REx-PN Nursing Prep
Complete Study Guide
Practice Exam 2026–2027|
Complete Test Prep Practice
Questions With Answers &
Detailed Rationales |clinical
Judgment &Safety |A+ Rated
Question 1
A nurse enters a client's room and finds the client lying on the floor.
What should the nurse do first?
A. Call the healthcare provider
B. Help the client back into bed
C. Assess the client for injury
D. Complete an incident report
Answer: C. Assess the client for injury
The priority after a fall is to assess the client for injury before moving
the client. Moving an injured client may worsen an existing injury.
Question 2
Which action is most effective for preventing healthcare-associated
infections?
,A. Wearing gloves for every client interaction
B. Performing hand hygiene
C. Wearing a surgical mask
D. Using sterile equipment for all procedures
Answer: B. Performing hand hygiene
Hand hygiene is the most important routine measure for preventing
transmission of microorganisms.
Question 3
A client is identified as being at high risk for falls. Which intervention
is appropriate?
A. Keep all four side rails raised
B. Place the call bell within reach
C. Keep the bed in the highest position
D. Encourage the client to walk independently
Answer: B. Place the call bell within reach
Easy access to the call bell allows the client to request assistance
before attempting to get out of bed.
Question 4
Which client should the nurse assess first?
A. Client requesting a snack
B. Client with chronic arthritis reporting mild pain
C. Client with new-onset difficulty breathing
D. Client requesting assistance with bathing
Answer: C. Client with new-onset difficulty breathing
Airway and breathing problems take priority because impaired
oxygenation can rapidly become life-threatening.
Question 5
,A nurse is preparing to administer medication. Which action is most
important before administration?
A. Ask the client's roommate to confirm the client's name
B. Compare the medication with the prescription
C. Place all medications at the bedside
D. Ask whether the medication looks familiar
Answer: B. Compare the medication with the prescription
Medication administration requires verification of the medication
against the authorized prescription and appropriate client
identification.
Question 6
Which finding requires immediate intervention?
A. Temperature of 37.1°C
B. Respiratory rate of 8/min
C. Pulse of 82/min
D. Blood pressure of 124/76 mm Hg
Answer: B. Respiratory rate of 8/min
A respiratory rate of 8/min indicates significant bradypnea and may
reflect respiratory depression.
Question 7
A client reports dizziness when standing. Which instruction is most
appropriate?
A. Stand quickly to improve circulation
B. Sit at the bedside before standing
C. Avoid drinking fluids
D. Walk without assistance
Answer: B. Sit at the bedside before standing
, Changing positions gradually helps reduce symptoms associated with
orthostatic hypotension and lowers fall risk.
Question 8
Which finding suggests that a client may be developing pressure
injury?
A. Warm, intact skin
B. Nonblanchable redness over the sacrum
C. Mild generalized itching
D. Dry skin on the hands
Answer: B. Nonblanchable redness over the sacrum
Persistent nonblanchable erythema over a pressure area is an early
sign of pressure injury.
Question 9
Which intervention best prevents pressure injuries in an immobile
client?
A. Massage reddened areas
B. Reposition regularly
C. Limit protein intake
D. Keep the client in one position
Answer: B. Reposition regularly
Regular repositioning relieves prolonged pressure and helps maintain
tissue perfusion.
Question 10
A client with dysphagia is eating lunch. Which action is safest?
A. Place the client flat
B. Encourage rapid eating
C. Position the client upright
D. Give thin liquids freely
Complete Study Guide
Practice Exam 2026–2027|
Complete Test Prep Practice
Questions With Answers &
Detailed Rationales |clinical
Judgment &Safety |A+ Rated
Question 1
A nurse enters a client's room and finds the client lying on the floor.
What should the nurse do first?
A. Call the healthcare provider
B. Help the client back into bed
C. Assess the client for injury
D. Complete an incident report
Answer: C. Assess the client for injury
The priority after a fall is to assess the client for injury before moving
the client. Moving an injured client may worsen an existing injury.
Question 2
Which action is most effective for preventing healthcare-associated
infections?
,A. Wearing gloves for every client interaction
B. Performing hand hygiene
C. Wearing a surgical mask
D. Using sterile equipment for all procedures
Answer: B. Performing hand hygiene
Hand hygiene is the most important routine measure for preventing
transmission of microorganisms.
Question 3
A client is identified as being at high risk for falls. Which intervention
is appropriate?
A. Keep all four side rails raised
B. Place the call bell within reach
C. Keep the bed in the highest position
D. Encourage the client to walk independently
Answer: B. Place the call bell within reach
Easy access to the call bell allows the client to request assistance
before attempting to get out of bed.
Question 4
Which client should the nurse assess first?
A. Client requesting a snack
B. Client with chronic arthritis reporting mild pain
C. Client with new-onset difficulty breathing
D. Client requesting assistance with bathing
Answer: C. Client with new-onset difficulty breathing
Airway and breathing problems take priority because impaired
oxygenation can rapidly become life-threatening.
Question 5
,A nurse is preparing to administer medication. Which action is most
important before administration?
A. Ask the client's roommate to confirm the client's name
B. Compare the medication with the prescription
C. Place all medications at the bedside
D. Ask whether the medication looks familiar
Answer: B. Compare the medication with the prescription
Medication administration requires verification of the medication
against the authorized prescription and appropriate client
identification.
Question 6
Which finding requires immediate intervention?
A. Temperature of 37.1°C
B. Respiratory rate of 8/min
C. Pulse of 82/min
D. Blood pressure of 124/76 mm Hg
Answer: B. Respiratory rate of 8/min
A respiratory rate of 8/min indicates significant bradypnea and may
reflect respiratory depression.
Question 7
A client reports dizziness when standing. Which instruction is most
appropriate?
A. Stand quickly to improve circulation
B. Sit at the bedside before standing
C. Avoid drinking fluids
D. Walk without assistance
Answer: B. Sit at the bedside before standing
, Changing positions gradually helps reduce symptoms associated with
orthostatic hypotension and lowers fall risk.
Question 8
Which finding suggests that a client may be developing pressure
injury?
A. Warm, intact skin
B. Nonblanchable redness over the sacrum
C. Mild generalized itching
D. Dry skin on the hands
Answer: B. Nonblanchable redness over the sacrum
Persistent nonblanchable erythema over a pressure area is an early
sign of pressure injury.
Question 9
Which intervention best prevents pressure injuries in an immobile
client?
A. Massage reddened areas
B. Reposition regularly
C. Limit protein intake
D. Keep the client in one position
Answer: B. Reposition regularly
Regular repositioning relieves prolonged pressure and helps maintain
tissue perfusion.
Question 10
A client with dysphagia is eating lunch. Which action is safest?
A. Place the client flat
B. Encourage rapid eating
C. Position the client upright
D. Give thin liquids freely
