ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 70 : Management of Patients With Oncologic or Degenerative Neurologic Disorders Questions
Question 1 of 5
A male patient with a metastatic brain tumor is having a generalized seizure and begins vomiting. What should the nurse do first?
Correct Answer: D
Rationale: Turning the patient on their side prevents aspiration of vomit during a seizure.
Tongue depressors are contraindicated, and suctioning or paging the physician are secondary actions.
Question 2 of 5
The nurse in an extended care facility is planning the daily activities of a patient with postpolio syndrome. The nurse recognizes the patient will best benefit from physical therapy when it is scheduled at what time?
Correct Answer: B
Rationale: Morning physical therapy maximizes benefit in postpolio syndrome, as fatigue worsens later in the day.
Question 3 of 5
A patient newly diagnosed with a cervical disk herniation is receiving health education from the clinic nurse. What conservative management measures should the nurse teach the patient to implement?
Correct Answer: B
Rationale: Sleeping on a firm mattress promotes proper spinal alignment and pain relief. Active ROM, cool compresses, and limited collar use are not standard conservative measures.
Question 4 of 5
A patient has just returned to the unit from the PACU after surgery for a tumor within the spine. The patient complains of pain. When positioning the patient for comfort and to reduce injury to the surgical site, the nurse will position to patient in what position?
Correct Answer: B
Rationale: Flat side-lying position minimizes pressure on the surgical site, reducing pain and complications. Other positions increase strain or risk.
Question 5 of 5
A patient with Huntington disease has just been admitted to a long-term care facility. The charge nurse is creating a care plan for this patient. Nutritional management for a patient with Huntington disease should be informed by what principle?
Correct Answer: A
Rationale: Huntington's disease causes increased appetite due to involuntary movements, requiring high-calorie diets. Enzyme supplements, clear liquids, or low-protein diets are not indicated.