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 patient, diagnosed with cancer of the lung, has just been told he has metastases to the brain. What change in health status would the nurse attribute to the patients metastatic brain disease?
Correct Answer: D
Rationale: Brain metastases cause neurologic symptoms like personality changes, not chronic pain, respiratory distress, or fixed pupils, which are unrelated or less common.
Question 2 of 5
A patient has just been diagnosed with Parkinsons disease and the nurse is planning the patients subsequent care for the home setting. What nursing diagnosis should the nurse address when educating the patients family?
Correct Answer: D
Rationale: Parkinson's disease increases fall risk due to dyskinesia and bradykinesia, making 'risk for injury' a priority. Infection, ventilation, or neglect are not typical concerns.
Question 3 of 5
The nurse is caring for a patient with Huntington disease who has been admitted to the hospital for treatment of malnutrition. What independent nursing action should be implemented in the patients plan of care?
Correct Answer: D
Rationale: Deep, gentle pressure aids swallowing in Huntington's patients with choreiform movements. Redirecting the head or focusing on cleanliness is inappropriate, and phenothiazines are given before meals.
Question 4 of 5
A patient has been admitted to the neurologic unit for the treatment of a newly diagnosed brain tumor. The patient has just exhibited seizure activity for the first time. What is the nurses priority response to this event?
Correct Answer: B
Rationale: Safety during a seizure is the priority to prevent injury. Education, trigger identification, and room assignment are secondary actions.
Question 5 of 5
A patient diagnosed with a pituitary adenoma has arrived on the neurologic unit. When planning the patients care, the nurse should be aware that the effects of the tumor will primarily depend on what variable?
Correct Answer: B
Rationale: Pituitary adenoma effects depend on the hormones it secretes, impacting bodily functions. Respiration type, health status, or tumor origin are less determinative.