REX-PN Exam #1
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? - ANSA 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? - ANSDevelop 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? - ANSContact 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 - ANSFalse 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 - ANSBattery
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? - ANSAbbreviations 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? - ANS"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? - ANSProvide 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? - ANSIdentify clients who are at risk
Which of the following actions by a practical nurse would be considered negligence? -
ANSLowering the bed side rails after administering meperidine and hydroxyzine to a client
preoperatively
Meperidine - ANSActs 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 - ANSTo 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? - ANS"I take aspirin whenever I
have a headache"
An example of why Warfarin should be avoided? - ANSTaking 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? -
ANS"Because I am regular, I will be fertile about 14 days after the beginning of my period."
A practical nurse inspects a client with a burn obtained as a result of iontophoresis. Would
would be the pH of the client's skin if the nurse correctly describes the burn as an alkaline
reaction? - ANS6
What is the normal pH balance of the skin? - ANS4.5 - 5.5
Why is our skin slightly acidic? - ANSTo help maintain the skin's natural barrier, which helps to
protect against bacteria, viruses, and other pathogens.
Several staff nurse express concerns performing to the nurse in charge of the hospital's
performance improvement program. The best way to evaluate and improve performance is to
implement: - ANSMock codes
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? - ANSA 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? - ANSDevelop 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? - ANSContact 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 - ANSFalse 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 - ANSBattery
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? - ANSAbbreviations 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? - ANS"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? - ANSProvide 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? - ANSIdentify clients who are at risk
Which of the following actions by a practical nurse would be considered negligence? -
ANSLowering the bed side rails after administering meperidine and hydroxyzine to a client
preoperatively
Meperidine - ANSActs 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 - ANSTo 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? - ANS"I take aspirin whenever I
have a headache"
An example of why Warfarin should be avoided? - ANSTaking 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? -
ANS"Because I am regular, I will be fertile about 14 days after the beginning of my period."
A practical nurse inspects a client with a burn obtained as a result of iontophoresis. Would
would be the pH of the client's skin if the nurse correctly describes the burn as an alkaline
reaction? - ANS6
What is the normal pH balance of the skin? - ANS4.5 - 5.5
Why is our skin slightly acidic? - ANSTo help maintain the skin's natural barrier, which helps to
protect against bacteria, viruses, and other pathogens.
Several staff nurse express concerns performing to the nurse in charge of the hospital's
performance improvement program. The best way to evaluate and improve performance is to
implement: - ANSMock codes
