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</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</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</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</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</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</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</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</p> Signup and view all the answers

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

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

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

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

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

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

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

    <p>Newborns</p> Signup and view all the answers

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

    <p>Depression</p> Signup and view all the answers

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

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

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

    <p>Rectal</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</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</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</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</p> Signup and view all the answers

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

    <p>Higher likelihood of chronic illnesses</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</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.</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.</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.</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.</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.</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.</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.</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.</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.</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.</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.</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.</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.</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.</p> Signup and view all the answers

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

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

    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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