10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The REx-PN exam has 150 questions and runs 4 hours.
These 10 free REx-PN questions are organized by exam domain, so you can see how each part of the Regulatory Exam - Practical Nurse (REx-PN) blueprint is tested. Reveal the answer and explanation under each question.
A stable client on postoperative day 2 after knee replacement has already walked twice using a walker and one-person assistance. A trained unregulated care provider has demonstrated the established technique. Which instruction should the practical nurse give when assigning the next walk?
Correct answer: C - Use the established walker-and-gait-belt method; report dizziness, dyspnoea, or knee buckling
A capable client declines a routine wound-dressing change because the previous change was painful. The client requests the prescribed PRN analgesic and asks the nurse to return in 30 minutes, after it has begun to work. What is the best response?
Correct answer: A - Give the analgesic, return as agreed, reassess, and document
At 1400, a nurse realizes that wound drainage observed and reported at 1200 was not charted. Which documentation is appropriate?
Correct answer: D - Enter a 1400 late entry identifying the 1200 event and objective finding
Four clients are awaiting assessment at shift change. Which client should the nurse see first?
Correct answer: B - A client with kidney disease, potassium 6.1 mmol/L, and new peaked T waves
A client receiving chemotherapy develops disseminated herpes zoster. The required room placement and personal protective equipment are:
Correct answer: B - A negative-pressure room with an N95 respirator, gown, and gloves
An older adult with delirium repeatedly tries to stand to reach the bathroom but follows one-step directions when approached. What is the best immediate fall-prevention plan?
Correct answer: D - Assist to toilet now; then schedule toileting and lower the bed
Following a building collapse, a nonambulatory adult is breathing 34 times/min. Under START disaster triage, how should this client be tagged?
Correct answer: A - Red, because the respiratory rate exceeds 30/min
A client at 39 weeks' gestation is receiving oxytocin. During the past 30 minutes, there have been six contractions in each 10-minute interval and recurrent gradual fetal heart-rate decelerations whose nadir follows the peak of the contraction. Maternal oxygen saturation is 98% on room air. The nurse's immediate response should be to:
Correct answer: C - Stop the oxytocin, turn the client laterally, give ordered IV fluid, and notify the obstetric team
At 28 hours of age, an asymptomatic term newborn has pulse-oximetry readings of 96% in the right hand and 92% in one foot. The screening protocol defines a pass as at least 95% in either site with a hand-foot difference of no more than 3%; any reading below 90% is an immediate fail. Which action follows this result?
Correct answer: D - Repeat both readings in 1 hour because the difference is 4%
A client with depression says, "The voice keeps telling me to jump from my balcony, and tonight I may do it." Which nursing response takes priority?
Correct answer: B - Stay with the client, secure access to the balcony, and activate an urgent mental-health assessment
The REx-PN exam also covers these domains. Drill them in the full free practice test:
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