REx-PN Exam Overview and Competencies
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Questions and Answers

What type of examination is the REx-PN?

  • Variable length, computerized adaptive test (correct)
  • Practical exam with direct observation
  • Oral examination with clinical simulations
  • Fixed-length, paper-based test

Approximately how many pretest items are included in the REx-PN exam?

  • 10
  • 20
  • 30 (correct)
  • 40

What is the primary focus of the REx-PN licensure exam?

  • Measuring leadership potential
  • Testing advanced nursing techniques
  • Assessing entry-level competencies for safe care (correct)
  • Evaluating research capabilities

Which of the following best describes professional practice for practical nurses?

<p>Providing competent, ethical care and being accountable (D)</p> Signup and view all the answers

What is the significance of ethical frameworks in practical nursing?

<p>They provide a basis for professional judgement and decision making (C)</p> Signup and view all the answers

What does the professional practice category for practical nurses emphasize?

<p>Safe, competent, ethical nursing care and accountability (D)</p> Signup and view all the answers

A nurse asks a client if they think they are going to die. According to the content, what is this an example of?

<p>A non-therapeutic response (D)</p> Signup and view all the answers

What does 'entry-to-practice competencies' refer to?

<p>The basic knowledge, skills, and judgments needed for new practical nurses (A)</p> Signup and view all the answers

Which task is appropriate for a practical nurse to delegate to a support worker assigned to a febrile client receiving intravenous antibiotics?

<p>Administering a bed bath (B)</p> Signup and view all the answers

During a blood transfusion, what is the first action a practical nurse should take if a client experiences chills and a headache?

<p>Stop the transfusion immediately (B)</p> Signup and view all the answers

Which of the following practices is essential when formulating multiple-choice questions?

<p>Ensuring all options are plausible (C)</p> Signup and view all the answers

What must be avoided in the construction of multiple-choice questions?

<p>Presenting questions with irrelevant material (B)</p> Signup and view all the answers

What type of multiple-choice question presents a healthcare scenario with related questions?

<p>Case-based questions (D)</p> Signup and view all the answers

When studying for the licensure exam, what is a recommended strategy?

<p>Taking regular breaks while studying (C)</p> Signup and view all the answers

Which of the following is NOT a correct characteristic of multiple-choice questions?

<p>Include 'all of the above' options (B)</p> Signup and view all the answers

What is a common misconception about answering multiple-choice questions?

<p>Marks will be deducted for incorrect answers (C)</p> Signup and view all the answers

Which respiratory condition is characterized by wheezing and shortness of breath, often triggered by allergens or exercise?

<p>Asthma (D)</p> Signup and view all the answers

Which gastrointestinal condition involves the inflammation of the stomach and intestines, leading to symptoms such as diarrhea and vomiting?

<p>Gastroenteritis (C)</p> Signup and view all the answers

What is the most common type of congenital heart defect that affects blood flow between the heart's chambers?

<p>Ventricular septal defect (VSD) (D)</p> Signup and view all the answers

Which hematological disorder is characterized by the presence of abnormal sickle-shaped red blood cells?

<p>Sickle cell disease (D)</p> Signup and view all the answers

In which age group is the risk of encountering hydrocephalus most significant?

<p>Newborns (A)</p> Signup and view all the answers

Which mental health disorder is characterized by persistent sadness and loss of interest in activities?

<p>Depression (B)</p> Signup and view all the answers

What type of imaging is primarily used for breast cancer screening?

<p>Mammogram (D)</p> Signup and view all the answers

Which laboratory test is critical for diagnosing anemia by measuring the concentration of hemoglobin in the blood?

<p>Complete blood count (CBC) (D)</p> Signup and view all the answers

What is a significant manifestation of illness in a 3-week-old infant?

<p>Grunting and rapid respirations (D)</p> Signup and view all the answers

Which method is recommended to accurately take an infant's temperature?

<p>Rectal (A)</p> Signup and view all the answers

What action should the practical nurse recommend if an infant's temperature is 38.9°C?

<p>Bring the infant to the clinic to see the physician (D)</p> Signup and view all the answers

Which statement accurately describes computerized documentation in healthcare?

<p>Each nurse must have an individual and secret password (A)</p> Signup and view all the answers

What is the most important factor to consider when caring for clients with limited financial resources?

