REx-PN Test Bank | 250 High-
Yield Practice Exam 2026–
2027| Complete Test Prep
Practice Questions With
Answers & Detailed Rationales
|clinical Judgment &Safety
|A+ Rated
1. Fundamentals & Clinical Judgment
1. A nurse is assessing a client who suddenly becomes short of
breath. Which action should the nurse take first?
A. Obtain a complete health history
B. Assess airway and breathing
C. Administer prescribed medication
D. Document the finding
Rationale: Airway and breathing are immediate priorities when acute
respiratory distress occurs.
2. Which finding requires the nurse's immediate attention?
A. Temperature of 37.2°C
B. Heart rate of 84/min
,C. Oxygen saturation of 86%
D. Respiratory rate of 18/min
Rationale: An oxygen saturation of 86% indicates significant
hypoxemia and requires prompt intervention.
3. Which assessment finding is most concerning in a postoperative
client?
A. Incisional pain rated 4/10
B. Mild nausea
C. New-onset confusion and restlessness
D. Decreased appetite
Rationale: Acute confusion and restlessness may be early signs of
hypoxia or another serious complication.
4. Which nursing action best demonstrates use of the nursing
process?
A. Administering medication without assessment
B. Assessing the client before developing a care plan
C. Documenting only abnormal findings
D. Asking another nurse to assess the client
Rationale: Assessment is the first step of the nursing process and
provides information needed for planning.
5. A client reports chest pressure radiating to the left arm. What is
the priority action?
A. Offer oral fluids
B. Encourage ambulation
C. Assess vital signs and initiate emergency cardiac assessment
D. Ask the client to rest for 30 minutes
Rationale: Chest pressure with radiation may indicate acute coronary
syndrome and requires immediate assessment.
6. Which client should the nurse assess first?
,A. Client requesting a sleep medication
B. Client with chronic back pain rated 6/10
C. Client with sudden difficulty breathing
D. Client waiting for discharge instructions
Rationale: Acute breathing difficulty represents an airway/breathing
priority.
7. Which statement about delegation is correct?
A. The nurse delegates accountability to the UAP
B. UAPs independently assess unstable clients
C. The nurse remains accountable for delegated nursing care
D. All nursing tasks may be delegated
Rationale: Tasks may be delegated, but the nurse retains
accountability for appropriate delegation and follow-up.
8. A client refuses a prescribed medication. What should the nurse
do first?
A. Hide the medication in food
B. Tell the client the medication is mandatory
C. Ask the client why the medication is being refused
D. Document medication administration
Rationale: The nurse should first determine the reason for refusal and
address concerns.
9. Which intervention is appropriate for preventing falls?
A. Keep all four side rails raised
B. Keep the room dark
C. Place the call bell within reach
D. Encourage the client to walk independently
Rationale: Easy access to the call bell allows clients to request
assistance before attempting unsafe movement.
, 10. A nurse discovers an incorrect medication dose was
administered. What is the priority?
A. Alter the medication record
B. Assess the client for adverse effects
C. Wait for symptoms
D. Ask another nurse to document it
Rationale: The client's immediate safety and assessment take priority
after a medication error.
2. Infection Prevention and Control
11. Which precaution is generally required for a client with
suspected tuberculosis?
A. Contact
B. Droplet
C. Airborne
D. Protective
Rationale: Tuberculosis is transmitted through airborne particles and
requires airborne precautions.
12. Which personal protective equipment is most appropriate when
entering the room of a client requiring contact precautions?
A. Surgical mask only
B. Gown and gloves
C. N95 respirator only
D. Shoe covers only
Rationale: Contact precautions generally require gown and gloves to
prevent transmission through direct or indirect contact.
13. The most effective method of preventing healthcare-associated
infection is:
Yield Practice Exam 2026–
2027| Complete Test Prep
Practice Questions With
Answers & Detailed Rationales
|clinical Judgment &Safety
|A+ Rated
1. Fundamentals & Clinical Judgment
1. A nurse is assessing a client who suddenly becomes short of
breath. Which action should the nurse take first?
A. Obtain a complete health history
B. Assess airway and breathing
C. Administer prescribed medication
D. Document the finding
Rationale: Airway and breathing are immediate priorities when acute
respiratory distress occurs.
2. Which finding requires the nurse's immediate attention?
A. Temperature of 37.2°C
B. Heart rate of 84/min
,C. Oxygen saturation of 86%
D. Respiratory rate of 18/min
Rationale: An oxygen saturation of 86% indicates significant
hypoxemia and requires prompt intervention.
3. Which assessment finding is most concerning in a postoperative
client?
A. Incisional pain rated 4/10
B. Mild nausea
C. New-onset confusion and restlessness
D. Decreased appetite
Rationale: Acute confusion and restlessness may be early signs of
hypoxia or another serious complication.
4. Which nursing action best demonstrates use of the nursing
process?
A. Administering medication without assessment
B. Assessing the client before developing a care plan
C. Documenting only abnormal findings
D. Asking another nurse to assess the client
Rationale: Assessment is the first step of the nursing process and
provides information needed for planning.
5. A client reports chest pressure radiating to the left arm. What is
the priority action?
A. Offer oral fluids
B. Encourage ambulation
C. Assess vital signs and initiate emergency cardiac assessment
D. Ask the client to rest for 30 minutes
Rationale: Chest pressure with radiation may indicate acute coronary
syndrome and requires immediate assessment.
6. Which client should the nurse assess first?
,A. Client requesting a sleep medication
B. Client with chronic back pain rated 6/10
C. Client with sudden difficulty breathing
D. Client waiting for discharge instructions
Rationale: Acute breathing difficulty represents an airway/breathing
priority.
7. Which statement about delegation is correct?
A. The nurse delegates accountability to the UAP
B. UAPs independently assess unstable clients
C. The nurse remains accountable for delegated nursing care
D. All nursing tasks may be delegated
Rationale: Tasks may be delegated, but the nurse retains
accountability for appropriate delegation and follow-up.
8. A client refuses a prescribed medication. What should the nurse
do first?
A. Hide the medication in food
B. Tell the client the medication is mandatory
C. Ask the client why the medication is being refused
D. Document medication administration
Rationale: The nurse should first determine the reason for refusal and
address concerns.
9. Which intervention is appropriate for preventing falls?
A. Keep all four side rails raised
B. Keep the room dark
C. Place the call bell within reach
D. Encourage the client to walk independently
Rationale: Easy access to the call bell allows clients to request
assistance before attempting unsafe movement.
, 10. A nurse discovers an incorrect medication dose was
administered. What is the priority?
A. Alter the medication record
B. Assess the client for adverse effects
C. Wait for symptoms
D. Ask another nurse to document it
Rationale: The client's immediate safety and assessment take priority
after a medication error.
2. Infection Prevention and Control
11. Which precaution is generally required for a client with
suspected tuberculosis?
A. Contact
B. Droplet
C. Airborne
D. Protective
Rationale: Tuberculosis is transmitted through airborne particles and
requires airborne precautions.
12. Which personal protective equipment is most appropriate when
entering the room of a client requiring contact precautions?
A. Surgical mask only
B. Gown and gloves
C. N95 respirator only
D. Shoe covers only
Rationale: Contact precautions generally require gown and gloves to
prevent transmission through direct or indirect contact.
13. The most effective method of preventing healthcare-associated
infection is:
