REX-PN Exam #1 Questions and
Complete Solutions Graded A+
Peter, a nurse manager, is responsible for a team of 2 registered nurses (RNs), 4 registered practical
nurses (RPN), and 3 nurse practitioner (NPs). Peter notices a lack of team morale, lack of clarity of roles
and increasing negative communication between the team members. How should Peter describe the
level of education for the NP? - Answer: A nurse educated with a master's degree
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 are 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
A practical nurse calls the health care provider (HCP) regarding a new medication prescription. The
dosage prescribed is higher than the recommended dosage, however, the nurse is unable to locate the
HCP for an explanation. Which action should the nurse take if the medication is due to be administered
at this moment? - Answer: Contact the nursing supervisor
A practical nurse restrains a male client in a locked room for 3 hours until the client acknowledges he
started a fight in the group room last evening. The nurse's behaviour constitutes - Answer: False
imprisonment
A 45-year-old client admitted to a mental health unit has exhibited physical behaviours that put him and
others at risk. The practical nurse applies four-point restraints on the client without consent nor
obtaining orders from the physician. The nurse is at risk of being accused of which of the following -
Answer: Battery
Richard, a nurse educator has revised a hospital's orientation program and includes sample client health
records to highlight areas of professional practice. A new practical nurse asks the educator what
abbreviations can be used within the client's health records. Which of the following abbreviations can
the practical nurse use? - Answer: Abbreviations that have been approved by the hospita
, A practical nurse is reviewing medication information with a female client who has been prescribed
sertraline daily. Which of the following statements by the client indicates a need for further guidance? -
Answer: "I will stop taking these pills if they don't work in less than 10 days "
A practical nurse is working in the oncology unit at the paediatric hospital. The team leader provides a
new assignment for the nurses in the unit. Which of the following assignments should be questioned by
the practical nurse? - Answer: Provide information on chemotherapy to a client
A practical nurse works in an orthopaedic surgery unit of a hospital in Toronto. Many of the clients are
older adults (older than 60 years old) with increased risk for hospital-acquired infections. Which of the
following is the most important step for the practical nurse to protect her clients from hospital-acquired
infections? - Answer: Identify clients who are at risk
Which of the following actions by a practical nurse would be considered negligence? - Answer: Lowering
the bed side rails after administering meperidine and hydroxyzine to a client preoperatively
Meperidine - Answer: Acts on the central nervous system (CNS) to relieve pain
Used to relieve pain severe enough to require opioid treatment and when other pain medicines did not
work well enough or cannot be tolerated
Hydroxyzine - Answer: To help control anxiety and tension caused by nervous and emotional conditions
Antihistamine
A client returns to the clinic two weeks after the hospital discharged the client. The client is taking
warfarin sodium 2 mg PO daily. Which of the following statements by the client to the practical nurse
indicates that further teaching is necessary? - Answer: "I take aspirin whenever I have a headache"
An example of why Warfarin should be avoided? - Answer: Taking aspirin for headaches inhibits platelet
aggregation increasing the risk for bleeding.
A nurse is teaching a class on natural family planning when a student makes a statement. Which of the
following statements indicates that successful teaching in this example? - Answer: "Because I am
regular, I will be fertile about 14 days after the beginning of my period."
Complete Solutions Graded A+
Peter, a nurse manager, is responsible for a team of 2 registered nurses (RNs), 4 registered practical
nurses (RPN), and 3 nurse practitioner (NPs). Peter notices a lack of team morale, lack of clarity of roles
and increasing negative communication between the team members. How should Peter describe the
level of education for the NP? - Answer: A nurse educated with a master's degree
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 are 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
A practical nurse calls the health care provider (HCP) regarding a new medication prescription. The
dosage prescribed is higher than the recommended dosage, however, the nurse is unable to locate the
HCP for an explanation. Which action should the nurse take if the medication is due to be administered
at this moment? - Answer: Contact the nursing supervisor
A practical nurse restrains a male client in a locked room for 3 hours until the client acknowledges he
started a fight in the group room last evening. The nurse's behaviour constitutes - Answer: False
imprisonment
A 45-year-old client admitted to a mental health unit has exhibited physical behaviours that put him and
others at risk. The practical nurse applies four-point restraints on the client without consent nor
obtaining orders from the physician. The nurse is at risk of being accused of which of the following -
Answer: Battery
Richard, a nurse educator has revised a hospital's orientation program and includes sample client health
records to highlight areas of professional practice. A new practical nurse asks the educator what
abbreviations can be used within the client's health records. Which of the following abbreviations can
the practical nurse use? - Answer: Abbreviations that have been approved by the hospita
, A practical nurse is reviewing medication information with a female client who has been prescribed
sertraline daily. Which of the following statements by the client indicates a need for further guidance? -
Answer: "I will stop taking these pills if they don't work in less than 10 days "
A practical nurse is working in the oncology unit at the paediatric hospital. The team leader provides a
new assignment for the nurses in the unit. Which of the following assignments should be questioned by
the practical nurse? - Answer: Provide information on chemotherapy to a client
A practical nurse works in an orthopaedic surgery unit of a hospital in Toronto. Many of the clients are
older adults (older than 60 years old) with increased risk for hospital-acquired infections. Which of the
following is the most important step for the practical nurse to protect her clients from hospital-acquired
infections? - Answer: Identify clients who are at risk
Which of the following actions by a practical nurse would be considered negligence? - Answer: Lowering
the bed side rails after administering meperidine and hydroxyzine to a client preoperatively
Meperidine - Answer: Acts on the central nervous system (CNS) to relieve pain
Used to relieve pain severe enough to require opioid treatment and when other pain medicines did not
work well enough or cannot be tolerated
Hydroxyzine - Answer: To help control anxiety and tension caused by nervous and emotional conditions
Antihistamine
A client returns to the clinic two weeks after the hospital discharged the client. The client is taking
warfarin sodium 2 mg PO daily. Which of the following statements by the client to the practical nurse
indicates that further teaching is necessary? - Answer: "I take aspirin whenever I have a headache"
An example of why Warfarin should be avoided? - Answer: Taking aspirin for headaches inhibits platelet
aggregation increasing the risk for bleeding.
A nurse is teaching a class on natural family planning when a student makes a statement. Which of the
following statements indicates that successful teaching in this example? - Answer: "Because I am
regular, I will be fertile about 14 days after the beginning of my period."
