Question 1: What are the correct medication math answers?

2500 mL, 100 mL, 1 mL, 300 mL, 10 gtts/min

3000 mL, 125 mL, 0.5 mL, 360 mL, 12–13 gtts/min, 17–18 gtts/min, 21 gtts/min, 31 gtts/min, decrease flow rate by 50 gtt/min

3200 mL, 150 mL, 2 mL, 400 mL

2000 mL, 90 mL, 0.25 mL

Question 2: What is the correct response to something unusual that may require physician intervention?

Gather vitals and assessment data, complete an SBAR, then contact the physician

Document and reassess later

Ask another nurse to call

Contact the physician immediately without assessment

Question 3: What is the most common dietary recommendation for pregnant women?

Regular diet with an additional 300–400 calories per day

No change in caloric intake

An extra 800–1000 calories daily

Calorie-restricted diet

Question 4: If D5W is added to a blood transfusion, what will occur?

Electrolyte stability

Clot formation

Cell preservation

Hemolysis of erythrocytes

Question 5: What is a typical setup of a blood transfusion?

Lactated Ringer’s with blood

Normal saline and blood with a Y-tube

Blood only without saline

D5W with blood

Question 6: If back pain, hives, chills, edema, or increased temperature occur during a blood transfusion, what should be done?

Administer antihistamines immediately

Ignore and reassess later

Stop the transfusion immediately

Continue to monitor

Question 7: If these symptoms are NOT moderate during a blood transfusion, what should be done?

Observe only

Document and finish later

Stop the transfusion and report to the physician

Continue at a slower rate

Question 8: How many hours is blood acceptable to hang?

6 hours

8 hours

1 hour

4 hours

Question 9: If blood is ordered to hang for 5 hours or more, what is required?

Proceed as ordered

Delay without contacting the physician

Clarify with the physician and remind them of the 4-hour limit

Increase the rate

Question 10: What is the most common blood infusion rate?

1 hour at 300 mL/hour

5–6 hours

2–3 hours at 100–150 mL/hour

4 hours at 50 mL/hour

Question 11: If the MAR directs blood and antibiotics, which is given first?

Blood, then antibiotic

Antibiotic, then blood

Delay antibiotics

Both together

Question 12: How long should a patient be monitored after starting a blood transfusion?

2 hours

5–15 minutes

30–60 minutes

After completion

Question 13: Which keywords often indicate incorrect answers on the REX PN?

Absolute terms such as “always,” “never,” or “must”

Numerical ranges

“May” or “often”

Context-based statements

Question 14: How many nurses are required to check blood before transfusion?

Two; at least one must be an RN

RN and unlicensed staff

One nurse only

Two LPNs

Question 15: What are the four major types of acute blood transfusion reactions?

Respiratory, renal, hepatic, cardiac

Circulatory overload, febrile, anaphylactic, and bacterial

Hemolytic, viral, allergic, delayed

Acute hemolytic, febrile non-hemolytic, allergic/anaphylactic, and circulatory overload

Question 16: What is the most common treatment for COPD?

No oxygen therapy

Oxygen therapy at 2 L/min or less with close monitoring

Mechanical ventilation routinely

High-flow oxygen

Question 17: What is the correct method to administer a fentanyl patch?

Place without securing edges

Press edges for adherence, sign with initials/date/time, cover for bathing

Apply heat to improve absorption

Cut the patch

Question 18: How should a wound be cleansed?

Proximal to distal using midline, near side, then far side

Any order

Distal to proximal

Aggressive scrubbing

Question 19: What is recommended for a patient undergoing postural drainage?

Strict bed rest

Dry environment

Restrict fluids

Increase fluid intake

Question 20: How should blood pressure be taken after a mastectomy?

Use the opposite arm and elevate the arm if one breast was removed

Use the leg routinely

Use the affected arm

Analgesic only, no BP

Question 21: What are common symptoms of systemic lupus erythematosus (SLE)?

Productive cough and wheezing

Melena and hematemesis

Isolated numbness of fingers

Joint pain, loss of eyebrow or eyelash hair, and photosensitivity

Question 22: What is the most common symptom of systemic lupus erythematosus?

Renal colic

Peripheral edema only

Butterfly rash on the face

Fatigue and joint pain (arthralgia)

Question 23: What is the correct intervention for increased intracranial pressure?

Elevate HOB 30–40° in Semi-Fowler’s and keep head midline

Keep patient supine

Allow frequent head turning

Trendelenburg position

Question 24: What are the most common symptoms of multiple sclerosis?

