REx-PN Exam Preview and Practice Questions Test
Newest Actual Exam 2026/2027 | Complete
Questions & Verified Answers | Grade A+ | Pass
Guaranteed - A+ Graded
Question 1
The nurse on the morning shift is newly employed. Shortly after administering the
client's medication, the nurse realized that the client received two doses of the
prescribed drug. Which of the following is the first action the nurse must do after
the incident?
A. The nurse must inform the prescriber immediately
B. The nurse must write an incident report
C. The nurse must tell the nursing supervisor immediately about the mistake
D. The nurse must monitor the client in case the client exhibits signs of an adverse
reaction
Correct Answer: D. The nurse must monitor the client in case the client exhibits
signs of an adverse reaction.
Rationale: While the three incorrect answers must also be completed following
the incident, they should not be completed first. Drug overdose can have adverse
effects on a client, particularly older adults; thus, the first thing that the nurse
must do is monitor the client for any signs of an adverse reaction .
Question 2
,A terminally ill client appears to be very dehydrated. Which of the following
interventions will best assist the terminally ill client?
A. Give the client fluids through a nasogastric tube
B. Ask the client's doctor to prescribe an order for fluids for hypodermoclysis
C. Prepare to give the client fluids intravenously
D. Gently apply a lubricant on the client's lips and oral mucous membranes
Correct Answer: D. Gently apply a lubricant on the client's lips and oral mucous
membranes.
Rationale: Terminally ill clients often exhibit changes in their eating and drinking
habits. In most cases, they may refuse to eat or drink anything. This is common in
clients at the end of life, resulting in dehydration. Even though terminal clients
may be dehydrated, they must not be forced to receive fluids in any way since this
may do more harm than good. However, caretakers and nurses can administer
oral care, such as the application of lubricants on the client's lips and oral mucous
membranes .
Question 3
A healthy baby has just been born to a 25-year-old mother. The nurse is about to
administer Vitamin K to the newborn intramuscularly. Which specific site should
the dose be administered?
A. Deltoid muscle
B. Ventrogluteal muscle
C. Vastus lateralis
D. Dorsogluteal
Correct Answer: C. Vastus lateralis
Rationale: Vitamin K is administered to newborns shortly after birth to prevent
hemorrhagic disease. It is given intramuscularly, in the vastus lateralis muscle of
the thigh since it has a large muscle mass, and it reduces the risk of disrupting the
,sciatic nerve. This is the site of choice for infants 1 year and younger as their
gluteal muscles are poorly developed .
Question 4
A nurse has been assigned to a nursing home. Today is their first day at the home,
and the nurse is to administer medications to the clients after dinner. The nurse
notices that the clients do not have identification armbands. The photos on the
charts of the clients are of poor quality. Which of the following should the nurse
do to ensure that the right medications are administered to the right client?
A. The nurse must refuse to be given the task since the nurse might make an error
B. The nurse must approach each client and ask for their names
C. The nurse must improve the photos using a software and shows the photos to
the clients so they can identify themselves
D. The nurse must report to the nursing home's director of care for instructions
and a resolution for safe practice
Correct Answer: D. The nurse must report to the nursing home's director of care
for instructions and a resolution for safe practice.
Rationale: The director of care in a nursing facility manages the activities of the
nursing staff and ensures that all clients are well taken care of. Thus, if there is a
procedure or task that the newly employed nurse finds confusing or a safety risk,
the nurse must first reach out to the director of care in this setting .
Question 5
A client was referred to a pulmonologist. The client has been a smoker for more
than five decades and the last doctor he saw diagnosed the client with chronic
obstructive pulmonary disease and asthma. The client's symptoms have been
getting worse during the last 3 months. A nurse reviewed the client's health
history and questioned the over-the-counter medications the client has been
, using. Which of the following medications should the nurse be most concerned
about?
A. Guaifenesin
B. Dextromethorphan
C. Diphenhydramine
D. Pseudoephedrine
Correct Answer: C. Diphenhydramine
Rationale: Antihistamines (like diphenhydramine) have anticholinergic properties
that can thicken bronchial secretions, making them more difficult to clear. This
can worsen symptoms in clients with COPD and asthma. The nurse should be
most concerned about this medication .
Question 6
The nurse is preparing to administer an intramuscular injection to an 8-month-old
infant. Which site is most appropriate?
A. Deltoid muscle
B. Ventrogluteal muscle
C. Vastus lateralis
D. Dorsogluteal
Correct Answer: C. Vastus lateralis
Rationale: For infants and young children (under 3 years), the vastus lateralis is
the preferred site for IM injections due to its large muscle mass and distance from
major nerves and blood vessels. The gluteal muscles are not well developed until
the child has been walking for approximately one year .
