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LATEST UPDATE 2025/2026 – REX-PN Actual Exam (210 Questions with Detailed Verified Answers

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 24 pages. Originally published on StudyMerit.

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24
Academic year
2025/2026
Language
English

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REx-PN Study Guide Students also studied Save CPNRE Practice Questions 464 terms Lexihagen123 Preview NMNC 3110 EXAM 2 Teacher 58 terms GreenGiraffe74318 Preview NACE Foundations of Nursing 2025| ... Teacher 98 terms teacher03155 Preview NCM 10 Teacher max The nurse notes blanching, coolness, and edema at the peripheral intravenous (IV) site. On the basis of these findings, the nurse should implement which action? a. Remove the IV b. Apply a warm compress c. Check for a blood return d. Measure the area of infiltration Answer: a Determine if pt is experiencing infiltration. Next, consider the harmful effects of infiltration & determine which action to implement. Because infiltration can be damaging to the surrounding tissue, the appropriate action is to remove the IV to prevent further damage. The nurse has received the client assignment for the day. Which client should the nurse assess first? a. The client who needs to receive subcutaneous insulin before breakfast b. the client who has a nasogastric tube attached to intermittent suction c. the client who is 2 days postop and is complaining of incisional pain d. the client who has a blood glucose level of 50mg/dL (2.8 mmol/L) and complains of blurred vision Answer: d First establish priorities by comparing each client and deciding which is more urgent. The client described in the correct option has a blood glucose level and symptoms reflective of hypoglycemia. This client should be assessed first so that treatment can be implemented. The nurse is choosing age-appropriate toys for a toddler. Which toy is the BEST choice for this age? a. Puzzle b. Toy soldiers c. Large stacking blocks d. A card game with large pictures Answer: c Toddlers like to master activities independently, such as stacking blocks. Because toddlers do not have the developmental ability to determine what could be harmful, toys that are safe need to be provided. A puzzle and toy soldiers provide objects that can be placed in the mouth and may be harmful for a toddler. A card game with large pictures may require cooperative play, which is more appropriate for a school-aged child.

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The nurse prepares to care for a client on contact precautions who has a hospital-acquired infection caused by MRSA. The client has an abdominal wound that requires irrigation and has a tracheostomy attached to a mechanical ventilator, which requires frequent suctioning. The nurse should assemble which necessary protective items before entering the clients room? a. Gloves and gown b. Gloves and face shield c. Gloves, gown, face shield d. Gloves, gown, and shoe protectors Answer: c By considering possible transmission of infection, based on clients condition due to splashes of infective material that can occur during wound irrigation or suctioning tracheostomy. A patient with coronary artery disease has selected guided imagery to help cope with psychological stress. Which client statement indicates an understanding of this stress reduction measure? a. "This will help only if I play music at the same time." b. "This will work for me only if I am in a quiet area." c. "I need to do this only when I lie down in case I fall asleep" d. "The best thing about this is that I can use it anywhere, anytime." Answer: d Guided imagery involves the client creating an image in the mind, concentrating on the image, and gradually becoming less aware of the offending stimulus. It can be done anytime, anywhere; some clients may use other relaxation techniques or play music with it. A client with Parkinson's disease develops akinesia while ambulating, increasing risk for falls. Which suggestion should the nurse provide to the client to alleviate this problem? a. Use a wheelchair to move around b. Stand erect and use a cane to ambulate c. Keep the feet close together while ambulating and use a walker d. Consciously think about walking over imaginary lines on the floor Answer: d Clients with PD can develop bradykinesia or akinesia (freezing or no movement). Having these clients imagine lines on the floor to walk over can keep them moving forward while remaining safe. An MRI study is prescribed for a client with a suspected brain tumor. The nurse should implement which action to prepare the client for this test? a. shave the groin for insertion of a femoral catheter b. remove all metal-containing objects from the client c. keep the client NPO for 6 hours before test d. Instruct the client in inhalation techniques for the administration of the radioisotope Answer: b All metal objects such as rings, hairpins, jewelry should be removed. In addition, a history should be taken to ascertain whether the client has any internal metallic devices, such as orthopedic hardware, pacemakers, or shrapnel. NPO status is not necessary for an MRI study of the head. The groin may be shaved for an angiogram, and inhalation of the radioisotope may be prescribed with other types of scans but is not part of the procedures for an MRI.

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The nurse monitors a client receiving digoxin for which early manifestation of digoxin toxicity? a. anorexia b. facial pain c. photophobia d. yellow color perception Answer: a Digoxin is a cardiac glycoside that is used to manage and treat HF and control ventricular rates in clients with a-fib. The most common early manifestation of toxicity include gastrointestinal disturbances such as anorexia, nausea, and vomiting. Neurological abnormalities can also occur early and include fatigue, headache, depression, weakness, drowsiness, confusion, and nightmares. Facial pain, personality changes, and ocular disturbances (photophobia, diplopia, light flashes, halos around bright objects, yellow or green color perception) are also signs of toxicity, but not early signs. A client with renal insufficiency has a magnesium level of 2.5 mEq/L (1.75 mmol/L). On the basis of this lab result, the nurse interprets which sign as significant? a. hyperpnea b. drowsiness c. hypertension d. physical hyperactivity Answer: b The normal magnesium level is 1.5-2.5 mEq/L (0.75 - 1.25 mmol/L). A magnesium level of 3.5 mEq/L (1.75 mmol/L) indicates hypermagnesemia. Neurological manifestations begin to occur when magnesium levels are elevated and are noted as symptoms of neurological depression, such as drowsiness, sedation, lethargy, respiratory depression, muscle weakness, and areflexia. Bradycardia and hypotension also occur. Which of the following information given by a client with asthma while the nurse is doing the admission assessment is most indicative of a need for a change in therapy? a. The client's heart rate increases after using the salbutamol inhaler. b. The client's only medications are formoterol and salmeterol. c. The client says that the asthma symptoms are worse every spring. d. The client uses terbutaline before any aerobic exercise. Answer: B The clients only medications are formoterol and salmeterol In preparing for surgery, it is important for the nurse to identify the patients _______________ by determining their age, language, reading level, emotional status, and motivation to understand the surgery and perianesthesia process. Answer: educational needs Which of the following information should the nurse plan to teach to a client with newly diagnosed achalasia? a. Endoscopic procedures may be used for treatment b. A liquid or blenderized diet will be necessary. c. Lying down and resting after meals is recommended. d. Drinking fluids with meals should be avoided. Answer: A Endoscopic and laparoscopic procedures are the most effective therapy for improving symptoms caused by achalasia.

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