CPNRE / REx-PN case studies
CPNRE / REx-PN · Put your knowledge to work in context.
The REx-PN (Regulatory Exam – Practical Nurse) is a licensure examination for practical nurse candidates. The exam is developed by the National Council of State Boards of Nursing (NCSBN), the same organization that produces the NCLEX. NCSBN describes itself as "The World Leader in Nursing Regulatory Knowledge and Advancement" and states that "The world's premier examinations use innovation and superior psychometrics to measure what matters." The REx-PN is listed among NCSBN's related links, and a separate REx-PN website exists at rexpn.com. The exam is intended for candidates seeking practical nurse licensure; eligibility and registration requirements are set by the jurisdiction where the candidate applies. The CPNRE / REx-PN case studies are 5 cases and about 2,001 words.
1Discharge Planning After Hip Fracture With Conflicting Family Wishes
A is 78, five days after ORIF of a left hip fracture. She lives alone in a two-storey rural home 45 minutes from the hospital, uses a walker, and has mild cognitive impairment (MoCA 22/30).
449 words, about 2 min2Suspected Norovirus Outbreak on a Shared Care Unit
On a 32-bed medical unit, six residents developed vomiting and watery diarrhea within 24 hours. Each four-room cluster shares one bathroom.
387 words, about 2 min3Prediabetes Teaching for a Shift Worker With Food Insecurity
B is 54, works 12-hour night shifts at a warehouse, and has a body mass index of 31 kg/m². His most recent A1C is 6.3%, blood pressure 138/88 mmHg, and waist circumference 104 cm.
404 words, about 2 min4Postpartum Intrusive Thoughts and Refusal of Medication
C is 29 and 10 days postpartum after an uncomplicated vaginal birth. She is exclusively breastfeeding and attends the clinic with her partner.
383 words, about 2 min5Warfarin, a New Antibiotic, and a Supratherapeutic INR
D is 82 with atrial fibrillation, takes warfarin 4 mg daily, target INR 2.0–3.0. Two days ago she started trimethoprim-sulfamethoxazole for a urinary tract infection.
378 words, about 2 min