©THEBRIGHTSTARS 2024
RExPN Study Test Questions With Correct
And Revised Answers
A 25-year-old female is a single mother who has just given birth to her first child. She mentions
to the practical nurse that she appreciated the help given to her during the procedure. When the
practical nurse concludes her last follow-up community visit, she expresses gratitude and suggest
that the nurse comes back and visits her and the baby for regular outings. How should the
practical nurse respond? - answer✔✔A. Tell her this would be unprofessional
B. Thank her for the offer and tell her that you will have to give her a call to see whether you
will be able to work in outings in your personal schedule
C. Acknowledge your appreciation of this experience, explain that her nursing needs have been
met, and tell her you to have to care for other new mothers (correct)
D. State that you would really like to do this but you are too busy with your other commitments
A practical nurse working at a mental health clinic reviews a newly admitted female client with
anorexia and insomnia. The client tearfully tells the nurse that she was laid off from a job that
she had held for 25 years. Which of the following responses by the nurse would be most
appropriate? - answer✔✔A. "Did your company give you a severance package?"
B. "Focus on the fact that you have a happy and healthy family."
C. "Tell me what happened." (correct)
D. "Everyone loses their job once in their career"
A 60-year-old male uses a wheelchair because of mobility limitations. On one occasion, he is
unable to call the nurse to assist him to the toilet. He urinates in his wheelchair. The practical
nurse scolds him in front of other residents for his "accident.". The nurse has demonstrated
which of the following? - answer✔✔A. Verbal abuse (correct)
B. Incompetence
C. Reinforcement
D. Negligence
A practical nurse is working in a palliative care hospice when a client with terminal pancreatic
cancer requests for assistance. The client is 85-years-old and is weak and unable to move from
, ©THEBRIGHTSTARS 2024
his bed for three straight days. He has stopped eating and is not able to drink more than a few
sips of water every two hours. The client has not completed an advance directive. Who should be
the substitute decision maker (SDM) when he is no longer able to make decisions on his care? -
answer✔✔A. The client's former spouse
B. The client's adult children (correct)
C. The client's eldest son
D. The client's brother
A practical nurse working in the community provides health care to students at a local high-
school as part of her job. A 14-year-old female approaches the practical nurse mentioning her
parents want her tested for scoliosis. How would the practical nurse assess whether the student
has scoliosis? - answer✔✔A. Have her bend forward at the waist to inspect for an abnormal
spinal curvature (correct)
B. Observe from the back as she climbs a flight of stairs
C. Ask her to stand sideways to him so he may measure any degrees of kyphosis
D. Tell her to rotate sideways and observe for uneven shoulder height
A nurse educator is preparing a workshop regarding cultural influences on health care. The
session begins with a definition of "culture". Which of the following should be included in the
definition? - answer✔✔A. Culture is the common understanding of a community
B. Cultural is a shared systems of values, believes and behaviours (correct)
C. Culture is based on the physical characteristics of the environment
D. Culture is based on the majority of the dominant religious beliefs
A 42-year-old client has been treated with cortisone preparations for an extended period of time.
Why do individuals with this treatment have an increased risk of developing infections? -
answer✔✔A. Cortisone suppresses the body's normal immune response (correct)
B. Cortisone attracts microbes into the body
C. Cortisone therapy suppresses the body's natural bacteria
D. Cortisone causes increased capillary permeability
A practical nurse examines the breath sounds of a 49-year-old male diagnosed with pulmonary
disease. The nurse identifies rales during both inspiration and expiration. What is this finding
most representative of? - answer✔✔A. Pleural effusion
B. Pulmonary fibrosis
C. Impaired secretion clearance (correct)
RExPN Study Test Questions With Correct
And Revised Answers
A 25-year-old female is a single mother who has just given birth to her first child. She mentions
to the practical nurse that she appreciated the help given to her during the procedure. When the
practical nurse concludes her last follow-up community visit, she expresses gratitude and suggest
that the nurse comes back and visits her and the baby for regular outings. How should the
practical nurse respond? - answer✔✔A. Tell her this would be unprofessional
B. Thank her for the offer and tell her that you will have to give her a call to see whether you
will be able to work in outings in your personal schedule
C. Acknowledge your appreciation of this experience, explain that her nursing needs have been
met, and tell her you to have to care for other new mothers (correct)
D. State that you would really like to do this but you are too busy with your other commitments
A practical nurse working at a mental health clinic reviews a newly admitted female client with
anorexia and insomnia. The client tearfully tells the nurse that she was laid off from a job that
she had held for 25 years. Which of the following responses by the nurse would be most
appropriate? - answer✔✔A. "Did your company give you a severance package?"
B. "Focus on the fact that you have a happy and healthy family."
C. "Tell me what happened." (correct)
D. "Everyone loses their job once in their career"
A 60-year-old male uses a wheelchair because of mobility limitations. On one occasion, he is
unable to call the nurse to assist him to the toilet. He urinates in his wheelchair. The practical
nurse scolds him in front of other residents for his "accident.". The nurse has demonstrated
which of the following? - answer✔✔A. Verbal abuse (correct)
B. Incompetence
C. Reinforcement
D. Negligence
A practical nurse is working in a palliative care hospice when a client with terminal pancreatic
cancer requests for assistance. The client is 85-years-old and is weak and unable to move from
, ©THEBRIGHTSTARS 2024
his bed for three straight days. He has stopped eating and is not able to drink more than a few
sips of water every two hours. The client has not completed an advance directive. Who should be
the substitute decision maker (SDM) when he is no longer able to make decisions on his care? -
answer✔✔A. The client's former spouse
B. The client's adult children (correct)
C. The client's eldest son
D. The client's brother
A practical nurse working in the community provides health care to students at a local high-
school as part of her job. A 14-year-old female approaches the practical nurse mentioning her
parents want her tested for scoliosis. How would the practical nurse assess whether the student
has scoliosis? - answer✔✔A. Have her bend forward at the waist to inspect for an abnormal
spinal curvature (correct)
B. Observe from the back as she climbs a flight of stairs
C. Ask her to stand sideways to him so he may measure any degrees of kyphosis
D. Tell her to rotate sideways and observe for uneven shoulder height
A nurse educator is preparing a workshop regarding cultural influences on health care. The
session begins with a definition of "culture". Which of the following should be included in the
definition? - answer✔✔A. Culture is the common understanding of a community
B. Cultural is a shared systems of values, believes and behaviours (correct)
C. Culture is based on the physical characteristics of the environment
D. Culture is based on the majority of the dominant religious beliefs
A 42-year-old client has been treated with cortisone preparations for an extended period of time.
Why do individuals with this treatment have an increased risk of developing infections? -
answer✔✔A. Cortisone suppresses the body's normal immune response (correct)
B. Cortisone attracts microbes into the body
C. Cortisone therapy suppresses the body's natural bacteria
D. Cortisone causes increased capillary permeability
A practical nurse examines the breath sounds of a 49-year-old male diagnosed with pulmonary
disease. The nurse identifies rales during both inspiration and expiration. What is this finding
most representative of? - answer✔✔A. Pleural effusion
B. Pulmonary fibrosis
C. Impaired secretion clearance (correct)