<p>They will have decreased access to the health care system (A)</p> Signup and view all the answers

Which concern is most prominent when visiting an active 84-year-old client?

<p>Mobility and fall risks (D)</p> Signup and view all the answers

Why might elderly clients with limited resources have additional healthcare challenges?

<p>Higher likelihood of chronic illnesses (C)</p> Signup and view all the answers

What is an appropriate response for a practical nurse to address low self-esteem in clients with financial constraints?

<p>Encourage participation in community activities (C)</p> Signup and view all the answers

What is an appropriate response for the practical nurse when Mr. Wilmot expresses concerns about his masculinity after surgery?

<p>Reassure Mr. Wilmot that he is still a man even with one testicle. (B)</p> Signup and view all the answers

Which topic should the practical nurse include in client teaching for Mr. Wilmot?

<p>Once treatment is completed, he may expect to live free from cancer. (B)</p> Signup and view all the answers

What is the correct instruction for Mr. Wilmot regarding self-examination of the remaining testicle?

<p>Roll the testis between fingers in a warm shower once a month. (B)</p> Signup and view all the answers

Which scenario indicates a need for the practical nurse to withhold Mr. Lok's nifedipine?

<p>Mr. Lok's blood pressure reads below 100 systolic. (C)</p> Signup and view all the answers

What guideline should the practical nurse follow when administering medications to clients?

<p>Double-check each client’s medication order before administration. (B)</p> Signup and view all the answers

What is a critical duty of the practical nurse when managing a unit with UCPs?

<p>Oversee medication administration while maintaining safety protocols. (B)</p> Signup and view all the answers

What long-term health practice should Mr. Wilmot be advised to incorporate after treatment?

<p>Regularly scheduled physical exams with his oncologist. (C)</p> Signup and view all the answers

What should the practical nurse explain about Mr. Lok’s use of antihypertensive medications?

<p>Consistent blood pressure monitoring is important for adjusting medication. (A)</p> Signup and view all the answers

While taking a multiple-choice test, what should you do if you believe all options are correct?

<p>Choose the option that seems most comprehensive. (B)</p> Signup and view all the answers

What is the first step to take when all potential answers in a question seem correct?

<p>Carefully reread the question and situation. (A)</p> Signup and view all the answers

What is the main strategy to use when you come across a seemingly tricky multiple-choice question?

<p>Try to solve the problem by using critical thinking skills. (C)</p> Signup and view all the answers

What should you do if you believe all the options in a multiple-choice question are correct?

<p>Choose the answer that seems most comprehensive. (C)</p> Signup and view all the answers

What is the most crucial step in tackling multiple-choice questions?

<p>Understanding exactly what the question asks. (C)</p> Signup and view all the answers

Where should you focus your attention when answering a multiple-choice question?

<p>All options should be considered. (B)</p> Signup and view all the answers

What strategy can be most helpful when answering a multiple-choice question?

<p>Eliminating incorrect options. (B)</p> Signup and view all the answers

How can you best manage your time during a multiple-choice exam?

<p>Pace yourself and monitor your time. (C)</p> Signup and view all the answers

Flashcards

What is the REx-PN exam?

A computerized adaptive test used for Practical Nurse licensing in Canada. Its length varies from 90 to 150 items, including 30 unscored pretest questions.

What are entry-level competencies for Practical Nurses?

The REx-PN exam assesses essential skills and knowledge needed to provide safe and ethical nursing care at a beginner level.

How are competencies evaluated in the REx-PN exam?

The REx-PN exam emphasizes practical application of nursing principles in various healthcare settings and client types.

What is 'Professional Practice' in nursing?

Accountability for safe, competent, and ethical nursing care, including professional conduct and evidence-based practices.

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What is 'Initiates, maintains, and terminates the therapeutic nurse–client relationship'?

The ability of a nurse to build and maintain a professional relationship with the patient, respecting boundaries and focusing on their needs.

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What is 'Ethical Practice' for Practical Nurses?

Using ethical frameworks for making professional judgments and decisions, considering personal values and their impact on care.

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What is 'Establishes and maintains professional boundaries'?

The practice of maintaining a professional distance and clear boundaries in the nurse-patient relationship, avoiding personal involvement.

