MED SURG 3 EXAM 6 QUESTIONS WITH VERIFIED
NSWERS
Which statement by the patient recently diagnosed with a meningioma indicates
understanding of the diagnosis?
1. "This is the worst type of brain tumor, and surgery is not an option."
2. "My tumor can be removed, but I can still have damage because of pressure in my
brain."
3. "Even after the surgery, I will need chemotherapy to decrease the spread of the
tumor."
4. "Radiation is never used on brain tumors because of possible nerve damage." -
Answers - 2. "My tumor can be removed, but I can still have damage because of
pressure in my brain."
The nurse monitors for which clinical manifestations in the patient diagnosed with a left
temporal node brain tumor?
1. Sensory loss
2. Motor weakness
3. Expressive speech difficulty
4. Comprehensive speech difficulty - Answers - 4. Comprehensive speech difficulty
The nurse is planning discharge instructions for a patient recovering from surgery to
debulk a brain tumor. What is the rationale for teaching the patient about self-monitoring
of capillary blood glucose level?
1. Taking steroid medication
2. Risk for increased serum glucose as a result of radiation therapy
3. Interruption of glucose regulation in the brain
4. Alteration in oral intake from chemotherapy - Answers - 1. Taking steroid medication
The nurse monitors for which clinical manifestations of increased intracranial pressure
in the patient diagnosed with a brain tumor? Select all that apply.
1. Ataxia
2. Papilledema
3. Diarrhea
4. Vomiting
5. Headache - Answers - 1. Ataxia
2. Papilledema
4. Vomiting
5. Headache
In monitoring a patient recovering from a craniotomy for treatment of a brain tumor,
which assessment findings require the nurse to notify the surgeon? Select all that apply.
, 1. Heart rate 52 bpm
2. Temperature 99.2°F
3. Respiratory rate 10 and irregular
4. Urine output 200 mL over 4 hours
5. Systolic blood pressure 198 mm Hg - Answers - 1. Heart rate 52 bpm
3. Respiratory rate 10 and irregular
5. Systolic blood pressure 198 mm Hg
A patient asks what smoking cigarettes has to do with low back pain. How should the
nurse respond to this patient?
1)"Smoking is a sedentary activity."
2)"Smoking is linked to nutritional disorders."
3)"Nicotine in cigarettes interferes with nutrients that supply the disk spaces."
4)"Nicotine hinders the mobility of the vertebral spaces and interferes with nerve
function." - Answers - 3)"Nicotine in cigarettes interferes with nutrients that supply the
disk spaces."
A victim of a motor vehicle crash is diagnosed with a neck whiplash. Which
manifestation should the nurse expect to assess in this patient?
1)Bladder dysfunction
2)Loss of proprioception
3)Ipsilateral loss of motor function
4)Pain below the level of the - Answers - 1)Bladder dysfunction
The nurse is reviewing orders written for a patient with a new spinal cord injury. Which
order should the nurse question before completing?
1)Place on air mattress
2)Insert a nasogastric tube and attach to low suction
3)Insert indwelling urinary catheter; strict intake and output
4)Dexamethasone (Decadron) 10 mg IVP now and repeat in 4 hours - Answers -
4)Dexamethasone (Decadron) 10 mg IVP now and repeat in 4 hours
The latest blood pressure reading for a patient with a spinal cord injury is 210/140 mm
Hg. What action should the nurse take first?
1)Palpate for bladder distention
2)Assess for a bowel impaction
3)Re-measure the blood pressure 4)Raise the head of the bed 45 degrees - Answers -
4)Raise the head of the bed 45 degrees
The nurse notes crusting of secretions around the pins of a patient with a Halo device.
What action should be taken at this time?
1)Wrap the pins with gauze soaked with normal saline
2)Gently pick the crusting off of the pins with a dry gauze pad
3)Apply gauze soaked with hydrogen peroxide around the pins
4)Syringe 1/2 strength hydrogen peroxide and sterile water to the crusted areas -
Answers - 1)Wrap the pins with gauze soaked with normal saline
NSWERS
Which statement by the patient recently diagnosed with a meningioma indicates
understanding of the diagnosis?
