REx-PN Exam Comprehensive
Practice Exam 2026–2027|
Complete Test Prep Practice
Questions With Answers &
Detailed Rationales |clinical
Judgment &Safety |A+ Rated
Fundamentals, Safety & Infection Prevention
1. A practical nurse enters a client's room and finds the client lying
on the floor. What should the nurse do first?
A. Help the client back into bed
B. Obtain the client's vital signs
C. Assess the client for injury
D. Notify the health-care provider
Answer: C. Assess the client for injury
The nurse should first assess the client for immediate injury and
safety. The client should not be moved until injury, particularly spinal
injury, has been considered.
2. Which action is most effective for preventing the transmission of
microorganisms between clients?
A. Wearing gloves for every client interaction
B. Performing hand hygiene at appropriate times
,C. Keeping client doors closed
D. Using antibiotics prophylactically
Answer: B. Performing hand hygiene at appropriate times
Hand hygiene is one of the most effective measures for preventing
transmission of microorganisms in health-care settings.
3. A client with suspected tuberculosis is admitted. Which
precaution is appropriate?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Protective isolation
Answer: C. Airborne precautions
Tuberculosis is transmitted through airborne particles. Airborne
precautions include appropriate respiratory protection and an
airborne infection isolation room when available.
4. Which personal protective equipment should the nurse remove
first after caring for a client with contact precautions?
A. Gloves
B. Goggles
C. Gown
D. Mask
Answer: A. Gloves
Gloves are generally the most contaminated item and are removed
first, followed by other PPE according to the facility's prescribed
sequence.
5. A nurse sustains a needlestick injury. What is the priority action?
A. Complete an incident report
B. Wash the area with soap and water
,C. Notify the client
D. Obtain a blood sample from the client
Answer: B. Wash the area with soap and water
Immediate cleansing of the exposure site is the first action.
Occupational exposure procedures should then be followed promptly.
6. Which client should the practical nurse assess first?
A. A client requesting assistance to the bathroom
B. A client with a temperature of 37.8°C
C. A client with new-onset difficulty breathing
D. A client waiting for discharge instructions
Answer: C. A client with new-onset difficulty breathing
Airway and breathing problems take priority because they may
rapidly become life-threatening.
7. Which finding is most concerning in a client receiving oxygen?
A. Dry nasal passages
B. Oxygen saturation of 97%
C. New confusion and restlessness
D. Respiratory rate of 18/min
Answer: C. New confusion and restlessness
Restlessness and confusion can be early signs of hypoxia and require
prompt assessment.
8. Which intervention best reduces fall risk for an older adult?
A. Keeping all four side rails raised
B. Keeping the bed in the lowest position
C. Restricting oral fluids
D. Encouraging the client to remain in bed
Answer: B. Keeping the bed in the lowest position
, A low bed reduces the distance a client could fall and improves safety
while preserving mobility.
9. A client is at high risk for pressure injury. Which intervention is
most appropriate?
A. Massage reddened areas
B. Reposition the client regularly
C. Keep the head of bed at 90 degrees continuously
D. Limit protein intake
Answer: B. Reposition the client regularly
Regular repositioning reduces prolonged pressure over bony
prominences and helps prevent pressure injury.
10. Which finding represents a stage 1 pressure injury?
A. Full-thickness skin loss
B. Exposed bone
C. Nonblanchable erythema of intact skin
D. Deep tissue with visible adipose tissue
Answer: C. Nonblanchable erythema of intact skin
Stage 1 pressure injury involves intact skin with persistent,
nonblanchable redness.
11. Which intervention is appropriate when transferring a weak
client from bed to chair?
A. Pull the client by the arms
B. Use a gait belt when indicated
C. Ask the client to hold the nurse's neck
D. Keep the chair several feet away
Answer: B. Use a gait belt when indicated
A gait belt provides controlled support during transfers and can
reduce the risk of falls.
Practice Exam 2026–2027|
Complete Test Prep Practice
Questions With Answers &
Detailed Rationales |clinical
Judgment &Safety |A+ Rated
Fundamentals, Safety & Infection Prevention
1. A practical nurse enters a client's room and finds the client lying
on the floor. What should the nurse do first?
A. Help the client back into bed
B. Obtain the client's vital signs
C. Assess the client for injury
D. Notify the health-care provider
Answer: C. Assess the client for injury
The nurse should first assess the client for immediate injury and
safety. The client should not be moved until injury, particularly spinal
injury, has been considered.
2. Which action is most effective for preventing the transmission of
microorganisms between clients?
A. Wearing gloves for every client interaction
B. Performing hand hygiene at appropriate times
,C. Keeping client doors closed
D. Using antibiotics prophylactically
Answer: B. Performing hand hygiene at appropriate times
Hand hygiene is one of the most effective measures for preventing
transmission of microorganisms in health-care settings.
3. A client with suspected tuberculosis is admitted. Which
precaution is appropriate?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Protective isolation
Answer: C. Airborne precautions
Tuberculosis is transmitted through airborne particles. Airborne
precautions include appropriate respiratory protection and an
airborne infection isolation room when available.
4. Which personal protective equipment should the nurse remove
first after caring for a client with contact precautions?
A. Gloves
B. Goggles
C. Gown
D. Mask
Answer: A. Gloves
Gloves are generally the most contaminated item and are removed
first, followed by other PPE according to the facility's prescribed
sequence.
5. A nurse sustains a needlestick injury. What is the priority action?
A. Complete an incident report
B. Wash the area with soap and water
,C. Notify the client
D. Obtain a blood sample from the client
Answer: B. Wash the area with soap and water
Immediate cleansing of the exposure site is the first action.
Occupational exposure procedures should then be followed promptly.
6. Which client should the practical nurse assess first?
A. A client requesting assistance to the bathroom
B. A client with a temperature of 37.8°C
C. A client with new-onset difficulty breathing
D. A client waiting for discharge instructions
Answer: C. A client with new-onset difficulty breathing
Airway and breathing problems take priority because they may
rapidly become life-threatening.
7. Which finding is most concerning in a client receiving oxygen?
A. Dry nasal passages
B. Oxygen saturation of 97%
C. New confusion and restlessness
D. Respiratory rate of 18/min
Answer: C. New confusion and restlessness
Restlessness and confusion can be early signs of hypoxia and require
prompt assessment.
8. Which intervention best reduces fall risk for an older adult?
A. Keeping all four side rails raised
B. Keeping the bed in the lowest position
C. Restricting oral fluids
D. Encouraging the client to remain in bed
Answer: B. Keeping the bed in the lowest position
, A low bed reduces the distance a client could fall and improves safety
while preserving mobility.
9. A client is at high risk for pressure injury. Which intervention is
most appropriate?
A. Massage reddened areas
B. Reposition the client regularly
C. Keep the head of bed at 90 degrees continuously
D. Limit protein intake
Answer: B. Reposition the client regularly
Regular repositioning reduces prolonged pressure over bony
prominences and helps prevent pressure injury.
10. Which finding represents a stage 1 pressure injury?
A. Full-thickness skin loss
B. Exposed bone
C. Nonblanchable erythema of intact skin
D. Deep tissue with visible adipose tissue
Answer: C. Nonblanchable erythema of intact skin
Stage 1 pressure injury involves intact skin with persistent,
nonblanchable redness.
11. Which intervention is appropriate when transferring a weak
client from bed to chair?
A. Pull the client by the arms
B. Use a gait belt when indicated
C. Ask the client to hold the nurse's neck
D. Keep the chair several feet away
Answer: B. Use a gait belt when indicated
A gait belt provides controlled support during transfers and can
reduce the risk of falls.
