RPN Study Guide 2026

Everything you need to pass the RPN exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

📋 RPN Exam Format at a Glance

170
Questions
240 min
Time Limit
62%
Passing Score

📚 RPN Topics to Study (63)

✍️ Sample RPN Questions & Answers

1. Which phase of the nurse-client relationship involves mutually identifying problems and setting goals?
Working phase

The working phase is when the nurse and client collaborate on goal-directed problem solving and therapeutic work.

2. A nurse is performing a suicide risk assessment. Which factor represents the HIGHEST risk for a completed suicide attempt?
A specific plan with access to a lethal method

The presence of a specific, detailed plan combined with access to a lethal means significantly elevates the risk for a completed suicide and requires immediate intervention.

3. A nurse is teaching a new mother about newborn jaundice. Which statement by the mother indicates understanding?
'I will feed my baby frequently to help clear the bilirubin.'

Frequent feedings promote stooling, which eliminates bilirubin and helps reduce physiologic jaundice.

4. Which element is NOT required to establish nursing negligence in a malpractice lawsuit?
Proof of the nurse's intent to harm the patient

Negligence does not require intent to harm; it requires duty, breach, causation, and damages — intent is irrelevant.

5. A client with chronic kidney disease has a potassium level of 6.2 mEq/L. Which assessment finding is MOST concerning?
Heart rate of 52 bpm with peaked T waves on ECG

Bradycardia with peaked T waves on ECG indicates severe hyperkalemia affecting cardiac conduction, requiring immediate intervention.

6. Which action by an RPN constitutes professional misconduct under nursing practice legislation?
Performing a skill outside the approved scope without delegation

Performing tasks outside the legislated or employer-approved scope without proper delegation constitutes professional misconduct.

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Your RPN Study Path
1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation
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