SPINAL CORD INJURY TEST PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ measure BP. Answer: It is important to ____ when a patient with a
SCI complains of a headache.
◉ Elevate head, notify HCP (45 + degrees)
Assess for and remove cause
Immediate catheterization
Remove stool impaction if cause
Remove constrictive clothing and tight shoes
Monitor BP frequently during the episode
α-adrenergic blocker or an arteriolar vasodilator (e.g., nifedipine
[Procardia]. Answer: autonomic dysreflexia nursing interventions:
◉ phrenic nerve stimulators. Answer: The patient with high cervical
spinal cord injury may have greatly increased mobility with ___ or
electronic diaphragmatic pacemakers.
*•These devices are not appropriate for all ventilator-dependent
patients but may be helpful for those with an intact phrenic nerve.*
,◉ ventilators. Answer: ___ are also reasonably portable, and
ventilator-dependent tetraplegic patients can be mobile and
somewhat independent.
◉ Neurogenic Bladder. Answer: Urgency, frequency, incontinence,
inability to void, and high bladder pressures resulting in reflux of
urine into kidneys
◉ Anticholinergic drugs (used to suppress bladder contraction)
α-Adrenergic blockers (relax the urethral sphincter)
Antispasmodic drugs (decrease spasticity of pelvic floor muscles).
Answer: neurogenic bladder drug therapy:
◉ 3-4. Answer: Patients with indwelling catheters need to have an
adequate fluid intake (at least ___ L/day).
◉ intermittent catheterization. Answer: Initially, catheterization is
done every 4 hours. Bladder volume can be assessed before
catheterization using the portable bladder ultrasound machine. If
less than 200 mL of urine is measured, the time interval may be
extended. If greater than 500 mL of urine is measured, the time
interval is shortened. The number of intermittent catheterizations
per day is usually five or six.
, ◉ neurogenic bowel. Answer: Careful management of bowel
evacuation is necessary in the patient with an SCI because voluntary
control of this function may be lost. This condition is called ___.
◉ High-fiber diet
Adequate fluid intake
Suppositories
Small-volume enemas
Digital stimulation
Mandatory for upper motor neuron injury
Stool softener
Oral stimulant laxatives
Valsalva maneuver with manual stimulation
For lower motor neuron injuries use of gastrocolic reflex. Answer:
neurogenic bowel treatment:
◉ gastrocolic reflex. Answer: If bowel evacuation is planned for 30
to 60 minutes following the first meal of the day, this may enhance
success by taking advantage of the _____ induced by eating. This
reflex may also be stimulated by drinking a warm beverage
immediately following the meal.
a bowel movement every other day is considered adequate
QUESTIONS WITH SOLUTIONS GRADED A+
◉ measure BP. Answer: It is important to ____ when a patient with a
SCI complains of a headache.
◉ Elevate head, notify HCP (45 + degrees)
Assess for and remove cause
Immediate catheterization
Remove stool impaction if cause
Remove constrictive clothing and tight shoes
Monitor BP frequently during the episode
α-adrenergic blocker or an arteriolar vasodilator (e.g., nifedipine
[Procardia]. Answer: autonomic dysreflexia nursing interventions:
◉ phrenic nerve stimulators. Answer: The patient with high cervical
spinal cord injury may have greatly increased mobility with ___ or
electronic diaphragmatic pacemakers.
*•These devices are not appropriate for all ventilator-dependent
patients but may be helpful for those with an intact phrenic nerve.*
,◉ ventilators. Answer: ___ are also reasonably portable, and
ventilator-dependent tetraplegic patients can be mobile and
somewhat independent.
◉ Neurogenic Bladder. Answer: Urgency, frequency, incontinence,
inability to void, and high bladder pressures resulting in reflux of
urine into kidneys
◉ Anticholinergic drugs (used to suppress bladder contraction)
α-Adrenergic blockers (relax the urethral sphincter)
Antispasmodic drugs (decrease spasticity of pelvic floor muscles).
Answer: neurogenic bladder drug therapy:
◉ 3-4. Answer: Patients with indwelling catheters need to have an
adequate fluid intake (at least ___ L/day).
◉ intermittent catheterization. Answer: Initially, catheterization is
done every 4 hours. Bladder volume can be assessed before
catheterization using the portable bladder ultrasound machine. If
less than 200 mL of urine is measured, the time interval may be
extended. If greater than 500 mL of urine is measured, the time
interval is shortened. The number of intermittent catheterizations
per day is usually five or six.
, ◉ neurogenic bowel. Answer: Careful management of bowel
evacuation is necessary in the patient with an SCI because voluntary
control of this function may be lost. This condition is called ___.
◉ High-fiber diet
Adequate fluid intake
Suppositories
Small-volume enemas
Digital stimulation
Mandatory for upper motor neuron injury
Stool softener
Oral stimulant laxatives
Valsalva maneuver with manual stimulation
For lower motor neuron injuries use of gastrocolic reflex. Answer:
neurogenic bowel treatment:
◉ gastrocolic reflex. Answer: If bowel evacuation is planned for 30
to 60 minutes following the first meal of the day, this may enhance
success by taking advantage of the _____ induced by eating. This
reflex may also be stimulated by drinking a warm beverage
immediately following the meal.
a bowel movement every other day is considered adequate
