Good questions, especially for nurses (NCLEX)

1-The office nurse prepares a patient diagnosed with epilepsy for a positron emission tomography (PET) scan. Which of the following directions to the patient is MOST important for the nurse to include?
1.
"Be prepared to feel a warm sensation when the dye is injected."
2.
"You’ll want to empty your bladder before the test."
3.
"Be sure to remove all your jewelry before you go in."
4.
"You will be asked to think in different ways during the test."
2-The nurse cares for a client diagnosed with myasthenia gravis. Which of the following clinical manifestations would the nurse expect to see?
Select all that apply.
1.
Rigidity.
2.
Muscle weakness that improves with rest.
3.
Paresthesia of the lower extremities.
4.
Propulsive gait.
5.
Ptosis.
6.
Diplopia.
3-The home care nurse visits a client diagnosed with heart failure who lives in an independent living facility. The client complains of constipation, and the nurse further assesses to determine the cause of the constipation. The nurse is MOST concerned if the client states which of the following?
1.
“I walk at sunrise every day.”
2.
“I drink eight glasses of fluid each day.”
3.
“I never go to the salad bar.”
4.
“I play bridge almost every day.”

4- The psychiatric inpatient unit has had four new admissions during the last shift. Which of the following patients should the nurse see FIRST?
1.
A salesperson diagnosed with postpartum depression after her baby was born with Down’s syndrome and her husband threatened to divorce her.
2.
A police officer with a post–traumatic stress disorder (PTSD) history who was admitted with agoraphobia after two of his co-officers were shot and killed in a drug raid.
3.
A computer programmer admitted with a diagnosis of generalized anxiety disorder. The patient has extensive credit debt and his company just filed for bankruptcy.
4.
A college student admitted for depression and anxiety after his younger sibling committed suicide. His mother was recently diagnosed with lung cancer.

5- After completing charting on a patient’s record, the nurse realizes that the charting has been placed in the wrong patient’s chart. Which of the following actions by the nurse is MOST appropriate?
1.
Complete an incident report and place a copy in the client’s file.
2.
Draw a single line through each line of the incorrect entry and write a new note explaining what occurred.
3.
Use correction fluid to delete the wrong entry and write in the space that the note was obliterated due to patient confidentiality.
4.
Copy the note into the correct patient’s chart and indicate that it was erroneously put in the wrong patient’s chart.