1. "This is the worst type of brain tumor, and surgery is not an option."
2. "My tumor can be removed, but I can still have damage because of pressure in my
brain."
3. "Even after the surgery, I will need chemotherapy to decrease the spread of the
tumor."
4. "Radiation is never used on brain tumors because of possible nerve damage." -
Answers - 2. "My tumor can be removed, but I can still have damage because of
pressure in my brain."
The nurse monitors for which clinical manifestations in the patient diagnosed with a left
temporal node brain tumor?
1. Sensory loss
2. Motor weakness
3. Expressive speech difficulty
4. Comprehensive speech difficulty - Answers - 4. Comprehensive speech difficulty
The nurse is planning discharge instructions for a patient recovering from surgery to
debulk a brain tumor. What is the rationale for teaching the patient about self-monitoring
of capillary blood glucose level?
1. Taking steroid medication
2. Risk for increased serum glucose as a result of radiation therapy
3. Interruption of glucose regulation in the brain
4. Alteration in oral intake from chemotherapy - Answers - 1. Taking steroid medication
The nurse monitors for which clinical manifestations of increased intracranial pressure
in the patient diagnosed with a brain tumor? Select all that apply.
1. Ataxia
2. Papilledema
3. Diarrhea
4. Vomiting
5. Headache - Answers - 1. Ataxia
2. Papilledema
4. Vomiting
5. Headache
In monitoring a patient recovering from a craniotomy for treatment of a brain tumor,
which assessment findings require the nurse to notify the surgeon? Select all that apply.
, 1. Heart rate 52 bpm
2. Temperature 99.2°F
3. Respiratory rate 10 and irregular
4. Urine output 200 mL over 4 hours
5. Systolic blood pressure 198 mm Hg - Answers - 1. Heart rate 52 bpm
3. Respiratory rate 10 and irregular
5. Systolic blood pressure 198 mm Hg
A patient asks what smoking cigarettes has to do with low back pain. How should the
nurse respond to this patient?
1)"Smoking is a sedentary activity."
2)"Smoking is linked to nutritional disorders."
3)"Nicotine in cigarettes interferes with nutrients that supply the disk spaces."
4)"Nicotine hinders the mobility of the vertebral spaces and interferes with nerve
function." - Answers - 3)"Nicotine in cigarettes interferes with nutrients that supply the
disk spaces."
A victim of a motor vehicle crash is diagnosed with a neck whiplash. Which
manifestation should the nurse expect to assess in this patient?
1)Bladder dysfunction
2)Loss of proprioception
3)Ipsilateral loss of motor function
4)Pain below the level of the - Answers - 1)Bladder dysfunction
The nurse is reviewing orders written for a patient with a new spinal cord injury. Which
order should the nurse question before completing?
1)Place on air mattress
2)Insert a nasogastric tube and attach to low suction
3)Insert indwelling urinary catheter; strict intake and output
4)Dexamethasone (Decadron) 10 mg IVP now and repeat in 4 hours - Answers -
4)Dexamethasone (Decadron) 10 mg IVP now and repeat in 4 hours
The latest blood pressure reading for a patient with a spinal cord injury is 210/140 mm
Hg. What action should the nurse take first?
1)Palpate for bladder distention
2)Assess for a bowel impaction
3)Re-measure the blood pressure 4)Raise the head of the bed 45 degrees - Answers -
4)Raise the head of the bed 45 degrees
The nurse notes crusting of secretions around the pins of a patient with a Halo device.
What action should be taken at this time?
1)Wrap the pins with gauze soaked with normal saline
2)Gently pick the crusting off of the pins with a dry gauze pad
3)Apply gauze soaked with hydrogen peroxide around the pins
4)Syringe 1/2 strength hydrogen peroxide and sterile water to the crusted areas -
Answers - 1)Wrap the pins with gauze soaked with normal saline
