Exam (elaborations)

RExPN exam 2024 with 100% correct answers

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Course
RExPN

Institution
RExPN

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 t...

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Uploaded on January 13, 2024
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Written in 2023/2024
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rexpn exam 2024 with 100 correct answers

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RExPN exam 2024 with 100% correct
answers

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? -
correct answer A. Tell her this would be unprofessional

B. Thank her for the offer and tell her that you will have to give her a call to see whether you will be able
to work in outings in your personal schedule

C. Acknowledge your appreciation of this experience, explain that her nursing needs have been met, and
tell her you to have to care for other new mothers (correct)

D. State that you would really like to do this but you are too busy with your other commitments

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? - correct answer A.
"Did your company give you a severance package?"

B. "Focus on the fact that you have a happy and healthy family."

C. "Tell me what happened." (correct)

D. "Everyone loses their job once in their career"

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? -
correct answer A. Verbal abuse (correct)

B. Incompetence

C. Reinforcement

D. Negligence

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? - correct answer A. The client's former
spouse

B. The client's adult children (correct)

C. The client's eldest son

D. The client's brother

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? - correct
answer A. Have her bend forward at the waist to inspect for an abnormal spinal curvature (correct)

B. Observe from the back as she climbs a flight of stairs

C. Ask her to stand sideways to him so he may measure any degrees of kyphosis

D. Tell her to rotate sideways and observe for uneven shoulder height

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? -
correct answer A. Culture is the common understanding of a community

B. Cultural is a shared systems of values, believes and behaviours (correct)

C. Culture is based on the physical characteristics of the environment

D. Culture is based on the majority of the dominant religious beliefs

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? - correct answer A.
Cortisone suppresses the body's normal immune response (correct)

B. Cortisone attracts microbes into the body

C. Cortisone therapy suppresses the body's natural bacteria

D. Cortisone causes increased capillary permeability

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? - correct answer A. Pleural effusion

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