Oncology Reviewer!

Mr. Snyder is admitted to your unit with a brain

tumor. The type of tumor he has is currently unknown.
You begin to think about the way brain tumors are
classified.
30. Glioma is an intracranial tumor. Which of the
following statements about gliomas do you know to
be false?
a. 50% of all intracranial tumors are gliomas
b. gliomas are usually benign
c. they grow rapidly and often cannot be totally
excised from the surrounding tissue
d. most glioma victims die within a year after
diagnosis
31. Acoustic neuromas produce symptoms of
progressive nerve deafness, tinnitus, and vertigo due
to pressure and eventual destruction of:
a. CN5
b. CN7
c. CN8
d. The ossicles
32. Whether Mr Snyders tumor is benign or
malignant, it will eventually cause increased
intracranial pressure. Signs and symptoms of
increasing intracranial pressure may include all of
the following except:
a. headache, nausea, and vomiting
b. papilledema, dizziness, mental status changes
c. obvious motor deficits
d. increased pulse rate, drop in blood pressure

33. Mr Snyder is scheduled for surgery in the
morning, and you are surprised to find out that there
is no order for an enema. You assess the situation
and conclude that the reason for this is:
a. Mr. Snyder has had some mental changes due to
the tumor and would find an enema terribly
traumatic
b. Straining to evacuate the enema might
increase the intracranial pressure
c. Mr. Snyder had been on clear liquids and then was
NPO for several days, so an enema is not necessary
d. An oversight and you call the physician to obtain
the order




34. Postoperatively Mr. Snyder needs vigilant
nursing care including all of the following except:
a. Keeping his head flat
b. Assessments q hour of LOC, VS, papillary
responses, and mental status
c. Helping him avoid straining at stool, vomiting, or
coughing
d. Providing a caring, supportive atmosphere for him
and his family
35. Potential postintracranial surgery problems
include all but which of the following?
a. increased ICP
b. extracranial hemorrhage
c. seizures
d. leakage of cerebrospinal fluid


The most common type of brain neoplasm is the
a) glioma. Gliomas are the most common brain
neoplasms, accounting for about 45% of all brain
tumors.
b) angioma. Angiomas account for approximately
4% of brain tumors.
c) meningioma. Meningiomas account for 15-20%
of all brain tumors.
d) neuroma. Neuromas account for 7% of all brain
tumors.

Monro-Kellie hypothesis refers to
a) the dynamic equilibrium of cranial contents.
The hypothesis states that because of the limited
space for expansion within the skull, an increase
in any one of the cranial contents (brain tissue,
blood, or cerebrospinal fluid) causes a change in
the volume of the others.
b) unresponsiveness to the environment.
Akinetic mutism is the phrase used to refer to
unresponsiveness to the environment.
c) the brains attempt to restore blood flow by
increasing arterial pressure to overcome the
increased intracranial pressure.
Cushings response is the phrase used to refer to the
brains attempt to restore blood flow by increasing
arterial pressure to overcome the increased
intracranial pressure.
d) a condition in which the patient is wakeful but
devoid of conscious content, without cognitive or
affective mental function.
Persistent vegetative state is the phrase used to
describe a condition in which the patient is wakeful
but devoid of conscious content, without cognitive or
affective mental function.







An osmotic diuretic, such as Mannitol, is given
to the patient with increased intracranial
pressure (IICP) in order to
a) dehydrate the brain and reduce cerebral
edema.
Osmotic diuretics draw water across intact
membranes, thereby reducing the volume of
brain and extracellular fluid.
b) control fever.
Antipyretics and a cooling blanket are used to control
fever in the patient with IICP.
c) control shivering.
Chloropromazine (Thorazine) may be prescribed to
control shivering in the patient with IICP.
d) reduce cellular metabolic demands.
Medications such as barbiturates are given to the
patient with IICP to reduce cellular metabolic
demands.
26. Which of the following positions are
employed to help reduce intracranial pressure
(ICP)?
a) Avoiding flexion of the neck with use of a
cervical collar
Use of a cervical collar promote
venous drainage and prevents jugular vein
distortion that will increase ICP.
b) Keeping the head flat with use of no pillow
Slight elevation of the head is maintained to aid in
venous drainage unless otherwise prescribed.
c) Rotating the neck to the far right with neck
support
Extreme rotation of the neck is avoided because
compression or distortion of the jugular veins
increases ICP.
d) Extreme hip flexion supported by pillows
Extreme hip flexion is avoided because this position
causes an increase in intra-abdominal pressure and
intrathoracic pressure, which can produce a rise in
ICP.