REX-PN PRACTICE TEST EXAM QUESTIONS AND CORRECT ANSWERS
|2026/2027 UPDATED |GUARANTEED PASS.
The physician has ordered Basaljel (aluminum carbonate gel) for a client with recurrent
indigestion. The nurse should teach the client common side effects of the medication, which
include:
A. Constipation
B. Diarrhea
C. Urinary retention
D. Confusion - Answer -Option A: Antacids containing aluminum and calcium tend to cause
constipation. Aluminum causes the relaxation of the gastrointestinal smooth muscle which
delays gastric emptying causing constipation.
A client is admitted with suspected abdominal aortic aneurysm (AAA). A common complaint of
the client with an abdominal aortic aneurysm is:
A. Loss of sensation in the lower extremities
B. Back pain that lessens when standing
C. Decreased urinary output
D. Pulsations in the periumbilical area - Answer -Option D: An abdominal aortic aneurysm is a
stretched and bulging area of the aorta. The client usually has complaints of pulsations or
"feeling my heartbeat" in the abdomen. The sensation is due to the blood flowing through the
abdominal aorta.
A client is admitted with acute adrenal crisis. During the intake assessment, the nurse can
expect to find that the client has:
1|Page
,A. Low blood pressure
B. Slow, regular pulse
C. Warm, flushed skin
D. Increased urination - Answer -Option A: Acute adrenal crisis is a life-threatening medical
emergency caused by a lack of cortisol, a hormone that is responsible for maintaining the blood
pressure. Low levels of cortisol can cause a decrease in blood pressure.
An elderly client is hospitalized for transurethral resection of the prostate (TURP). Which finding
postoperatively should be reported to the doctor immediately?
A. Hourly urinary output of 40-50 cc
B. Bright red urine output with many clots
C. Dark red urine output with few clots
D. Requests for pain med q 4 hrs. - Answer -Option B: Transurethral resection of the prostate
(TURP) is a surgical procedure that involves the removal of a section of the prostate. It is
indicated for people with an enlarged prostate. After the procedure, a urinary catheter with
continuous bladder irrigation is done to remove and prevent blood clots in the bladder. Bright
red bleeding with many clots may indicate the need to increase the rate of irrigation infusion
per physician's order.
A 9-year-old is admitted with suspected rheumatic fever. Which finding is suggestive of
polymigratory arthritis?
A. Swelling, inflammation, and effusion of the joints
B. Faint areas of red demarcation over the back and abdomen
C. Irregular movements of the extremities and facial grimacing
2|Page
,D. Painless swelling over the extensor surfaces of the joints - Answer -Option A: Polymigratory
arthritis occurs when arthritis symptoms such as swollen, painful joints appear from one joint to
another.
A child with a croup is placed in a cool, high-humidity tent connected to room air. The primary
purpose of the tent is to:
A. Provide a moist environment with oxygen at 50%
B. Moisten secretions and relieve laryngospasm
C. Prevent insensible water loss
D. Prevent dehydration and reduce fever - Answer -Option B: Croup is a group of respiratory
illnesses seen in children caused by influenza viruses type 1, 2, and 3 that results in the
inflammation of the larynx, trachea, and bronchi. The child with a croup develops breathing
problems hence oxygen tents may be used to moisten airway secretions and relieve laryngeal
spasms.
A client is admitted with a diagnosis of hypothyroidism. An initial assessment of the client would
reveal:
A. Slow pulse rate, weight loss, diarrhea, and cardiac failure
B. Weight gain, lethargy, slowed speech, and decreased respiratory rate
C. Rapid pulse, constipation, and bulging eyes
D. Decreased body temperature, weight loss, and increased respirations - Answer -Option B:
Hypothyroidism occurs when the thyroid gland does not make enough thyroid hormone.
Symptoms of hypothyroidism include weight gain, lethargy, slow speech, and decreased
respirations.
3|Page
, Robert is diagnosed with varicella. He went to a clinic with a mild fever, loss of appetite, and
rashes on the chest area. When he asked about the disease. Which statement describes the
contagious stage of varicella?
A. The contagious stage is 1 day before the onset of the rash until all the lesions are crusted.
B. The contagious stage is 1 day before the onset of the rash until the appearance of vesicles.
C. The contagious stage lasts during the vesicular and crusting stages of the lesions.
D. The contagious stage is from the onset of the rash until the rash disappears. - Answer -Option
A: Varicella is a highly contagious disease caused by the varicella-zoster virus. A person is
considered to be contagious 24 hours before the onset of the rash and lasts until all the lesions
are crusted.
A client admitted to the psychiatric unit claims to be the Son of God and insists that he will not
be kept away from his followers. The most likely explanation for the client's delusion is:
A. A religious experience
B. A stressful event
C. Overwhelming anxiety
D. High self-esteem - Answer -Option D: Delusions of grandeur is a person's belief that they are
someone other than who they are. Individuals experiencing this have a high self-esteem.