Question 7
Newest Actual Exam 2026/2027 | Complete
Questions & Verified Answers | Grade A+ | Pass
Guaranteed - A+ Graded
Question 1
The nurse on the morning shift is newly employed. Shortly after administering the
client's medication, the nurse realized that the client received two doses of the
prescribed drug. Which of the following is the first action the nurse must do after
the incident?
A. The nurse must inform the prescriber immediately
B. The nurse must write an incident report
C. The nurse must tell the nursing supervisor immediately about the mistake
D. The nurse must monitor the client in case the client exhibits signs of an adverse
reaction
Correct Answer: D. The nurse must monitor the client in case the client exhibits
signs of an adverse reaction.
Rationale: While the three incorrect answers must also be completed following
the incident, they should not be completed first. Drug overdose can have adverse
effects on a client, particularly older adults; thus, the first thing that the nurse
must do is monitor the client for any signs of an adverse reaction .
Question 2
,A terminally ill client appears to be very dehydrated. Which of the following
interventions will best assist the terminally ill client?
A. Give the client fluids through a nasogastric tube
B. Ask the client's doctor to prescribe an order for fluids for hypodermoclysis
C. Prepare to give the client fluids intravenously
D. Gently apply a lubricant on the client's lips and oral mucous membranes
Correct Answer: D. Gently apply a lubricant on the client's lips and oral mucous
membranes.
Rationale: Terminally ill clients often exhibit changes in their eating and drinking
habits. In most cases, they may refuse to eat or drink anything. This is common in
clients at the end of life, resulting in dehydration. Even though terminal clients
may be dehydrated, they must not be forced to receive fluids in any way since this
may do more harm than good. However, caretakers and nurses can administer
oral care, such as the application of lubricants on the client's lips and oral mucous
membranes .
Question 3
A healthy baby has just been born to a 25-year-old mother. The nurse is about to
administer Vitamin K to the newborn intramuscularly. Which specific site should
the dose be administered?
A. Deltoid muscle
B. Ventrogluteal muscle
C. Vastus lateralis
D. Dorsogluteal
Correct Answer: C. Vastus lateralis
Rationale: Vitamin K is administered to newborns shortly after birth to prevent
hemorrhagic disease. It is given intramuscularly, in the vastus lateralis muscle of
the thigh since it has a large muscle mass, and it reduces the risk of disrupting the
,sciatic nerve. This is the site of choice for infants 1 year and younger as their
gluteal muscles are poorly developed .
Question 4
A nurse has been assigned to a nursing home. Today is their first day at the home,
and the nurse is to administer medications to the clients after dinner. The nurse
notices that the clients do not have identification armbands. The photos on the
charts of the clients are of poor quality. Which of the following should the nurse
do to ensure that the right medications are administered to the right client?
A. The nurse must refuse to be given the task since the nurse might make an error
B. The nurse must approach each client and ask for their names
C. The nurse must improve the photos using a software and shows the photos to
the clients so they can identify themselves
D. The nurse must report to the nursing home's director of care for instructions
and a resolution for safe practice
Correct Answer: D. The nurse must report to the nursing home's director of care
for instructions and a resolution for safe practice.
Rationale: The director of care in a nursing facility manages the activities of the
nursing staff and ensures that all clients are well taken care of. Thus, if there is a
procedure or task that the newly employed nurse finds confusing or a safety risk,
the nurse must first reach out to the director of care in this setting .
Question 5
A client was referred to a pulmonologist. The client has been a smoker for more
than five decades and the last doctor he saw diagnosed the client with chronic
obstructive pulmonary disease and asthma. The client's symptoms have been
getting worse during the last 3 months. A nurse reviewed the client's health
history and questioned the over-the-counter medications the client has been
, using. Which of the following medications should the nurse be most concerned
about?
A. Guaifenesin
B. Dextromethorphan
C. Diphenhydramine
D. Pseudoephedrine
Correct Answer: C. Diphenhydramine
Rationale: Antihistamines (like diphenhydramine) have anticholinergic properties
that can thicken bronchial secretions, making them more difficult to clear. This
can worsen symptoms in clients with COPD and asthma. The nurse should be
most concerned about this medication .
Question 6
The nurse is preparing to administer an intramuscular injection to an 8-month-old
infant. Which site is most appropriate?
A. Deltoid muscle
B. Ventrogluteal muscle
C. Vastus lateralis
D. Dorsogluteal
Correct Answer: C. Vastus lateralis
Rationale: For infants and young children (under 3 years), the vastus lateralis is
the preferred site for IM injections due to its large muscle mass and distance from
major nerves and blood vessels. The gluteal muscles are not well developed until
the child has been walking for approximately one year .
Question 7
