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REX-PN EXAM WITH DETAILED QUESTIONS AND 100% VERIFIED ANSWERS
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REX-PN EXAM WITH DETAILED QUESTIONS AND100% VERIFIED ANSWERS 2024-2025
The nurse is caring for a client with Caron's disease who has a fever and signs of a
urinary tract infection (UTI), including tan, feral-smelling urine. Which of the
following information should the nurse provide to the client?
a. regarding the effects of corticosteroid usage on immunological function.
b. empty the bladder before and after sexual intercourse.
c. concerns the creation of a fistula between the bowel and bladder.
d. Clean the perineal region thoroughly after any stools - ANSWER c. concerns the
creation of a fistula between the bowel and bladder.
Fistulas between the colon and bladder occur in Chron's disease and can cause a
UTI. There is no evidence that the client's risk of UTI is due to poor cleansing or
not voiding before and after intercourse. Steroid use may raise the risk of infection,
yet the client's urine shows that a fistula has developed.
During the initial postoperative inspection of a client's transverse
colostomy-induced stoma. The nurse observes it to be deep pink with substantial
oedema and a minor quantity of blood. Which of the following activities should the
nurse take based on her findings?
a. Apply an ice pack to the stoma to minimize edema.
b. Inform the surgeon about the stoma look.
c. Document the stoma assessment.
,d. Monitor the stoma every 30 minutes - ANSWER: C. Document the stoma
assessment.
The appearance of the stoma shows that it has strong circulation. There is no
evidence that surgical intervention or frequent stoma monitoring are required.
Stoma edema is usual during the first 2-3 weeks after surgery, and an ice pack is
unnecessary.
The home health nurse teaches clients and family members how to use glargine and
normal insulin safely. Which of the following nursing activities by the client
demonstrated that the education was successful?
a. The customer gives glargine 30-45 minutes before eating each meal.
b. The client's family fills the syringes weekly and keeps them in the refrigerator.
c. The client draws up ordinary insulin and then glargine in the same syringe.
d. The client discards the open bottle of glargine and normal insulin after four
weeks - ANSWER d. The client disposes of the open vials of glargine and normal
insulin after four weeks.
Insulin can be stored at room temperature for four weeks. Glargine should not be
used with other insulins or pre-filled and kept. Short-acting normal insulin is given
before meals, and glargine is given once a day.
A customer is suspected of having a pituitary tumour that causes
panhypopituitarism. Which of the following results could the nurse expect to
discover while assessing the client?
,a. High Blood Pressure
b. alterations in secondary sex characteristics
c. Elevated blood glucose - ANSWER B. alterations in secondary sex
characteristics
Which of the following details about a client who has recently been taken to the
hospital with nausea and vomiting necessitates the nurse to act quickly?
a. The client has simply drank sips of water.
b. The client has been vomiting multiple times every day for the last four days.
c. The client is lethargic and difficult to stimulate.
d. The client's chart shows a recent reaction of the small intestine - ANSWER C.
The client is lethargic and difficult to stimulate.
Rationale: A sluggish client is at danger of aspiration, and the nurse must position
the client to reduce the risk. The other information is similarly vital to gather, but it
does not require as immediate action as the risk of aspiration.
The nurse is caring for a Crohn's disease patient who has megaloblastic anemia.
Which of the following drugs should the nurse anticipate training the client to take
on a regular basis?
a. Regular blood transfusions.
b. Cobalamin (B12) nasal spray or injections.
, c. Oral ferrous sulphate tablets
d. Iron dextran (imferon) injection - ANSWER B. Cobalamin (B12) nasal spray or
injections.
Rationale: Crohn's disease usually affects the ileum. Where cobalamin absorption
occurs, it must be supplied on a regular basis via nasal spray or intramuscular
injection to treat the anemia. Iron deficiency does not result in megaloblastic
anemia. The client may require a transfusion on occasion, but not on a regular
schedule.
The health care professional recommends antacids to treat a client's peptic ulcer.
Which of the following details should the nurse include in the client's teaching
plan?
a. Take sucralfate with antacids 30 minutes before each meal.
b. Antacids after eating, and sucralfate 30 minutes before eating.
c. Sucralfate at night and antacids before meals.
d. Antacids 30 minutes before taking sucralfate - ANSWER b. Antacids after
eating, and sucralfate 30 minutes before eating.
Sucralfate is most effective when the pH is low, and it should not be administered
with or shortly after an antacid. Antacids are most effective when taken after meals.
Sucralfate should be administered 30 minutes before eating to ensure that both
medications work optimally. The other regimens will reduce the effectiveness of
the drug.
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