A client has returned to his room following an esophagoscopy. Before offering fluids, the nurse
should give priority to assessing the client's:
A. Level of consciousness
4|Page
|2026/2027 UPDATED |GUARANTEED PASS.
The physician has ordered Basaljel (aluminum carbonate gel) for a client with recurrent
indigestion. The nurse should teach the client common side effects of the medication, which
include:
A. Constipation
B. Diarrhea
C. Urinary retention
D. Confusion - Answer -Option A: Antacids containing aluminum and calcium tend to cause
constipation. Aluminum causes the relaxation of the gastrointestinal smooth muscle which
delays gastric emptying causing constipation.
A client is admitted with suspected abdominal aortic aneurysm (AAA). A common complaint of
the client with an abdominal aortic aneurysm is:
A. Loss of sensation in the lower extremities
B. Back pain that lessens when standing
C. Decreased urinary output
D. Pulsations in the periumbilical area - Answer -Option D: An abdominal aortic aneurysm is a
stretched and bulging area of the aorta. The client usually has complaints of pulsations or
"feeling my heartbeat" in the abdomen. The sensation is due to the blood flowing through the
abdominal aorta.
A client is admitted with acute adrenal crisis. During the intake assessment, the nurse can
expect to find that the client has:
1|Page
,A. Low blood pressure
B. Slow, regular pulse
C. Warm, flushed skin
D. Increased urination - Answer -Option A: Acute adrenal crisis is a life-threatening medical
emergency caused by a lack of cortisol, a hormone that is responsible for maintaining the blood
pressure. Low levels of cortisol can cause a decrease in blood pressure.
An elderly client is hospitalized for transurethral resection of the prostate (TURP). Which finding
postoperatively should be reported to the doctor immediately?
A. Hourly urinary output of 40-50 cc
B. Bright red urine output with many clots
C. Dark red urine output with few clots
D. Requests for pain med q 4 hrs. - Answer -Option B: Transurethral resection of the prostate
(TURP) is a surgical procedure that involves the removal of a section of the prostate. It is
indicated for people with an enlarged prostate. After the procedure, a urinary catheter with
continuous bladder irrigation is done to remove and prevent blood clots in the bladder. Bright
red bleeding with many clots may indicate the need to increase the rate of irrigation infusion
per physician's order.
A 9-year-old is admitted with suspected rheumatic fever. Which finding is suggestive of
polymigratory arthritis?
A. Swelling, inflammation, and effusion of the joints
B. Faint areas of red demarcation over the back and abdomen
C. Irregular movements of the extremities and facial grimacing
2|Page
,D. Painless swelling over the extensor surfaces of the joints - Answer -Option A: Polymigratory
arthritis occurs when arthritis symptoms such as swollen, painful joints appear from one joint to
another.
A child with a croup is placed in a cool, high-humidity tent connected to room air. The primary
purpose of the tent is to:
A. Provide a moist environment with oxygen at 50%
B. Moisten secretions and relieve laryngospasm
C. Prevent insensible water loss
D. Prevent dehydration and reduce fever - Answer -Option B: Croup is a group of respiratory
illnesses seen in children caused by influenza viruses type 1, 2, and 3 that results in the
inflammation of the larynx, trachea, and bronchi. The child with a croup develops breathing
problems hence oxygen tents may be used to moisten airway secretions and relieve laryngeal
spasms.
A client is admitted with a diagnosis of hypothyroidism. An initial assessment of the client would
reveal:
A. Slow pulse rate, weight loss, diarrhea, and cardiac failure
B. Weight gain, lethargy, slowed speech, and decreased respiratory rate
C. Rapid pulse, constipation, and bulging eyes
D. Decreased body temperature, weight loss, and increased respirations - Answer -Option B:
Hypothyroidism occurs when the thyroid gland does not make enough thyroid hormone.
Symptoms of hypothyroidism include weight gain, lethargy, slow speech, and decreased
respirations.
3|Page
, Robert is diagnosed with varicella. He went to a clinic with a mild fever, loss of appetite, and
rashes on the chest area. When he asked about the disease. Which statement describes the
contagious stage of varicella?
A. The contagious stage is 1 day before the onset of the rash until all the lesions are crusted.
B. The contagious stage is 1 day before the onset of the rash until the appearance of vesicles.
C. The contagious stage lasts during the vesicular and crusting stages of the lesions.
D. The contagious stage is from the onset of the rash until the rash disappears. - Answer -Option
A: Varicella is a highly contagious disease caused by the varicella-zoster virus. A person is
considered to be contagious 24 hours before the onset of the rash and lasts until all the lesions
are crusted.
A client admitted to the psychiatric unit claims to be the Son of God and insists that he will not
be kept away from his followers. The most likely explanation for the client's delusion is:
A. A religious experience
B. A stressful event
C. Overwhelming anxiety
D. High self-esteem - Answer -Option D: Delusions of grandeur is a person's belief that they are
someone other than who they are. Individuals experiencing this have a high self-esteem.
A client has returned to his room following an esophagoscopy. Before offering fluids, the nurse
should give priority to assessing the client's:
A. Level of consciousness
4|Page
