REX-PN #3 part 1 Questions and
Complete Solutions Graded A+
A 19-year-old male speaks with a male practical nurse in the clinic concerning a "humiliating personal
issue" he would like to have fixed. The practical nurse explains to the teenager that he has hypospadias.
How would the practical nurse explain this to him? - Answer: "I will refer you to a urologist who will
surgically repair the abnormal opening on the underside of your penis."
An 83-year-old female client asks her long-time nurse to become her power of attorney. What should
the nurse say in response to this request? - Answer: "I cannot do this, but I can help you get in contact
with a lawyer."
A practical nurse accompanies an inpatient at a psychiatric facility to a nearby coffee shop for tea. How
would you describe the practical nurse's decision here? - Answer: It is appropriate if it is part of the care
plan
A 71-year-old client has refused to eat more than a few spoonfuls of breakfast. The health care provider
has prescribed that tube feedings be initiated if the client fails to eat at least half of a meal because the
client has lost a significant amount of weight during the last 10 weeks. The nurse enters the room, looks
at the un-eaten food and states, "If you don't eat at least have of your meal, I'm going to have to put a
tube down your throat and have you feed that way." The client begins crying and tries to eat. Which
violation may the nurse be accused of based on her actions? - Answer: Assault
A 79-year-old male completed his hip-replacement surgery. After surgery, the client has become very
confused and attempts to get out of bed anytime his family is not present. His son and daughter both
want him restrained so he does not injure himself. What should the practical nurse explain to the
client's son and daughter? - Answer: "Would it be possible to have a family member stay with him until
he is less confused"
A practical nurse visits her close friend who is at 20 weeks gestation. Her friend reports headache,
nausea, and blurred vision. The nurse notes that her friend appears nervous, diaphoretic, and is
experiencing tremors. Which of the following questions would be most important for the nurse to ask? -
Answer: "When did you last drink or eat?"
Hypoglycemia signs - Answer: Headache
, Nausea
Blurred Vison
Nervousness
Diaphoresis
Tremors
Laura, a practical nurse, is asked to create a teaching tool that focuses on diabetes management for
clients who often eat meals outside of the home in restaurants. She understands that before clients can
learn, they must believe that they need to learn the information. This is an example of which learning
principle? - Answer: Relevance
A practical nurse has been reviewing research focusing on the benefits of hand washing in preventing
the spread of microorganisms. The last few days he has notices a number of health care workers not
washing their hands between client contact. He wants to initiate a change in practice. Which of the
following actions should he perform? - Answer: Develop a poster and pamphlet to be used at the sinks
on each unit to promote hand washing
Which of the following would not be a characteristic of client advocacy? - Answer: Providing
paternalistic care
At birth, the transitional changes for newborns consist of breathing independently. What causes the
foramen ovale to close? - Answer: Pressure in the left atria of the heart becomes greater than that in the
right atria of the heart
A female nurse is assigned to care for four clients. Which client should the nurse assess first when
planning her client rounds? - Answer: A client with asthma who requested a breathing treatment during
the previous shift
A 52-year-old female was admitted to a hospital in small remote town in northern Ontario. She is an
Indigenous person who is suffering from kidney failure and peripheral vascular disease. One evening,
she has a sudden and unexpected myocardial infarction. Her husband, working three hours away is
notified but is not able to arrive before his wife dies. What should the practical nurse do prior to
performing a post-mortem care for this client? - Answer: Identify cultural death rites that should be
respected at all times
Complete Solutions Graded A+
A 19-year-old male speaks with a male practical nurse in the clinic concerning a "humiliating personal
issue" he would like to have fixed. The practical nurse explains to the teenager that he has hypospadias.
How would the practical nurse explain this to him? - Answer: "I will refer you to a urologist who will
surgically repair the abnormal opening on the underside of your penis."
An 83-year-old female client asks her long-time nurse to become her power of attorney. What should
the nurse say in response to this request? - Answer: "I cannot do this, but I can help you get in contact
with a lawyer."
A practical nurse accompanies an inpatient at a psychiatric facility to a nearby coffee shop for tea. How
would you describe the practical nurse's decision here? - Answer: It is appropriate if it is part of the care
plan
A 71-year-old client has refused to eat more than a few spoonfuls of breakfast. The health care provider
has prescribed that tube feedings be initiated if the client fails to eat at least half of a meal because the
client has lost a significant amount of weight during the last 10 weeks. The nurse enters the room, looks
at the un-eaten food and states, "If you don't eat at least have of your meal, I'm going to have to put a
tube down your throat and have you feed that way." The client begins crying and tries to eat. Which
violation may the nurse be accused of based on her actions? - Answer: Assault
A 79-year-old male completed his hip-replacement surgery. After surgery, the client has become very
confused and attempts to get out of bed anytime his family is not present. His son and daughter both
want him restrained so he does not injure himself. What should the practical nurse explain to the
client's son and daughter? - Answer: "Would it be possible to have a family member stay with him until
he is less confused"
A practical nurse visits her close friend who is at 20 weeks gestation. Her friend reports headache,
nausea, and blurred vision. The nurse notes that her friend appears nervous, diaphoretic, and is
experiencing tremors. Which of the following questions would be most important for the nurse to ask? -
Answer: "When did you last drink or eat?"
Hypoglycemia signs - Answer: Headache
, Nausea
Blurred Vison
Nervousness
Diaphoresis
Tremors
Laura, a practical nurse, is asked to create a teaching tool that focuses on diabetes management for
clients who often eat meals outside of the home in restaurants. She understands that before clients can
learn, they must believe that they need to learn the information. This is an example of which learning
principle? - Answer: Relevance
A practical nurse has been reviewing research focusing on the benefits of hand washing in preventing
the spread of microorganisms. The last few days he has notices a number of health care workers not
washing their hands between client contact. He wants to initiate a change in practice. Which of the
following actions should he perform? - Answer: Develop a poster and pamphlet to be used at the sinks
on each unit to promote hand washing
Which of the following would not be a characteristic of client advocacy? - Answer: Providing
paternalistic care
At birth, the transitional changes for newborns consist of breathing independently. What causes the
foramen ovale to close? - Answer: Pressure in the left atria of the heart becomes greater than that in the
right atria of the heart
A female nurse is assigned to care for four clients. Which client should the nurse assess first when
planning her client rounds? - Answer: A client with asthma who requested a breathing treatment during
the previous shift
A 52-year-old female was admitted to a hospital in small remote town in northern Ontario. She is an
Indigenous person who is suffering from kidney failure and peripheral vascular disease. One evening,
she has a sudden and unexpected myocardial infarction. Her husband, working three hours away is
notified but is not able to arrive before his wife dies. What should the practical nurse do prior to
performing a post-mortem care for this client? - Answer: Identify cultural death rites that should be
respected at all times
