Nclex-Rn Practice Questions-Neurological Disorders-Brain Tumors
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Question 1 |
The client is being admitted with rule-out (R/O) brain tumor. Which signs/symptoms support the diagnosis of a brain tumor?
A | Widening pulse pressure, hypertension, and bradycardia. |
B | Headache, vomiting, and diplopia. |
C | Hypotension, tachycardia, and tachypnea. |
D | Abrupt loss of motor function, diarrhea, and changes in taste. |
Question 2 |
The client is diagnosed with a frontal lobe brain tumor. Which sign/symptom would the nurse expect the client to exhibit?
A | Ataxia. |
B | Decreased visual acuity. |
C | Scanning speech. |
D | Personality changes. |
Question 3 |
The client diagnosed with lung cancer has developed metastasis to the brain. Which problem would be priority for this client?
A | Anticipatory grieving. |
B | Impaired gas exchange. |
C | Altered nutritional status. |
D | Alteration in comfort. |
Question 4 |
The client diagnosed with a brain tumor was admitted to the ICU with decorticate posturing. Which indicates that the client’s condition is improving?
A | The client has purposeful movement with painful stimuli. |
B | The client assumes adduction of the upper extremities. |
C | The client assumes the decerebrate posture upon painful stimuli. |
D | The client has become flaccid and does not respond to stimuli. |
Question 5 |
The client diagnosed with a brain tumor is prescribed intravenous dexamethasone (Decadron), a steroid.Which intervention should the nurse implement when administering this medication?
A | Administer medication with normal saline only. |
B | Check the client’s white blood cell (WBC) count. |
C | Determine if the client has oral candidiasis. |
D | Monitor the client’s glucose level. |
Question 6 |
The male client diagnosed with a brain tumor is having a closed magnetic resonance imaging (MRI) scan in 1 hour. The client tells the radiology nurse, “I don’t like small enclosed spaces.” Which action should the nurse implement?
A | Allow the client to express his feelings. |
B | Discuss the procedure with the client. |
C | Obtain an order for an anti-anxiety medication. |
D | Reschedule the procedure for another day. |
Question 7 |
The client is diagnosed with a pituitary tumor and is scheduled for a transsphenoidal hypophysectomy. Which postoperative instruction is important to discuss with the client?
A | Demonstrate to a family member how to change a turban dressing. |
B | Explain to the client how to monitor urine output at home. |
C | Tell the client not to blow his nose for 2 weeks after surgery. |
D | Tell the client he will have to lie flat for 24 hours following the surgery. |
Question 8 |
The male client is scheduled for gamma knife stereotactic surgery for a brain tumor. Which preoperative instruction should the nurse discuss with the client?
A | Instruct the client to avoid bright lights and wear sunscreen. |
B | Tell the client he must sleep with the head of the bed elevated. |
C | Explain there are no activity limitations after this procedure. |
D | Encourage the client to take off at least 2 weeks from work. |
Question 9 |
The client has undergone a craniotomy for a brain tumor. Which data indicate a complication of this surgery?
A | The client complains of a headache at a 3-4 on a 1-10 scale. |
B | The client has a urinary output of 250 mL over the last 24 hours. |
C | The client has a serum sodium level of 137 mEq/L. |
D | The client experiences dizziness when trying to get up too quickly. |
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