REX-PN Practice Test
Newest Version 2025/2026
1. A 4-year old child is brought by her grandmother in the emergency room due to
fever, chills, and difficulty walking. The nurse tries to remove the excessive
clothing of the child but is reluctant. After a thorough assessment, the nurse also
noted bruises around the genital area. Which of the following interventions
should the nurse do first?
A. Collect the clothing and underwear of the child
B. Provide privacy and disregard the behavior of the child
C. Inform the law enforcement for a possible child abuse
D. Record all the findings - Answer>>-Option C: Calling law enforcement is a
priority action and a legal responsibility of6 the nurse in c&&
2. A client receiving hydrochlorothiazide is instructed to increase her dietary intake
of potassium. The best snack for the client requiring increased potassium is:
A. Pear
B. Apple
C. Orange
D. Avocado - Answer>>-Option D: The fruit which packs the most potassium
among the choices is the avocado which contains 487 mg per half serving
of the fruit.
3. The nurse is caring for a client following the removal of the thyroid. Immediately
post-op, the nurse should:
A. Maintain the client in a semi-Fowler's position with the head and neck
supported by pillows
B. Encourage the client to turn her head side to side, to promote drainage of
oral secretions
C. Maintain the client in a supine position with sandbags placed on either side
of the head and neck
D. Encourage the client to cough and breathe deeply every 2 hours, with the
neck in a flexed position - Answer>>-Option A: Following a thyroidectomy,
the client should be placed in semi-Fowler's position to decrease swelling
that would place pressure on the airway.
4. A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer.
Which of the following is associated with an increased incidence of gastric
cancer?
A. Dairy products
B. Carbonated beverages
, C. Refined sugars
D. Luncheon meats - Answer>>-Option D: Luncheon meats contain
preservatives such as nitrites that have been linked to gastric cancer.
5. A client is sent to the psychiatric unit for forensic evaluation after he is accused of
arson. His tentative diagnosis is antisocial personality disorder. In reviewing the
client's record, the nurse would expect to find:
A. A history of consistent employment
B. A below-average intelligence
C. A history of cruelty to animals
D. An expression of remorse for his actions - Answer>>-Option C: A history of
cruelty to people and animals, truancy, and setting fires with a diagnosis of
conduct disorder in children, which becomes a diagnosis of antisocial
personality disorder in adults.
6. The licensed vocational nurse may not assume the primary care for a client:
A. In the fourth stage of labor
B. Two days post-appendectomy
C. With a venous access device
D. With bipolar disorder - Answer>>-Option C: Only a trained nurse with
experience and background in caring for a venous access device can
assume the primary care of the client.
7. The physician has ordered dressings with Sulfamylon cream for a client with full-
thickness burns of the hands and arms. Before dressing changes, the nurse
should give priority to:
A. Administering pain medication
B. Checking the adequacy of urinary output
C. Requesting a daily complete blood count
D. Obtaining a blood glucose by finger stick - Answer>>-Option A: Sulfamylon
produces a painful sensation when applied to the burn wound; therefore, the
client should receive pain medication before dressing changes.
8. The nurse is teaching a group of parents about gross motor development of the
toddler. Which behavior is an example of the normal gross motor skill of a
toddler?
A. She can pull a toy behind her
B. She can copy a horizontal line
C. She can build a tower of eight blocks
D. She can broad-jump - Answer>>-Option A: The Denver Developmental
Screening Test (DDST) is a tool used to screen for the development of
gross motor, language, fine-motor, and personal- social in infants and
, preschool children. According to the test, the child can pull a toy behind her
by the age of 2 years.
9. A client hospitalized with a fractured mandible is to be discharged. Which piece
of equipment should be kept on the client with a fractured mandible?
A. Wire cutters
B. Oral airway
C. Pliers
D. Tracheostomy set - Answer>>-Option A: The client with a fractured
mandible should keep a pair of wire cutters with him at all times to release
the device in case of choking or aspiration.
10. The nurse is to administer digoxin elixir to a 6-month-old with a congenital heart
defect. The nurse auscultates an apical pulse rate of 100 beats per minute. The
nurse should:
A. Record the heart rate and call the physician
B. Record the heart rate and administer the medication
C. Administer the medication and recheck the heart rate in 15 minutes
D. Hold the medication and recheck the heart rate in 30 minutes - Answer>>-
Option B: The infant's apical heart rate is within the accepted range for
administering the medication.
11. A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to
explain the treatment for her daughter. The nurse's explanation is based on the
knowledge that lead poisoning is treated with:
A. Gastric lavage
B. Chelating agents
C. Antiemetics
D. Activated charcoal - Answer>>-Option B: Chelating agents are used to treat
the client with poisonings from heavy metals such as lead and iron.
12. An 18-month-old is scheduled for a cleft palate repair. The usual type of
restraints for the child with a cleft palate repair are:
A. Elbow restraints
B. Full arm restraints
C. Wrist restraints
D. Mummy restraints - Answer>>-Option A: The least restrictive restraint for
the infant with cleft lip and cleft palate repair is elbow restraints.
