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
The nurse is caring for a patient newly diagnosed with a primary brain tumor. The patient asks the nurse where his tumor came from. What would be the nurses best response?
Correct Answer: C
Rationale: Primary brain tumors arise from brain cells, unlike secondary tumors from outside the CNS. Glandular or nerve tissue origins are less specific.
Question 2 of 5
A gerontologic nurse is advocating for diagnostic testing of an 81-year-old patient who is experiencing personality changes. The nurse is aware of what factor that is known to affect the diagnosis and treatment of brain tumors in older adults?
Correct Answer: A
Rationale: Brain tumor symptoms in older adults are often misattributed to aging, delaying diagnosis. Tumors produce focal effects, are not typically benign, and treatment is not age-restricted.
Question 3 of 5
A patient who has been experiencing numerous episodes of unexplained headaches and vomiting has subsequently been referred for testing to rule out a brain tumor. What characteristic of the patients vomiting is most consistent with a brain tumor?
Correct Answer: C
Rationale: Brain tumor-related vomiting is typically unrelated to food intake due to increased ICP. Epistaxis, blood-tinged emesis, or nausea relief are not characteristic.
Question 4 of 5
A male patient presents at the free clinic with complaints of impotency. Upon physical examination, the nurse practitioner notes the presence of hypogonadism. What diagnosis should the nurse suspect?
Correct Answer: A
Rationale: Prolactinoma often causes impotence and hypogonadism in males due to prolactin excess. ACTH-producing adenomas cause different symptoms, and angiomas or gliomas are less likely.
Question 5 of 5
The nurse is planning the care of a patient who has been recently diagnosed with a cerebellar tumor. Due to the location of this patients tumor, the nurse should implement measures to prevent what complication?
Correct Answer: A
Rationale: Cerebellar tumors cause ataxia and dizziness, increasing fall risk. Hallucinations, respiratory issues, or BP instability are not typical complications.