REx-PN Examination / 2025-2026 Most Recent
Version with Focused Question and Reliable
Answers / Guaranteed Pass / Already Graded
A+
The licensed practical/vocational nurse (LPN/VN) is assisting a
registered nurse in triaging a client with diabetes mellitus (type one)
with diabetic ketoacidosis (DKA). Which assessment finding requires
immediate follow-up by the LPN/VN?
A. Pulse 112/minute
B. Persistent nausea and vomiting
C. Respiratory rate 21/minute
D. Blood glucose 299 mg/dL
A. Pulse 112/minute
A complication associated with DKA is hypovolemic shock. The client
having tachycardia is demonstrating early signs of this type of shock.
The treatment modalities of DKA include fluid repletion and insulin
administration. Considering the client's tachycardia, the nurse should
initially administer the prescribed isotonic fluids to treat the
significant fluid volume deficit.
The nurse is creating assignments for the following shift. Which of
the following assignments would be appropriate for unlicensed
assistive personnel (UAP)?
A. A 65-year-old requiring a sterile dressing changes.
B. A 26-year-old requiring a one-person assist in ambulating to the
restroom.
C. An 80-year-old who is receiving enteral feedings continuously
,through an NG tube.
D. A 16-year-old who is 4 hours post-cardiac catheterization.
B. A 26-year-old requiring a one-person assist in ambulating to the
restroom.
You receive an order to administer 600 mg ibuprofen to your client as
needed every 6 hours. You retrieve the medication, which comes in
200 mg tablets. How many tablets do you administer to your client?
A. 1 tablet
B. 5 tablets
C. 3 tablets
D. 2 tablets
C. 3 tablets
The nurse is providing discharge instructions to a client who speaks
a language different from the nurse's. The client's family members are
present, and they speak English. Which action by the nurse is the
most appropriate to ensure effective communication during the
discharge process?
A. Use a smartphone translation app to convey the instructions to the
client.
B. Provide written material in the client's language and provide oral
instructions in English.
C. Request an interpreter from the hospital's language services to
assist with the discharge instructions.
D. Summarize the instructions in basic English and have the family
members relay the information to the client.
C. Request an interpreter from the hospital's language services to
assist with the discharge instructions.
The client with a history of right mastectomy is receiving maintenance
IV fluids via a peripherally inserted intravenous line in the left
cephalic vein. The client complains of pain at the IV site. The nurse
notes that the infusion has slowed and assesses swelling as well as
erythema at the IV site. Which action should the nurse take first?
A. Stop the infusion and remove the IV catheter.
B. Insert a new IV in the left intermediate basilic vein.
,C. Prepare the client for PICC line placement.
D. Elevate the right arm to reduce swelling.
A. Stop the infusion and remove the IV catheter.
The LPN is caring for an infant who will be going to the operating
room the next day for surgical repair of his total anomalous
pulmonary venous return. She has finished signing the consent
paperwork for the operation. The mother states "I'm not so sure about
this. What if my baby dies?!" What is the appropriate action for the
LPN?
A. Explain the procedure to the mother.
B. Notify the surgical team and have them come back to speak with
the mother.
C. Reassure the mother that everything will go as planned.
D. Tell the mother that because she has already signed the consent
paperwork she cannot change her mind now
B. Notify the surgical team and have them come back to speak with
the mother.
Which of the following infection control activities should be delegated
to an experienced nursing assistant?
A. Asking clients about the duration of antibiotic therapy.
B. Demonstrating correct handwashing techniques to clients and their
families.
C. Disinfecting blood pressure cuffs after clients are discharged.
D. Screening clients for upper respiratory tract symptoms.
C. Disinfecting blood pressure cuffs after clients are discharged.
A nurse is discharging a client home. Which of these would be most
important to include in discharge teaching for a client with a platelet
count of 40.000 mcL (40 x 10^9/L)?
A. Be sure to take your aspirin with meals daily.
B. You may continue to shave with a straight-edge razor.
C. Use a soft toothbrush and floss gently.
D. You should take a multivitamin daily.
C. Use a soft toothbrush and floss gently.
, The nurse plans care for a client admitted with Haemophilus
influenzae, type b Meningitis. When caring for this client, the nurse
should gather which appropriate personnel protective equipment
(PPE)?
A. Boot (shoe) covers
B. Face shield
C. Surgical mask
D. Gown
C. Surgical mask
The nurse observes a newly hired nurse apply bilateral soft-wrist
restraints to a client. Which action by the newly hired nurse requires
follow-up?
A. Secures the restraint to the frame of the bed
B. Repositions the client from semi-Fowlers to prone.
C. Provides easy access to the quick release buckle
D. Assesses the radial pulse every two hours
B. Repositions the client from semi-Fowlers to prone.
The nurse is preparing to administer an intramuscular (IM) injection to
a neonate. Which gauge and size needle should the nurse use to
administer the medication?
A. 19 gauge, 1 1/2" (3.8 cm) needle
B. 18 gauge, 1" (2.5 cm) needle
C. 20 gauge, 1" (2.5 cm) needle
D. 25 gauge, 5/8" (1.6 cm) needle
D. 25 gauge, 5/8" (1.6 cm) needle
The nurse has received a report on the following clients on a medical-
surgical floor. Which of these clients should the nurse see first? A
client with
A. with a respiratory rate of 24 and an oxygen saturation of 94%.
B. with diabetes mellitus who has a blood glucose of 134 mg/dL [70-
110 mg/dL]
C. six hours post-op from a hysterectomy and is reporting nausea.
D. that had a cast applied two hours ago and now has complaints of
her arm feeling like it is "asleep."