Diarrhea

Persistent fever

Chronic cough

Decreased sensation to pain and heat

Question 25: When is an LPN intervention most important?

Stable hypertension

Observation only

During anaphylactic shock

Mild allergic reaction

Question 26: How is an abdominal assessment performed?

Palpation, percussion, auscultation

Any order

Auscultation, inspection, palpation

Inspection, auscultation, percussion, palpation

Question 27: How is a respiratory assessment performed?

Inspection, auscultation, percussion, palpation

Any order

Inspection, palpation, percussion, auscultation

Palpation, percussion, auscultation

Question 28: How is post-mortem care performed?

Supine with limbs straight, dentures in, hygiene completed, pillow for viewing

Leave positioning unchanged

Remove linens only

Transfer immediately without care

Question 29: What is physiological jaundice?

Persists beyond 1 month

Caused by infection only

Occurs within first 24 hours

Jaundice occurring after 24 hours of birth, lasting up to 2 weeks

Question 30: How is dehydration best assessed in a child?

Skin turgor only

Urine color

Daily weight only

Assess mucous membranes

Question 31: How is dehydration best assessed in an infant?

Skin turgor

Assess anterior and posterior fontanels for depression

Temperature

Blood pressure

Question 32: When do the anterior and posterior fontanels close?

Both at 6 months

Posterior at 12 months

Anterior at 3 months

Anterior at 18 months; posterior at 2–3 months

Question 33: What is the correct method to chart?

Subjective opinions

Abbreviated notes only

FOCAL: factual, organized, concise, accurate, legible

Narrative only

Question 34: What is the correct dosage for nitroglycerine spray?

1 mg every minute

0.3–0.4 mg up to 3 times every 5 minutes sublingually

Every minute indefinitely

Spray in the back of the mouth

Question 35: When should a tracheostomy dressing be changed?

As needed without obturator

Once per shift; keep obturator nearby

Every hour

Once weekly

Question 36: What is the best preparation for a suspected myocardial infarction?

Obtain consent only

Schedule imaging later

Ensure crash cart readiness and clear hallways

Wait for physician arrival

Question 37: What is the best intervention for broken equipment?

Report verbally only

Continue using carefully

Remove from area only

Tag as out of order and submit maintenance requisition

Question 38: How should acuity be managed?

Prioritize risk, unknown factors, routine care, then scheduled tasks

Random prioritization

Appointments before emergencies

Routine care first

Question 39: How is the Apgar scale scored?

Pulse and respirations only

Activity, pulse, color

Weight, length, reflexes

Appearance, Pulse, Grimace, Activity, Respirations

Question 40: How does the fetal heart rate system interpret late decelerations?

Cord compression

Head compression

Good oxygenation

Placental uterine insufficiency; concerning pattern

Question 41: What is the most important thing to obtain before starting a blood transfusion?

Baseline vital signs only

IV tubing preparation

Recent hemoglobin level

ID bracelet confirmation and patient consent

Question 42: How does the adult Rule of 9’s work for burns?

Head 9%, each arm 9%, each leg 18%, anterior trunk 18%, posterior trunk 18%, genitals 1%

Genitals 5%

Head 18%, arms 5% each

Chest total 9%

Question 43: What are the 12 cranial nerves and their functions?

Cranial nerves I–VIII only

Olfactory, Optic, Oculomotor, Trochlear, Trigeminal, Abducent, Facial, Vestibulocochlear, Glossopharyngeal, Vagus, Accessory, Hypoglossal

Accessory listed first

Optic, facial, vagus only

Question 44: What must be verified before administering a blood transfusion?

IV access only

Vital signs

Signed consent only

Blood type and Rh compatibility

Question 45: What intervention is required for a conscious hypoglycemic patient?

Administer 15–20 g of rapid-acting oral glucose

Observe only

Administer insulin

Administer glucagon tablets

Question 46: What intervention is required for an unconscious hypoglycemic patient?

Administer IV dextrose or IM glucagon

Oral glucose

Administer insulin

Monitor only

Question 47: What is Reye syndrome?

A viral respiratory illness

Adult liver disease

A condition in children with fever after aspirin use causing vomiting and nausea

Antibiotic reaction

Question 48: What should be done if unfamiliar with a disease?

Leave the room, research the disease, and follow facility protocol

Ask another nurse to decide

Use clinical judgment only

Proceed without review

Question 49: What effect occurs when drugs are taken too frequently?

Improved effectiveness

Accumulative effect

Immediate tolerance

Rapid clearance

Question 50: What is a common symptom of arterial insufficiency?

Pitting edema

Cold extremity with absent pedal pulses

Warm, swollen limb

Erythema