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How many competencies for Practical Nurses are there in Canada?

There are 79 competencies for Practical Nurses in BC and Ontario, and 76 in the rest of Canada. They are organized into five categories.

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CPNRE

A type of nursing exam used to assess the competency of practical nurses, typically requiring a passing score for licensure.

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REX-PN

A type of nursing exam used to assess the competency of practical nurses, typically required for licensure in the United States.

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Case-Based Question

A question format used in the CPNRE and REx-PN exams, typically presented as a scenario with several multiple-choice questions linked to it.

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Independent Question

A question format used in the CPNRE and REx-PN exams, where all the information needed to answer is included within the question itself.

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Stem

The part of a multiple-choice question that asks the actual question or poses the problem.

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Options

The multiple answer choices provided in a multiple-choice question. Only one is the correct answer.

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Distractors

Incorrect or misleading answer choices designed to distract test-takers in a multiple-choice question.

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Multiple Response

A common exam format where you must select more than one answer choice from a set of options.

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Asthma

A chronic inflammatory lung disease causing airway obstruction, inflammation, and hyperresponsiveness.

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Respiratory Syncytial Virus (RSV)

An infection primarily affecting the lower respiratory tract, causing inflammation and mucus buildup.

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Computed Tomography (CT) Scan

X-ray imaging technique using a rotating X-ray source and detectors to create detailed cross-sectional images of the body.

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Gastrointestinal Scope

A medical procedure using a flexible tube with a camera to examine the inside of the gastrointestinal tract.

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Cystic Fibrosis

A complex genetic disorder affecting the lungs, digestive system, and other organs, resulting in thick, sticky mucus.

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Atrial Septal Defect (ASD)

A disorder where the heart's chambers fail to close completely.

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Schizophrenia

A severe mental illness characterized by delusions, hallucinations, disorganized thinking, and emotional disturbance.

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Pyloric Stenosis

A condition where the stomach empties slowly due to a blockage at the outlet of the stomach.

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Reading Comprehension

Understanding the meaning of the question accurately and efficiently.

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Question Stem Analysis

Checking if you correctly understand the goal of each question.

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Time Management

Spending time on each question, aiming to answer roughly 25 to 30 questions in each half-hour.

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Prioritizing Information

Identifying the most important or crucial aspect of a question.

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Keyword Recognition

Recognizing keywords that indicate specific instructions in questions.

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Evaluating All Options

Examining all options carefully before making a choice, to ensure you've selected the most accurate.

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Process of Elimination

Eliminating options that are clearly incorrect, focusing on the remaining ones.

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Problem-Solving Approach

Applying critical thinking skills to analyze challenging questions and choose the most comprehensive or sensible answer.

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Hypertension

A medical condition characterized by high blood pressure.

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Nifedipine (Adalat)

A medication used to treat hypertension by relaxing the muscles in blood vessel walls.

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Blood pressure below 100 systolic

A blood pressure reading below 100 mmHg on the systolic scale.

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Registered Practical Nurse (RPN)

A registered practical nurse (RPN) is a licensed healthcare professional who provides direct patient care under the supervision of a registered nurse or physician.

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Unregulated Care Providers (UCPs)

Unregulated care providers are healthcare workers who aren't licensed or registered but are trained to perform specific tasks like basic hygiene care and vital sign monitoring.

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Medication Administration

The administration of medications, including dosage, timing, and monitoring for side effects.

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Patient's Medical Record

A patient’s medical record contains their personal and medical information, including allergies, medications, diagnoses, and progress notes.

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Physician's orders

The physician's orders provide instructions to the nursing staff on how to manage the patient's care, including medications, treatments, and assessments.

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What are significant signs of illness in a newborn?

Grunting and rapid breathing in a 3-week-old infant are significant signs of illness, indicating respiratory distress.

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How do you take a temperature in a 3-week-old?

Rectal temperature is the most reliable method for infants, as it's less affected by environmental factors.

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What should you do with a 3-week-old with a temperature of 38.9°C?

A temperature of 38.9°C (102°F) in a 3-week-old infant requires medical attention.

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What's the most important rule for computerized charting?

Computerized documentation in healthcare requires unique passwords for each user to maintain confidentiality and security.