Version with Focused Question and Reliable
Answers / Guaranteed Pass / Already Graded
A+
The licensed practical/vocational nurse (LPN/VN) is assisting a
registered nurse in triaging a client with diabetes mellitus (type one)
with diabetic ketoacidosis (DKA). Which assessment finding requires
immediate follow-up by the LPN/VN?
A. Pulse 112/minute
B. Persistent nausea and vomiting
C. Respiratory rate 21/minute
D. Blood glucose 299 mg/dL
A. Pulse 112/minute
A complication associated with DKA is hypovolemic shock. The client
having tachycardia is demonstrating early signs of this type of shock.
The treatment modalities of DKA include fluid repletion and insulin
administration. Considering the client's tachycardia, the nurse should
initially administer the prescribed isotonic fluids to treat the
significant fluid volume deficit.
The nurse is creating assignments for the following shift. Which of
the following assignments would be appropriate for unlicensed
assistive personnel (UAP)?
A. A 65-year-old requiring a sterile dressing changes.
B. A 26-year-old requiring a one-person assist in ambulating to the
restroom.
C. An 80-year-old who is receiving enteral feedings continuously
,through an NG tube.
D. A 16-year-old who is 4 hours post-cardiac catheterization.
B. A 26-year-old requiring a one-person assist in ambulating to the
restroom.
You receive an order to administer 600 mg ibuprofen to your client as
needed every 6 hours. You retrieve the medication, which comes in
200 mg tablets. How many tablets do you administer to your client?
A. 1 tablet
B. 5 tablets
C. 3 tablets
D. 2 tablets
C. 3 tablets
The nurse is providing discharge instructions to a client who speaks
a language different from the nurse's. The client's family members are
present, and they speak English. Which action by the nurse is the
most appropriate to ensure effective communication during the
discharge process?
A. Use a smartphone translation app to convey the instructions to the
client.
B. Provide written material in the client's language and provide oral
instructions in English.
C. Request an interpreter from the hospital's language services to
assist with the discharge instructions.
D. Summarize the instructions in basic English and have the family
members relay the information to the client.
C. Request an interpreter from the hospital's language services to
assist with the discharge instructions.
The client with a history of right mastectomy is receiving maintenance
IV fluids via a peripherally inserted intravenous line in the left
cephalic vein. The client complains of pain at the IV site. The nurse
notes that the infusion has slowed and assesses swelling as well as
erythema at the IV site. Which action should the nurse take first?
A. Stop the infusion and remove the IV catheter.
B. Insert a new IV in the left intermediate basilic vein.
,C. Prepare the client for PICC line placement.
D. Elevate the right arm to reduce swelling.
A. Stop the infusion and remove the IV catheter.
The LPN is caring for an infant who will be going to the operating
room the next day for surgical repair of his total anomalous
pulmonary venous return. She has finished signing the consent
paperwork for the operation. The mother states "I'm not so sure about
this. What if my baby dies?!" What is the appropriate action for the
LPN?
A. Explain the procedure to the mother.
B. Notify the surgical team and have them come back to speak with
the mother.
C. Reassure the mother that everything will go as planned.
D. Tell the mother that because she has already signed the consent
paperwork she cannot change her mind now
B. Notify the surgical team and have them come back to speak with
the mother.
Which of the following infection control activities should be delegated
to an experienced nursing assistant?
A. Asking clients about the duration of antibiotic therapy.
B. Demonstrating correct handwashing techniques to clients and their
families.
C. Disinfecting blood pressure cuffs after clients are discharged.
D. Screening clients for upper respiratory tract symptoms.
C. Disinfecting blood pressure cuffs after clients are discharged.
A nurse is discharging a client home. Which of these would be most
important to include in discharge teaching for a client with a platelet
count of 40.000 mcL (40 x 10^9/L)?
A. Be sure to take your aspirin with meals daily.
B. You may continue to shave with a straight-edge razor.
C. Use a soft toothbrush and floss gently.
D. You should take a multivitamin daily.
C. Use a soft toothbrush and floss gently.
, The nurse plans care for a client admitted with Haemophilus
influenzae, type b Meningitis. When caring for this client, the nurse
should gather which appropriate personnel protective equipment
(PPE)?
A. Boot (shoe) covers
B. Face shield
C. Surgical mask
D. Gown
C. Surgical mask
The nurse observes a newly hired nurse apply bilateral soft-wrist
restraints to a client. Which action by the newly hired nurse requires
follow-up?
A. Secures the restraint to the frame of the bed
B. Repositions the client from semi-Fowlers to prone.
C. Provides easy access to the quick release buckle
D. Assesses the radial pulse every two hours
B. Repositions the client from semi-Fowlers to prone.
The nurse is preparing to administer an intramuscular (IM) injection to
a neonate. Which gauge and size needle should the nurse use to
administer the medication?
A. 19 gauge, 1 1/2" (3.8 cm) needle
B. 18 gauge, 1" (2.5 cm) needle
C. 20 gauge, 1" (2.5 cm) needle
D. 25 gauge, 5/8" (1.6 cm) needle
D. 25 gauge, 5/8" (1.6 cm) needle
The nurse has received a report on the following clients on a medical-
surgical floor. Which of these clients should the nurse see first? A
client with
A. with a respiratory rate of 24 and an oxygen saturation of 94%.
B. with diabetes mellitus who has a blood glucose of 134 mg/dL [70-
110 mg/dL]
C. six hours post-op from a hysterectomy and is reporting nausea.
D. that had a cast applied two hours ago and now has complaints of
her arm feeling like it is "asleep."