13. A client with glaucoma has been prescribed Timoptic (timolol) eye drops. Timolol
should be used with caution in the client with a history of:
Newest Version 2025/2026
1. A 4-year old child is brought by her grandmother in the emergency room due to
fever, chills, and difficulty walking. The nurse tries to remove the excessive
clothing of the child but is reluctant. After a thorough assessment, the nurse also
noted bruises around the genital area. Which of the following interventions
should the nurse do first?
A. Collect the clothing and underwear of the child
B. Provide privacy and disregard the behavior of the child
C. Inform the law enforcement for a possible child abuse
D. Record all the findings - Answer>>-Option C: Calling law enforcement is a
priority action and a legal responsibility of6 the nurse in c&&
2. A client receiving hydrochlorothiazide is instructed to increase her dietary intake
of potassium. The best snack for the client requiring increased potassium is:
A. Pear
B. Apple
C. Orange
D. Avocado - Answer>>-Option D: The fruit which packs the most potassium
among the choices is the avocado which contains 487 mg per half serving
of the fruit.
3. The nurse is caring for a client following the removal of the thyroid. Immediately
post-op, the nurse should:
A. Maintain the client in a semi-Fowler's position with the head and neck
supported by pillows
B. Encourage the client to turn her head side to side, to promote drainage of
oral secretions
C. Maintain the client in a supine position with sandbags placed on either side
of the head and neck
D. Encourage the client to cough and breathe deeply every 2 hours, with the
neck in a flexed position - Answer>>-Option A: Following a thyroidectomy,
the client should be placed in semi-Fowler's position to decrease swelling
that would place pressure on the airway.
4. A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer.
Which of the following is associated with an increased incidence of gastric
cancer?
A. Dairy products
B. Carbonated beverages
, C. Refined sugars
D. Luncheon meats - Answer>>-Option D: Luncheon meats contain
preservatives such as nitrites that have been linked to gastric cancer.
5. A client is sent to the psychiatric unit for forensic evaluation after he is accused of
arson. His tentative diagnosis is antisocial personality disorder. In reviewing the
client's record, the nurse would expect to find:
A. A history of consistent employment
B. A below-average intelligence
C. A history of cruelty to animals
D. An expression of remorse for his actions - Answer>>-Option C: A history of
cruelty to people and animals, truancy, and setting fires with a diagnosis of
conduct disorder in children, which becomes a diagnosis of antisocial
personality disorder in adults.
6. The licensed vocational nurse may not assume the primary care for a client:
A. In the fourth stage of labor
B. Two days post-appendectomy
C. With a venous access device
D. With bipolar disorder - Answer>>-Option C: Only a trained nurse with
experience and background in caring for a venous access device can
assume the primary care of the client.
7. The physician has ordered dressings with Sulfamylon cream for a client with full-
thickness burns of the hands and arms. Before dressing changes, the nurse
should give priority to:
A. Administering pain medication
B. Checking the adequacy of urinary output
C. Requesting a daily complete blood count
D. Obtaining a blood glucose by finger stick - Answer>>-Option A: Sulfamylon
produces a painful sensation when applied to the burn wound; therefore, the
client should receive pain medication before dressing changes.
8. The nurse is teaching a group of parents about gross motor development of the
toddler. Which behavior is an example of the normal gross motor skill of a
toddler?
A. She can pull a toy behind her
B. She can copy a horizontal line
C. She can build a tower of eight blocks
D. She can broad-jump - Answer>>-Option A: The Denver Developmental
Screening Test (DDST) is a tool used to screen for the development of
gross motor, language, fine-motor, and personal- social in infants and
, preschool children. According to the test, the child can pull a toy behind her
by the age of 2 years.
9. A client hospitalized with a fractured mandible is to be discharged. Which piece
of equipment should be kept on the client with a fractured mandible?
A. Wire cutters
B. Oral airway
C. Pliers
D. Tracheostomy set - Answer>>-Option A: The client with a fractured
mandible should keep a pair of wire cutters with him at all times to release
the device in case of choking or aspiration.
10. The nurse is to administer digoxin elixir to a 6-month-old with a congenital heart
defect. The nurse auscultates an apical pulse rate of 100 beats per minute. The
nurse should:
A. Record the heart rate and call the physician
B. Record the heart rate and administer the medication
C. Administer the medication and recheck the heart rate in 15 minutes
D. Hold the medication and recheck the heart rate in 30 minutes - Answer>>-
Option B: The infant's apical heart rate is within the accepted range for
administering the medication.
11. A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to
explain the treatment for her daughter. The nurse's explanation is based on the
knowledge that lead poisoning is treated with:
A. Gastric lavage
B. Chelating agents
C. Antiemetics
D. Activated charcoal - Answer>>-Option B: Chelating agents are used to treat
the client with poisonings from heavy metals such as lead and iron.
12. An 18-month-old is scheduled for a cleft palate repair. The usual type of
restraints for the child with a cleft palate repair are:
A. Elbow restraints
B. Full arm restraints
C. Wrist restraints
D. Mummy restraints - Answer>>-Option A: The least restrictive restraint for
the infant with cleft lip and cleft palate repair is elbow restraints.
13. A client with glaucoma has been prescribed Timoptic (timolol) eye drops. Timolol
should be used with caution in the client with a history of:
