REx-PN – Sample Questions

1.

A 25-year-old female is a single mother who has just given birth to her first child.  She mentions to the practical nurse that she appreciated the help given to her during the procedure.  When the practical nurse concludes her last follow-up community visit, she expresses gratitude and suggest that the nurse comes back and visits her and the baby for regular outings.  How should the practical nurse respond?

2.

A practical nurse working at a mental health clinic reviews a newly admitted female client with anorexia and insomnia.  The client tearfully tells the nurse that she was laid off from a job that she had held for 25 years.  Which of the following responses by the nurse would be most appropriate?

3.

A 60-year-old male uses a wheelchair because of mobility limitations.  On one occasion, he is unable to call the nurse to assist him to the toilet.  He urinates in his wheelchair.  The practical nurse scolds him in front of other residents for his "accident.". The nurse has demonstrated which of the following?

4.

A practical nurse is working in a palliative care hospice when a client with terminal pancreatic cancer requests for assistance.  The client is 85-years-old and is weak and unable to move from his bed for three straight days.  He has stopped eating and is not able to drink more than a few sips of water every two hours.   The client has not completed an advance directive.  Who should be the substitute decision maker (SDM) when he is no longer able to make decisions on his care?

5.

A practical nurse working in the community provides health care to students at a local high-school as part of her job.  A 14-year-old female approaches the practical nurse mentioning her parents want her tested for scoliosis.  How would the practical nurse assess whether the student has scoliosis?

6.

A nurse educator is preparing a workshop regarding cultural influences on health care.  The session begins with a definition of "culture".  Which of the following should be included in the definition?

7.

A 42-year-old client has been treated with cortisone preparations for an extended period of time.  Why do individuals with this treatment have an increased risk of developing infections?

8.

A practical nurse examines the breath sounds of a 49-year-old male diagnosed with pulmonary disease. The nurse identifies rales during both inspiration and expiration. What is this finding most representative of?

9.

A practical nurse examines a client who complains of abdominal pain. The practical nurse discovers the client's symptoms include left lower quadrant abdominal pain, nausea and loss of appetite. These signs and symptoms are most likely consistent with:

10.

To prevent pulmonary complications after surgery, clients should be instructed to perform which of the following?

11.

A 9-year-old child has received high doses of antibodies.  His mother asks the practical nurse to explain the term "ototoxicity."  The practical nurse is aware that ototoxicity describes a potential consequence of medications having an adverse effect on:

12.

A practical nurse is caring for a client 48 hours after a pancreatectomy for cancer of the pancreas.  Upon entering the room, the nurse immediately observes minimal drainage from the nasogastric (NG) tube.  Which of the following actions is most important for the nurse to take?

13.

A 4-year-old boy has been recently diagnosed with attention-deficit/hyperactivity disorder (ADHD).  His parents have attempted to resist any drug therapy for their son, however, his behavioural problems have only been getting more frequent.  The parents bring their son to the clinic to ask the practical nurse about the drug they prescribe for ADHD children.  Which of the following medications is commonly used to treat ADHD?

14.

Sara is a 6-month-old infant who was born with a large ventricular septal defect (VSD).  She has a co-diagnosis of failure to thrive related to the heart defect.  She is admitted to hospital for evaluation and treatment of his symptoms.  Sara has a cardiac catheterization to help determine the extent of her VSD.  During the procedure, cardiac output is determined.  What is cardiac output?

15.

Which of the following should not be done by the practical nurse for a client who has an unsteady gait?

16.

A 28-year-old female is 10 weeks' gestation with her third pregnancy.  The client mentions to the practical nurse that her previous two pregnancies her babies were both over 10 pounds when they were born.  Which screening test would be most appropriate for this client?

17.

A 20-year-old female who is admitted to the hospital with anorexia, severe diarrhea, weight loss, and abdominal cramps.  She is diagnosed with ulcerative colitis.  What symptoms of fluid and electrolyte imbalance caused by ulcerative colitis should the practical nurse report immediately?

18.

A six-year-old boy is about to have an injected immunization.  He is tearful and very frightened about how much the needle will hurt him.  To reduce his pain of an injection, which of the following would be the most effective method?

19.

A practical nurse enters information on a client's chart but then realizes that an error was made.  What is the appropriate steps in correcting the entry error?

20.

A practical nurse has been asked by his manager to work an extra 4 hours after his 12-hour shift because three nurses have called in sick.  The practical nurse has worked for 12-hour shifts consecutively.  He admits he is tired and not sure whether he is too fatigued to work the extra 4 hours.  Which of the following is the most appropriate?