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What is the goal of "aging in place" programs?

Providing support to older adults to live independently in their homes is called "aging in place."

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What's the most important issue for clients with limited finances?

Limited financial resources can impact an individual's ability to meet basic needs, including healthcare access.

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What should a nurse be concerned about in an older adult's home?

Changes in an older adult's home environment can indicate potential safety risks, such as tripping hazards or difficulty with mobility.

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How can a practical nurse help clients with limited finances?

A practical nurse can teach clients about meal preparation, budgeting, and accessing community resources.

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Study Notes

REx-PN Exam Overview

  • The REx-PN exam is a computerized adaptive test (CAT)
  • Variable length, ranging from 90 to 150 items
  • Includes 30 unscored pretest items
  • Question formats: multiple choice, multiple response, fill-in-the-blank calculation, exhibit, and graphics
  • Writing time: 4 hours
  • Questions categorized by difficulty, adjusting based on prior answers

Entry-To-Practice Competencies

  • Focuses on essential competencies for safe entry-level practical nursing
  • Covers knowledge, skills, behaviours, attitudes, and judgment
  • Applies competencies to various health situations and clients (mental health, infants, older adults)
  • Examines infection prevention methods in diverse settings (hospitals, daycares, immunocompromised clients)

Competency Categories

  • Seven Categories in BC and Ontario , Six categories elsewhere in Canada.
  • Organized into five categories (see appendix for details)
  • Addresses Professional Practice (accountability, ethics)
  • Focuses on ethical practice (personal values, beliefs, assumptions)

Sample Questions and Answers (Multiple Choice)

  • Example (Therapeutic Communication): A question assessing the most therapeutic response to a client's emotional statement.
  • Correct Answer: Encourages the client to discuss their understanding of their illness.
  • Example (Delegation): A question about delegating tasks to support staff in a healthcare setting.
  • Correct Answer: Recognizes the nurse's scope of practice and appropriate delegation.
  • Example (Transfusion Reaction): A question about a client experiencing a transfusion reaction.
  • Correct Answer: Immediate action involves stopping the transfusion.

Multiple Choice Questions Details

  • Exam includes multiple choice questions
  • Questions vary between case-based (scenario-driven) and independent (stand-alone)
  • Each question includes a stem (the question itself) and options (possible answers)
  • Only one correct option
  • Distractors (incorrect or incomplete answers) are included
  • No combination answers (e.g., "1 and 2") allowed

Study and Exam Tips

  • Planning and pacing: Allocate roughly 25-30 questions per 30 minutes.
  • Reading Comprehension: Understand the stem, keywords (initial, priority, never, except), and possible nuances or subtleties.
  • Problem solving: Be prepared to analyze questions and apply relevant knowledge.
  • Answer before options: Attempt to answer the question before examining multiple-choice options.
  • Thorough assessment: Read every option, mentally eliminating incorrect choices, to select the most accurate.
  • Use critical thinking: Some questions appear straightforward but require critical analysis and professional judgment.

Specific Subject Areas

  • Pediatric Nursing: Covers from family, parenting, child development to various medical/surgical conditions (respiration, gastrointestinal, cardiovascular, hematology, infections, neurology, genetics, etc).
  • Mental Health Nursing: Focuses on various mental health disorders and disorders, communication skills, and ethical/legal approaches.
  • Diagnostic Tests: Understanding the purpose and client teaching for various tests (biopsies, imaging, scopes, allergy, etc).
  • Laboratory Tests: Understanding normal ranges and implications of lab results.
  • Important Note: Case studies and examples are provided covering various scenarios and situations relevant to the practical nursing practice, including older adults, mental health, infants, etc.

Practical Nursing Case Study Examples

  • Cases: Examples included cover various situations of practical nursing including older adults, mental health, newborns, etc.
  • Examples: Questions about client assessment, medication administration, delegation, and client teaching are included.

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Related Documents

Mosby's Prep Guide for the Canadian PN Exam PDF

Description

This quiz provides an overview of the REx-PN exam, a computerized adaptive test designed for practical nursing entry-level competencies. It covers the exam's structure, question formats, and essential competencies required for safe nursing practice across various client situations. Test your knowledge and preparation for this important examination.

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