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REX-PN #3 part 1 questions with correct answers 2024/2025
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REX-PN #3 part 1 questions with correct answers 2024/2025
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REX-PN #3 part 1A 19-year-old male speaks with a male practical nurse in the clinic concerning a "humiliating
personal issue" he would like to have fixed. The practical nurse explains to the teenager that he
has hypospadias. How would the practical nurse explain this to him?
"I will refer you to a urologist who will surgically repair the abnormal opening on the underside of
your penis."
An 83-year-old female client asks her long-time nurse to become her power of attorney. What
should the nurse say in response to this request?
"I cannot do this, but I can help you get in contact with a lawyer."
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A practical nurse accompanies an inpatient at a psychiatric facility to a nearby coffee shop for
tea. How would you describe the practical nurse's decision here?
It is appropriate if it is part of the care plan
A 71-year-old client has refused to eat more than a few spoonfuls of breakfast. The health care
provider has prescribed that tube feedings be initiated if the client fails to eat at least half of a
meal because the client has lost a significant amount of weight during the last 10 weeks. The
,nurse enters the room, looks at the un-eaten food and states, "If you don't eat at least have of
your meal, I'm going to have to put a tube down your throat and have you feed that way." The
client begins crying and tries to eat. Which violation may the nurse be accused of based on her
actions?
Assault
A 79-year-old male completed his hip-replacement surgery. After surgery, the client has become
very confused and attempts to get out of bed anytime his family is not present. His son and
daughter both want him restrained so he does not injure himself. What should the practical
nurse explain to the client's son and daughter?
"Would it be possible to have a family member stay with him until he is less confused"
A practical nurse visits her close friend who is at 20 weeks gestation. Her friend reports
headache, nausea, and blurred vision. The nurse notes that her friend appears nervous,
diaphoretic, and is experiencing tremors. Which of the following questions would be most
important for the nurse to ask?
"When did you last drink or eat?"
Hypoglycemia signs
Headache
Nausea
Blurred Vison
Nervousness
Diaphoresis
Tremors
Laura, a practical nurse, is asked to create a teaching tool that focuses on diabetes
management for clients who often eat meals outside of the home in restaurants. She
understands that before clients can learn, they must believe that they need to learn the
information. This is an example of which learning principle?
Relevance
, 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 not washing their hands between client contact. He wants to initiate a change in
practice. Which of the following actions should he perform?
Develop a poster and pamphlet to be used at the sinks on each unit to promote hand washing
Which of the following would not be a characteristic of client advocacy?
Providing paternalistic care
At birth, the transitional changes for newborns consist of breathing independently. What causes
the foramen ovale to close?
Pressure in the left atria of the heart becomes greater than that in the right atria of the heart
A female nurse is assigned to care for four clients. Which client should the nurse assess first
when planning her client rounds?
A client with asthma who requested a breathing treatment during the previous shift
A 52-year-old female was admitted to a hospital in small remote town in northern Ontario. She is
an Indigenous person who is suffering from kidney failure and peripheral vascular disease. One
evening, she has a sudden and unexpected myocardial infarction. Her husband, working three
hours away is notified but is not able to arrive before his wife dies. What should the practical
nurse do prior to performing a post-mortem care for this client?
Identify cultural death rites that should be respected at all times
A nurse obtains a prescription from a health care provider to restrain a client. The nurse
instructs an unregulated care provider (UCP) to apply the safety device to the client. Unsafe
application of the safety device would indicate additional teaching for the UCP is needed. Which
of the following demonstrates that this is evident?
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