A 64-year-old woman has been admitted to the neurological unit after being diagnosed with a brain tumor. The woman is slated for neurosurgery the following day, and the woman's daughter has come to the hospital from out of state.
After visiting her mother for the first time since she was diagnosed, the daughter is distraught and tells the nurse, My mother has always been one of the kindest, most considerate people, and I don't remember her ever being so abrasive. How should the nurse best respond to the daughter's statement?
A) Your mother has received a very stressful diagnosis, and she's likely still processing it.
B) Those personality changes are probably a result of the tumor's effect on her brain.
C) Your mother may have been experiencing a partial seizure when she was speaking to you.
D) It's most helpful if you can accept her the way she is now, even if it's more difficult than in the past.
Question 2While reviewing the nursing documentation on a patient on the neurological unit, the nurse notes that the patient complained of a headache several times over the previous shift.
How can the nurse differentiate between a headache that is caused by a brain tumor and a headache that is caused by meningitis or encephalitis?
A) Assess the patient's carotid pulses bilaterally.
B) Assess the patient's orientation to person, place, and time.
C) Assess the active and passive range of motion of the patient's neck.
D) Assess for the presence of a fever.
Question 3A 42-year-old woman comes to the clinic complaining of intermittent urinary incontinence when she sneezes. The clinic nurse is aware that this patient is experiencing what type of incontinence?
A) Stress incontinence
B) Reflex incontinence
C) Overflow incontinence
D) Functional incontinence
Question 4The nurse is caring for an 84-year-old female patient who was brought to the emergency room by her daughter, who related that her mother has had very recent mental status changes and periods of incontinence.
What condition should the nurse first suspect?
A) Urinary retention
B) Urinary stasis
C) Urinary calculi
D) Urinary tract infection (UTI)
Question 5A patient who has been diagnosed with a brain tumor is being cared for in the neurological intensive care unit (ICU) because of a sudden exacerbation of the signs and symptoms of his neoplasm.
Which of the following would be indicative of increased intracranial pressure (ICP)?
A) Epistaxis
B) Severe headache
C) Increased jugular venous pressure (JVP)
D) Electrocardiographic (ECG) changes
Question 6A 33-year-old man who is in healthy physical condition has been admitted to the emergency room with unilateral weakness and slurred speech.
A computed tomography (CT) scan of the man's head reveals a hemorrhagic stroke despite the fact that the man is in good health with no history of hypertension, thromboembolism, or drug use. What type of brain tumor has the potential to cause this man's health problem?
A) Acoustic neuroma
B) Meningioma
C) Pituitary adenoma
D) Angioma
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