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 with suspected Parkinsons disease is initially being assessed by the nurse. When is the best time to assess for the presence of a tremor?
Correct Answer: A
Rationale: Parkinson's resting tremor is most evident when extremities are motionless, disappearing with purposeful movement. Assessment during rest is optimal.
Question 2 of 5
The clinic nurse caring for a patient with Parkinsons disease notes that the patient has been taking levodopa and carbidopa (Sinemet) for 7 years. For what common side effect of Sinemet would the nurse assesses this patient?
Correct Answer: B
Rationale: Long-term levodopa use (5-10 years) commonly causes dyskinesia. Pruritus, lactose intolerance, and diarrhea are not typical side effects.
Question 3 of 5
The nurse is caring for a boy who has muscular dystrophy. When planning assistance with the patients ADLs, what goal should the nurse prioritize?
Correct Answer: B
Rationale: Muscular dystrophy is incurable, so maximizing function through ADLs is the priority. Family participation and adherence support this goal but are secondary.
Question 4 of 5
A 37-year-old man is brought to the clinic by his wife because he is experiencing loss of motor function and sensation. The physician suspects the patient has a spinal cord tumor and hospitalizes him for diagnostic testing. In light of the need to diagnose spinal cord compression from a tumor, the nurse will most likely prepare the patient for what test?
Correct Answer: D
Rationale: MRI is the most sensitive test for detecting spinal cord compression from tumors. X-rays, ultrasound, and lumbar puncture are less effective for this diagnosis.
Question 5 of 5
A patient with Parkinsons disease is undergoing a swallowing assessment because she has recently developed adventitious lung sounds. The patients nutritional needs should be met by what method?
Correct Answer: C
Rationale: Semisolid foods with thick liquids are easier to swallow, reducing aspiration risk. TPN, low-residue diets, or fluid restrictions are not indicated.