-based products.
7.
Which client should the nurse assess first?
A. Client requesting a snack
B. Client with new-onset chest pressure
C. Client awaiting discharge instructions
D. Client requesting assistance with bathing
, Answer: B. Client with new-onset chest pressure
Rationale: New chest pressure may indicate acute coronary syndrome
and represents a potentially life-threatening condition.
8.
A nurse is preparing to administer medication. Which action is most
important for preventing medication errors?
A. Ask another client to confirm the medication
B. Verify the client's identity using two identifiers
C. Prepare medications for several clients simultaneously
D. Leave prepared medications at the bedside
Answer: B. Verify the client's identity using two identifiers
Rationale: Two client identifiers help ensure that the medication is
administered to the correct person.
9.
A client is receiving a blood transfusion. Which finding requires
immediate attention?
A. Temperature increase of 0.2°C
B. Chills and low back pain
C. Mild hunger
D. Heart rate of 76/min
Answer: B. Chills and low back pain
Rationale: Chills and back pain may indicate an acute hemolytic
transfusion reaction. The transfusion should be stopped and
emergency measures initiated.
10.
Which intervention is appropriate when applying restraints?
